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PAAW is dedicated to healthy, sustainable ambulance and emergency medical service delivery in Wisconsin

Patrick Ryan, PAAW President
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Current News and Information from PAAW

September 27, 2016

EMS Live Podcast
DNR Scene Calls, MTM Concerns, PSOW Highlights

>> Click for on-demand playback.

This podcast was recorded on Tuesday, September 27.

Have you ever been on a scene call where a patient's family states they have a DNR order for do-not-resuscitate, but they can't produce paperwork or the DNR bracelet isn't on the patient?  How about family wants to change the DNR order and states you must start CPR? What if a DNR order is on a patient from a different state - is it valid in Wisconsin?  DNR authority by EMS practitioners and potential misunderstanding, wrongful application and confusion on scene calls involving DNR paperwork happen.  Listen to this podcast as Helen Pullen with the State of Wisconsin EMS Office discusses DNR and POA.

MTM is Wisconsin's Medicaid broker to arrange medical patient transportation for beneficiaries, to include ambulances.  For the past many months, PAAW has been working diligently behind the scenes to resolve a longstanding problem in ambulance services being denied payment by MTM for approved services, or suffering the consequences of lengthy delays in payment that totals hundreds of thousands of dollars. During the podcast PAAW President Patrick Ryan offered an update.

Finally, the Paramedic Systems of Wisconsin conference was held in Green Bay in mid-September.  What were some of the hot topics and highlights?  Conference director Dan Williams shares a list of items that were important to ambulance service leaders.

>> Click for on-demand playback.

Don't miss a beat of Wisconsin EMS action - listen to EMS Live!

September 22, 2016

PAAW Holds Board of Director and Officer Elections

All incumbent board members with positions up for re-election ran unopposed at the Association's recent Annual Meeting.  Re-elected for another three-year term included, for profit ambulance seat Chris Anderson, Bell Ambulance, Milwaukee; government/municipal ambulance seat Mark Fredrickson, Gold Cross Ambulance, Brillion; and nonprofit ambulance seat Tom Tornstrom, Tri-State Ambulance, La Crosse.  Anderson and Tornstrom were also voted in as executive officers during their term as secretary and treasurer, respectively.

According to PAAW President Patrick Ryan, "The Board has shown stability and strength in several important areas, and Tom, Mark and Chris renewed their commitment through continuing in their board responsibilities.  We are grateful for their on-going service to PAAW and its members."

An example of this is Tom Tornstrom testified before the state Committee on TRIP, and Mark Fredrickson met with Gov. Scott Walker on TRIP days before the Governor signed the bill into law that directly benefited ambulance billing.  Chris Anderson was part of a contingent earlier in the year that met with Congressional House Speaker Paul Ryan.

September 22, 2016

Grant Funding
Wisconsin First Responder Grant Funding

Each year the Wisconsin Department of Transportation (WI DOT), Bureau of Transportation Safety, has provided EMS First Responder grant funding to communities around the state. This year funds will be provided to local communities for the initial equipment necessary for newly licensed and credentialed first responders to provide rural first responder EMS services to the communities they serve. This grant is specifically for EMS medical bags, non-disposable equipment and safety devices with these goals:

  • To decrease traffic deaths in Wisconsin.
  • To work in support of the “Zero in Wisconsin” initiative. http://www.zeroinwisconsin.gov/index.html
  • To provide funds for first responder EMS equipment.
  • To provide funds for initial education of first responders.
  • To collaborate with the community to gain buy-in, and develop an action plan to encourage more involvement with the EMS system and the valuable services provided.

Applications must be posted marked no later than September 30, 2016.  Grants will be awarded starting September 30, 2016.

>> Click here for grant funding information and application. 

September 12, 2016

Emergency Medical Responder
Draw up EPI now an option at EMR level

Recently, the EMS Board and the Physicians Advisory Committee (PAC) discussed and recommended the use of draw up EPI (Epinephrine) at the Emergency Medical Responder (EMR) level.

Department of Health Services has reviewed the EMS Board and PAC recommendations and approves the use of draw up EPI at the EMR level.

