...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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...Organizational Performance Management Paper and Table Jessica Hare, Michael Jackson, Molly Sacco, and Natalie Shell HCA451 May 19, 2014 Lisa Kehlenbrink Organizational Performance Management Paper and Table Each organization provides a different type of services for consumers. Health Maintenance Organization, Emergency Medical Services and Cox Health systems work to provide health coverage for consumers and quality care for each consumer. HMO is a type of health care plan that consumers can chose for health coverage. Emergency Medical Services collaborates with teams to advance EMS systems. Cox Health systems provides a variety of services through their facilities. Cox health, like EMS, provides emergency treatment to patients. They also utilize the EMS for emergency patient transfers and admissions. Cox health also has to deal with HMOs and PPOs on a daily basis when treating patients and billing insurance companies. Cox Health is a good example of the other three organizations combined to provide excellence service to the consumers. The similarities and differences of HMOs and PPOs is first they are both networks. However, HMO allows one to choose a health care provider within the HMO network much like PPO. But, with PPO one can choose a primary care physician out of network as well. This is not so with HMO, one has to choose their PCP or Primary Care Physician within network. Another difference is one must have a referral from HMO to see a specialist but PPO a referral...
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...INTERNATIONAL STUDENT HEALTH INSURANCE: SILVER PLAN S INTRODUCTION This insurance covers medical expenses from sickness or injury, and losses arising from sudden and unforeseen circumstances. Coverage is subject to certain limitations and exclusions, which are explained in this policy. This policy is underwritten by Sun Life Assurance Company of Canada (Sun Life). Imagine Financial Ltd., operating as Ingle International, performs enrolment and provides customer service. Emergency Assistance is provided by Intrepid 24/7, a member of the Ingle Group of Companies. All benefit limits are expressed in Canadian currency. Sun Life will pay the benefits stated in this policy, subject to all of its terms, conditions, limitations, exclusions and other provisions for Reasonable and Customary expenses that are incurred as a result of an unexpected Sickness or Injury up to the benefit maximum for that particular benefit, or to the overall policy maximum. All maximums stated in this policy are per Insured Person per 365 day period unless otherwise stated, and are stated in Canadian dollar currency. You must call Emergency Assistance to ensure coverage of certain expenses. See the Pre-Approval Requirements in Section III for further details. You may be responsible for a portion of the expenses if the insurer is not notified promptly. Emergency Assistance: we’re here to help This policy is in force only if Ingle International confirms your coverage after receiving your enrolment application...
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...adventurous persons discovered that the safety net of emergency services and in particular emergency medical services became more and more fragmented. Now, communication technology has helped fill this gap, not only for the distant traveler in far-flung corners of the world, but for residents in developed countries that still face a fragmented infrastructure for summoning emergency medical assistance. Today, automatic call-outs for emergency medical care are being placed by a network of satellite, cellular, WI-FI, and Bluetooth connected telecommunications devices that not only tell you the time, let you make calls, and are micro-sized portable computers in the form of the widely possessed SMART watch, but monitor your vital signs and other data received from any Smart-Prosthetics you may be wearing or have had implanted within your body that will automatically contact your medical provider to record medical information about your real-time health, evaluate those results, and determine next step courses of action for basic medical treatment including summoning emergency medical attention. This network is called the Auto-ER network. The Auto-ER network is an integration of data feeds and communications components that allow an array of medical data to be collected using currently available technology that is communicated to medical personnel. One of the latest expansions of this network is the summoning of emergency medical personnel without the intervention of the patient nor...
