Tag: Mississippi

Clarion Ledger | Ambulance ‘response times’ miss the big picture: health outcomes

Congratulations to the board of the Mississippi Ambulance Alliance on the publication of their insightful op-ed in the Clarion Ledger.

“Response Times” are the loudest complaint, both locally and around the country — regardless of whether a private or public ambulance is responding. Everyone is, understandably, mad the ambulance isn’t right here, right now. And in many if not most instances, the ambulance providers agree — they want to be on scene sooner.

But that system is showing its fragility everywhere.

Read the Full Op-Ed

Acadian Ambulance Service in 2020

Acadian Ambulance Service
Lafayette, Louisiana
5,000 Staff | 750 Quarantined in 2020

Since 1971, Acadian Ambulance Service has earned a reputation as one of the nation’s most respected and largest privately held medical transportation companies.

Acadian was founded in response to a sudden crisis, as communities around the country found themselves without emergency medical transportation when federal regulations caused funeral homes to stop using hearses for emergency transport.

We began Louisiana operations on September 1, 1971, with three young cofounders, two ambulances and eight medics covering 279 square miles.

We have steadily added parishes and states to our service area over the years, addressing challenges along the way. Our fleet currently contains more than 600 ground ambulances, helicopters and fixed-wing airplanes.

Acadian currently covers more than 70 parishes and counties that are home to more than 24 million residents in Louisiana, Mississippi, Tennessee, and Texas.

Our company is one of a very select few agencies in the United States to achieve accreditation with both the Commission on the Accreditation of Ambulance Services for our ground operations and the Commission on Accreditation of Medical Transport Systems for our air operations.

The COVID-19 pandemic and seven tropical cyclones that impacted our service area have presented operational and economic challenges to Acadian Ambulance. Our team has responded by working together, finding solutions and taking care of our patients and communities, while ensuring the health of our employees.

When cases began rising in the spring and stay-at-home orders were enacted, we saw patient volume drop and costs escalate.

Throughout the pandemic, we have worked hand-in-hand with other EMS agencies and first responders, working under state contracts and staffing surge units.

Our four-state service area was also impacted by a very active hurricane season, enduring effects from Cristobal, Marco, Laura, Sally, Beta, Delta and Zeta.

Hurricane Laura made landfall in the heart of our SE Texas and SW Louisiana service areas and impacted Central and North Louisiana. More than 100 of our employee-owners suffered substantial or total loss of their homes and property, and some of our company facilities saw severe damage.

We have faced many challenges over the years, and each one has helped us to adapt and continue living out our mission of Knowing Life Matters.

EMS Week Featured Service | Pafford Medical Services

Pafford Medical Services
Hope, Arkansas
Facebook | Twitter 

Meet Pafford Medical Services

Founded in 1967, Pafford Medical Services continues to provide over 80 communities with the latest, most sophisticated level of pre-hospital care. As a family-owned and operated company, Pafford serves communities across Arkansas, Louisiana, Mississippi, Oklahoma, Pennsylvania, and the U.S. Virgin Islands. With over 1200 members of Team Pafford, over 180 ambulances, 3 medical fixed-wing aircraft, 3 rotor-wing aircraft, 2 communications centers, and our corporate billing office, Pafford is staffed 24/7.

It is Pafford’s mission to provide its communities, healthcare partners, and facilities they serve with the highest standards of mobile healthcare. While providing communities with proper 911 ambulance coverage, the company has become known nationwide for its Special Response Taskforce which assists during national disasters. As the company evolves to cater to the citizens it serves, Pafford took notice of the needs of industries and businesses during the global pandemic and now operates OnSite Healthcare Services in order to safeguard workforces as the world resumes operation amidst COVID-19.  Another pillar of the company’s mission is its promise as a contributive community partner by providing educational resources, medical equipment, and scholarships along with medical standby for special events.

