The Airport Ambulance Service Services Essay

The documentary The Waiting Room presents a safety-net hospital located in Oakland, California. In the film, director Peter Nix follows patients, doctors, and staff throughout a typical day. Furthermore, the film displays how the staff is overworked, causing an impact regarding how the American health care system is affecting millions of uninsured patients who try to cope with injury and disease. The film utilizes techniques from the observational mode such as long takes, crisis structure, and documenting unplanned everyday experiences to convey the cruel realities of Americans seeking hope and treatment.

An extended care paramedic are experienced clinical practitioners that specialise in patient assessment and a deliverance of quality care. Extended care paramedics treat mainly low to medium acute patients in a variety of community and clinical settings. ("Department of Health | Boosting Productivity", 2017. Their role is primarily to treat those in low need of care to take the strain off high running facilities such as hospitals and first responders. Extended care paramedics are most beneficial to those living independently and also those in aged care facilities. ECPs provide alternate care pathways for patients and assist in reducing unnecessary transport to hospital. Attendance by an ECP reduces the disruption to

The main key issues in case #5 is that the MMG system had not achieved its overall financial performance goals; therefore they experienced a big loss secondly the transition of new leadership became an issue. The difficulties of implementing the MBS business model in the Hospitals and Clinics division also became a very important issue. Having to come up with a strategy to improve the financial side and being able to focus on customers and relationships was not an easy task for them. Hospitals had a different approach of helping customers in

In the World of EMS and Fire, specific means of measuring and establishing goals are a necessity to maintain a positive revenue stream and operational budget. For example, “Unit Hour Utilization” (UHU). UHU measures the work load levels in a defined ambulance system status. UHU’s is calculated by dividing the number of transports generated in a set time frame by the number of unit hours it is required to make those transports possible with a fully equipped and staffed ambulance (Unit Hour Utilization, 2012, p. 1). For example, ten ambulances operating in a twenty-four-hour period generate 120 transport, the UHU would equal 120 means of transport /240-unit hours equaling a 0.5 UHU. The more transports that occur in the set amount of time

Could you imagine working as a EMT and not knowing what could happen at anytime that you are on the job. As you can tell this job is in very high demand, people are in need of people to run emergency vehicles. Emergency Medical Technicians have been in need since the 1960s, Emergency Medical Technicians have to go through extensive training and meet education requirements to be able to do this job. There are many different things that Emergency Medical Technicians do while on the job, there are also very many levels to being an Emergency Medical Technicians.

In order to eliminate the inefficiencies witnessed in many public and private hospitals that serve a number of patients, an integrated approach to handling the daily workload is necessary. There is need for all departments within the hospital to work closely together in ensuring more effective and efficient service deliveries. In this paper, a planned change is going to be carried out involving designing a new system that incorporates all the departments within the hospital. This includes the surgery department, pediatrics department, dentistry department, nursing department, pharmacy departments, laboratory and testing department, X-ray and Physiotherapy departments, Equipment maintenance and Engineering department, Information Technology

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

Each year in the United States approximately 114 million people visit their local Emergency Department (ED), and 16 million of these patients arrive by Emergency Medical Services (EMS). (Board et al.) Health care in America has moved from an individual, fee-for-service health care system, towards a more integrated healthcare system i.e., The Affordable Care Act (ACA), which is a government controlled healthcare system, and is set up to be a value-based payment system. The ACA will expand and transform the roles of EMS within the healthcare system. EMS’s ability to survive and thrive in this new era of healthcare, will revolve, in part, on its ability to articulate its value to healthcare providers, healthcare organizations, hospital systems, and payers, as well as patients and family members. (Smith) EMS can thrive in the future, if it embraces change. John F. Kennedy had this to say about change, “Change is the law of life. And those who look only to the past or present are certain to miss the future.” (BrainyQuote) In order for EMS to thrive in the changes that the future is bringing, it must: focus on mobile integrated healthcare, be data driven in their clinical practices. There are three other areas that will be discussed at length, EMS agencies should be actively pursuing a community paramedicine program, EMS using remote telemedicine and EMS moving towards a value-based payment system.

Emergency room over utilization is one of the leading causes of today’s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ‘Yes’ and ‘No’.

Mobile Integrated Healthcare, Community Paramedic (MIH/CP) is a nationally recognized program where local Emergency Medical Services (EMS) have become involved in providing patient-centered care in partnership with local resources such as social services and primary care (Mobile Integrated Healthcare and Community Paramedicine (MIH-CP): A National Survey, 2015). These programs range in services from in-home consultation for chronic disease management to deploying telemedicine to connect homebound patients with offsite care givers. The author states: “From medical homes to care teams to accountable care organizations, the concept of collaborative, integrated, patient-centered care is a major theme of healthcare reform - and MIH-CP (p. 9)”.

Peace Memorial Hospital is a 600-bed, independent, not-for-profit, general hospital located on the southern periphery of a major western city. It is one of six general hospitals in the city and twenty in the county. After doing much research, the Board of Directors has decided that they should open an ambulatory location in the downtown area, to be known as the Downtown Health Clinic (DHC). The clinic will have 4 major objectives: “1. To expand the hospital’s referral base, 2. To increase referrals of privately insured patients, 3. To establish a liaison with the business community by addressing employers’ specific health needs, and 4. To become self-supporting three years after opening” (Kerin

EMS organizations also have their contract options for funding. According to the Centers for Medicare and Medicaid Services (2013), they developed a fee schedule for ambulance services, in order to contain costs. This schedule is written into a contract. Many patients that are transported by ambulance are Medicare beneficiaries. The government will only reimburse the companies for services rendered during transport, unless contraindicated by the patient’s medical condition. There are codes associated with treatment that either replace or supplement ICD-9 codes. The fee schedule also corresponds with BLS and ALS levels of care, rating treatment from routine to complex (Brennan, 2012). Private insurance companies like Blue Cross Blue Shield include ambulance services for their patients when other transportation would otherwise harm the patient. Cities and hospitals create contract agreements with private ambulance companies for services.

Any patient brought into the Emergency Department, is first signed in at ED receptionist desk and triaged by a triage nurse, prioritized and brought to patient room by a charged nurse either by wheelchair or stretcher or walking by the patient depending on patient’s illness. A nurse is assigned to the patient. Emergency Doctor comes in and if the patient illness is life threatening it is stabilized and the Doctor orders test such as blood work and x-ray if necessary to be conducted. Based on the test result the patient is either discharged or admitted. Certain times the emergency department is filled with a lot of patient that there is no place to sit and patients keep coming in and creating

Recommendations were provided in the following areas: adequate standards for ambulance design, and the construction of equipment and supplies, standards for qualifications and supervision of ambulance personnel, state level adoption of policies and regulations in ambulance services, pilot programs for providing physician-staffed ambulances, and programs to evaluate the need to place automotive and helicopter ambulance services in remotely populated areas where there is a lack of hospitals (Council, 1966, p. 15). Now there are standards and specifications for ambulances, and the equipment that goes in them, outlined by NFPA 1917: Standard for Automotive Ambulances and

Urgent Ambulance Services is a company that is to service its community by providing urgent and non-emergency medical pre hospital care. The organization would be serving their communities by promoting health, and safety educations in the communities they service. The organization is to educated young and old of First Aid, CPR, and safety to install the awareness and promote healthy choices. The organization is to also provide effective and prompt pre-hospital Medical services to community that calls for any non-emergent and emergency medical help, and transportations.