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...Evaluation Fred Wilder May 4, 2014 Management of Information Systems Robert Jenkins University of Phoenix No matter what line of business you are in, it is all about learning and improving. Identifying and resolving the problems that arise within and outside the organization is important to uplift business productivity. Outdated and Inefficient methods and strategies will not move your business ahead, it will only cause more problems and more work for the employees. Even in public service, where you primary objective is serving customers to the best of your ability it is extremely important to make sure you are always looking for ways to advance business and promote better service. I have a friend that works as a 911 Telecommunication Officer, and her department have recently switched from a EMD Protocol Card set system to a ProQA system that appears to be much more efficient. The EMD Protocol Card set system delivers the medical protocol in a durable flip file format with individual protective card pockets. The cardset allows dispatchers to quickly move through Case Entry and Key Questioning. Determinants clearly display the response configuration specifically assigned to the code by local agency authorities. Although there are many pros to this type of system, the problem is the cons outweigh the pros. When you are dealing with life or death situations it is important to be as accurate as possible. What I have discovered is that these cards...
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...(AC 1.2) The ambulance team is usually the first to reach the scene and assess the scene to report back to the hospitals. The ambulance service consists of paramedics and an ambulance incident officer (AIO) who is the senior crew member in charge of the scene until a more senior officer is present. The paramedics report to the scene, assess the situation and report back to the control and deliver a co-ordinated response to the individuals involved and communicate with the senior officer. The responsibilities of the AIO include declaring a major incident and giving a situation report whilst liaising with hospitals, communicate with health service personnel, plan the entry and exit routes for the ambulances located on the scene, decide where to locate the ambulance parking point, the casualty clearing station and the control point, report back to the ambulance control and liaise with the senior crew members for additional support. The Medical Incident Officer (MIO) is the most senior crew member on the scene who provides support and guidance to the emergency services. The MIO works closely with the AIO to ensure the immediate care staff are safe and take clinical decisions to appropriately distribute the casualties to hospitals. The MIO works alongside the AIO to allocate tasks and roles and keep the ambulance control informed of the situation on the scene. If there are deaths on the scene, the MIO needs to provide a doctor to confirm the deaths once the casualties have been...
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...In the firehouse, the tones sound for an emergency call, someone has overdosed and needs emergency medical care. Firefighters arrive on the scene to find an unconscious, unresponsive patient lying on the floor of the bathroom from a heroin overdose, while family members watch in terror. This scenario plays out across the United States hundreds if not thousands of times each day. When this scenario plays out, every firefighter knows they have just minutes to respond, which can be the difference between life or death. For this case study, in the last twelve months, 57 people in Anytown, USA, a city of 250,000 residents, have lost their lives due to drug addiction. The problem is an opiate, and heroin overdoses are killing people in this city at the rate of just over one person a week with no end in sight. What can be done to fix this growing problem and who should fix it? The problem is vast and multifaceted and will require a Taskforce comprised of Federal, State, local, and private partners and stakeholders to address this complicated issue. The Anytown Fire Department(AFD) is comprised of approximately 400 firefighters and supervisors that currently respond to urgent medical emergencies as first responders only. A private ambulance company provides pre-hospital treatments and transports to the local hospital. Due to the age of the...
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...Growing Need for Nurses Based on Immigration Trends Dr. 02/25/2012 The word “profession” is very generally defined as a vocation dependent on specialized training, with a purpose of supplying advice and service to others, for monetary compensation, without the expectation of other gain. Contemporary health care in my experience as a nurse can be defined as symbiotic relationship between nurses, doctors, paraprofessionals, patients, and insurance companies. This multifaceted symbiotic relationship has each involved party complementing and enhancing the other for reasons that often independent of each other. Nurses often act as the intermediaries between doctors and the families of patients, while also servicing patients to insure a return to health along with being held accountable to the facilities who employ them. Nursing, meets the generally accepted definition of a profession based on the above listed standards: Although there is no overall consensus as to what constitutes the proper attributes of a profession, the following characteristics are commonly noted: a unique body of knowledge, altruistic service to society, a code of ethics, significant education and socialization, and autonomy in practice, i.e. reasonable independence in decision-making about practice and control of the work situation and conditions. While it could be argued that nursing meets many of these criteria, it is clear that it does not now and never did have autonomy, understood as...
