An Analysis of Fire-based Emergency Medical Transport Services in Hood River, Oregon


Book Description

The problem was that the City of Hood River was uncertain whether existing fire-based ambulance transport services enhance or diminish fire protection services which were funded by tax revenues. The purpose of the research was to determine if fire-based ambulance transport services either enhance or diminish the provision of fire protection services which were supported by tax revenues in Hood River, OR.




Determining the Potential Revenue Associated with Providing Emergency Medical Transport Services in the City of Newburgh


Book Description

Based on the information put forth in this applied research project, it has been determined that there is a revenue source from a fire-based EMS system in the City of Newburgh. It would be prudent and fiscally responsible for the Fire Department and the City's leadership to lean forward and make a thorough analysis of the overall impact of implementing a fire-based EMS system in Newburgh.




A Cost-benefit Analysis of Emergency Medical Service Transport for the Sterling Heights Fire Department


Book Description

The results found that due to the nature of the fire service - responding to emergencies - makes firefighters ideally suited to EMS work; therefore, a dual-role firefighter/paramedic EMS system not only offers a substantial upgrade, but can save municipalities money by eliminating the need for duplicating the capabilities of the fire-emergency response system through a costly third service or by paying a private contractor that must account for a profit margin.




An Analysis of the Use of Private Ambulance Companies Versus a Public Fire Department for the Transportation of Emergency Medical Victims


Book Description

The City of Englewood, Colorado, a community of 33,000 people in the Denver metropolitan area has provided free ambulance transportation service through it's Division of Fire, for at least fifty years. Because of the continued stagnation of the local and state economies, it has been suggested by some members of the community that this is no longer a municipal service that can be justified, even though a non-resident transportation fee was imposed in 1989 to help offset the costs. In response to this concern, a study was undertaken to evaluate the elimination of Fire Division ambulance transportation in favor of the franchising of private ambulance company(s) as a cost effective alternative.










Public Or Private: a Study of Emergency Medical Transport for the Citizens of Seminole County


Book Description

All 911 emergency transports would be performed by the fire department. 2. Local hospitals, through the granting of a certificate of need by the Board of County Commissioners, would be allowed to make inter-hospital transfers. Hospitals not desiring to do this could contract out the service to a private provider. 3. Non-emergency transports would be performed by a private provider selected through a competitive bid process.




Emergency Medical Services


Book Description




Evaluation of Mobile Integrated Healthcare Program Implementation for the Nashville Fire Department


Book Description

The implementation of the Patient Portability and Affordable Care Act that began in 2012 had potentially far-reaching effects on fire-based emergency medical service (EMS) transport services. Since one of the act's regulation changes was to change from fee-for-service reimbursements to value-bundled payment to providers, the Nashville Fire Department (NFD) needed to begin evaluation of implementation of a mobile integrated healthcare program in NFD. The problem was NFD had not identified if the department could benefit from implementation of a mobile integrated healthcare program. The purpose of this applied research project is to identify if NFD and the city of Nashville could benefit from implementation of a mobile integrated healthcare program. This applied research project used the evaluative research method as the process to answer the following research questions: a) What models of mobile integrated healthcare programs exist? b) Which model of mobile integrated healthcare program would be best suited for implementation in the city of Nashville? c) What are the potential costs of implementing a mobile integrated healthcare program in the city of Nashville? d) What are the potential benefits of implementing a mobile integrated healthcare program in the city of Nashville? Procedures for this project included an analysis of EMS call volume for NFD, projected costs for the number of patients potentially eligible for the program, and projected benefits for the patients eligible for the program. Cost analysis methods were considered. Due to significant limitations discovered during research, a conclusion was inferred there would be a negligible cost increase to implement a mobile integrated healthcare program in NFD using current resources within the department. Nashville Fire Department should proceed with implementation of a mobile integrated healthcare program while conducting further analysis of the program in order to take advantage of increased revenue due to the PPACA.




Publication


Book Description