Any EMR Service wanting to use draw up EPI will need to first complete an Advanced Skills form (F- 00987C) prior to starting deliver of this new option.  >> Click for the Advanced Skills form (F-00987C).

September 12, 2016

Health Care System Research
Wisconsin scores well in health system rankings

PAAW ambulance service members part of these high-performing systems

This 2016 edition of The Commonwealth Fund’s Scorecard on Local Health System Performance assesses the state of health care in more than 300 U.S. communities from 2011 through 2014, a period when the Affordable Care Act was being implemented across the country. In comparing health care access, quality, avoidable hospital use, costs of care, and health outcomes, the Scorecard shows that many U.S. communities experienced improvements: fewer uninsured residents, better quality of care in doctors’ offices and hospitals, more efficient use of hospitals, and fewer deaths from treatable cancers, among other gains. Still, the persistence of widespread differences between areas is a reminder that many local health systems have yet to reach the potential attained elsewhere in the country.

Using the most recent data available, the Scorecard ranks 306 regional health care markets known as “hospital referral regions” on four main dimensions of performance encompassing 36 measures. Top-ranked regions in Hawaii, the Upper Midwest, New England, and the San Francisco Bay area have been performance leaders over time, and they offer achievable improvement benchmarks for policymakers, health system leaders, and community stakeholders.  >> Click for article.

National Ranking - Wisconsin Health Care Market Ranking (overall performance):

Rank 5 - Appleton

Rank 13 - Madison

Rank 15 - La Crosse

Rank 19 - Green Bay

Source:  Commonwealth Fund, 2016 Edition

August 29, 2016

EMS Live in Wisconsin Podcast
Advanced Certification for Critical Care Paramedics

>> Click for on-demand playback.

This EMS Live in Wisconsin podcast was streamed live on Tuesday, August 23 and lasted 30 minutes.  Our guests were Tyler Christifulli and Sam Ireland with LifeStar EMS in West Bend, Wisconsin.  We discussed critical care paramedic advanced training and certification options.

Recently, LifeStar EMS created an advanced internal critical care level that requires an advanced board certification (FP-C, CCP-C) . Their goal is to have their critical care paramedics meet all the same requirements as helicopter EMS services like Flight For Life and Med Flight. These are advanced certifications through the Board of Critical Care Transport Paramedic Certification (BCCTPC); exams are extremely tough and have a 20% pass rate.

The goal at LifeStar EMS is to encourage their critical care paramedics to keep taking steps forward to improve their knowledge.
For more information on certification and testing, refer to the BCCTPC website at https://www.ibscertifications.org/roles/critical-care-paramedic.

>> Click for on-demand playback.
August 27, 2016

Wisconsin Government
Legislative Study Committee on Firefighter and EMT Volunteer Shortages to meet August 30

The second meeting of the Legislative Study Committee on Firefighter and EMT Volunteer Shortages is scheduled for Tuesday, August 30 starting at 9:30 a.m. in Room 412 East at the State Capitol, Madison.  >> Click for meeting agenda.  The first meeting was held on July 26, and additional meetings are scheduled monthly until the end of the year.

>> Click for information regarding the Legislative Study Committee, to include member names, meeting minutes and information, PowerPoint presentations, audio recordings and more.

The Study Committee is directed to examine issues related to the shortage of volunteer firefighters and emergency medical technicians (EMTs) in the state, particularly in rural areas, and propose measures to address the shortage. Specifically, the Study Committee shall study all of the following: (a) the magnitude of volunteer shortages, the areas of the state most affected, and the potential impact of shortages on public health and safety and economic development; (b) whether current training and continuing education requirements contribute to the shortage; (c) relationships between full-time and volunteer emergency response departments and the impact that the shortage of volunteers has on nonvolunteer departments in neighboring communities; and (d) whether the creation of organizations, particularly in rural areas, may help address the shortage. The committee shall develop legislative options to meet needs identified.