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...Adventist Medical Center on the Cardiac Interventional Telemetry Unit. Glendale Adventist Medical Center is a community hospital located in Glendale, California. Cardiac Interventional Telemetry is a unit in the hospital that specializes in the care of critically ill cardiac, medical, and surgical patients. This unit is dedicated to patients who have had procedures that require vascular access; they also receive ER admissions for angina and heart attack as well as post-operative procedures such as open-heart surgery, angioplasty, and heart transplants. The patients on this unit are monitored with mobile heart monitors that allow them to ambulate with a cardiac monitoring device, which monitors their heart rate and rhythm. There is a monitor technician who serves as a unit secretary and observes the cardiac rhythm presented on the screens inside the station. The nurses on this unit are experts with medication that affect the heart, as well as, interventions and discharge education. For the patients on this unit, there are educational brochures on cardiac diseases & procedures that are easy to read and understand that explain cardiac disease conditions and cardiac procedures. A service that Glendale Adventist Medical Center offers the community is free Care Screening Events, where patients can get measurements and screening of their heart and identify whether there are any red flags or markers that may lead to future cardiac health problems. The professional services in heart...
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...Published online 2012 Jan 31. doi: 10.4066/AMJ.2011892 PMCID: PMC3413924 The relationship between managers' leadership styles and emergency medical technicians' job satisfaction Azimeh Ghorbanian,1 Mohammadkarim Bahadori,2* and Mostafa Nejati3 1. School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran 2. Health Management Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran 3. School of Management, Universiti Sains Malaysia (USM), Malaysia Corresponding Author: Mohammadkarim Bahadori Health Management Research Centre, Baqiyatallah University of medical Sciences Tehran Iran Email: moc.liamg@htlaehirodahab Author information ► Copyright and License information ► Copyright © Australasian Medical Journal This article has been cited by other articles in PMC. Go to: ------------------------------------------------- Abstract Background/Aims Leadership plays a crucial role in many professions, especially in challenging positions such as emergency medical service jobs. The purpose of this study was to explore the relationship between managers' leadership styles and emergency medical technicians' job satisfaction. Method This is a descriptive and cross-sectional study that was carried out in 2010. The research population included 21 managers and 87 emergency medical technicians working in 23 stations in Isfahan city, Iran. The main tools used for data accumulation were the Multiple Leadership Questionnaire...
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...software and services Microsoft Azure SQL Database Microsoft Azure Virtual Machines * * “Essentially no IT resources are required to implement DOCS Scheduler, except for due diligence. But with Azure, it’s a no-brainer: Azure helps us satisfy all the medical healthcare regulations in terms of security and privacy. It simplifies the entire due diligence process for IT.” * * Don Scipione, President, ACME Express Solution name: DOCS Scheduler Company: ACME Express Website: www.docsscheduler.net Country or region: United States Company profile ACME Express is a software development company that focuses on scheduling management for hospitals. Supporting Microsoft software and services Microsoft Azure SQL Database Microsoft Azure Virtual Machines * * “Essentially no IT resources are required to implement DOCS Scheduler, except for due diligence. But with Azure, it’s a no-brainer: Azure helps us satisfy all the medical healthcare regulations in terms of security and privacy. It simplifies the entire due diligence process for IT.” * * Don Scipione, President, ACME Express | | | | | Microsoft Healthcare Solution Case Study | | | | | | | On-call scheduling app consolidates calendars, contact information for hospitals | | | | | “Our mission is to dramatically increase the productivity of healthcare schedulers and to produce a fair schedule for providers, an accurate system for emergency departments...
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...Introduction This paper strives to answer questions based on the case study “Emanuel Medical Center: Crisis in the Health Care Industry”. As excerpted directly from the case study, Mr. Robert Moen, Emanuel Medical Center (EMC) president and CEO, was experiencing a number of challenges in 2002. The medical center faced numerous challenges in its external and internal environment. First, EMC garnered an onslaught of negative attention for the “Haley Eckman incident” in which a young man, who happened to be a gang member, died within view of EMC’s Emergency Department (ED) medical personnel rendered no care and watched. The emergency department at EMC was also experiencing greater pressure to deliver services in an increasingly difficult health care environment, particularly after the federal Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted; legislation that required access to emergency medical care for all, regardless of one’s ability to pay. Additionally, larger, for-profit managed care facilities were making substantial advances into EMC’s service area. Internally, the cost of operating the ED had increased significantly and patient traffic had vastly exceeded the capacity for which the ED had been designed. In addition, reimbursements for services from health maintenance organizations (HMO) and government programs had been drastically reduced. At the same time that other regulatory burdens had increased, EMC began to experience labor shortages...
