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 EMS, FIRE RESCUE, DISASTER MANAGEMENT INFORMATION SINCE 1998 
 

Management/Leadership

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An Uncomfortable Alliance? Tensions between fire service-based and private EMS reach new levels as municipalities cut budgets—even as the need for medical response rises.
By Jenifer Goodwin
In the city of North Las Vegas, firefighters are facing the prospect of layoffs as the city tries to cut $33 million from its 2011 budget. To protect those jobs, the fire chief has proposed that his workforce take over transporting the most critically ill patients to hospitals, a job now mostly handled by a private ambulance service, MedicWest, which is owned by American Medical Response (AMR). …

UP FRONT: Where Is EMS in Health Care Reform?
By Keith Griffiths
Just to keep things in perspective, one version of the health care reform legislation contained more than 300,000 words on 2,600 pages—and there were a total of four references that could be even remotely interpreted as applicable to EMS. So says Bill Atkinson, CEO of WakeMed Health and Hospitals in Raleigh, N.C., someone who not only gets EMS but who served on the American Hospital Association's task force on health care reform and studied the…

CONSULTANT'S CORNER: Do I Need a Social Media Policy?
By Roberta Jackson, SPHR, GPHR
The simple answer is yes. Every EMS agency should have a social media policy—in fact, I advise that you must have one! Why is it so important? Because you need to protect against the potential of any information—whether it is accurate and truthful or not—having a negative, perhaps even legal, impact on your agency.

QUICK LOOK: A New Way of Offering Insurance to Employees
By Jenifer Goodwin
The cost of providing health care for employees is soaring and uncertainty abounds about what the landmark health reform legislation signed March 23 by President Obama will mean for employers. Against that backdrop, the North American Ambulance Alliance (N3A) is launching medTRANS Insurance Ltd., otherwise known as a “captive,” in which participant employers band together in a jointly owned health insurance company.

RESEARCH MONITOR: No Race Bias in EMS Response
By Joene Hendry
The provision of EMS service among 120,000 cardiac incidents in Mississippi over 10 years (1995 to 2004) was "highly equitable for African-Americans and whites," Guy David, assistant professor of health care management, told Research Monitor. David and Professor Scott Harrington, both at The Wharton School at the University of Pennsylvania in Philadelphia, mined data from state (MEMSIS, Medicaid, health) and national (census, commerce, agriculture) departments, as well as the CDC, to assess potential race bias…

BP FOCUS: Crunching the Numbers—In Sedgwick County, data collection leads to increased efficiency and better patient care.
By Jenifer Goodwin
One of the most significant changes in EMS in recent years is a growing understanding about the importance of gathering data on response times, demand trends and patient outcomes, which can then be used to improve patient care and operational efficiency. Under the direction of EMS Chief Steven Cotter, Sedgwick County EMS, which includes the city of Wichita, Kan., is taking its use of data to a new level.

One Measure of Greatness
By Keith Griffiths
At this year’s EMS Today conference, held in early March in Baltimore, my hotel was a block off the main tourist area (the Inner Harbor). Taking a walk one night in the opposite direction most visitors go, I came across a variety of homeless men (and some women), sleeping in whatever corner of whatever building they could find. I don’t know if the homeless problem has gotten worse with the recession or if I’m just noticing it more, but even the small suburban community I live in now has its share of “hobos,” as my 12-year-old daughter gently refers to them.

Chronic Inebriates—The Bay City tackles a tough issue.
By Jenifer Goodwin
In 2001, a group of firefighters and emergency physicians in San Francisco came together to discuss ways of making the EMS system more efficient. It didn’t take long to identify one of their biggest challenges: homeless serial inebriates. While many systems know this group of indigent and often uninsured patients all too well, in San Francisco, the problem was particularly onerous.

BP TIPS: Rid Your Work Life of Complexity
By Aimee J. Frank
Overloaded with too much information, e-mail, presentations and meetings, it’s easy to see why a major complaint among managers is that they are working more but achieving less.

LEADERSHIP COMPETENCIES: The Big Six Plus One—All the competence it takes to lead
By Bruce Griffiths
Welcome to the capstone column in our series on what it takes to be an ideal leader/manager. We began by noting that decades of leadership research has narrowed a much longer list to six competencies that predict effective leadership in a wide variety of settings (the 20 percent of competence that accounts for 80 percent of performance).



 


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