August 27, 2016

EMS Product Savings
Naloxone (Narcan) purchases eligible for rebate

Wisconsin Attorney General Brad Schimel announced on March 23, 2016 details of a rebate program for the heroin and prescription opioid antidote naloxone, also known as Narcan.  State, county, and local government agencies, as well as law enforcement and other public and government entities that distribute naloxone are eligible for the Amphastar naloxone rebate.  The Professional Ambulance Association of Wisconsin was instrumental in bringing the rebate to Wisconsin, which is valued at approximately $6.00 per syringe, or a 25% savings.

Rebate forms must be submitted within 60-days of each quarter's end date. Please see Naloxone Rebate Instructions below for submission information.

  • Quarter ended July 30, 2016 (deadline to submit rebate September 30, 2016)
  • Quarter ends October 30, 2016 (deadline to submit rebate December 30, 2016)
  • Quarter ends January 30, 2017 (deadline to submit rebate March 30, 2017)
>> Amphastar Pharmaceuticals, Inc. Contract
>> Naloxone Rebate - Press Release
>> Naloxone Rebate Instructions
>> Naloxone Rebate Account Form
>> Naloxone Purchase Summary Rebate Form

August 27, 2016

National EMS News
Dr. Jon Krohmer named as next director of NHTSA's Office of EMS

The National Highway Traffic Safety Administration (NHTSA) is pleased to announce the appointment of Dr. Jon Krohmer as the Director of the Office of Emergency Medical Services (OEMS). Chosen from a field of more than 30 candidates, Dr. Krohmer comes to this position with a wealth of EMS experience and expertise and will lead NHTSA's collaborative efforts to improve emergency care across the nation.

Board certified as an emergency physician, Dr. Krohmer has been actively involved in EMS for over 30 years, first in his home state of Michigan, and then at the national level, as an active member of the American College of Emergency Physicians (ACEP) and president of the National Association of EMS Physicians (NAEMSP). Dr. Krohmer's federal service began as the Deputy Assistant Secretary for Health Affairs and Deputy Chief Medical Officer for the Department of Homeland Security (DHS). He went on to become the Director of the Health Services Corps for Immigration and Customs Enforcement at DHS and for the past year has provided medical expertise to the U.S. Coast Guard.

"Jon Krohmer's extensive expertise in EMS and experience in federal service will be great assets to the NHTSA EMS program," said Jeff Michael, NHTSA Associate Administrator for Research and Program Development. "His collaborative and patient-centered approach is very important for the EMS Program, which depends on partnerships to achieve its goals. We're very excited to have Jon as part of our NHTSA family."

Dr. Krohmer's first day at NHTSA will be on Tuesday, September 6th. You can learn more about NHTSA's Office of EMS and contact the office at www.ems.gov

August 18, 2016

EMS Leadership Hot Topics and Networking Event
PSOW Conference announces agenda, registration open

The Paramedic Systems of Wisconsin (PSOW) Conference agenda was just released.  >> Click here for agenda.  The 29th annual conference will be held
September 14 to 16 in Green Bay at Tundra Lodge Hotel & Convention Center.

The Conference, best known for its service introductions and initiatives recap offered by all attendees, will also feature presentations on community paramedicine, compliance, legislative council on EMT volunteer shortages panel discussion, HIPAA 2016, community CPR project, state EMS office updates and various other timely content.  The event features an exhibit area and social opportunities.

Paramedic Systems of Wisconsin Conference exists to provide continuing education for administrators and managers at all Wisconsin ambulance service provider levels, and to share information and work together for the betterment of Emergency Medical Services in Wisconsin.  For additional conference information or to register, go to www.PSOW.org.

August 18, 2016

EMS Live in Wisconsin Podcast
Wisconsin Coverdell Stroke Program

>> Click to listen now!

How does your ambulance service manage stroke patients?  What are your local or regional health care system options for advanced care and treatment?  Did you know there are twenty Wisconsin ambulance services subscribed to the Coverdell Stroke Program?  Learn how you can join the program in this podcast.

This live podcast was recorded on August 9 and included guest David Fladten, who manages the Wisconsin Coverdell Stroke Program.