Pafford is fully equipped to provide the following services:

  • ALS/BLS Ground Ambulance Transportation
  • 911 Paramedic Ambulance
  • Mobile Integrated Healthcare Services
  • OnSite Healthcare Services
  • Air Medical Fixed-WingTransporation
  • Air Medical Rotor-Wing Transportation
  • Government and Industrial OnSite Services
  • Event Standby Services
  • Domestic and International Special Response Taskforce
  • Community Education Resources
  • Medical Billing

The Pafford Medical Services COVID-19 Response

It was evident that with the novel coronavirus, crew members would need to be properly trained to combat the transmission of the virus. Along with obtaining PPE for their medics, Pafford Medical Services provided additional, in-depth training and education to crew members all while increasing health surveillance, screening, and tracking of employees. Due to Pafford spanning across 5 states and the U.S. Virgin Islands, the company activated its Emergency Operations Center to provide support to its primary 911 PSAPS.

In these unprecedented times, Pafford Medical Services remained a leader in community discussions and decisions related to COVID-19. To better serve its communities, Pafford dedicated ambulances in their regions to coordinate the transport of COVID cases or suspected COVID cases. All of Pafford’s systems were able to remain fully operational thanks to the diligent work and daily communications with their leadership teams to keep all team members up to date on the latest information for their communities.

“We will never be able to fully express our gratitude to not only our management teams but to our boots on the ground who have been in the trenches remaining strong and vigilant over the past 10 weeks,” says CEO, Jamie Pafford-Gresham. “These men and women have gone above and beyond the call of duty, serving others, their communities, and their country during this global health crisis.”

The Pafford Medical Services Leadership Perspective

“As a rural EMS provider, our challenges on a day-to-day basis require our medics to be prepared to care for our communities, many of which do not have hospitals and with clinics working limited hours, our medics are always there 24/7/365.  We are the Healthcare Safety Net and our team does a wonderful, compassionate job. They don’t back down and provide a vital service to our citizens. During this outbreak, I am proud of not only our EMS team members but the entire EMS system across America for stepping up in such a critical time in our Country.”—Jamie Pafford-Gresham, CEO, Pafford Medical Services

Frontline Voices from Pafford Medical Services

“It takes a servant’s heart and a strong mind. But I count it as pure joy to help those in need.”-Alvin Short, Pafford EMS, Paramedic, Canadian County, OK

EMS is important because even when things get rough, the world keeps getting scarier and sickness continues to rise…we never quit.”—Meghann Jones EMT Pafford EMS, Canadian County, Oklahoma

“EMS is important because it provides immediate medical care to people who need it– bringing the ER to the patient in a timely manner.” Jarlicia Scott FTO/ Paramedic

“EMS is an extremely important part of community safety, doctors don’t make house calls anymore so EMS practitioners stand readily available to provide that extension of care while treating and managing acute illnesses and trauma.”—Randy Murry, EMS Operations Manager, Coahoma County, Mississippi,  Star of Life 2020

How Pafford Medical Services Celebrates EMS Week

Most people that know the Pafford Family, know that celebration is normally in the form of passing the plate, sharing in a meal, and most importantly, fellowship. Pafford Medical Services makes it a point to take a step back and bring families together, to recognize and honor the sacrifices made from all members of the families that have a loved one on the front-lines. This year, team gifts will be given out, but most importantly, Pafford realizes that the ultimate gifts are its people.

Rest in Peace, David Martin of AMR

Our hearts are broken for AMR Paramedic David Martin’s family, friends, and American Medical Response colleagues. Your service will never be forgotten. Rest In Peace, David. Your EMS brethren will take it from here.

