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 17 of 51

EMSWORLD.com | AUGUST 2018 17 sion. Setting financial objectives is important because they specify the future plans and needs of the organization or division. Financial objectives help set financial goals and must be tied in with the organi- zation's strategic objectives. For example, a financial objective may be to allocate funds to build a new EMS station, purchase heart monitors, or hire new employees. Financial objectives must be interwoven with the organization's stra- tegic objectives. The financial objectives are how the strategic objectives will be paid for and revenue generated. Regardless, strategic and financial objectives must be specific, measurable, attainable, realistic and time- bound (the SMART acronym). When determining what to include in the budget, the EMS officer must incorporate strategies that will add value to the organization and set financial objectives to support each one. The following expenses are an example of what the EMS officer may be tasked to oversee as part of their assigned budget. Moreover, financial objectives will need to be set to ensure common organization activities can be supported financially: • Employee salaries and benefits; • Contracted services; • Utilities; • Repair and maintenance; • Operating supplies; • Capital purchases and improvement costs; • Professional development. The officer will also need to know how service delivery is funded. Whether revenue flows from local city or county taxes, user fees, Medicare, Medicaid, commercial insurance, self-pay, service contracts, selling of equipment, grants, or other source, it will need to be factored in the budget. The final phase of the process of budget preparation consists of con- solidating the functional work group budgets into the organization's master budget. Before the master budget is presented for approval, a representative from each functional work group will need to present their budget to the organization's senior leadership team. These individuals will need to justify any added expenses as well as answer questions from senior leadership. Once every functional work group has reported their budgets, the bud- get team will finalize the master budget and begin preparing to present it to elected officials, the budget committee, board of trustees, etc., for final approval. The last step will be to monitor all budgetary activities on an ongoing basis to ensure they are within budget. Conclusion A budget is essentially a road map pertaining to revenue and expenses, and understanding and working with budgets will most likely be part of an EMS officer's assigned duties. Ask questions, get involved with the budget process, and always keep learning. ABOUT THE AUTHOR Orlando J. Dominguez, Jr., MBA, RPM, is assistant chief of EMS for Brevard County Fire Rescue in Rockledge, Fla. He has more than 30 years of EMS experience and has served as a firefighter-paramedic, flight paramedic, field training officer, EMS educator, and division chief. He has authored two books, including EMS Supervisor: Principles and Practice, and is a certified Lean Six Sigma Green Belt. Follow him at @ems_officer. For More Information Circle 20 on Reader Service Card EMERGENCY MEDICAL TECHNICIAN www.lenoircc.edu/publicsafety EMT – 16 WEEKS Designed for those with no medical background wishing to obtain their EMT certification. This EMT course is conducted over 16 weeks with 3 weekend onsite visits. EMT BASIC – 10 WEEKS Designed for those who have a desire to become an EMT but do not live locally. The course is 10 weeks long with 9 weeks of online work and a one week onsite visit at the end. EMT FAST TRACK – 8 WEEKS Designed for those with a medical background wishing to obtain their EMT certification. The course is fast-paced and offered over 8 weeks with 3 weekend onsite visits. 231 Hwy. 58 South, Kinston, NC (252) 527-6223, ext. 115 jgtilghman38@lenoircc.edu Ranked Fourth in the Nation by bestcolleges.com! LCC's EMT programs are designed to train entry level providers in basic emergency medical care. Topics include: airway, patient assessment, medical emergencies, trauma, and pediatrics. American Heart Association CPR certification is included. All graduates are eligible for the NC OEMS and National Registry EMT credentialing exams. ■ Registration and other fees estimated at $183.00 (Excluding textbook and travel). ■ Hybrid format with minimal onsite visits required. ■ Several delivery options to choose from, that fit your schedule.

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