...Ambulance Outline I. Introduction: EMRs for Ambulances/Paramedics – The term EMR is an electronic medical record system used to replace paper medical records with an online record which tracks a patient’s hospital history and medical care. A. Benefits: To incorporate the use of EMRs in ambulances would help not only the improvement of the clinical standards in health, but also the ability to manage key performance indicators, and health research. 1. This program is designed to improve such tasks as training for paramedics, review clinical standards, conduct pre-hospital research, audit dispatch priority codes, and design services for the future. 2. Health services will always adapt to meet growing population needs. The EMR will significantly improve the delivery and quality of patient care as well as streamline clinical workflow, therefore is in the best interest to adopt this program. II. Demand Analysis: The expected demand is substantial because of the extent of the geographic service area covered, the huge number of ambulances where EMR’s will be installed in the geographic service area, the real and urgent need the product will address. A. The geographic service area which will benefit from EMR would be the entire United States considering that ambulance service is made available to patients by all hospitals all over the country and by Emergency medical teams in every city. B. The total number of ambulances all over the country would represent...
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...transmittal without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2008-02-26 In a hangar near Calgary International Airport, three sleek red BK117 helicopters sat waiting to be dispatched to accident sites in southern Alberta. In an adjoining building overlooking a landing strip, dispatch staff quietly monitored multiple screens at a dozen workstations in the Emergency Link Centre. In the pilots’ lounge and surrounding offices, helicopter pilots, nurses and paramedics were on standby 24 hours a day, seven days a week. A myriad of other professionals, including experts in clinical operations, aviation, engineering, communications, disaster preparedness and base operations, to name only a few, comprised the support group of the STARS Air Ambulance service, or, as it was more formally known, the Shock Trauma Air Rescue Society (see Exhibit 1). According to Dr. Greg Powell, the STARS chief executive officer (CEO), the business of STARS was to “find patients, take care of patients, and...
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...without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2008-02-26 In a hangar near Calgary International Airport, three sleek red BK117 helicopters sat waiting to be dispatched to accident sites in southern Alberta. In an adjoining building overlooking a landing strip, dispatch staff quietly monitored multiple screens at a dozen workstations in the Emergency Link Centre. In the pilots’ lounge and surrounding offices, helicopter pilots, nurses and paramedics were on standby 24 hours a day, seven days a week. A myriad of other professionals, including experts in clinical operations, aviation, engineering, communications, disaster preparedness and base operations, to name only a few, comprised the support group of the STARS Air Ambulance service, or, as it was more formally known, the Shock Trauma Air Rescue Society (see Exhibit 1). According to Dr. Greg Powell, the STARS chief executive officer (CEO), the business of STARS was to “find patients, take care of...
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...without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2008-02-26 In a hangar near Calgary International Airport, three sleek red BK117 helicopters sat waiting to be dispatched to accident sites in southern Alberta. In an adjoining building overlooking a landing strip, dispatch staff quietly monitored multiple screens at a dozen workstations in the Emergency Link Centre. In the pilots’ lounge and surrounding offices, helicopter pilots, nurses and paramedics were on standby 24 hours a day, seven days a week. A myriad of other professionals, including experts in clinical operations, aviation, engineering, communications, disaster preparedness and base operations, to name only a few, comprised the support group of the STARS Air Ambulance service, or, as it was more formally known, the Shock Trauma Air Rescue Society (see Exhibit 1). According to Dr. Greg Powell, the STARS chief executive officer (CEO), the business of STARS was to “find patients, take care of...
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..."PLEASE SAVE HIM!!" is a sentence heard by Emergency Medical Service professionals (EMS) all over the United States, and as always, there is a rescuer waiting to be dispatched to save a person’s life. Thousands of EMS personnels save lives on a daily basis, not for the paycheck, but for the privilege of saving someone’s life. This has been the case since 1966 when it all started. Emergency Medical Services is a branch of medicine concerned with the treatment of critical and unscheduled patients with illnesses or trauma that requires immediate medical attention. EMS is a new but popular industry in today's society. Since its debut, EMS has changed to meet the demands and needs of its customers in a time-effective manner. To fully grasp the...
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...able to answer simple questions and ask questions about the patient’s health. As technology has advanced, so has Telenursing. And now, Telenursing has become a profession of its own, reaching people in all parts of the world, with the help of the Internet and video cameras. With this new practice, nurses are able to assess and help people that may not normally be able to access healthcare, or that are not able to make the trip to the hospital or doctor’s office. It helps nurses get in touch with more patients, and this promotes better nursing practice. Telenursing Definition. Telenursing is the use of telecommunications technology to provide nursing care while using information and data remotely. Telemedicine is defined as “the use of medical information exchanged from one site to another via electronic communications to improve patients’ health status” (Williams, Hubbard, Daye & Barden, 2012). It is used...