William David Martin, EMT Paramedic, gave the ultimate sacrifice today. It was not his intent to sacrifice his life for…

Posted by AMR Southwest Mississippi on Wednesday, April 22, 2020

40 Under 40: Ethan Taylor (Baptist Ambulance Service – Booneville, MS)

40 Under 40 nominees were selected based on their contributions to the American Ambulance Association, their employer, state ambulance association, other professional associations, and/or the EMS profession.
____

Ethan Taylor
Paramedic
Baptist Ambulance Service (Member of the Priority Ambulance family of companies)
Booneville, MS

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Nominated by: Tracey Moreland (Priority Ambulance – Knoxville, TN)
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Biography:

Ethan Taylor is a currently employed as a Paramedic with Baptist Ambulance Service in Booneville, MS. Ethan is a 2010 high school graduate from New Site High School, and completed Paramedic school at Northwest Shoals Community College in 2013. Ethan began his career in EMS in 2011 as an EMT. While Ethan strives to be a better Paramedic each day his ultimate goal is to pursue a career in EMS management. Ethan’s greatest accomplishment that he speaks of often is balancing the crazy EMS life and raising his eight year old son.

____

Reason for Nomination:

Ethan has exhibited much admiration and dedication while working as a Paramedic. Ethan’s passion for caring for patients is obvious. Ethan is willing to take on any task that he is assigned and enjoys educating and precepting for students and upcoming EMS professionals.

____

View all of the 2020 Mobile Healthcare 40 Under 40 Honorees

Congrats to CAAS Accreditations & Recerts

Congratulations to the AAA members who received Commission on the Accreditation of Ambulance Services (CAAS) accreditation or reaccreditation in November and December!

New certifications

  • Superior Air-Ground Ambulance (Elmhurst, IL)

Recertifications

  • Ambucare (Bremen, GA)
  • American Medical Response Central Mississippi (Jackson, MS)
  • American Medical Response, Los Angeles (Irwindale, CA)
  • American Medical Response, San Diego (San Diego, CA)
  • American Medical Response of West Michigan (Grand Rapids, MI)
  • American Medical Response South Mississippi (Gulfport, MS)
  • Lifeguard Ambulance Service (Milton, FL)
  • Metro West Ambulance (Hillsboro, OR)
  • Richmond Ambulance Authority (Richmond, VA)

Alabama Governor Signs REPLICA Compact

Governor Kay Ivey recently signed into law Alabama’s REPLICA legislation, HB250. Alabama joins ten other states—Colorado, Texas, Virginia, Idaho, Kansas, Tennessee, Utah, Wyoming, Mississippi, and Georgia—in this forward-thinking interstate compact.

REPLICA, the Recognition of EMS Personnel Licensure Interstate Compact,  recognizes the day-to-day movement of EMS personnel across state lines. It extends the privilege to practice under authorized circumstances to EMS personnel based on their home state license, as well as allows for the rapid exchange of licensure history between Compact member states..

Learn more about how REPLICA participation can help your state at http://www.emsreplica.org.

REPLICA Compact Enacted

REPLICA Meets Goal, Interstate Compact Becomes Official

May 8, 2017
For Immediate Release
Contact:
Sue Prentiss
603-381-9195
prentiss@emsreplica.org

May 8, 2017 (Falls Church, VA). With the 10th member state enactment, the Recognition of
Emergency Medical Services Licensure Interstate Compact (REPLICA) has become official.
Governor Nathan Deal of Georgia signed Senate Bill 109 on today activating the nation’s first EMS
licensure compact. States that have passed REPLICA to date include: Colorado, Texas, Kansas,
Virginia, Tennessee, Idaho, Utah, Mississippi, Wyoming and Georgia.

Released in 2014, REPLICA’s model legislation creates a formal pathway for the licensed individual
to provide pre-hospital care across state lines under authorized circumstances. According to Keith
Wages, president of the National Association of State EMS Officials (NASEMSO), “REPLICA
represents a collective, nationwide effort to address the problems faced by responders when needing
to cross state borders in the line of their duties.” Wages highlighted the compact’s abilities to
“increase access to healthcare, reduce regulatory barriers for EMS responders, and place an
umbrella of quality over cross border practice not previously seen in the EMS profession.” Wages
also noted that the partnership with the National Registry of Emergency Medical Technicians
(NREMT) has been essential during the advocacy and implementation phases. “We are grateful for
their continued support and contributions.”

