Welcome letter from PAAW President Patrick Ryan
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January 28, 2014
Union loses fight against doing EMS house calls
The union for Green Bay firefighters has lost a nearly two-year fight against a city initiative requiring firefighters to make house calls on discharged hospital patients.
A state labor arbitrator has ruled the city was within its rights to initiate a program in which Bellin Hospital paid the city $50 for each house call.
But whether the so-called Hook and Ladder program will move forward in its original structure remains to be seen.
City officials suspended the program indefinitely while awaiting a decision on the grievance filed by the Green Bay Professional Fire Fighters Association.
The union argued that Hook and Ladder was an improper expansion of firefighters duties and that the city could not impose such new assignments unilaterally under the union's contract.
Source: Green Bay Press Gazette
January 28, 2014
PAAW Completes 2015-2017 Strategic Work Plan
By Joe Covelli, PAAW Executive Director
At its January 8th board of directors meeting, the Professional Ambulance Association approved its 2015 – 2017 strategic work plan. The plan was developed on December 1, 2014 when association members, staff, consultants, and invited guests attended the all-day meeting.
The top priority calls for continuing to build momentum gained last year and introduce legislation in the current session to expand TRIP – Taxpayer Refund Intercept Program. Currently, only municipal ambulance services can access TRIP and file with the state to collect unpaid transport bills from the patient’s tax refund. PAAW is working with legislators to introduce legislation that allow ambulance services contracted by a municipality to provide 911 services the same TRIP collection benefits for unpaid patient transports. The reception by legislators to the idea has been favorable.
Additional items in the strategic work plan include community paramedicine, Medicaid reimbursement rates, ongoing communications, member growth, and advancing EMS leader networking opportunities. The Wisconsin Stars of Life Awards Program will change to an every other year event, with the next one being held in September 2015, and one honoree from the group advancing to the national Stars of Life in Washington D.C. in March 2016.
January 27, 2014
MedEvac Foundation funds sleep study for EMS clinicians
The MedEvac Foundation International has approved grant funding for Dr. Daniel Patterson to investigate sleep-wake patterns and real-time fatigue reduction in emergency medical service (EMS) clinicians.
The analysis of Phase 1 data will focus on differences between 12-hour versus 24-hour shifts.
January 27, 2014
Hold times. hang-up rates both cross limits for riders at MTM's Madison call center
MTM schedules non-emergency ambulance requests for Medicaid and BadgerCare
Inadequate staffing at MTM Inc.'s call center in Madison appears to be the reason why more than 24% of people who called to schedule a medical ride in September hung up before getting through to a person. That's according to MTM's corrective action plan, obtained by the Public Investigator under a public information request.
MTM provides rides to Medicaid and BadgerCare Plus members who have no other way to get to their plan-covered services. Its contract with the State of Wisconsin caps the number of hang-ups at 5%. But in 2014, rates steadily climbed from 10.3% in March to 24.1% in September. Meanwhile, state officials sat by without any enforcement.
That's because MTM's contract says the 5% hang-up limit isn't enforced until the average hold time exceeds four minutes. The company came in under that every month through August.
However, according to newly released statistics, hold times exceeded the four-minute limit in MTM's contract in September. This triggered enforcement of both the hang-up limit and the hold time.
Source: JS Online
January 22, 2014
Orange Cross Ambulance names new executive director
Brian Goelzer was selected as the new executive director at Orange Cross Ambulance in Sheboygan.
He recently wrote, “On October 1, 2014 Orange Cross Ambulance and Plymouth Ambulance services became one organization. It is my goal as the new leader to build a positive culture for all employees and their families’ while paving the way to exceed patients’ expectations and become leaders in EMS.”
January 22, 2014
New AHA CPR course focuses specifically on BLS pre-hospital care
EMS professionals are a critical link in successful resuscitation from cardiac arrest. Approximately 400,000 Americans experience an out-of hospital cardiac arrest every year and only 10 percent survive. However there has never been a CPR course tailored to EMS professionals until now.
The American Heart Association released, for the first time, a new CPR course geared specifically toward BLS prehospital providers.
Basic Life Support for Prehospital Providers BLS PHP, released in October 2014, combines flexibility and customization to meet department and agency needs. The course is based on the 2010 American Heart Association guidelines for CPR and ECC and will be updated when the 2015 guidelines are released in November.
Why the new course?
The American Heart Association heard from EMS providers that the previous BLS Health Care Provider course was missing essential and realistic CPR training. The new BLS for Prehospital Providers course focuses on first responders and uses realistic EMS team approaches to respond to cardiac arrests in the field.
The new course format
The BLS for Prehospital Providers course consists of both online and classroom components, and the new format stresses the importance of transition of care from BLS to ALS EMS providers.
The online portion is narrated and presents the cognitive information. Students must complete all the objectives in order to complete the online portion of the course, and cannot skip ahead.
The online course focuses on three core scenarios:
Students must pass the online exam to move on to the classroom portion.
Students then attend the in-classroom portion, led by an American Heart Association BLS Instructor. The classroom portion features instructor-led discussions, debriefing, coaching and support for hands-on skills. The classroom is blended with skills tests from the current health care provider course, along with discussions and a six-person team resuscitation.
The course focuses on a high-performance team approach, moving from two rescuers, to six suggested roles for responders, depending on personnel available. Teams with less than six may take on multiple roles.
Key roles include a compressor, a team member to handle compressions, a team member to handle the airway, another team member to defibrillate/AED, a team leader to delegate roles and make decisions and lastly a team member to administer an IV/IO/medication. The team approach is similar to an in-hospital resuscitation.
All materials exist in an online format. EMS agencies can purchase multiple quantities of online keys to access materials for their personnel, and schedule the classroom sessions with their in-house American Heart Association BLS CPR Instructor.
The American Heart Association’s BLS for Prehospital Provider is fun and interactive, and incorporates EMTs, medics, firefighters and police with real life scenarios.
Source: EMS1 Danielle Cortes DeVito
December 22, 2014
Critical Care Paramedic Course Offered
The Critical Care Emergency Medical Transport Program (CCEMTP) course will meet every Thursday and Friday, 8 am – 5pm, beginning April 2, 2015 through May 21, 2015.
Current PAAW Priorities
Tax Refund Interception Program (TRIP)
WI Liability Limits Statute 893.80
Further Collaboration with the Dept of Health Services/EMS Office
WI Medicaid Patient Transportation Rates
Affordable Care Act Information
Working with EMS/Fire Stakeholder Associations
Patient Contacts or Emergency Calls
to PAAW Member Ambulance
Services Last Year
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Recent Election Outcomes and EMS
(Posted 11/14/14 - Run Time 20 min:39 sec)
Partner, Midwest Strategy Group, Madison &
PAAW Legislative Lobbyist
WEEKLY IV FLUIDS & EMS PHARMACEUTICAL BACKORDER REPORT
PAAW continues to monitor the ongoing EMS pharmaceutical drug and IV Fluids backorder situation by posting weekly updates, courtesy of Bound Tree Medical.
For the most recent backorder report, click here. The report is updated every Monday afternoon and posted to the PAAW website on Tuesday.
Through a special arrangement with EMS World magazine, PAAW members receive a free 12-month subscription, a $40 value.
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