Download or read book Issues and Problems in Modeling Iowa s Emergency Medical Services System written by K. C. Koutsopoulos and published by . This book was released on 1977 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Emergency Medical Services Systems Development written by and published by Pan American Health Organization. This book was released on 2003-01-01 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication contains guidance for policy-makers considering the development of a formal complex emergency medical services (EMS) system. Drawing on the experience and history of models commonly found in the United States and in many European countries, it examines key aspects of the core elements of such systems, taking into account local needs. It includes chapters on: historical and sociological perspectives from the US; public health policy and the development of EMS systems; system components; human resource requirements; access and communication issues; evaluation; command, control and organisation of emergency incidents; the EMS system's role in terrorism; leadership, medical control and quality assurance; hospital based triage; community involvement; data collection and management information systems; financing; service delivery and quality measurement.
Download or read book Future of Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-09 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: In June 2006, the Institute of Medicine (IOM) Committee on the Future of Emergency Care in the U.S. Health System released a series of reports on the state of emergency care. The reports, Emergency Medical Services at the Crossroads; Hospital-Based Emergency Care: At the Breaking Point; and Emergency Care for Children: Growing Pains, identified a number of disturbing problems including overcrowded emergency departments, a lack of coordination among emergency providers, variability in the quality of care provided to patients, workforce shortages, lack of disaster preparedness, a limited research base, and shortcomings in the systems' ability to care for pediatric patients. These problems, while apparent to those who work in the field, are largely hidden from public view, in part because popular fictional television programs frequently depict the emergency care system in fine shape. Despite the lifesaving feats performed every day by emergency departments and ambulance services, the nation's emergency medical system as a whole is overburdened, underfunded, and highly fragmented. The IOM received funding from 14 organizations to conduct a series of dissemination workshops associated with the release of the 2006 reports on the future of emergency care. Three one-day regional dissemination workshops were conducted in Salt Lake City, Utah (September 7, 2006), Chicago, Ilinois (October 27, 2006), and New Orleans, Louisiana (November 2, 2006). Each of the workshops featured focused discussions in two issue areas. The meeting in Salt Lake City focused on pediatric emergency care and care in rural areas; in Chicago it was workforce issues and hospital efficiency; and in New Orleans it was EMS issues and disaster preparedness. A fourth capstone workshop, held in Washington, D.C., provided an opportunity to engage congressional and other federal policy leaders in a discussion of emergency care issue. Future of Emergency Care summarizes the proceedings of the workshops. Each regional workshop began with an overview of the findings and recommendations from the three reports on the future of emergency care. Findings and recommendations from those three reports are also summarized in this report.
Download or read book Modeling the Emergency Care Delivery System Using a Queueing Approach written by Xu Sun and published by . This book was released on 2014 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis considers a regional emergency care delivery system that has a common emergency medical service (EMS) provider and two hospitals, each with a single emergency department (ED) and an inpatient department (ID). Patients arrive at one of the hospital EDs either by ambulance or self-transportation, and we assume that an ambulance patient has preemptive priority over a walk-in patient. Both types of patients can potentially be admitted into the ID or discharged directly from the ED. An admitted patient who cannot access the ID due to the lack of available inpatient beds becomes a boarding patient and blocks an ED server. An ED goes on diversion, e.g., requests the EMS provider to divert incoming ambulances to the neighboring facility, if the total number of its ambulance patients and boarding patients exceeds its capacity (the total number of its servers). The EMS provider will accept the diversion request if the neighboring ED is not on diversion. Both EDs choose its capacity as its diversion threshold and never change the threshold value strategically, and hence they never game. Although the network could be an idealized model of an actual operation, it can be thought of as the simplest network model that is rich enough to reproduce the variety of interactions among different system components. In particular, we aim to highlight the bottleneck effect of inpatient units on ED overcrowding and the network effects resulting from ED diversions. A continuous time Markov chain is introduced for the network model. We show that the chain is irreversible and hence its stationary distribution is difficult to characterize analytically. We identify an alternative solution that builds on queueing decomposition and matrix-analytic methods. We demonstrate through discrete-event simulations the effectiveness of this solution on deriving various performance measures of the original network model. Moreover, by conducting extensive numerical experiments, we provide potential explanations for the overcrowding and delays in a network of hospitals. We suggest remedies from a queueing perspective for the operational challenges facing emergency care delivery systems.
