Emergency medical service (EMS) workers, like paramedics and emergency medical technicians (EMT), run toward dangerous and chaotic situations to treat the sick, injured and dying. In addition to training and experience, EMS workers rely on medical equipment, medicine, and their vehicles to save lives when every second counts. To highlight EMS Week, we’re putting a [...]
Arizona uses a Certificate of Necessity process to license ambulance services. This process can be challenging for new applicants because it uses terminology and accounting practices that the person responsible for completing the application may not be familiar with. To help overcome that problem, our Bureau of EMS and Trauma System has begun posting important [...]
A couple of years ago I had our folks in the Bureau of EMS and Trauma System write a guidance document on what we believe is appropriate to include in ambulance contracts. We noticed that these contracts were getting very complicated and included a whole lot of stuff that was very expensive… but that didn’t have much to [...]
This past summer I blogged about Rural Metro failing to meet a bond payment and having some issues with an ambulance service contract in California. They subsequently filed for bankruptcy and are in the process of negotiating with their creditors. This is important- because they’re a big provider of 9-1-1 and hospital to hospital [...]
How do we evaluate Arizona’s trauma system, you ask? Good question. Over the next few weeks I’ll blog about “Trauma System Evaluation 101” as well as some of the evaluation tools we use to assess Arizona’s trauma system. The goal of any trauma system is to get the right patient to the right place in [...]
Earlier this week the Rural/Metro Corporation (a large provider of private ambulance in Arizona) announced that it had filed a Chapter 11 bankruptcy petition in the U.S. Bankruptcy Court for the District of Delaware. The Company announced that the bankruptcy action will allow the company to… “significantly reduce its debt, renegotiate unprofitable contracts and free [...]
Last year we created Arizona’s Excellence in Pre-hospital Injury Care project- which is aimed at improving brain injury outcomes in AZ. The National Institutes of Health chose AZ as the only state to evaluate the national standards for pre-hospital emergency care of brain injury. Since we got started about a year ago- we’ve recruited almost 100 [...]
If you’re a regular reader, you know how much value I place on using data to decide if interventions are successful and then sharing successful interventions with others. The way we helped change to hands-only CPR is a great example. We used evidence to craft our intervention (modifying how CPR is done), measured its effectiveness, and [...]
Traumatic brain injury is involved in about 1/3 of all injury-related deaths- it’s clearly a public health issue. That’s why we created Arizona's Excellence in Pre-hospital Injury Care project- which is aimed at improving brain injury outcomes in AZ. The National Institutes of Health chose AZ as the only state to evaluate the national standards [...]
Injuries are the leading cause of death for Arizonans from age 1 to 44. That means for the majority of the young and the middle-aged injury is more lethal than cancer, heart disease, hypertension and influenza combined. The effectiveness of a State’s pre-hospital and Trauma System makes the difference when it comes to saving lives [...]
