A New Identity in Rural MissouriAN EMERGENCY MEDICAL SERVICES APPROACH TO NON-EMERGENCY TRANSPORTATIONJAMES A. MCGEE, JR. RN

ADMINISTRATOR, SOUTH HOWELL COUNTY AMBULANCE

WEST PLAINS, MO

Today’s Discussion

Background Information

Is there a role for EMS in Non-Emergency transportation?

Traditional Role of EMS

New Landscape of EMS

South Howell County Ambulance Approach

Silos of non-emergency transportation

DisclaimerI do not endorse, nor am I remunerated by any company/corporation, for any product which is mentioned.

My Background

Emergency Services and Emergency Dept.

Ground and flight EMS 1983 - 1994

Emergency room nursing 1994 - 2004

Managing South Howell County Ambulance District since 2004

South Howell County Ambulance 500 square mile “District”

serving 27,000 people

Five departments

Clinical Operations

Communication

Medical Transport

Education

Fleet

Business/Administration

Is There a Role for EMS in Transporting “Passengers”?

Traditional Role of EMS 911 based or other seven

digit number for emergency calls

“Emergency” response and “patient” oriented

What was once affordable is becoming increasingly unaffordable. . . $$

Changing Landscape of EMS Driven by costs outpacing

fee for service revenues

Moving toward a community health model offering several services

Traditional EMS

Community Paramedics

Non-Emergency Transport

Reduces transport load of EMS

Has a preventative aspect

The South Howell Approach Began MT Operations in

May 2010

Why?

24 EMS transports per month

Cost to begin and operate less than adding EMS staff

MT by the numbers Began with two vans, one

full-time driver and hand full of part time drivers

Steady climb in numbers

Currently have three vans two ambulatory/WC/Stretcher and one ambulatory/wheelchair

Adding fourth in January/February 2016

Four full-time drivers and four part-time drivers

Operate 24/7/365 1 2 3 4 5 6

Year 2010 2011 2012 2013 2014 2015

Number 1197 2814 3689 4500 4667 6279

500

1500

2500

3500

4500

5500

6500

2010 2011 2012 2013 2014 2015

1197

2814

3689

45004667

6279

Axis

Tit

le

Transport Breakout

Amb. WC Stchr Cancel

Series1 1111 2555 460 84

250

750

1250

1750

2250

2750

2015 Transports by type

Axis

Tit

le

Stand-a-lone Silo’s in transportation Private

Public

EMS

Hybrid

Cooperative Silos

Collective resources to meet transportation needs

The more we pull the less efficient the system is

A less efficient system is more costly to all

EMS can be a positive player

Considerations EMS in Missouri has

24/7/365 operations

We tend to have staffed dispatching services

We have burdensome costs related to non-emergencies

Those costs can be effectively managed by non-emergency transportation

SNF takebacks?

Dialysis

Explore all options. . .

What points can I ClarifySub-titled: how else can I confuse you. . .