Great Idea | REMSA’s Thank You Notes Page

Reno, Nevada’s REMSA provides nationally recognized ground ambulance service within Washoe County, Nevada. Don’t miss their amazing new “Thank a Healthcare Provider” page, where members of their community are able to share digital thank you notes with REMSA’s Paramedics, EMTs, telecommunicators, pilots, and nurses as well as administrative and operations staff.

40 Under 40: Glen Simpson (Community Ambulance – Henderson, NV)

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. ____ Glen Simpson Director of Special Operations Community Ambulance Henderson, NV ____ LinkedIn Nominated by: Janet Smith (Community Ambulance – Henderson, NV) ____ Biography: Since 2016, Glen Simpson, AEMT has been the Director of Special Operations for Henderson, NV based Community Ambulance. Simpson offers event venues and producers his more than 15 years of experience designing special medical standby plans and coordinating their implementation in Southern Nevada. Between the years 2008 and 2012, Glen personally oversaw the further development of special event medical services for his former employer, Medic West Ambulance. In 2012, Glen moved into the Operations Manager position for American Medical Response’s special event medical services in Las Vegas. Focused on crowd management and employee and patient safety, Glen has successfully earned the repeat business of numerous major events like the Electric Daisy Carnival, Rock in Rio, Route 91 Harvest Festival, and many more. Simpson credits his success to fostering and maintaining excellent relationships with venues, producers, and the public safety officials in Clark County, Nevada. Additionally, Glen’s approach to employee (more…)

40 Under 40: Adam Heinz (REMSA – Reno, NV)

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. ____ Adam Heinz Executive Director Integrated Health REMSA Reno, NV ____ Linked In | Twitter Nominated By: Alexia Jobson (REMSA – Reno, NV) ____ Biography: Adam Heinz is the Executive Director of Integrated Health for Regional Emergency Medical Services Authority (REMSA) in Reno, Nevada. With an intense focus on leading and engaging teams to provide compassionate, clinically excellent prehospital care, Adam brings 18 years of Emergency Medical Services (EMS) experience to the organization. Having progressed in roles from Paramedic to EMS Supervisor, Clinical Development Manager to Director of Clinical Communications, Adam is now responsible for advancing REMSA’s innovative mobile health care projects. Through collaboration with regional partners, regulators, and elected officials, Adam represents the organization on a local, state, and national level. In addition, Adam overs sees REMSA’s clinical division and its Center for Prehospital Education. Adam is a proud alumnus of the University of Nevada Reno where he earned a bachelor’s degree in psychology. Currently, Adam is pursuing a Master of Business Administration degree with an emphasis in healthcare leadership. In addition (more…)

January Law Changes– OR, NJ, NY, NV

Oregon Pregnancy Accommodations Law   Following many other states, the new law prohibits employers from deny employment opportunities to applicants or employees who need reasonable accommodations due to or related to their pregnancy or childbirth.  New Jersey Pay Inquiry Restrictions   This law prohibits screening candidates based upon an applicant’s prior wage history. It is also illegal to establish a job candidate’s salary or benefits compensation based upon their prior salary or wage history. New York Pay Inquiry Restrictions   This law prohibits all employers from inquiring about a job candidate’s wage history or relying on prior wage levels in establishing compensation or benefits. Nevada Pre-Employment Marijuana Testing Restrictions   This law exempts employees who are firefighters, EMTs or who operate motor vehicles during the course of their duties.  While this would eliminate many positions within an EMS agency.  EMS employers who are not Federal Contractors or Grantees, need to heed these restrictions for those positions within their organization that do not fit into one of the exempt positions below....

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In Memory of Patrick Wells Smith

Patrick Wells Smith, age 65, passed away unexpectedly on June 21, 2019, at his home in Reno, Nev.  He was well-known as a nationally-respected innovator and icon in the Emergency Medical Services (EMS) industry. Most recently he was the President and CEO of REMSA (Regional Emergency Medical Services Authority) and Care Flight, based in Reno, from January 1990 through March 2013 and then President of SEMSA (Sierra Emergency Medical Services Authority) also based in Reno,  from April 2013 to June 2018. He was born on November 17, 1953 in Minneapolis, Minnesota, to parents Ted Arvel Smith and Margaret Wells Smith. He was the second of three children. He attended Minnetonka High School, got his start as an EMT in 1973 as a college student in Minnesota, and soon began taking on supervisory roles for EMS agencies in Minnesota and Oregon. In 1980 he was hired as an assistant director of Metropolitan Ambulance Services Trust in Kansas City where he consulted to establish EMS systems in Fort Wayne, IN.; Pinellas County, FL; Fort Worth, TX; and Little Rock, AK. He worked as Vice President of Eastern Ambulance in Syracuse New York after that before moving to Reno.  He was well known (more…)

