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St. Charles County Ambulance District | EMS Week 2021 Featured Service

Written by AAA Staff on . Posted in Events, News, Press.

St. Charles County Ambulance District
St. Peters, Missouri
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St. Charles County Ambulance District (SCCAD) began operations in 1975 with three ambulances covering a largely rural 592 square mile service area. Over the past 45 years, the community has grown considerably; today, the population eclipses 400,000 residents. SCCAD, which currently employs 195 full-time staff and 70 part-time employees, has kept pace with the growth, adding stations and ambulances in strategic locations to ensure that response times to 911 emergencies remain short. The District currently staffs 19 advanced life support units from 16 stations serving all municipalities and unincorporated areas of the county. In addition to 911 response, SCCAD offers non-emergency inter-facility transport, which is staffed separately from the 911 division. In 2019, the District implemented a successful critical care ground transport program to help high-acuity patients get from our county’s community hospitals to the larger healthcare centers in St. Louis city and county.

Over the past decade, SCCAD has developed and implemented a number of innovative initiatives to better meet the evolving healthcare needs of our community. These include a multi-faceted Mobile Integrated Health (community paramedic) program, which focuses on readmission avoidance in partnership with several hospitals in our area, and SCCAD high-utilization patients identified by our paramedics. In addition, the MIH team collaborates with commercial insurers to offer services to their patients in the county. Also developed in recent years was the American Ambulance Association AMBY award-winning Substance Use Recovery Response Team, which sees specially-trained paramedics helping facilitate overdose patients’ entry into treatment programs if they’re willing to seek help. In 2018, the District launched a successful behavioral health telemedicine program in partnership with Behavioral Health Response. Most recently, SCCAD was one of only three EMS organizations in the state of Missouri selected to pilot the Centers for Medicare & Medicaid Services Emergency Triage, Treat & Transport (ET3) program.

While COVID-19 most certainly presented operational challenges, it also offered EMS providers an opportunity to showcase our industry’s collective ability to adapt in the face of adverse conditions, and develop innovative, mission-driven solutions to meet the mobile health needs of the communities we serve.

From the onset, SCCAD embraced the challenge, working to develop strategies that would meet the needs of our employees, fellow first responders, and the community at large. To this end, our leadership team has worked in tandem with the St. Charles County Department of Public Health. Our Deputy Chiefs of Operations and Special Operations were added to the County’s incident command structure, and worked out of the County’s EOC to ensure a coordinated response. Meanwhile, our Deputy Chief Medical Officer worked tirelessly to develop aggressive contract tracing and quarantine procedures to ensure the safety of our team members, and worked to regularly push updated information out to crews. Under his direction, our training team spent time carefully reviewing donning/doffing and other safety protocols with team members.

In spring of last year, St. Charles County, like most other communities, struggled to scale up COVID-19 testing processes to meet demand. Residents experiencing symptoms were at times unable to get appointments for several days. Given the number of potential exposures that could result from a single infected paramedic, firefighter, or police officer, SCCAD’s MIH Team launched their first effort: a first responder testing program. The testing site enabled local police and fire agencies, along with SCCAD employees, to obtain a testing appointment in an expedited fashion. When local partners added more testing capacity toward autumn, we were able to scale down the testing effort.

Around the same time, Pfizer and Moderna began announcing initial success in clinical trials with their vaccines. With signs pointing toward emergency use authorization being granted by the FDA before year-end, the SCCAD team once again began strategizing on ways to make an impact. In conference with Public Health, it was determined that we would initially take point on first responder vaccinations, then move into other segments of the population while concurrently assisting with large-scale vaccination events being hosted by Public Health. Some of the vulnerable populations we’ve vaccinated have included elderly citizens residing at independent living senior apartments, homebound individuals, and those residing in rural areas of our county.

Though the past 14 months have been a stressful, challenging time, they’ve also shed a spotlight on the strength, determination, and character of many within our industry. In communities large and small across our state and nation, EMS is playing a critical role in getting things back to normal.

“Each and every day, our team of skilled professionals embody our values of dedication, compassion, accountability, integrity and respect. Through interactions on 911 calls, non-emergency transfers, and community safety programs, they are promoting best practices to integrated, community healthcare and enhancing the reputation not only of our organization, but also of the EMS industry.”
Kelly Cope, Chief

“Today’s healthcare landscape is constantly evolving, and paramedics are increasingly being relied upon to deliver the right treatment at the right place, time, and cost. Our team has risen to the occasion, developing and implementing several unique programs to address the unique needs of our community in recent years.”
Dave Lewis, Assistant Chief of Administration

“As is the case in many communities, our paramedics frequently find themselves serving not only a clinical role, but also one of counseling/social services. Our team has helped members of our community navigate everything from bed bug infestations to food instability. No matter the circumstances, patient advocacy is a critical role fulfilled by EMS.”
Kimberlyn Tihen, Mobile Integrated Health Division Captain

“EMS plays an important role in communities every day, but that role is heightened during significant and/or unique events. We’re relied upon to be part of the overall solution, projecting a sense of calm and reassurance. I’m grateful to work for an organization that invests heavily in training and equipment for these unique scenarios, giving me the tools I need to serve residents when the need arises.”
Rees Remington, Battalion Chief

To celebrate EMS Week, we’re patronizing a local small business in our community to show our appreciation to the paramedics and support staff of SCCAD. Prados, an upscale locally-owned Mexican cantina located within our community, will be preparing meal kits on May 17, 19 and 21 so each of our crews can enjoy a handcrafted lunch. Our leadership team will report to Prados at 11 a.m. on each of the aforementioned days, and will deliver the kits to our 16 stations across the county. Of course, our training, service center, maintenance, administration and other non-clinical team members are included.

