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Patient-Centered QI and System Design
December 3, 2020
Most EMS systems claim to put the patient first, yet they still work 24-hour shifts, drive ambulances designed so that patients face the rear, and have QI systems that are not connected to the rest of the healthcare system.
Facilitator Mike Taigman explored how to create a more patient- and people-centered EMS organization with Jeff Jarvis, MD, MS, EMT-P, medical director for Williamson County EMS and Marble Falls Area EMS; former paramedic and hospital executive Bill Atkinson, PhD, EMT-P; and Brian LaCroix, EMS coordinator with the Center for Patient Safety. This session is sure to expand your knowledge and may just challenge your beliefs in the process.
References
As with all our Conversations that Matter, we encourage our attendees and audience to contribute to the session. During the session, references were made to the following:
- Dr Jeff Jarvis: Using Red Lights and Sirens for Emergency Ambulance Response: How Often Are Potentially Life-Saving Interventions Performed?
https://www.tandfonline.com/doi/abs/10.1080/10903127.2020.1797963?journalCode=ipec20& - Todd Stout: Book Reference from Todd Stout: Rhetorical Work in Emergency Medical Services (ATTW Series in Technical and Professional Communication) 1st Edition
https://www.amazon.com/Rhetorical-Work-Emergency-Medical-Services/dp/1138097446/?pldnSite=1 - Dr Jeff Jarvis: Occupational exposures and programmatic response to COVID-19 pandemic: an emergency medical services experience.
https://europepmc.org/article/pmc/pmc7507417 - Rob Lawrence: The Hillsborough disaster (discussing major incidents and outcomes)
https://en.wikipedia.org/wiki/Hillsborough_disaster
Host – Mike Taigman, MA
Mike Taigman uses more than four decades of experience to help EMS leaders and field personnel improve the care and service they provide to patients and their communities. Mike is the improvement guide for FirstWatch and a nationally recognized author and speaker. He was the facilitator for the national EMS Agenda 2050 project and teaches improvement science in the Master’s in Healthcare Administration and Interprofessional Leadership program at the University of California San Francisco. He will serve as host and facilitator for Conversations that Matter.
Jeff Jarvis, MD, MS, EMT-P
Jeff Jarvis, MD, MS, EMT-P, is the medical director for Williamson County EMS and Marble Falls Area EMS. He is a practicing emergency physician at Baylor Scott & White Hospital in Round Rock, Texas. His experience in EMS and the broader health care field spans over 30 years, beginning as a volunteer firefighter and EMT. He has served as a paramedic in three states, the Texas State EMS training coordinator and department chair of EMS Technology at Temple College. Dr. Jarvis served as a member of the EMS Agenda 2050 Technical Expert Panel and represents the American College of Emergency Physicians on the National EMS Quality Alliance Steering Committee.
Bill Atkinson, PhD, EMT-P
Bill Atkinson, PhD, EMT-P, is president of Guidon Healthcare Consulting in Raleigh, North Carolina. He began his career in healthcare leadership as one of the first EMTs and then paramedics in the state of North Carolina. Dr. Atkinson went on to a lengthy career in healthcare management, running hospitals in South Carolina, Texas and Colorado before returning home to serve as president and CEO of New Hanover Regional Medical Center and, from 2003 until his retirement in 2013, WakeMed Health and Hospitals.
Brian LaCroix
Brian LaCroix serves as EMS coordinator with the Center for Patient Safety. He recently retired as president and EMS chief of Allina Health EMS in St. Paul, Minnesota, where had started as a field provider in 1997. LaCroix also served as the president of the National EMS Management Association, is a fellow in the American College of Paramedic Executives and holds a paramedic degree and a bachelor’s degree in business administration. HE also consults with organizations to recruit senior EMS leaders, develop individuals and grow leadership teams and has worked on extended international EMS projects in Nicaragua, France and Croatia.