Nevada Passes Law that Restricts Employer Drug Test Use in Hiring

A new Nevada law that bans employers from refusing to hire job candidates who fail a drug test due to the presence of marijuana has specifically carved out Fire, EMS, or employers whose employees must operate a motor vehicle.  The new law, which was signed by Governor Sisolak on June 5th makes it unlawful for most employers to fail to hire a job candidate on the basis of failing a drug screen due to the presence of marijuana.  Nevada is the first state to pass a law of this nature.  The new law takes effect in 2020. Many employers are struggling to address their employee’s drug use and its impact on the workplace as thirty-three (33) states and the District of Columbia have passed laws that legalize marijuana in some form.  This is particularly difficult with EMS and public safety employers.  Generally, most EMS and public safety employers prohibit employee use of marijuana and other drugs because they are federal contractors and are subject to the Drug Free Workplace Act.  Other employers prohibit employee drug use because EMS personnel perform “safety sensitive” positions as defined under the Department of Transportation Regulations.  However, those employers who are not subject to the...

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Status of the American Health Care Act

Today, citing “growing pains” of his Republican majority, Speaker Paul Ryan (R-WI), in consultation with President Donald Trump, determined not to proceed with a planned vote on the American Health Care Act (AHCA), which repealed and replaced important elements of the Affordable Care Act (ACA).  The Speaker indicated that the House Republican Caucus “came up short” in the number of votes needed for the bill.  House Republican Leadership had been moving AHCA through the Chamber at a rapid pace.  The bill was officially released on March 6, and had been changed several times to try to appease various conservative and moderate voting blocs within the Republican Caucus.  The Congressional Budget Office (CBO) originally estimated the bill would reduce federal deficits by $337 billion, and subsequently downgraded the deficit reduction to $150 billion based on additional substantive policy changes to the bill.  The CBO estimates the bill would have increased the country’s number of uninsured by about 24 million people. In negotiating the provisions of AHCA, the House Republican Leadership had faced a constant seesaw, as efforts to appease one ideological bloc upset the other.  Ultimately, throughout the day in advance of the scheduled vote, an increasing number of moderate Republicans,...

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ACA Repeal & Reform – What It Means for Ambulance Services

By: Tristan North and Kathy Lester, JD, MPH This is the first of a two part Member Advisory by Tristan North and Kathy Lester on ACA Repeal & Reform. To continue reading, see Part Two: ACA Repeal & Reform – What It Means for Ambulance Services (Pt. 2). Overview A top priority of President Trump and congressional Republicans is to repeal and replace the Affordable Care Act (ACA). Since Republicans retook control of Congress in 2012 after passage of the ACA in 2010, they have sought to repeal the ACA. However, they had not developed a consensus on a replacement package, as they knew then-President Obama would veto the repeal bill. Now with President Trump in the White House and Republicans controlling the House and Senate, Republicans in the House have agreed upon a package and moved it through three Committees of jurisdiction: the Ways and Means Committee, the Energy and Commerce Committee, and the Budget Committee. Republicans in the Senate are less aligned and are said to be working on their own package, which is likely to differ in important ways from the House version. For ambulance services, there are several key components to watch. These are: Coverage for ambulance...

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Community Paramedicine’s Growth Hindered by Reimbursement Issues

From Politico’s “Reimbursement issues block paramedics from expanded role“— Despite the track record of [community paramedicine] initiatives in places like Nevada and Texas, where paramedics are providing in-home care, coordinating patient services and saving millions in the process, Medicare, Medicaid and most private insurance plans still won’t reimburse for such work. The program successes to date are only beginning to change that… Nationwide, the impact from reducing ambulance calls and demands on ERs while freeing up doctors could be huge. A 2013 study in Health Affairs estimated that more flexible reimbursement for paramedicine approaches could save Medicare $283 million to $560 million annually and similar sums for private insurers.

Kaiser Health News: REMSA Paramedics Steer Non-Emergency Patients Away From ERs

Yesterday Kaiser Health News reported that AAA member organization Regional Emergency Medical Services Authority (REMSA), is serving its community in innovative ways that reduce healthcare costs and improve patient outcomes. Initiatives led by REMSA CEO Jim Gubbels empower Reno paramedics to lower the number of preventable emergency room visits and close gaps in primary health care. Using a $9.8 million federal grant, [REMSA CEO Jim Gubbels’] agency launched three different projects. In addition to providing paramedic home visits and offering patients options besides the ER, the agency started a nurse-run health line to give people with health questions another number to call in non-emergency situations. An early evaluation by the University of Nevada, Reno, which was based on insurance claims and hospital data, shows that the projects saved $5.5 million in 2013 and 2014. They helped avoid 3,483 emergency department visits, 674 ambulance transports and 59 hospital re-admissions, according to the preliminary data. The federal government plans to do its own evaluation.