In addition, we’ll be utilizing our social media feeds to highlight EMS Week and the work of our team.

40 Under 40: Craig Boschert (St. Charles County Ambulance District – St. Peters, MO)

Written by American Ambulance Association on . Posted in 40 Under 40.

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.
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Craig Boschert
Deputy Chief of Operations
St. Charles County Ambulance District
St. Peters, MO

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Nominated by: Kyle Gaines (St. Charles County Ambulance District – St. Peters, MO)

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Biography:

A lifelong resident of St. Charles County, Craig Boschert has spent more than two decades providing assistance to those in need. Craig’s history of public service started in 1998 when he began volunteering with Orchard Farm Fire Protection District. Three years later, Craig earned his Paramedic certification at St. Louis Community College, and began a career with St. Charles County Ambulance District (SCCAD) shortly thereafter. In 2008, Craig was promoted to Battalion Chief – a role that enabled him to mentor dozens of new Paramedics entering the SCCAD system. Four years ago, a retirement among the District’s leadership team led to Craig’s promotion to Deputy Chief of Operations. In this role, Craig works closely with Platoon and Battalion Chiefs to ensure that each of the Ambulance District’s Paramedics are developing and promoting best practices so that the mobile healthcare provided exceeds expectations.

Craig has been married to his wife, Renee, for more than a decade. The couple resides in Orchard Farm with their sons, Caleb and Curtis.
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Reason for Nomination:

Craig Boschert began his career with St. Charles County Ambulance District (SCCAD) nearly two decades ago as a volunteer EMT, providing care and comfort to friends and neighbors in the rural communities of the District’s service area. While volunteering, Craig opted to turn his desire of helping others into a career, earning his Paramedic license and joining the SCCAD team full-time in 2002. Through the years, Craig has proved himself as a strong clinician, staunch patient advocate, and capable leader. In 2008, Craig was promoted to Battalion Chief – a role that has enabled him to mentor dozens of Paramedics throughout the years.

Though past achievements as a Paramedic and Battalion Chief are noteworthy, those undertaken since his promotion to Deputy Chief of Operations are what truly showcase Craig as a forward-thinking leader within our industry.

Craig’s ascent to Deputy Chief occurred in 2016 and came at a pivotal time in the District’s history. Call volume was rising steadily with no signs of slowing. In order to keep response times short amid significant projected growth over the next decade, the District would need to add numerous stations and vehicles at planned intervals. Craig was charged with developing a 10-year operation plan for the organization, and with assistance from his team developed a robust capital improvement framework. Craig spared no detail, gathering information from a variety of sources to chart planned neighborhoods, commercial developments, roadways, and population centers that would eventually contribute to call volume. Thanks to his foresight, District leadership was provided with a comprehensive snapshot of the next decade that enabled leadership to clearly communicate the forthcoming needs to our community when asking for their approval to issue bonds for the project.

In addition to capital needs, Craig is also responsible for ensuring that work force needs are addressed. SCCAD’s 48-hour shift staffing model requires that six full-time paramedics be promoted from our part-time non-emergency transfer division when a new 911 truck is added to our fleet. Craig is thoughtful in his timing, working closely with transfer leadership to ensure that an addition will not create trickle-down staffing challenges. Though new emergency division employees have typically been with SCCAD as transfer division paramedics for approximately two years at the time of their promotion to full-time, Craig provides a thorough orientation, clearly conveying the expectations of their new role within our organization.

As a senior leader, Craig never loses sight of the fact that SCCAD must take great care of its team in order to be successful. In recent years, the effects of post-traumatic stress, compassion fatigue, and secondary trauma have been well-documented among first responders. For too long, individuals in our line of work pushed aside troubling experiences, simply moving on to the next call. Craig has been an instrumental part of bringing about a culture change here in St. Charles County. When crews respond to challenging calls, Craig is often at their station within short order to check on them. Craig immediately arranges Critical Incident Stress Debriefing not only for our staff, but for any others involved in the call. Craig has worked together with our human resources team to ensure employees are aware of counseling and other programs available to them, and most recently, championed the development of an employee-led Peer Support Committee.

Since assuming the role of Deputy Chief, SCCAD has faced several significant operational events. Most have been weather-related, and each time, Craig works diligently with others on our team to ensure that our community is protected, no matter how long the hours. Most significantly, our region faced historic flooding in 2019, with access to one rural town completely cut off. Working closely with our Deputy Chief of Special Operations, Craig developed a plan to staff the “island” 24/7 to ensure residents had access to emergency care if the need arose. For over 60 days, SCCAD’s Urban Search and Rescue Task Force staffed the community of Portage Des Sioux, transporting patients out by boat if the necessary. The conditions were less than ideal but strong leadership and teamwork made the operation a success.

Though his workload SCCAD is substantial, Craig makes time to give back to the community he serves. Most notably, Craig has been heavily engaged in the St. Charles County CAPS (Center for Advanced Processional Studies) program, hosting groups of high school students for half-day sessions at our stations. Craig covers a wide array of topics with the students who are leaning towards careers in the health field, providing an exhaustive overview of our industry and organization. Students leave Craig’s sessions with a new outlook on EMS, and several have even enrolled in the District’s EMT training course.

Including his time spent as a volunteer firefighter, Craig Boschert has dedicated more than 20 years to serving St. Charles County. The programs and practices Craig has worked tirelessly to put in place will serve our organization and community well for decades to come, and SCCAD is proud to nominate him for the American Ambulance Association’s 40 Under 40.

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View all of the 2020 Mobile Healthcare 40 Under 40 Honorees

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