EMS Insider

Welcome, subscribers and fans of the EMS Insider -- the newsletter that reaches top-level EMS decision-makers and provides strategic information on the EMS profession.

Members: 107
Latest Activity: Nov 6, 2015

New Editor, Same Standards

We recently said goodbye to Editor Jennifer Doyle, who took over as editor of the EMS Insider when founding editor Mannie Garza retired after 21 amazing years of service to EMS in journalism and the EMS community.

We are pleased to introduce Teresa McCallion, EMT-B to the Insider team. Teresa lives in Bonney Lake, Wash., where she works as a freelance journalist and serves as a volunteer EMT for East Pierce Fire and Rescue. She has been a journalist for more than 20 years, working as a newspaper reporter and weekly automotive newspaper columnist. Teresa has extensive experience in fire/EMS media and community relations, and has written about public safety issues for a variety of magazines and journals. She earned a BA in communication from Gonzaga University.

Teresa and the rest of the Insider team will post news and tips here. We'll also start discussion threads on controversies and priority issues that matter to you -- the manager/supervisor. Join in!

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EMS Discussion Forum

Have you heard about ACOs? 1 Reply

I'm not hearing much discussion about Accountable Care Organizations (ACOs) in EMS land, but this new, mandated, integrated health care delivery model is going rock our world. The Federal government…Continue

Last reply by Todd Brumfield Aug 22, 2011.

EMS Agenda for the Future: 4 Components of a Thriving Workforce

The EMS Agenda for the Future has been released, and it says there are four key components for a thriving workforce. These include health, safety and wellness; education and certification;  data and…Continue

Tags: Future, the, for, Agenda, EMS

Started by Jennifer Berry Aug 19, 2011.

Changes in Ambulance Billing & Reimbursements

If you thought the federal government was underfunding ambulance transport services in the past, brace yourself to receive even less. A new way of calculating the Ambulance Inflation Factor (AIF)…Continue

Tags: Medicare reimbursement, Medicare fee schedule, ambulance inflation factor, AIR, medicare

Started by Jennifer Berry Jun 27, 2011.

Is the move to private equity firms a bad thing for U.S. ambulance companies? 2 Replies

In the May issue of EMS Insider, Editor Teresa McCallion's article "Changing Hands" discussed how…Continue

Tags: LifeStar, Ambulance, Care, AMR, Rural/Metro

Last reply by Gary Walter May 19, 2011.

Comment Wall


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Comment by Jennifer Doyle on June 23, 2010 at 11:06am
STUDENT RECRUITEMENT FOR Emergency Medical Services: Functions in Incident Command System – P166 Pilot Offering

The United States Fire Administration (USFA), Department of Homeland Security, is conducting a pilot course at the National Emergency Training Center (NETC) in Emmitsburg, Maryland for the newly developed 2-day course Emergency Medical Services: Functions in Incident Command System (P-166).

The National Fire Academy (NFA) will be delivering this pilot offering August 21-22, 2010. Students will arrive Friday August 20 and depart Sunday August 22, 2010. Stipends are not available for this offering and transportation costs are the responsibility of the student. Housing will be provided on the NETC Campus.

Course Description: Students will practice use of the Incident Command System in coordination with other public safety responders. As a follow-up to ICS-100 and ICS-200 training, this course will present scenarios requiring responders to structure their EMS resources within the guidance of NIMS ICS, as appropriate to the needs of the different incident types. Through simulation and role-playing, students will demonstrate the implementation of EMS components in an ICS system at medium- or large-sized incidents.

Target Audience: Emergency response personnel with responsibilities to implement the initial EMS functions of an Incident Command System at medium- or large-sized incidents.

Class Size: 22
Length: 2 days
Prerequisites: ICS 100 level and ICS 200 level training. Preferred courses are Q462 and Q463 available through NFA Online at Chief's signature attests that the applicant has completed this required training.

How to Apply:
· Students must complete a FEMA General Admissions application (From 75-5). An electronic application is available on our website at:

· Completed applications must be postmarked by July 14, 2010 to:

NETC Admissions Office
Building I, Room 216
16825 S. Seton Avenue
Emmitsburg, MD 21727

· Completed applications may also be faxed to the Admissions Office at (301) 447-1441.

· Applicants should not make plans to attend this pilot course until notified in writing by the Admissions Office.

· Application deadline July 14, 2010
Comment by Jennifer Doyle on May 16, 2010 at 12:08pm
SCPC Recognizes National EMS Week
Free CEHs to EMS Personnel - May 16 - 22, 2010

The Society of Chest Pain Centers (SCPC) is pleased to show its appreciation for the services provided by EMS nationwide by recognizing National EMS Week May 16-22, 2010, and co-sponsoring free continuing education hours (CEHs) to EMS personnel.

SCPC and Apex Innovations, an organization that provides exceptional interactive educational products and is accredited by the Continuing Education Board for Emergency Medical Services, are co-sponsoring this educational opportunity for EMS personnel to earn 1.75 CEHs free of charge. EMS personnel who are interested in this opportunity should go to SCPC's website ( anytime during National EMS
week to access the online course.
Comment by Jennifer Doyle on April 9, 2010 at 12:23pm
DHS Releases Final Report on the National Dialogue on the Quadrennial Homeland Security Review

On February 1, 2010 the Department of Homeland Security submitted their first Quadriennial Homeland Security Review to Congress. A major component of this QHSR process was the extensive National Dialogue, hosted by the National Academy of Public Administration, that invited stakeholder input from across the country on key ideas and materials being developed by DHS. As one of the more than 20,000 visitors nationwide who participated in the National Dialogue on the QHSR , we wanted to share with you the Academy's final report, which summarizes the feedback gathered during the National Dialogue and offers lessons learned that can guide future efforts by DHS and other government leaders to begin dialogue with stakeholders. A PDF of the report is available here...
Comment by Jennifer Doyle on April 8, 2010 at 2:40pm
Certain Powerheart/CardioVive/CardioLife AED Recalled

In February, Cardiac Science Corporation initiated a recall of several models of automated external defibrillators because manufacturing problems may make them susceptible to failure. If that happens, they might not be able to deliver therapy during a resuscitation attempt, and that could lead to serious adverse health consequences or death.