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...CAPABILITY OF EMERGENCY SERVICES TO REACT TO DISATERS Devon Clemons American Military University 12 February 2015 Abstract Every day throughout United States, thousands of emergency personnel respond to various types emergencies both natural and man-made. Such disasters pose significant problems for emergency managers and emergency response personnel as well as the medical facilities that treat them. At a moment’s notice, medical facilities can become overwhelmed after a disaster from people seeking medical attention. The key to success is information sharing and management among these responding organizations during and after a disaster. The idea of sharing information does not occur overnight, the plan should be implemented before any disaster occurs. Many of the issues responders face range from a lack of preparedness and training of emergency responders to a lack of communication. Disaster readiness remains uneven across the United States especially in small cities or rural areas and without significant disaster preparedness many emergency responders or emergency facilities such as hospitals or clinics remain unprepared for natural disasters. As a result, many facilities may be unprepared to accept and care for an influx of patients as a result of a terrorist attacks, chemical spills, and natural disasters. This paper will explore problems emergency responders may face during disasters due to a lack readiness and preparedness. In addition, this paper will provide...
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...Months ago I couldn’t believe I would be steps away from my future. I felt my heart drop as I walked through the entrance. I couldn’t believe it, I felt like I was a little girl getting the Barbie doll I wanted all over again. Although it wasn’t as easy as it seemed on the television shows. Visiting patients and navigating from the emergency room to the patient floor was hectic. I came across this one gentlemen Robert. Robert was 25 years old, married and sadly his wife lost her baby due to a miscarriage. He was dedicated to his job; he made a living for his wife since his family lived up north in Philadelphia. He worked for several years now, he was behind the counter at the emergency room taking body temperatures and making sure everybody signed in. He trained me, taught me customer relations and most of all how to do a good job with treating everybody with respect. As much as I wanted it to seem like a movie, there I was in the middle of the emergency room giving out dispatch papers and making sure my patients listed were content. I had voices coming from everywhere “when are they calling me “, “Can I go and see my daughter “, “I’m waiting to leave, how long till I can go”. Many of these patients quickly caught on to...
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...are formulated to retain the customer and the key of it is to increase the service quality level. Typically, customers perceive very little difference in the banking products offered by private banks dealing in services as any new offering is quickly matched by competitors. Parasuraman et. al (1985) and Zeithaml et., al (1990) noted that the key strategy for the success and survival of any business institution is the deliverance of quality services to customers. The quality of services offered will determine customer satisfaction and attitudinal loyalty (Ravichandran et al. 2010). The inter relationships of variables defining the antecedents and also the consequences of customer satisfaction have been studied extensively in the consumer research literature ( e.g., Anderson and Sullivan 1993; Bearden and Teel 1983; Bolton and Drew 1991a, 1991b; Cardozo 1965; Cronin and Taylor 1992; LaTour and Peat 1979; Oliver 1980; Oliver and DebSaro 1988; Tse and Wilton 1988;...
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...* The best Vietnamese technology student in 2005, 2006 * Monash Vice Chancellor’s Honours – PhD Scholarahip * Member of Australia Golden Key Society The combination between strong logic and critical thinking trained in Vietnam, with the practicality of computer technology trained in Australia has created his strong passion in creating novel optimal software solutions. He has more than 8 years extensive experience working as software solution provider in Australia. He has provided creative solutions for different challenging problems ranging from business, science and medical domain. At the moment, Dang is appointed as Business Intelligent Manager, leading the software development team in Clinical Integrated Solution, a group of different specialist clinics operating across Australia. He is the principal consultant and lead software architecture at I3 Solution. He is also doing his PhD in Medical Image Analysis at University of Western Australia. Our specialities: I3 Solution specialises in engineering high quality and...
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...Computers & Operations Research 40 (2013) 1972–1978 Contents lists available at SciVerse ScienceDirect Computers & Operations Research journal homepage: www.elsevier.com/locate/caor A stochastic optimization model for real-time ambulance redeployment Joe Naoum-Sawaya a,n, Samir Elhedhli b a b Engineering Management Program, American University of Beirut, Beirut, Lebanon Department of Management Sciences, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada a r t i c l e i n f o a b s t r a c t Available online 26 February 2013 When ambulances are engaged in responding to emergency calls, the ability to respond quickly to future calls is considerably compromised. The available ambulances are typically relocated to reestablish maximal coverage. We present a two-stage stochastic optimization model for the ambulance redeployment problem that minimizes the number of relocations over a planning horizon while maintaining an acceptable service level. We conduct computational testing based on the real historical data from the Region of Waterloo Emergency Medical Services. The results show that the optimal relocation strategies can be computed within 40 s of computational time for a desired service level of 90%. & 2013 Elsevier Ltd. All rights reserved. Keywords: Emergency medical systems Integer programming 1. Introduction Ambulance deployment is a challenging problem encountered in emergency medical services (EMS). In...
