EMS.gov Webinar | EMS Harm Reduction and SUD Treatment
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Heroes who look past danger to help people in need,
Heroes to step in to be the difference between triumph and tragedy,
And Heroes who use their minds to create technology that saves lives.
We need those Heroes.
GoAERO is offering $2+ Million in prizes for the best thinkers, creators and inventors to build Emergency Response Flyers and stretch and challenge their minds to unlock a new era of disaster and rescue response.
By unleashing the power of autonomy, speed, and precision, GoAERO is looking for the brightest, boldest and bravest to change the way we rescue and respond to disaster.
This is your chance to make history and save lives.
On February 21, 2024, UnitedHealth Group (UHG) disclosed that one of its subsidiaries was the victim of a ransomware attack. According to UHG, the cyberattack was perpetrated against Change Healthcare, an operating unit within UHG’s Optum subsidiary. Change Healthcare is a health care technology company that provides support and technical services to UHG and numerous other health care insurers. In response to the cyberattack, UHG proactively isolated the affected systems while it works to assess the damage.
Change Healthcare offers a range of services to the healthcare industry, including payment and billing, prescription processing, and data analytics. According to its website, it processes more than 15 billing healthcare transactions annually. According to the American Hospital Association, Change Healthcare touches 1 out of every 3 patient records.
As of today, Change Healthcare’s systems remain down, and there is no definitive timetable for when the company anticipates restoring services.
On March 5, 2024, the U.S. Department of Health and Human Services issued a statement detailing the steps HHS would be taking to avoid further disruptions to the health care system. Specifically, HHS/CMS indicated that it would:
HHS also indicated that it would permit hospitals to submit requests for Medicare Accelerated Payments, similar to those issued during the early stages of the COVID-19 pandemic; however other providers/suppliers do not seem to have access to this workaround HHS indicated that its MACs would be issuing specific guidance on how to request accelerated payments later this week.
According to various reports, there are approximately 800 payers whose claims routing processes utilize Change Healthcare’s network. The day-to-day processing of electronic claims for these payers may be impacted in varying degrees. This impact may be felt directly, in the case of claims submitted directly by the provider to the payer, or indirectly, in the case of claims submitted through a clearinghouse.
The AAA encourages members to contact their clearinghouses to see which payers, if any, are being affected by the system interruption. Payers that are not capable of processing electronic claims will likely have opened channels for claims to submitted on paper. The clearinghouses should be able to provide additional information on the steps a provider needs to take to ensure the proper processing of these claims.
Optum has also established temporary alternative funding options. Essentially, these are advances based on historical claims submissions, which will be repaid (likely through claim offsets) once Optum’s systems are fully back online. At this point it is unclear whether ambulance providers will be eligible for this alternative funding. Members are encouraged to check the Optum website for further updates.
Heroes who look past danger to help people in need,
Heroes to step in to be the difference between triumph and tragedy,
And Heroes who use their minds to create technology that saves lives.
We need those Heroes.
GoAERO is offering $2+ Million in prizes for the best thinkers, creators and inventors to build Emergency Response Flyers and stretch and challenge their minds to unlock a new era of disaster and rescue response.
By unleashing the power of autonomy, speed, and precision, GoAERO is looking for the brightest, boldest and bravest to change the way we rescue and respond to disaster.
This is your chance to make history and save lives.
Tuesday, Feb. 13, 2024 | 10:30 a.m. ET
The First Responder Network Authority will be launching the next phase of the FirstNet network in partnership with its network contractor, AT&T. The webcast will unveil major upgrades planned for FirstNet, driven by public safety’s needs.
Register below for the webcast, and join us on February 13 to hear from public safety officials and leaders from the FirstNet Authority and AT&T as they announce enhancements planned for FirstNet.
Please either Join!
orJanuary 17, 2024 – Irving, TX We didn’t need emergency warning devices to get where we were going – a motor vehicle crash without serious injuries. We tried to change lanes and were hit from behind, sideswiped, and pushed across the road. We expected people to yield to us, but the bright flashing lights and sirens contributed to distracting the driver of the car as he was trying to get around us. I still to this day believe we wouldn’t have gotten crashed if we were driving without the use of the emergency warning devices.
The reality is when lights and sirens are on, the risk of crash increases by over 50%. Weekly, we hear reports of ambulance crashes that impact providers, patients, and the public.