The company says this action affects more than 12,000 AEDs manufactured or serviced between October 19, 2009 and January 15, 2010 with the following model numbers:

• Powerheart G3 Series, models 9300A, 9300E, 9300P, 9390A, and 9390E

• CardioVive model 92532 and

• CardioLife models 9200G and 9231

Anyone who has one of the recalled devices should take it out of service immediately because it might fail to deliver therapy. Contact Cardiac Science to get a replacement at 1-888-402-2484. ...
Comment by Jennifer Doyle on April 7, 2010 at 7:26pm
Summit Series & International Roundtable on Community Paramedicine Scheduled for August

The 4th installment of the Summit Series and the 6th Annual International Roundtable on Community Paramedicine will be co-located in Vail, Colorado.

IRCP August 9 - 10, 2010
Summit at Divide August 11 - 13, 2010

Please log on to for lodging information. Excellent hotel rates that include full breakfast.

Join us for the fourth installment in the Summit Series. This Summit will have something for everyone, from federal and state policy makers to local EMS managers and hospital administrators to individual EMTs.

This year’s theme will be Beyond Old Boundaries – Exploring New Frontiers. With the co-location of the Summit at the Divide with the International Roundtable on Community Paramedicine (, we will have the opportunity to stretch our imaginations about what could be for rural EMS and trauma systems. Building on last years’ discussions of lessons learned from the theaters of conflict, regionalization and the use of telemedicine to overcome barriers of distance, we will explore additional options for improving access to emergency care in rural and frontier areas. A strong roster of speakers from the U.S. will be augmented by international experts both at the podium and in the audience.

Attendees of the International Roundtable on Community Paramedicine will receive a $50 discount on their Summit at the Divide registration. Registration for the Summit at the Divide includes complimentary attendance at the International Roundtable on Community Paramedicine morning sessions on Wednesday, August 11.

Register at

Presented by the Critical Illness and Trauma Foundation with support from Western Eagle County Ambulance District, Community Paramedic, and the International Roundtable on Community Paramedicine with Funding Support from HRSA’s Office of Rural Health Policy, Colorado EMS and Trauma Services Section and the Colorado Rural Health Center.

Christopher Montera
Western Eagle County Ambulance District
(Posted with permission)
Comment by Jennifer Doyle on March 29, 2010 at 10:52am
HHS Solicitation on Regionalized Emergency Care to be Released this Wed. 3/31

"A solicitation will be issued ... to acquire detailed information and information analysis about regional emergency care system development, operation and maintenance for each of four (4) projects comprising a comparative effectiveness research (CER) analysis. The program will result in separate contract awards for each major component area. The results of these projects will be of value in the development of a nation-wide system for regionalized emergency care delivery, providing technical assistance and in developing guidelines for subsequent demonstration projects." ...

Read the "presolicitation" at...
Comment by Jennifer Doyle on March 28, 2010 at 10:23am
Another interesting story, this one from London's The Sunday Times:

Ambulance ‘waiting rooms’ cost NHS £11m

THE NHS has wasted more than £11m using ambulances as “waiting rooms” to get around Labour’s target that patients should be treated within four hours of entering casualty.

New figures reveal the time spent by crews waiting outside hospitals for their patients to be admitted last year was the equivalent to funding 31 fully staffed ambulances to do nothing for 24 hours a day. ...
Comment by Jennifer Doyle on March 28, 2010 at 10:18am
An interesting story from London's Sunday Telegraph:

Ambulance service gets £38 for every patient they don't take to hospital
The Ambulance service is being paid bonuses for not taking patients to hospital in a bid to help the NHS hit controversial targets.

Patients' groups expressed horror at the "sick experiment" in which NHS managers have agreed to pay £38 for every casualty that ambulance staff "keep out of Accident and Emergency" (A&E) departments after a 999 call has been made. The tactic is part of an attempt to manage increasing demand for emergency care amid failings in the GP out-of-hours system. ...
Comment by Jennifer Doyle on March 24, 2010 at 7:11pm
Barishansky Named Senior Fellow at GW's HSPI

Congratulations to EMS Insider Contributing Editor Ray Barishansky!....

Raphael M. Barishansky, Chief of Public Health Emergency Preparedness for the Prince George’s County Health Department, has been selected as a 2010 Senior Fellow at The George Washington University Homeland Security Policy Institute (HSPI). Mr. Barishansky’s expertise is in the fields of Public Health Preparedness and Emergency Medical Services and he is a nationally recognized author and lecturer.

Senior Fellows are drawn from government, academia and the non-profit and private sectors, with expertise in areas ranging from bioterrorism to critical infrastructure protection to intelligence. Throughout the year, Fellows participate in roundtable sessions with senior government officials, and collaborate to publish policy papers, including issue briefs that speak to the day's most pressing homeland security challenges.

HSPI is a nonpartisan “think and do” tank whose mission is to build bridges between theory and practice to advance homeland security through an interdisciplinary approach. By convening domestic and international policymakers and practitioners at all levels of government, the private and non-profit sectors, and academia, HSPI creates innovative strategies and solutions to current and future threats to the nation.
Comment by Jennifer Doyle on March 22, 2010 at 8:21pm
Health overhaul: Immediate change, long term steps

This AP article provides a good year-by-year breakdown of when benefits, requirements, taxes go into effect:

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