Exclusives
FacebookTwitterLinkedInGoogle+RSS Feed
Fire EMSEMS TodayEMS Insider

2001 JEMS 200 City Survey

Following the events of Sept. 11, many EMS managers have had little time to devote to the next major challenge facing EMS: implementation of the Medicare fee schedule. However, it's obvious from this year's survey of EMS organizations in America's 200 most populous cities that they are preparing for the fee schedule's impact.

Some (18.5%) anticipate the fee schedule as a welcome change, increasing system funding. But for most (61.5%), who anticipate it will result in reduced revenues, the change looms ominously on the horizon. These managers know changes in staffing, deployment, billing and special services will be necessary. In order to address these changes, they'll need more information and new tools to make tough, sometimes politically unpopular decisions to minimize adverse effects on service levels.

The 2001 200-city survey presents findings from questions developed to assess the flexibility and readiness of EMS providers to respond to changing system requirements and funding. One hundred and sixty-seven cities replied to the 81-question survey, providing us with an in-depth look at their operational characteristics. To present complete alphabetized (see p. 68) and ranked listings (see p. 52), we extrapolated from previous surveys information for any missing cities.

Although insufficient to generalize the results to all U.S. EMS providers, reported findings can help you identify strategies to consider implementing in your service. As always, keep in mind that respondent interpretation of and access to operational data results in some data distortion.

Population values used in ranking cities were obtained from the U.S. Census Bureau's July 2000-updated figures. More than 71 million people—nearly a quarter of the U.S. population—reside in the surveyed cities, up four million from last year's reported 67 million.

Surveyed agencies respond to EMS requests received through 9-1-1. In some cities, multiple first responder and transportation providers share these responsibilities. Clinical procedures performed by field providers appear to have changed little, but  how care is delivered continues to evolve.

Data is an essential component in building new system designs capable of adapting to changes in service demand and funding. This year's 200-city survey paid particular attention to activities employed by survey respondents to deploy, manage and finance EMS system resources. New questions asked for more in-depth descriptions of resource-deployment strategies, medical oversight and provider funding.

RELATED ARTICLES

Appreciate the Turmoil of Military Veterans

There are times the guy next to you (partner or squad) is the only thing that matters.

EMS Physicians Can Help Close the Gap Between EMS & Other Public Health Agencies

Return EMS to our roots of a very close and mutually productive relationship between the EMS physician and the field care providers.

Montgomery County (Texas) Hospital District's Community Paramedicine Program Sees Early Success

We have accountability and responsibility for all aspects of patient care.

Be Productive with your Meeting Time and Agenda

Meeting just to "meet" destroys productivity in organizations.

Pro Bono: Complying with OSHA’s Bloodborne Pathogen Standard

Does your agency comply?

Staff Systems with More EMTs and Fewer Paramedics

Less is more.

Features by Topic

JEMS Connect

CURRENT DISCUSSIONS

 
 

EMS BLOGS

Blogger Browser

Today's Featured Posts

Featured Careers