The National EMS Quality Alliance has released Improving Safety in EMS: Reducing the Use of Lights and Siren, a change package with the results, lessons learned, and change strategies developed during the 15-month long Lights and Siren Collaborative. It will assist EMS organization in making incremental improvements to use of lights and siren on a local and systematic basis. “The best practices that have emerged from this project will allow every agency, regardless of service model or size, to more safely and effectively respond to 9-1-1 calls.” says Michael Redlener, the President of the NEMSQA Board of Directors.
“By utilizing less lights and sirens during EMS response and transport, our efforts have shown measurable increases in safety. The EMS community and the general public will surely benefit from the now-proven tactics provided by this partnership,” added Mike Taigman, Improvement Guide with FirstWatch and faculty leading the collaborative.
More about the Collaborative and participating agencies can be found in the change package and on the NEMSQA website.
The National EMS Quality Alliance (NEMSQA) is the nation’s leader in the development and endorsement of evidence-based quality measures for EMS. Formed in 2019, NEMSQA is an independent non-profit organization comprised of stakeholders from national EMS organizations, federal agencies, EMS system leaders and providers, EMS quality improvement and data experts as well as those who support prehospital care with the goal to improve EMS systems of care, patient outcomes, provider safety and well-being on a national level.
NEMSQA
Sheree Murphy
smurphy@nemsqa.org
315-396-4725
Please either Join!
orOn Wednesday, December 6, 2023, the Department of Health and Human Services (HHS) Office of Intergovernmental Affairs (IEA) will host a webinar on healthcare sector cybersecurity from 4:30 p.m. to 5:00 p.m. EST. HHS IEA stated speakers will discuss “the Department’s roadmap for cybersecurity in health care and answer questions on how HHS can help protect patient safety, secure our hospitals, and improve cyber resiliency in health care.”
HHS IEA indicated the event will feature the following speakers:
Registration for the event can be found at: Webinar Registration.
Please either Join!
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Press Release from the Prehospital Blood Transfusion Initiative Coalition
PREHOSPITAL BLOOD TRANSFUSION INITIATIVE COALITION BEING FORMED
Contact:
Bill Skillman
bskillman@veli.co
781 315 7537
In cities, towns and rural communities across the US people are dying unnecessarily from severe bleeding arising from limited supply of blood products and lack of blood transfusions after injury or other causes of hemorrhagic shock. Bleeding to death from uncontrolled hemorrhage remains the leading cause of preventable deaths among victims of trauma with nearly half of these patients dying in the prehospital setting. Unfortunately, in the vast majority of cases, blood products are not available on emergency medical response vehicles because of reimbursement limitations and local regulations which vary by state.
The Prehospital Blood Transfusion Initiative Coalition (PHBTIC) is being established to address these problems. “A growing number of ground and air medical EMS programs have successfully initiated blood programs in recent years, but more needs to be done to ensure patients in the U.S. who need prehospital transfusion are able to receive it, regardless of where they live” notes John Holcomb, MD, Professor of Surgery at University of Alabama at Birmingham, an internationally renowned trauma surgeon and expert on civilian and military hemorrhage control and resuscitation. The Coalition, led by a steering committee, is building a multi-disciplinary, collaborative initiative to advance four pillars of focused activity to promote prehospital blood transfusion programs:
“Our group represents a diverse community of prehospital and hospital-based medical professionals, as well as industry, blood collection, and government partners, whose focus is on improving outcomes of all patients suffering hemorrhagic shock in a data-driven fashion” say Eric Bank, LP, NRP, Assistant Chief of EMS HCESD 48 Fire-EMS and Randi Schaefer, DNP, RN, Clinical Consultant and Scientific Advisor.
The Steering Committee has already reached out to national stakeholder organizations in the EMS, trauma, blood and industry communities and are soliciting others with an interest in ensuring blood products are available in all emergency settings to join the Coalition. They will be scheduling an initial meeting of the Coalition in the coming weeks. Those interested are encouraged to contact Jon R Krohmer, MD at jrkrohmer@gmail.com
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From CAAS GVS Version 3.0 – Revision Input
CAAS has formed a Ground Vehicle Standards Committee to review the existing CAAS Ground Vehicle Standard V3.0, and to develop proposed revisions or additions to the Standard as necessary. To ensure that anyone with an interest in the emergency medical transportation industry has a voice in the Standard revision process, CAAS has developed a mechanism for interested parties to submit feedback and suggestions relative to ground vehicle standards. Interested parties should complete the online form below. All submissions will be reviewed by the Ground Vehicle Standards Committee prior to development of Version 4.0.
