Case Study: Boston Emergency Medical Services

Baltimore County Fire Department is one of the largest departments in Maryland providing fire protection, emergency medical services, as well as other services to over 800,000 citizen. The department is a fire-based EMS system that answers around 130,000 calls a year, with 80% being Emergency Medical Service (EMS) related, making EMTs and Paramedics the backbone of the department. As of February 2017, the department consists of 1,012 employees, with 12.7% being Paramedics or Paramedic/ Firefighters. The purpose of a paramedic is to provide advanced medical care to critically injured and ill patients who utilize 911. Paramedics possess complex knowledge and skills in order to conduct proper patient assessment, use diagnostic tools, then devise

The CHD Preparedness and Support Unit in the Bureau of Preparedness and Response (BPR) shares the Florida Department of Health (DOH) responsibility for ensuring the state’s public health and health care systems are prepared to respond to disasters and other public health emergencies. Therefore, the Unit is responsible for promoting and supporting preparedness activities at the local level by developing, evaluating and providing technical assistance for accomplishing the CHD Expectations; serving as liaison and point of contact for questions, concerns and needs related to CHD Preparedness, and by seeking and allocating funds locally according to cooperative agreements and statutory authority.

The Massachusetts Public Health Association is a non-profit founded in 1879, and aims to focus on preventative policies for vulnerable disparities in health (MPHA, 2015). The mission of the organization aspires to be a catalyst for change in eliminating health inequalities, and creating a healthy environment for all communities.

In many cities emergency service personnel had their pay cut, overtime eliminated, and benefits slashed. This not only affects the moral of said workers but may drive away future applicants to find better pay elsewhere. This can cause many problems in the future as they will have a difficult time to hire new employees. It could also cause current employees to leave their departments for better pay causing more man power issues. “The national average wage was $34,370 in 2012, according to the Bureau of Labor Statistics (Mercer 2).” One of the major problems is that there is no federal funding for emergency medicine. The lack of funding for these emergency medicine personnel is a major concern leading to a haphazard development of this service. “Even the number of EMTs and paramedics is uncertain (Mercer 11).” Many believe that if you stabilize the budget issues then the profession would possibly become one of the fastest growing in the

The main issue is whether the CAO correctly denied the Appellant’s MA benefits because he is an unqualified non-citizen that does not have an emergency medical condition. In issuing an administrative determination of this issue, the undersigned ALJ reviewed the Regulations governing the MA program as well as applicable case law. The Department’s Regulations define an “Emergency Medical Condition” as:

The study population for this research is patients for EMS hospitals for observation that provide different shift patterns. This group will mainly include emergency room physicians, and emergency patients. Any doctor who is a medical director for an EMS service will be excluded from the survey to disregard any potential bias(Bowen, 2009).

1. Using the historical data as a guide (Exhibit 6.1), construct a pro forma (forecasted) profit and loss statement for the clinic's average month for all of 2010 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit?

Provide prompt prehospital care to our community and to educated communities to extend lives by promoting health and safety. In which providing our employees the tools and education to excel in providing a strong internal, and external contributions to ensure public trust and promoting quality care to patients and their community.

Emergency department (ED) overcrowding has become an international health crisis and been identified as a major threaten to public health. As defined by Australasian College for Emergency Medicine, overcrowding is a situation in which ED patients’ demand for services exceeds the staffing capacity to provide care within a reasonable length of time, thereby impeding ED function. Some has called ED as the safety net of the health care system, given its unique role in public health. However, the increasing problem of crowding and the associated impacts has strained this safety net to the “breaking point”. ED overcrowding and prolonged waiting time are associate with adverse consequences towards quality of care and patient safety, as well as

The Federal Emergency Management Agency (FEMA) coordinates the federal government's position in preparing for, preventing, mitigating the effects of, responding to, and recovering from all domestic disasters, whether natural or man-made, which now including acts of terror. FEMA leads and supports the nation in a risk-based, comprehensive emergency management system of preparedness, protection, response, recovery and mitigation. A key component of community preparedness and participation is the citizen. The CERT program strives to familiarize citizens with the facts about what to expect following a major disaster in their community and to deliver the message about their responsibility for mitigation and preparedness. CERT educates individuals

This research paper looks at the National Disaster Medical System (NDMS). The National Disaster Medical System is a federally coordinated system that helps build the nations medical response capability during major medical or public health incidents that states and local communities cannot handle by themselves (USDHHS, 2015). The research in this article draws upon the history of the establishment of NDMS, and how other hospital teams were first created. The focus of this paper is to explain the goals, mission statement, objectives, and funding of the NDMS. The final section of this paper will explain how the NDMS fits into Emergency Management at the state and local levels, and explain all the different teams in NDMS medical and health professionals can sign up for.

On Thursday, February 25, 2016 at 9:17pm Traci Carreras in Unit # 8-2D called 911 for an ambulance. RA Gayle asked T. Carreras “Who is the emergency for?” She stated “Her husband Joseph Carreras has a fever.” The family came downstairs to the lobby and waited for the ambulance to arrive. RA Adme observed Mr. Carreras, NYPD Badge # 2108 Devito and #9636 Bhuiyan arrived 9:38pm at the facility. NYPD spoke with Mr. Carreras, and then EMT Badge # 2741 Lewis and #2785 Marcellus arrived to the facility. Emt came off site at 9:47pm the family of Unit # 8-2D was taken to Brookdale Hospital. Shortly after, NYPD came off site at

Emergency departments repeatedly face overcrowding due to increased public demand and decreased hospital resources (Rooney & Schilling, 2014). Finding a way to combat the over-crowding is challenging, because all patients feel that their issue for being at the emergency room is a true emergency and do not want to wait for services. Emergency healthcare professionals are faced daily with the burden of overcrowding and long wait times for their patients. Health promotion programs in the ED allow for better care of patients and in turn decrease the need to return as often and ultimately

I William Masone am not debarred from receiving Medicare or Medicaid programs, nor currently the subject of debarment proceedings and will remain in compliance with this ordinance, NCOEMS rules, and all applicable state and federal statutes and regulations.

How do you see this position adapting to changes in health care? EMTS/ paramedics are being utilized more and more in Emergency Departments nationwide due to our skill set and abilities. With the huge nationwide nursing shortage we help fill in the gaps.