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  • Thursday, November 10, 2016 9:27 AM | PAAW Administrator (Administrator)

    >> Click for on-demand playback.


    On November 10 we did a special edition of EMS Live in Wisconsin about the recent Wisconsin and national election outcomes, and more specifically zeroed in on what this means for EMS in the state.  Our guest was PAAW lobbyist Michael Brozek with Midwest Strategies in Madison. 

    According to program host and PAAW Executive Director Joe Covelli, "Michael offered excellent ins
    ight and perspective into state and national races.  The business side of EMS is closely tied to government from an operation, licensing and funding perspective, especially with Medicare and Medicaid dollars, so we need to pay attention to these things". 

    In Wisconsin, the Republicans maintain control, and actually picked up seats in both the Assembly and Senate.  On the national stage, President-elect Donald Trump has vowed to change or repeal the Affordable Care Act.  Congressman Paul Ryan of Janesville won reelection and again is Speaker of the House.
     

    The upcoming 2017 Wisconsin legislative session that begins in February will include Community Paramedicine legislation, and most likely legislation that comes out of the Legislative Study Committee on Volunteer Firefighter and EMT shortages that has been meeting every month since July, and will continue to meet until the end of the year.

    >> Click for on-demand playback.

     Don't miss a beat of the action - listen to EMS Live in Wisconsin.
  • Tuesday, October 25, 2016 8:02 AM | PAAW Administrator (Administrator)

    EMS Live Podcast

    >> Click for on-demand playback.

    This  EMS Live in Wisconsin podcast was recorded on Tuesday, October 25 and lasted 30 minutes.

    Our guest was Josh Finke with the State of Wisconsin EMS Advisory Board subcommittee for EMS System Management.

    The EMS Advisory Board recently developed a set of guidelines for local dispatch centers to use during certain high acuity calls.  These simple flow charts can make a major difference in the outcomes of patients.  This process has been used in other parts of the State with great success. 

    The cards give Public Service Answering Point (PSAP) and 911 dispatchers flow charts for pre arrival instructions for on hands only CPR, choking, AED instructions and bleeding control.  If your ambulance service's dispatch center is not using pre arrival instructions the EMS Advisory Board recommends these instructions be utilized.  The three types of patients involved in these guidelines are low frequency and high acuity.  The pre arrival instructions given by dispatchers truly can be lifesaving.

    >> Click to download pre arrival cards.


    >> Click for on-demand playback.
  • Thursday, October 20, 2016 6:54 AM | PAAW Administrator (Administrator)

    Signup today to stay informed!

    The Professional Ambulance Association of Wisconsin, in cooperation with the Wisconsin Office of Rural Health, has created a listserv email group dedicated to the firefighter and EMT volunteer shortage discussions currently taking place.  Signup to receive Legislative Study Committee updates, share your ideas and weigh in on the topic.

    According to PAAW Executive Director Joe Covelli, "The listserv offers an immediate email communications link for those who would like to participate and stay on top of the latest information being discussed, recommended and decided.  We are coming to a point very soon when legislation is going to be introduced and debated".  Covelli added, "This is a pivotal time for the EMS and fire industry and communities they serve - ambulance services and fire departments need to pay attention to what is happening".

    To subscribe to the listserv, click on the link below and enter your name and email address.  Link:  https://lists.wisc.edu/read/all_forums/subscribe?name=volunteer.  You may unsubscribe at any time.

  • Thursday, October 20, 2016 6:19 AM | PAAW Administrator (Administrator)

    EMS Live Podcast

    Guests included committee members Dana Sechler and John Eich

    >> Click for on-demand playback.

    On Tuesday, October 11 EMS Live in Wisconsin podcast guests included Legislative Study Committee members Dana Sechler and John Eich.