CAAS GVS will be taking input until July 1 of 2024, for the next Version 4.0 to be published in July of 2025.
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Multiple national organizations and federal agencies have promoted the development, implementation, and evaluation of evidence-based guidelines (EBGs) for prehospital care. Previous efforts have identified opportunities to improve the quality of prehospital guidelines and highlighted the value of high-quality EBGs to inform initial certification and continued competency activities for EMS personnel.
We aimed to perform a systematic review of prehospital guidelines published from January 2018 to April 2021, evaluate guideline quality, and identify top-scoring guidelines to facilitate dissemination and educational activities for EMS personnel.
We searched the literature in Ovid Medline and EMBASE from January 2018 to April 2021, excluding guidelines identified in a prior systematic review. Publications were retained if they were relevant to prehospital care, based on organized reviews of the literature, and focused on providing recommendations for clinical care or operations. Included guidelines were appraised to identify if they met the National Academy of Medicine (NAM) criteria for high-quality guidelines and scored across the six domains of the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool.
We identified 75 guidelines addressing a variety of clinical and operational aspects of EMS medicine. About half (n = 39, 52%) addressed time/life-critical conditions and 33 (44%) contained recommendations relevant to non-clinical/operational topics. Fewer than half (n = 35, 47%) were based on systematic reviews of the literature. Nearly one-third (n = 24, 32%) met all NAM criteria for clinical practice guidelines. Only 27 (38%) guidelines scored an average of >75% across AGREE II domains, with content relevant to guideline implementation most commonly missing.
This interval systematic review of prehospital EBGs identified many new guidelines relevant to prehospital care; more than all guidelines reported in a prior systematic review. Our review reveals important gaps in the quality of guideline development and the content in their publications, evidenced by the low proportion of guidelines meeting NAM criteria and the scores across AGREE II domains. Efforts to increase guideline dissemination, implementation, and related education may be best focused around the highest quality guidelines identified in this review.
Christian Martin-Gill, Kathleen M. Brown, Rebecca E. Cash, Rachel M. Haupt, Benjamin T. Potts, Christopher T. Richards, P. Daniel Patterson & for the Prehospital Guidelines Consortium (2022) 2022 Systematic Review of Evidence-Based Guidelines for Prehospital Care, Prehospital Emergency Care, DOI: 10.1080/10903127.2022.2143603
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orBelow is the first in a series of monthly personal narratives from EMS leaders. If you would like to submit a column for consideration, please email hello@ambulance.org.
Written Friday, November 25, 2022 | By Ed Racht, MD
Happy Friday, and happy Thanksgiving weekend. I hope by now your blood sugar is slowly but surely heading back to baseline despite all the leftovers calling you from the fridge. Worth it though, right? My dad taught me long ago, “everything in moderation—even moderation.”
So, I want to tell you something tonight, especially because it is the Thanksgiving season. I’ve been thinking for a while about how to say this without sounding cliché, routine, robotic, or insincere. And then—as so often happens in life—I got a little help from a very unlikely encounter.
This past Saturday, my bestie, Heather, and I went to try a local diner for breakfast. This place has been around since air was invented. Cash only. Same tables and seats since the day they opened. Part Formica, part particle board countertops. None of the coffee cups match. Open only until 2:00PM and always closed on Sundays. The ham & cheese omelet is $7.99. Biscuits, bread, or hashbrowns only. Everyone that comes in knows everyone else. And it is packed all the time.
We chose a booth in the corner by the window because our server told us that was the warmest table she had available. She was right.
As we sat drinking our coffee in mismatched mugs, we both noticed an elderly man sitting by himself at the end of the counter. He had placed his walker against the ATM along the wall (cash only, remember?).
Then he slowly got up from his stool, grabbed that walker, and carefully wobbled his way to the restroom. It was one of those moments where we both watched and quietly prepared to jump up to help prevent what seemed like an inevitable fall. We didn’t want to offend him with an offer to help but didn’t want him taking a trip to ground either.
We looked across the table at each other and did that mutual raised eyebrow thingy. Ugh. “Warmest booth we have,” she said. Great.