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...Running head: RIGHT TO EMERGENCY CARE The Right to Emergency Care Including the Needs of the Psychiatric Patient Abstract The Emergency Medical Treatment and Labor Act came about in 1986, but was sought after as far back as the 1960s. This law requires emergency care to individuals regardless of ability to pay. EMTALA requires examination and treatment of individuals who present with an emergency medical condition and/or women who present in labor. This law is applicable to all hospitals that participate in the federal Medicare program. EMTALA should not be confused with medical malpractice law. EMTALA also applies to individuals who present with acute symptoms of psychiatric illness and/or substance abuse. The Right to Emergency Care Including the Needs of the Psychiatric Patient The Emergency Medical Treatment and Labor Act (EMTALA) requires access to emergency care regardless of an individual’s ability to pay. EMTALA may also be known as the Anti-Patient Dumping Statute. Regardless of the lack of duty to admit or serve all who present for treatment, a hospital emergency department is an exception to the rule (Showalter, 2015). A hospital emergency department has a duty to “evaluate all patients who present for service and to render emergency care to those who need it” (Showalter, 2015). The need for EMTALA was starting to be recognized in the 1960s (Showalter, 2015). According to Showalter in his text, EMTALA was developed with the “philosophy that healthcare...
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...head: ASSIGNMENT 4 ORGANIZATION OF A HEALTH CARE FACILITY Assignment 4 HSA 515 Organization of a Health Care Facility As a chief operating officer, you are responsible for a 15-bed Emergency Room (ER). You have received many complaints within the last year regarding inadequate patient care, poor ER management, long wait times, and patients being sent away because of lack of space, staff, or physicians to provide appropriate care. Diagnose the root causes of the complaints about the clinic. In a 15-bed Emergency Room (ER), overcrowding of patients is the root cause for inadequate patient care in the ER. The increase in patients throughout the years with limited staff has become an issue for emergency rooms. The increase in patients is created by the increase in the number of aging population with chronic medical conditions and increasing number of uninsured or underinsured patients that go to the emergency room for everyday ailments. Due to the limited number of resources, the emergency room can not maintain an adequate number of physicians, nurses, and support staff to accommodate and care for the number of patients. Overcrowding not only creates long waiting times but also increases risks of medical errors. The physicians are over their capacity which can lead to undue stress and burnout, which in turns leads to poor and inadequate treatment to the patients. Due to the overcrowding, the ER physician will not have the capacity...
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...exhibits Marine Hospital Service, Polio Vaccination, Cardio Pulmonary Resuscitation (CPR), Emergency Medical Services (EMS), and Electric Health Records (EHR). This part of the exhibit will cover the history, and how did it affect our current health care system. The second part talks about how does everything ties together. Part 1: Health Care Hall of Fame Museum Proposal |Development |Description |Analysis (How does the development affect the current U.S. health care system?) | |1. Marine Hospital |The "Decades Of Healthcare Service" (). In 1798, President John Adams signed into |The relevance of the Marine Hospital service is by the government recognized that | |Service |law the Act for the Relief of Sick and Disabled Seamen. Creating the Marine Hospital|the servicemen needed federal regulated healthcare. This service was centered to | | |Service. This plan marked the nation’s first pre-paid health insurance plan and was |providing medical care to our servicemen, it evolve to a big organization known as| | |the birth of the modern American medical system. During that time, twenty cents was |the Public Health Service. According to "U.s Department Of Health And Human | | |withheld from the servicemen salaries to pay for their share of their healthcare in |Services Commissioned History" ()...
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