Through funding provided by the Department of Homeland Security (DHS), NASEMSO led 23 EMS,
fire, law enforcement organizations and associations as well as key federal partners in the design and
drafting of REPLICA. The National Registry of EMTs (NREMT) currently provides funding to finalize
the development of the Commission.

The compact calls for establishment of an Interstate Commission with each state that has passed
REPLICA holding a seat, as well as a national EMS personnel coordinated database. Member states
will be able to rapidly share personnel licensure information, develop policy focused only on cross
border EMS practice, and hold EMS personnel originating in other states accountable in an
unprecedented way. The National Registry of EMT’s (NREMT) has committed to the development
and hosting of the coordinated database.

Twelve national associations and organizations support REPLICA. Three states have REPLICA bills
under consideration in their legislative sessions. Learn more at www.emsreplica.org.

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2017 AAA Legislative Awards

AAA Members on Capitol Hill

This week, AAA members were once again on Capitol Hill meeting with members of Congress. AAA Government Affairs Committee Chair, Jamie Pafford-Gresham of Pafford EMS, met with entire Congressional Arkansas delegation. While on the Hill, Jamie also met with members from Oklahoma and Mississippi. AAA Board Member, Kim Godden (Superior Air-Ground Ambulance), Payment Reform Committee Chair, Asbel Montes (Acadian Ambulance Service), and AMR VP Federal Reimbursement & Regulatory Affairs, Deb Gault were also on the Hill for meetings this week. Collectively the group met with over twenty Congressional offices this week. Thank you to all of our members for their hard work fighting for permanent Medicare relief. We appreciate you taking the time to visit Washington and meet with your representatives.

Pafford EMS CEO, Jamie Pafford-Gresham, and Sen. John Boozman of Arkansas

Pafford EMS CEO, Jamie Pafford-Gresham, and Sen. Tom Cotton of Arkansas

Have you met recently with a Member of Congress? Are you interested in getting involved with the AAA’s advocacy efforts? If so, email Aidan Camas at acamas@ambulance.org!

Acadian’s Asbel Montes on Ambulance Payment Reform

“EMS is instrumental to the healthcare fabric of our country. As the healthcare industry continues to innovate, it is imperative to recognize the value that EMS brings to the pre- and post-hospital environment. EMS providers are the only gatekeepers to the healthcare system in many communities.

73% of all ambulance suppliers credentialed with Medicare bill the program less than 1,000 transports per year. It is imperative that any cost data collection system reporting requirements consider this to ensure the reliability of the data and the administrative burden to ambulance providers and suppliers.”

Asbel Montes
Vice President of Governmental Relations & Reimbursement, Acadian Ambulance
Co-Chair, American Ambulance Association Payment Reform Committee

Spotlight: Jamie Pafford-Gresham

Jamie Pafford-Gresham
CEO, Pafford EMS
Co-Chair, AAA Government Affairs Committee
Hope, Arkansas, USA
Jamie’s LinkedIn

Tell us a little about Pafford EMS.

Pafford is a family business started by my parents in Magnolia, Arkansas in 1967 with just a station wagon! Some in the industry would call this a “Mom and Pop” organization, but my brothers and I now operate in four states nearly 100 ambulances with 550 employees, three helicopters, two fixed wing medical aircraft and a large billing company. We respond to 90,000 calls a year in 28 counties and parishes. Our corporate office is located in Hope, Arkansas.

Can you share with us a little about Pafford’s culture?

Communicating to our employees our philosophy and beliefs while living by the same set of rules strengthens their understanding of how important it is to us to practice what we preach.

[quote_right]Our mission statement comes from the Bible, and is very simple: Do unto others as you would have them do unto you.[/quote_right]Our mission statement comes from the Bible, and is very simple: Do unto others as you would have them do unto you. We teach our employees to think of each patient as a family member (one you like!) and treat them with the utmost care and respect. A verse I carry with me is Luke 10:33-34.