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...process in 2002 as a national “Center of Excellence.” The Institute is funded by Congress through the United States Department of Transportation’s Research and Innovative Technology Administration, the California Legislature through the Department of Transportation (Caltrans), and by private grants and donations. The Institute receives oversight from an internationally respected Board of Trustees whose members represent all major surface transportation modes. MTI’s focus on policy and management resulted from a Board assessment of the industry’s unmet needs and led directly to the choice of the San José State University College of Business as the Institute’s home. The Board provides policy direction, assists with needs assessment, and connects the Institute and its programs with the international transportation community. MTI’s transportation policy work is centered on three primary responsibilities: Research MTI works to provide policy-oriented research for all levels of government and the private sector to foster the development of optimum surface transportation systems. Research areas include: transportation security; planning and policy development; interrelationships among transportation, land use, and the environment; transportation finance; and collaborative labormanagement relations. Certified Research Associates conduct the research. Certification requires an advanced degree, generally a Ph.D., a record of academic...
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...ROMNEYCARE An In-‐Depth Analysis of the Massachusetts Healthcare Reform The American Healthcare System Final Research Report By Sara Mahmood, DDS and Camille Debi 1.0 Introduction In 2006, the state of Massachusetts initiated a health care overhaul by passing a reform law with the central tenet of providing healthcare to all of its residents. Widely popular and objectively successful, the law has been dubbed “Romneycare,” named after then Governor Mitt Romney who signed the legislation into action. The law mandates that nearly every resident of Massachusetts obtain a minimum level of insurance coverage and provides free health insurance for residents earning less than 150% of the federal poverty level. It also mandates employers with more than 10 full-time employees to provide health insurance. Among its many outcomes, the law established an independent public authority with the official title of “the Commonwealth Health Insurance Connector Authority”. However, it is commonly referred to as “the Connector”. The Connector acts as an insurance broker, essentially, offering free, highly subsidized and full-price private insurance plans to residents. The website serves as a portal for Massachusetts residents that allows them to access many of the Connector’s resources, as well as the ability to register online for an insurance policy. Although it has been amended significantly since...
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...Emergency Medical Services: The Evolution Behind the System Russell Keogler CED 595: Project Seminar May 3, 2011 Dr. Richard Gatteau Abstract The purpose of this study is to determine the evolutionary process of the emergency medical services system. The research explores the impact of war and prominent military figures on the development of emergency medical services as well as civilian efforts made to establish emergency services within the public sector. The research also discusses the ways in which major medical advancements and various reports and acts of legislation played a crucial part in the development of the modern day EMS system. Overall, results show that the EMS system as we know it today is a fairly modern creation based on centuries’ worth of ideas and discoveries. Introduction In modern day America the three digits 9-1-1 signify an accessible lifeline for individuals in need of emergency medical attention. The vast system is accessible from any telephone line and provides emergency services to even the most remote locations of the country. However, in spite of the simplistic process to initiate services, the emergency medical system is very complex. Thousands of independent agencies working in different capacities must coordinate efforts to insure that the system runs efficiently. Without effective cooperation by organizations the system would undeniably fail to meet the expectations of those calling for medical aid (Limmer &...
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...Case Study : STARS AIR AMBULANCE If I was given the task of determining the mission statement, I would include the use of the words people and technology in the mission, since it appears STARS need skilled and dedicated staff to achieve their goal. They also plan to replace their current fleet of helicopters for faster and longer range coverage of their service. The mission statement could be as follows: Providing a safe, rapid , highly specialized emergency medical transport system for the critically ill and injured , through the best people and cutting edge technology. If STARS manage to provide these services to cover the whole state of ALBERTA, then the mission statement could also cover the scope of its geographic operations. It is very important that the information system is well managed because: * Information increases flexibility with regard to how, when and where resources may be utilized to achieve strategic advantage for the organization. * Enhanced information exchange facilitates collaboration and redefines relationships between an organization, employees, suppliers and the public at large. * Managers will use it to better manage resources towards achieving goals through human resource in an organization. IS is therefore the thread that links the organization’s activities into an integrated process Based on my analysis, it can be seen that there is no coherent IS strategy in STARS because from the 72 page STARS Critical, Strategic and...
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