Now What Moderated By Tom Nehring Director of Emergency Medical Systems ND Dept of Health Speakers Kenneth Reed MS NRP CCPC CPC Director of EMS amp Disaster Services Heart of America Medical Center Rugby EMS ID: 677096
Download Presentation The PPT/PDF document "When A Rural Ambulance Service Closes" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
When A Rural Ambulance Service Closes
Now What?
Moderated By:Tom NehringDirector of Emergency Medical SystemsND Dept. of HealthSpeakers:Kenneth Reed, MS, NRP, CCP-C, CP-CDirector of EMS & Disaster ServicesHeart of America Medical Center – Rugby EMSSherm Syverson, MS, NRPSr. Director, F-M Ambulance Service, Inc.Sanford Health - FargoSlide2
Why are rural ambulance services failing?Lack of LeadershipSocial vs. BusinessStaffing requirements24/7 coverage
Minimal personnel licensureInitial training
Continuing education requirementsRegulatory…..Slide3
Why are rural ambulance services failing?EconomicsLack of tax base fundingLow 3rd
party reimbursementVolume-basedDecreasing donationsSlide4
Why are rural ambulance services failing?SocialDecreased pool of volunteer laborWork out of the response area
Employers reluctant to release for callsLess time to commit to communityRural Community TrendsDecreasing population base
Rural/Frontier towns getter smallerSlide5
And Now, A Brief Overview From A “Real Life” EMS RegulatorSlide6
Why ambulance services are not prepared or do not want to change.Loss of identityLoss of local controlFear of failureLiving in the present – not anticipating the futureNot anticipating staffing need until it is too late to recover
No strategic planningReluctance to work toward county or local financial assistance
No accountability or reluctance of regulatory agency to force compliance with minimum standardsSlide7
Why ambulance services are not prepared or do not want to change.Frequency of missed or late calls – not reporting - anecdotalSome services want to be part-time ambulances – protecting public safetyWorking in silos – not with other elements of the continuum, no thoughts to system development, reluctance to work with other ambulance services
Decreased state funding or little state funding to begin withFire and EMS tensionsSlide8
What is the Impact on the Community/Region When an Ambulance Service Closes?Slide9
ImmediateDelayed response to medical emergenciesDelays in transport from rural healthcare facilitiesSlide10
DelayedPublic apathyAnother reason to move away“Wake Effect” on RegionStresses other regional EMS providersSlide11
Real-World Case StudiesNearly-dead services (I call them Zombie Ambulance Services)Can they be more dangerous than nothing at all?Slide12
Potential Mitigation Solutions & Alternatives“Follow the Science”10 Minute ConditionsTime-Sensitive Conditions
All The RestSlide13
Quick Response systemsOrganizationalQuick response units EMRs vs. EMTsPublic-basedCommunity-based respondersCPR, AED & Hemorrhage ControlSlide14
Partnering with OthersRegional Response systemsServices combine and rotate staffingCritical Access HospitalsShared staffing costsDual role personnelRural Health Clinics
Non-emergency home care servicesMIH/Community ParamedicOther Public Safety Agencies
FireLaw EnforcementOthers?