EMS World

AUG 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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Page 12 of 51

PROMOTING INNOVATION IN EMS 12 AUGUST 2018 | EMSWORLD.com A simple way to begin evaluating the cost of EMS service delivery could be to honestly and transparently ask the question, "If we were to stop providing EMS services, what costs would we save?" For an agency that only provides ambulance ser vices, the answer is easy: All costs would be avoided. But for a multirole agency, it's more difficult. Ambulance service costs—If an agency staffs an ambulance, all costs related to providing the ambulance service would be eliminated if you stopped providing EMS. For simplicity let's assume the annual cost of operating one staffed ambulance is $650,000. The ambulance is staffed and in service 24 hours per day, 365 days a year, or 8,760 unit-hours (24 x 365). The cost per unit hour for the ambulance would then be $74.20 ($650,000/8,760 hours). You can repeat this for the number of units you have on duty. If a unit is staffed during peak times, say weekdays from 8 a.m. to 5 p.m., the cal- culation is similar: 10 hours per day times 260 days a year is 2,600 unit hours. Therefore, the annual cost to operate the unit is $192,920 (2,600 hours x $74.20). First-response costs—In a multirole agency such as a fire department, EMS response is only one of the roles the engine serves. Let's use the scenario of a single fire engine staffed with four firefighters (three EMTs and one paramedic) that responds to EMS calls, fire calls, vehicle crashes, and everything else. If this department stopped providing EMS, the engine and staff would likely not be eliminated, since they would still be needed for the other types of calls. However, costs related to the engine's EMS delivery—such as EMT/paramedic sti- pends for the personnel, costs for medical training, medical oversight, medical equip- ment and supplies on the engine, and fuel for EMS responses—could be eliminated. If we assume the annual EMS-related costs for the engine are $50,000, then the unit- hour EMS costs for the engine are $5.71 ($50,000/8,760 hours). Combining the ambulance and first response unit, the overall cost per unit-hour is $79.91 ($74.20 + $5.71). This cost exists even if there are no EMS calls, a concept often referred to as the cost of readiness. Other cost evaluations—If the ambulance and engine responded to 1,000 EMS calls last year, your cost per response would be $700 ($700,000/1,000 calls). If the ambu- lance transported 700 patients, your cost per transport would be $1,000 ($700,000/700 transports). Finally, say the engine and ambulance serve a township of 10,000 people. The EMS cost per capita would be $75 ($750,000/10,000). This is an overview of service-delivery costs and may not capture all associated costs. Additional costs come with EMS in a fire service—e.g., medical oversight, supervi- sion and administration, human resources, payroll management and insurance—but for this article series, we'll keep it simple. AirMaster - Superior Air Control When Response Times Matter 800-753-0050 • ReycoGranning.com/AIR-CONTROL-SYSTEM The versatile AirMaster is Reyco Granning's newest & enhanced air supply module designed for light duty, severe service applications. It's compatible with Reyco Granning's air suspensions or used as an integratable, stand-alone air system for electric vehicles and other OEM applications. The 100% leak free inspected AirMaster extends unit life and protects against freeze up's and contaminations through its highly optimized compressor and integrated air dryer. Trust the AirMaster to deliver the air control needed when response time matters. Manufacturing in the USA for over 90 Years For More Information Circle 16 on Reader Service Card

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