Because we have such a large service area, I see differences in stations and states; some it seems to be more driven by the local culture of an area. Overall, our Pafford family believe in our commitment to the communities we serve.

Do you have any tips for onboarding new employees?

Hiring quality candidates with the ability to excel in the company is very important. It is the beginning of a great relationship for both employee and employer.

[quote_left]New employees attend a series of training sessions with their field training officers that reinforce our company values.[/quote_left]New employees attend a series of training sessions with their FTOs (field training officers) that reinforce our company values. Unethical behavior is not acceptable. We are in the public eye and dealing with people’s lives, and our rules reflect our policy on such things with disciplinary action outlined in writing. Training and communication of the rules and regulations of our company is key for a successful outcome.

How do you retain employees?

We value each and every employee, and realize that they make sacrifices to be in this line of work. EMS is a very stressful job, with unusual and long hours away from family for shift work. It is also con unhealthy lifestyle with the eating on the go, not to mention the pay is not what most want but is dictated by federal programs that have limited revenues. I have the utmost respect for our crews, and that is one of the reasons that people stay—they realize that they are needed and appreciated.

The long and short of it is that you have to want to be in EMS, and you have to love what you do. The reward for most is the satisfaction of good patient care and positive outcomes, which bring them back to do more good work. We provide many benefits such as a caring environment with good benefits, good pay, and up-to-date equipment with a company that cares about their well-being.

What is your typical day like?

My job duties change from day to day—I wear many hats and the overall well-being of the company rests on my shoulders. (In case you haven’t noticed, I have really broad shoulders.) I am responsible to ensure we keep the communities we serve with the best EMS possible while maintaining proper finances company-wide.

Relationships are a huge part of any successful company, and are key to every executive. I can be found meeting with elected and public officials along with hospital administrators throughout our service area, communicating goals to our managers, and assisting with the billing company’s woes when needed. My husband, Ben, also works within the company, the ambulance discussions are never-ending!

I serve on many boards and commissions along with co-chairing the American Ambulance Association’s Government Affairs Committee.

How has participation in AAA membership and advocacy helped your organization?

I attended my first AAA meeting in 1984. I knew that day that there was something special about the group. The knowledge in the room, with so many diverse types helped me learn from some of the best minds in the country. I served on the board of directors for 15 years, and learned something new every meeting—still do today. To survive in this industry, you need to stay connected with change. The AAA is the way to go!

MAC Novitas March 2016 Updates to Ambulance Services

On March 4, Novitas Solutions, Medicare Administrative Contract managers for several jurisdictions, asked AAA to share the following information with ambulance services.

March 4, 2016 – Letter to Ambulance Providers | March 4, 2016 – Letter to Beneficiaries

Jurisdictions Covered By Novitas

  • The Medicare Administrative Contract (MAC) Jurisdiction L (JL), which spans Pennsylvania, New Jersey, Maryland, Delaware and Washington D.C.;
  • The Medicare Administrative Contract (MAC) Jurisdiction H (JH), which spans Colorado, Oklahoma, New Mexico, Texas, Arkansas, Louisiana, Mississippi, Indian Health Service (IHS) and Veterans Affairs (VA); and
  • The payment processing for the Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens contract, as authorized under Section 1011 of the 2003 Medicare Modernization Act.

Spotlight: Asbel Montes

Asbel Montes
Vice President, Acadian Ambulance Service, Inc
Lafayette, Louisiana, USA
Follow Asbel on Twitter at @asbelmontes
Asbel’s LinkedIn

Can you please tell us a little about yourself?

I was born in San Bernardino, CA and lived there until I was five. My dad was in the Air Force. When I was five, he felt the call to become a pastor in North Carolina and was discharged from the Air Force.

I am married and have one daughter who is fifteen years old.

I have played the piano since I was eight years old and used to be the music minister for my dad and my brother-in-law, until my career became too demanding to do both.

I am an avid read of non-fiction and fiction. I enjoy a great political or legal thriller.