    The Legislative Study Committee on Volunteer Firefighter and EMT Shortages has been meeting every month since July, listening to testimony and receiving correspondence from industry experts, fire and EMS leaders and elected officials on the subject.  According to committee member Dana Sechler, "Eighty percent of the time legislative action comes out of a Study Committee". 

    Wisconsin has been riding along as firefighter and EMT staffing shortages have grown year-over-year, and were foretold back when two state legislative study committees were convened in the 1990s to address the topic twenty years ago.  Nothing was done either time - and actually the State's EMS Office shelved the Wisconsin EMS Advisory Board's recommendations.  Just a couple years ago, Wisconsin had over 22,000 licensed First Responders, EMTs and Paramedics.  As of July 2016, that number decreased to 16,500.

    Committee member John Eich mentioned during the podcast, "We don't have volunteer police officers in Wisconsin, and fire and EMS are part of the public safety net too."

    Door County Emergency Services Director Dan Williams, who also served as chairman of the Wisconsin EMS Advisory Board in the 1990s and 2000s, the same board that offered recommendations to the two Legislative Study Committees in the 1990s, testified before the current Study Committee in August.  "We have to watch this very carefully.  We have to be very, very careful it is the right legislation.  This is a crucial problem - we have to get it right.", according to Williams.  >> Click to review William's presentation and recommendations.

    The committee recently met on Tuesday, October 18.  Most of the discussion regarded testimony by a representative with the National Registry of EMTs, and reviewing in detail a memo authored by staff attorney Margit Kelly.  The memo provided a highlight of ideas from previous committee discussions.  >> Click to review Kelly's memo.

    It seems the group is headed toward narrowing in on their recommendations based on what they've heard in testimony and various ideas or suggestions that have been offered.  Four different sets of legislation have already been proposed by legislators.

    >> Click for on-demand playback.

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

  • Monday, October 10, 2016 10:10 AM | PAAW Administrator (Administrator)

    Podcast guests include Committee members Dana Sechler and John Eich

    The next live podcast of EMS Live in Wisconsin is Tuesday, October 11 starting at 9:00 a.m.  Our guests include Legislative Study Committee members Dana Sechler and John Eich.  The dial-in number is 646-929-1081, or listen on the internet at http://tobtr.com/9496619.

    The Legislative Study Committee on Volunteer Firefighter and EMT Shortages has been meeting every month since July, listening to testimony and receiving correspondence from industry experts, fire and EMS leaders and elected officials on the subject.  Wisconsin has been riding along as firefighter and EMT staffing shortages have increased year-over-year, and were foretold back when two state legislative study committees were convened in the 1990s to address the topic twenty years ago.  Nothing was done either time - and actually the State's EMS Office shelved the Wisconsin EMS Advisory Board's recommendations.

    According to Committee member Dana Sechler, "Eighty percent of the time legislative action comes out of a Study Committee".

    Door County Emergency Services Director Dan Williams, who also served as chairman of the Wisconsin EMS Advisory Board in the 1990s and 2000s, the same board that offered recommendations to the two Legislative Study Committees in the 1990s, testified before the current Study Committee in August.  "We have to watch this very carefully.  We have to be very, very careful it is the right legislation.  This is a crucial problem - we have to get it right.", according to Williams.

    Join the live program on Tuesday, October 11 starting at 9:00 a.m. and lasting 30 minutes.  The dial-in number is 646-929-1081, or listen on any internet connected device at http://tobtr.com/9496619.

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

  • Thursday, September 22, 2016 2:50 PM | PAAW Administrator (Administrator)
    EMS Live Podcast

    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!

  • Thursday, September 22, 2016 1:38 PM | PAAW Administrator (Administrator)

    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.


  • Thursday, September 22, 2016 11:19 AM | PAAW Administrator (Administrator)

    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. 


  • Tuesday, September 13, 2016 7:25 AM | PAAW Administrator (Administrator)

    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).

  • Tuesday, September 13, 2016 6:30 AM | PAAW Administrator (Administrator)

    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

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