A few minutes later, he slowly made his way back to his spot. But he went a few feet too far this time with the walker, making a beeline directly toward the warmest booth in the diner. He stopped for a minute (what the heck?) grabbed the handwritten check off our table and turned around, without saying a word, and made his way back to his seat. His walker made those sequential two inch turns.
Great. How do you tell an older man he has OUR check (and why did we come here again)?
“Excuse me?” We both said, eyebrows up again.
He turned to us and said, “I’ve got it.”
Wait. What?
He said, “I come up here every day for breakfast when they’re open. Twice a month, I like to buy somebody else’s breakfast. I’ve got it.”
Wow. We sat in stunned silence as this gentleman made his way back to the counter and sat down on his stool.
To make a long story short, we thanked him and struck up a small conversation with him. A few minutes in, he asked, “can I get closer?”
Of course.
So once again we went through the diner-walker challenge and he made his way over to the warmest booth in the restaurant and sat with us for the next hour. We talked about all sorts of things. His wife had been a nurse (mental health was her specialty). He told us about where they had lived and their adventures. He talked a little about his opinions of healthcare today (you can fill in those blanks).
At one point, he told me he lived in Texas and he’d always travel into Mexico to get his medications because they were so much cheaper than in the US. I asked him if he was nervous about going.
He laughed, and said, “I always went in the morning. Bad guys don’t get up early.”
Now, I’ve been in EMS for a few years and you know what? He’s right. Holy crud. Funny and spot-on relevant.
So, why am I telling you about Gary (his real name, by the way)? First, I need to cover a few more things to pull the meaning of this story together. Bear with me.
Fair warning. This next part doesn’t feel Thanksgivingy, but I’m going to argue that it’s at the very heart of a meaningful “thanks.”
Take a look at some of the toughest parts of our world right now:
I’ll stop there, because I think you get the gist. How (and why) do I go from a Gary story to this?
This is, without a doubt, the most challenging period of EMS and healthcare history that we have faced together. Ever.
It’s really, really hard right now. And it’s hard in a different way than we’ve ever faced. Clinically hard. Operationally hard. Financially hard. Culturally hard.
Which also means that it’s personally hard. Whether you are directly providing care to a patient or supporting all the complexities that make that interaction possible and effective, it’s hard on us. The facts above reflect exactly that.
Now, I’ve been in EMS for a year or two (insert big-eye emoji), and one of the most rewarding feelings on the planet is creating order out of someone else’s chaos. I honestly believe that people like you choose this profession and support this profession in large part to make other people’s lives better.
Our mission is among the purest and most important on the face of the earth. Just think about how many people enjoyed a Thanksgiving with the people they loved because someone years before fixed their distorted anatomy or disrupted physiology.
It’s easy to forget the massive good a profession, an organization, or an individual can do. Gary gave us a little gift. When I first saw him, I was certain we would end up having to help him. But instead, he helped us.
When we work hard to take care of our patients, our communities, each other, our organization and our profession—They. Take. Care. Of. Us.
So. When our workplace is supportive, people want to join us. When our partners are fun, we seek them out. When our medicine is strong and sound, the medical profession embraces us. When our operation is accountable, we grow, evolve, and thrive when the art and science changes. When we come together as a team, we become the model of effective care. And when all that happens, WE, as individuals, can help tackle all the tough stuff in the most effective way possible.
I’d love to have more people choose EMS as a profession. I’d love to see them seek out advancement and growth. I’d love to see the science evolve to support better outcomes in unplanned illness and injury. I’d love to see hospital metrics and EMS metrics get better, not languish. I’d love to help communities become safer. And I would absolutely love for every one of us individually to be a part of that. I promise. That’s the way we make things so much better.
So tonight, on this day after Thanksgiving, I want to tell you that I’m not just thankful for what you do, I’m also extremely grateful. My daughter taught me there’s a difference. The definition of thankful is “pleased and relieved.” The definition of grateful is “feeling or showing an appreciation of kindness and gratitude.” In that spirit, I wanted to share that I’m grateful for you and I’m grateful for EMS.
We need the best in one another right now. There are four legs in our Bench of EMS Strength:
There is plenty of hard stuff ahead, so let’s do this. We can sit in the warmest booth in the place. I’m so grateful for that.
So, that’s it from my World. Happy Friday, and happy Thanksgiving.
Ed