How did you come to work in the industry? How long have you been involved?

I started in the ambulance industry at the age of 21. I answered an ad in the newspaper for an account manager position for an ambulance billing company in North Carolina. I have been in the revenue cycle space for almost 19 years.

What do you enjoy most about your job?

I enjoy the people I work with at Acadian. Acadian Ambulance Service has a culture where the employees truly care about the success of the company. This culture is prevalent throughout the organization from senior leadership to front-line staff.

What is your biggest professional challenge?

My biggest challenge is the federal and state regulations that continue to negatively impact our industry from Medicare, Medicaid, and insurance companies. This has a downstream effect on increasing our cost per claim due to the excessive administrative burden, as well as reducing our revenue per transport.

What is your typical day like?

My day starts at 4:45 am. I like to meditate and read for about an hour before getting to the office by 7:00 am. My day is packed with meetings and typically culminates with me leaving the office around 6:00 pm.

I travel extensively between Austin, Baton Rouge, and Washington, DC.

How has participation in AAA membership and advocacy helped your organization?

The American Ambulance Association has been beneficial in helping to create a united front in the ambulance industry for important initiatives on Capitol hill.

Acadian’s High School Champions Program Leads the Way

Founded in 1971 in with just eight staff and two vehicles, Acadian Ambulance has grown over the years to more than 4000 employees with a fleet of 400 ground ambulances, helicopters, fixed-wing airplanes, and van and bus transports. Their territory has expanded from Lafayette Parish, Louisiana, to stations spanning large swaths of Louisiana, Texas, and Mississippi.

How does such a large and varied service feed their talent pipeline? In addition to many other strategies, Acadian is leading the industry in its efforts to engage young adults in EMS through its High School Champions program, a division of their National EMS Academy.

Porter Taylor, Acadian's Director of Operations
Porter Taylor, Acadian’s Director of Operations

To learn more about the ins-and-outs of the program, AAA caught up with Porter Taylor, Acadian’s Director of Operations. Taylor has been in EMS for 29 years, since he joined Acadian Ambulance as a college sophomore. “I love making a difference in people’s lives. When I was working on a unit it was the patient, and now, almost 30 years later, it is the employees that I love helping.”

Establishing High School Champions was not a linear path. Initially, Acadian would send medics to career fairs and school functions to introduce the field and promote its National EMS Academy (NEMSA) as an opportunity after graduation. “There are a lot of technical grants out there, and a critical staffing need for EMS in general. We wanted to create an avenue for educating students about the benefits of becoming EMTs to support our staffing needs long term,” said Taylor.

Although these medic visits were effective, Acadian wanted to expand the fledgling program’s scope and reach. He began visiting area high schools and meeting with school boards and directors more than a year ago to build relationships and explore opportunities. The partnerships he built added another facet to the High School Champion initiative wherein Acadian continues to promote NEMSA, coupled with an effort to get the schools to incorporate an EMT program as an elective prior to graduation. “[I wanted] to introduce them to our company and our support of this technical career path. My goal was to let the teachers and technical program directors know that Acadian has jobs for their students upon the successful completion of the program. Once students turn 18, Acadian will be able to offer them a rewarding  position with good pay and benefits and with continuing education opportunities.”

Acadian Operations Manager Justin Cox was instrumental in the implementation at Livonia High School, a recent addition to the program. In concert with his professional know-how, Cox had a personal connection to the school—his thirteen year old daughter attends Livonia.

Collaborating with the administration, Acadian now works with schools like Livonia to introduce EMS career paths at the end of high school, a time when students are making key choices about their futures. Students can start the EMT training program as an elective prior to graduation and take the national certification exam upon turning 18. Students spend 2-3 hours 3 days a week, during their junior and senior years preparing. “It is a joy to work on this program,” said Taylor, “It is a privilege to help young people make a career choice that is full of rewards.”

Does your service have a great program that is making a difference in your area? Let us know in the comments section below, or email ariordan@ambulance.org.

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