Tag: Niagara EMS

AIMHI Webinar 3/23 | Developing and Implementing Evidence-Based Protocols

From the Academy of International Mobile Healthcare Integration

Free Webinar | March 23 | Noon ET | Register Now►

EMS delivers medical care, first and foremost. The most crucial role of an EMS Medical Director is to develop, implement and quality assure protocols used in the delivery of medical care by EMS personnel, including Emergency Medical Dispatchers. This webinar will share the ways that Medical Directors of some of the most innovative EMS systems determine what medical treatments are included in protocols for EMS personnel, both in the ‘traditional’ role of EMS care delivery, but also enhanced protocols for things like Mobile Integrated Healthcare and alternate disposition models of care. Some of the topics discussed will be:

  • How do you determine an evidence-base for protocols?
  • How often should protocols be updated?
  • How do you balance clinical efficacy with operational realities?
  • What are some best practices in provider credentialing?

 

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Speakers

Brian Miller, MD, FACEP, FAEMS is an Assistant Professor in the Department of Emergency Medicine, and EMS division faculty at the University of Texas Southwestern Medical Center in Dallas, Texas. He is the Associate System Medical Director with the Office of the Medical Director for the MAEMSA/MedStar Mobile Healthcare system in Fort Worth, TX. He also serves as the Deputy Medical Director for Dallas Fire-Rescue and 11 other surrounding suburbs making up the UTSW/Parkland BioTel EMS System. He graduated from Emergency Medicine residency at Indiana University and completed his EMS fellowship at UT Southwestern.

Dr. Doug Munkley started his career in 1980 as an Emergency Medicine Physician for Niagara Health where he practiced until 2016. During this time, he became actively involved in the early development of emergency prehospital care in Ontario and has worked as Medical Director for the Niagara Paramedic Program (1986-2020) as well as for the Niagara EMS Ambulance Communications Services from 2004 to present.

Over the course of his career, Dr. Munkley has been an integral part in EMS research including co-author of the Ontario Pre-hospital Advanced Life Support (OPALS) Project as well as the Resuscitation Outcomes Consortium (ROC) as a Site Investigator. Most recently, as Medical Director for Niagara EMS’s Accredited Centre of Excellence (MPDS and ECNS), Dr. Munkley has helped develop an evidence-based, clinical-outcome response plan based on a Mobile Integrated Health model of service delivery.

Dr. Munkley spends his free time as an avid cyclist, skier, old house restorer, gardener and beekeeper with hopes to resume travelling once his COVID antibodies are up.

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JAMA | Ontario | Economic Analysis of MIH Delivered by EMS

From JAMA on February 24, 2021

Economic Analysis of Mobile Integrated Health Care Delivered by Emergency Medical Services Paramedic Teams

Question  Is mobile integrated health care (MIH) delivered by emergency medical services more efficient than regular ambulance responses in addressing the needs of urgent care in the community?

Findings  This economic evaluation compared 1740 calls serviced by MIH in 2018 to 2019 with propensity score–matched ambulance calls for the same period and 2 years prior and found that MIH was associated with a decrease in the proportion of patients transported to the emergency department and saved health care costs compared with regular ambulance responses.

Meaning  These findings suggest that MIH is a promising and viable solution to meeting urgent health care needs while improving the efficiency in using emergency care resources.

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