Download or read book Comprehensive Statewide Emergency Medical Services Plan written by Iowa. Governor's Emergency Medical Services Advisory Council and published by . This book was released on 1975 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Models for Decision making and Performance Evaluation in Emergency Medical Service Systems written by Kenneth Chun-Ling Chong and published by . This book was released on 2016 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: We propose four models for evaluating and benchmarking performance in Emergency Medical Service (EMS) systems. We begin by studying tiered EMS systems, whose fleets are comprised of ambulances providing either Advanced Life Support (ALS) or Basic Life Support (BLS), with the goal of studying the effects of vehicle mix (that is, the combination of ALS and BLS ambulances deployed) on system performance. The ideal choice of vehicle mix has been the subject of some debate in the medical literature, and we contribute to this debate by developing a framework with which quantitative comparisons between vehicle mixes can be made. Noting that vehicle mix affects how resources are allocated to emergency calls, we build two stylized, but complementary models to study decisionmaking in tiered EMS systems. First, to examine how ambulances would be dispatched to incoming calls of varying severity, we consider the problem of routing and admission control in a loss system featuring two classes of servers and arriving jobs. We formulate this problem as a Markov decision process, and study its theoretical properties. Second, to study how ambulances would be deployed to base locations to maximize coverage, we formulate an integer program. By combining insights from our models, we conclude there are rapidlydiminishing marginal returns associated with biasing towards all-ALS fleets. Next, we consider systems practicing ambulance redeployment, the strategic relocation of idle ambulances in real time to improve responsiveness to future calls. Finding an optimal redeployment policy is computationally intractable, and a number of heuristic policies have been proposed. We complement this stream of literature by proposing two upper bounds on the performance of optimal redeployment policies (which, in turn, serve as benchmarks for existing heuristic policies). First, we adapt an existing upper bound so that it is provably valid for EMS providers who operate loss systems. Second, we develop a new upper bound based upon a perfect information relaxation of the EMS provider's problem (in which the decisions-maker is clairvoyant), which we tighten by penalizing policies that use future information to make decisions. We evaluate our bounds through extensive computational experiments, and find that they are reasonably tight in small-scale systems.
Download or read book Planning written by and published by . This book was released on 1979 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Iowa Documents written by and published by . This book was released on 1973 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Checklist of State Publications written by and published by . This book was released on 1979 with total page 610 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Urban Publications written by and published by . This book was released on 1978 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Modeling an Emergency Medical Services System Using Computer Simulation written by Syi Su and published by . This book was released on 2003 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Emergency Medical Services written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-03 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Download or read book Simulation Modeling of an Emergency Medical Services System for West Virginia written by Ndubuisi Okezie Okeugo and published by . This book was released on 1981 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Field Hearing on the Challenges of an Aging VA Medical Center written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 2010 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book EMS Agenda for the Future written by and published by . This book was released on 1996 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Comprehensive Emergency Medical Services EMS Plan State of Iowa written by Iowa. Governor's Emergency Medical Services Advisory Council and published by . This book was released on 1975 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Preparedness and Response to a Rural Mass Casualty Incident written by Institute of Medicine and published by National Academies Press. This book was released on 2011-04-18 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problems contacting emergency services and delayed assistance are not unusual when incidents occur in rural areas, and the consequences can be devastating, particularly with mass casualty incidents. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop to examine the current capabilities of emergency response systems and the future opportunities to improve mass casualty response in rural communities.
