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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EMSWORLD.com | AUGUST 2018 13 Beyond Cost EMS leaders should be able to perform these types of cost calcula- tions at the least. More detailed analyses, such as fixed vs. variable costs, accounting for depreciation of capital assets, and marginal cost analysis, are additional ways to evaluate the cost of service delivery—or, put another way, the cost of producing a unit-hour of service. Understanding the cost of service delivery helps determine the economic impact of implementing innovation in EMS agencies, but it's only one side of the equation. Revenue analysis is also neces- sary to see what impact an innovation might have on your service- delivery models. Confused? Don't worry. We're addressing this because the authors of the PIE project identified our lack of business acumen as a bar- rier to innovation. Our desire is that as EMS agencies transform and evolve into innovative organizations ready to launch new service lines and participate in new economic models, their leaders will feel com- fortable enough to conduct these types of evaluations or seek to hire or contract with people who do. In our next column we'll explore how to estimate the costs of implementing some sample innovations. REFERENCE 1. Zavadsk y M, Hooten D. High-Per formance EMS: New Economic Models for EMS. EMS World, ht tps://w w w. emsworld.com/ar ticle/12323029. ABOUT THE AUTHORS Matt Zavadsky, MS-HSA, NREMT, is chief strategic integration officer at MedStar Mobile Healthcare, the exclusive emergency and nonemergency EMS/ MIH provider for Fort Worth and 14 other cities in North Texas. He is a member of the EMS World editorial advisory board. Kevin G. Munjal, MD, MPH, is a board-certified emergency medicine physician who completed an EMS fellowship with the New York City Fire Department (FDNY). He is the founder and chair of the New York Mobile Integrated Healthcare Association (NYMIHA), an organization seeking to empower EMS providers to play a larger, more integrated role within the healthcare system by promoting new models of mobile healthcare care better aligned with new accountable care organizations. He served as co-principal investigator for the PIE Project. For More Information Circle 17 on Reader Service Card Accredited Online EMSA Degrees Justin Arnone CSU Graduate Columbia Southern University offers completely online degrees for EMS professionals interested in taking the next step in their career. CSU's coursework covers relevant topics within the emergency medical services industry including community relations, EMS communications, risk management, public safety and more. ColumbiaSouthern.edu/EMSA » 877.347.6050 Located in Orange Beach, Alabama. Gainful employment information available at ColumbiaSouthern.edu/Disclosure.

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