Last On: 12:51PM, 23 May 13
Johnson Smithwood
  • Delmar, NY
  • United States
  • Paramedic/EMT-I/EMT-D,…
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Latest Activity

Johnson Smithwood replied to Bill Eyford's discussion Helmets Inside Ground Ambulances
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May 22, 2013
Johnson Smithwood replied to Marty Hrinko's discussion PA BLS Protocol
"Before making a field judgement on what CMS may or may not consider an emergency based on what it is that you write in in your documentation, don't forget that you may not be dealing with CMS at all with Medicare billing. There are many, many…"
Feb 19, 2013
Johnson Smithwood replied to Nicole Reino's discussion Patient Refusals
"Skip,  I'm surprised that you would not throw the caveat out there of "under the current model of care" in there, without exploring the opportunity for for EMS to better partner with heath care systems and payors to better access…"
Feb 19, 2013
Johnson Smithwood replied to David Spafford's discussion Learning Management Systems
"David,  As a long time medic and current IT developer, I think the question lies in how much time/resources you are willing to invest in a LMS. The advantage to something like Centrelearn is canned content, a turn key system and most things you…"
Dec 30, 2012
Johnson Smithwood replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????
"Geri, my point wasn't to try to move things back to the old days where everybody gets oxygen, whether they need it or not because it's a line billable item. There are agencies that will require IV's on every patient because it's…"
Oct 15, 2012
Johnson Smithwood replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????
"EMT's and paramedics don't make revenue for their agencies. Ambulances do. Organization's do not get paid for the professional services they provide. They get paid to load someone up into a vehicle and move them to the hospital.…"
Oct 14, 2012
Johnson Smithwood replied to Michael King's discussion Monitor Grants?
"There's a number of cases where 12 lead monitors aren't really needed. Do first responders in a good system where a 12 lead equipped transport unit is coming within 10 minutes really need it? There are arguments both ways.  If they…"
Sep 7, 2012
Johnson Smithwood replied to Paul Garcia's discussion Have you attended Tactical Medic Training?
"Who gets to be the tactical medical support for the tactical medical  support? Oh, yeah. The guys that were sitting on the closest streetcorner to the staging area..... "
Sep 5, 2012
Johnson Smithwood replied to Michael King's discussion Monitor Grants?
"Dig around online, you can find used LP12's for around 5k. If 5k's going to break the bank, you might want to rethink going ALS until your finances are in a little bit better shape. If you don't need all the bells and whistles, used…"
Sep 5, 2012
Johnson Smithwood replied to Skip Kirkwood's discussion Did I Really Hear Him Say That???? EMS personnel as disposable employees???
"" What you describe happens only if the employees ALLOW it to happen - or they can vote with their feet." Skip, I agree....IF.... We can't circle and circle around issues previously discussed. Employers will continue to scrape…"
Aug 3, 2012
Johnson Smithwood replied to Skip Kirkwood's discussion Did I Really Hear Him Say That???? EMS personnel as disposable employees???
"Yes, current EMS employees are very often interchangeable cogs in the machine that comprises many EMS systems. We've known this for years. There is little demonstrated economic value or benefit to highly skilled and long tenured…"
Jul 28, 2012
Johnson Smithwood replied to Charles Drollette's discussion National standing on 24 hr shifts
"Skip, once again, you show that your agency is more enlightened than most I've been affiliated with. Your agency probably declines to engage in the time honored "performance" EMS practices of juking the stats with…"
Apr 27, 2012
Johnson Smithwood replied to Charles Drollette's discussion National standing on 24 hr shifts
"While I haven't read all of the posts presented, most of these posts revolve around the UHU as a measure of "productivity". The measured UHU reflects the revenue generating (or possibly revenue generating) activity. It in no way…"
Apr 23, 2012
Johnson Smithwood replied to Eric Gagnon's discussion FDNY EMS job shirt pullover
Aug 30, 2011
Johnson Smithwood replied to Duncan Hitchcock's discussion ED Physicians Identifying All Interfacility Transfers as STAT
"What definition of 'emergency' are you using to define emergency transfer? And are the facilities and physicians you are using the same criteria?   In my fifteen years of EMS, I found that there was very often a complete lack of…"
May 11, 2011
Johnson Smithwood replied to Skip Kirkwood's discussion SSM - one of my pet peeves.....
"Why do expanded prehospital services need be provided by paramedics? There is already a licensed practitioner capable of performing these services. They are called PA's. I'd be interested to see if a hospital or other entity…"
Mar 25, 2011

Profile Information

Employer/Affiliation
Paramedic/EMT-I/EMT-D, Firefighter/Paramedic, Civilian
Primary Agency/Department Type
None
Years in EMS/Public Safety
15

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