In this podcast we discussed:

  • Appropriate Pre-hospital Assessment and Management of the Stroke Patient
  • EMS and Destination Determination - In-hospital care of the Stroke Patient
  • Coverdell EMS Partners program
We also discussed updates on the Wisconsin Legislative Study Committee on Firefighter and EMT Volunteer Shortages, Paramedic Systems of Wisconsin Conference and MTM/Medicaid.

>> Click to listen now!

Stay on top of Wisconsin EMS action - listen to EMS Live!

Next live streamed podcast is Tuesday, August 23 starting at 9:00 a.m.

The next EMS Live in Wisconsin podcast is Tuesday, August 23 starting at 9:00 a.m. and lasting 30 minutes.  Our guest is Tyler Christifulli.  We'll discuss critical care paramedic advanced training and certification options.  Listen either on the phone at 646-929-1081, or on any internet connected device at http://tobtr.com/9218799.

August 17, 2016

Standby for Tones Blog
Semper Memoria

It’s hot, and we’re a small group in a parking lot waiting for a group of strangers who are on a wonderful mission. The National EMS Bike Ride is coming thru La Crosse today and the riders will be going to visit the UW Health MedFlight memorial bench at Gundersen Health Systems.

On May 10, 2008 MedFlight lifted off from refueling at the La Crosse airport and sustained an impact with terrain while flying under visual flight rules. There were no survivors. UW Madison Hospital has a beautiful memorial and Gundersen – the receiving facility for the last transported patient flown by the crew that night – has a peaceful garden with a memorial bench.

The National EMS Memorial Bike Ride web page states “The National EMS Memorial Bike Ride, Inc. (NEMSMBR) honors Emergency Medical Services personnel by organizing and implementing long distance cycling events that memorialize and celebrate the lives of those who serve every day, those who have become sick or injured while performing their duties, and those who have died in the line of duty.”  >> Click to read more...

"Standby for Tones" is a monthly blog written by Crystal Wallin, a La Crosse paramedic.  Her stories, written from real life events, bring to light the human experience in having an EMS career and work life.  >> Click to read Crystal's blog.

Upcoming Events

Current PAAW Priorities
Community Paramedicine Legislation
MABAS/WI Liability Protection Statute 893.80
State Medicaid Reimbursement & MTM
Legislative Study Committee on Firefighter and EMT Volunteer Shortages
Recognize Do-Not-Resuscitate Pendant

Next EMS Live Podcast

Tuesday, October 11

starting at 9:00 a.m. central time


Legislative Study Committee on Firefighter and EMT Volunteer Shortages
Dana Sechler, Committee Member and Chief, Baraboo District Ambulance

Dial in number to listen to the live show or speak with the co-hosts and guests:  


Or listen on any internet connected device - even email in a question.

Treating CHF patients with better results (Tyler Christifulli, Training Coordinator, Lifestar EMS, West Bend, WI)

Most recent EMS Live in Wisconsin Podcast - Listen Now!

Emergency calls or patient contacts to PAAW members last year

Over 272,000

>> See who's a PAAW member.  Not a PAAW member? That's okay. Subscribe to receive free email updates and alerts from PAAW.  >> Click to get started.


Crystal Wallin

Feature writer and La Crosse Paramedic

Recent blog posts by Crystal: Standby for Tones

Weekly IV Fluids and EMS Pharmaceutical Backorder Report

PAAW continues to monitor the ongoing EMS pharmaceutical drug and IV fluids backorder situation by posting weekly updates, courtesy of Bound Tree Medical.

Through a special arrangement with EMS World magazine, PAAW members and their employees or volunteers receive a free 12-month subscription, a $40 value. 

Stay on top of national EMS news, tips, a variety of topics and special reports - delivered right to your home or work address or e-mail account the beginning of every month!  >> Click to receive this benefit.

Monitor Police, Fire and EMS Radio Traffic Around the U.S.!

Browse over 2,000 police, fire and EMS scanner monitoring stations around the U.S. with a simple click of your computer mouse.  It's sure to make any scanner junkie go wild!

>> Click here to find out more about selecting your own monitoring station or click the scanner below to open the audio player for Milwaukee County Fire radio traffic.

Milwaukee County Fire
(click scanner below to activate feed)

Winamp Aplha Display

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