Make the move to sucess

The future of providing emergency medical services to our communities lies with nonprofit ambulance services becoming larger, busier, and smarter. What this means is the consolidating or combining smaller organizations and making them into mega EMS organizations that can provide extraordinary emergency medical care without the need for municipal funding. Being self-sufficient and being the best service available is the key to our long term success.

Our history in EMS has been to maintain our small kingdoms at all costs and what we have seen is several organizations become extinct because of their stubbornness to preserve the status quo. It is time for forward-thinking that really is not rocket science. They are simple business principles.

It is time to form alliances on a grand scale and combining our operational processes to eliminate duplication and waste. Creating an organization with a shiny new name and a newly expanded mission to meet the EMS needs of the future and beyond. Setting high goals and standards and employing the best available staff. Combining workforces and talent to best serve our patients. Improving the futures of our permanent staff with compensation and benefits that reflect their hard work and commitment. 

Organizations that embrace consolidation can see immediate savings by eliminating duplication of administrative functions, cost savings from capital purchases, vehicle fleet repairs, medical supplies, and insurance coverage.

While our goal would not be to generate less money but to spend the money we earn more efficiently. Improving staff utilization is a monumental benefit to the consolidation of services. Having the appropriate number of ALS vs. BLS units in a larger service area plays a huge factor in organizational efficiency. This includes a staggering crew schedule to address peak call periods. Keeping all requests for service within one system is paramount to an effective and efficient system. 

Consider a large organization with a single Chief of Service. The creation of robust training and human resource division for 150 employees. An internal billing department to handle over 10,000 calls. A fleet service provider to reduce the high cost of ambulance vehicle repairs. A large inventory of supplies that are frequently rotated eliminating the waste from expiration. An ambulance replacement program that ensures a safe and modern fleet. These things are out of reach for services of 3000 calls or less.

Paramedicine will be a required function in every community very soon. The time to do this is now. Small services will not have the resources to maintain this service. This idea is not limited to those in our area, every EMS service can benefit from this idea of a larger more effective singular organization and I welcome discussions with any service that sees the vision, regardless of location.

It is time for some deep reflection of your service and please consider joining forces with us to create a system that will provide for the future. Ask yourself "where will our service be in 10 years?"I am open to sitting down with any service Chief that feels the same as I do. Please feel free to reach out to chief@ewambulance.org. I am here to help.

Other collaborations include but not limited to;

Patient billing, crew scheduling, payroll services, supply purchasing, capital purchasing, and IT services. I look forward to hearing from you, Chief Thomas J Clynch III 

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