Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Wise County EMS and supporters, in my opinion, are not putting into perspective the whole outlook on Careflite taking over the EMS contract in Wise County. I have read the messenger since day one and have mostly laughed at all that was written in the opinion columns. I really would like to know if they truly believe that Careflite would take over a contract at midnight with a crew of people that had no clue how to get around in Wise county? I think some common sense needs to be used and realize that Careflite could not even begin to run in Wise County without hiring and utilizing the existing crews that qualify to work as Careflite personnel. I am not in any way stating that Wise County EMS is better or worse than any EMS in the state of Texas but I would really like to know how they can compare protocols with another service when they have never seen the other services protocols. I will continue to read the Messenger and see how many people of the county run Careflite into the ground without even knowing what Careflite is about. I live in a County just Northwest of Wise and I obviously work for Careflite in Dallas and I have to say that every job has its ups and downs but Careflite as a whole is a great company to work for. I do not know what will happen with Wise County but I will say that if Careflite takes over they will be in just as good of hands if not better than what the County has now because it will still be the same crews that they are used to seeing with maybe a few people that would love to come to Wise County and show them why Care is the first part of Careflite. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Wise County EMS and supporters, in my opinion, are not putting into perspective the whole outlook on Careflite taking over the EMS contract in Wise County. I have read the messenger since day one and have mostly laughed at all that was written in the opinion columns. I really would like to know if they truly believe that Careflite would take over a contract at midnight with a crew of people that had no clue how to get around in Wise county? I think some common sense needs to be used and realize that Careflite could not even begin to run in Wise County without hiring and utilizing the existing crews that qualify to work as Careflite personnel. I am not in any way stating that Wise County EMS is better or worse than any EMS in the state of Texas but I would really like to know how they can compare protocols with another service when they have never seen the other services protocols. I will continue to read the Messenger and see how many people of the county run Careflite into the ground without even knowing what Careflite is about. I live in a County just Northwest of Wise and I obviously work for Careflite in Dallas and I have to say that every job has its ups and downs but Careflite as a whole is a great company to work for. I do not know what will happen with Wise County but I will say that if Careflite takes over they will be in just as good of hands if not better than what the County has now because it will still be the same crews that they are used to seeing with maybe a few people that would love to come to Wise County and show them why Care is the first part of Careflite. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Wise County EMS and supporters, in my opinion, are not putting into perspective the whole outlook on Careflite taking over the EMS contract in Wise County. I have read the messenger since day one and have mostly laughed at all that was written in the opinion columns. I really would like to know if they truly believe that Careflite would take over a contract at midnight with a crew of people that had no clue how to get around in Wise county? I think some common sense needs to be used and realize that Careflite could not even begin to run in Wise County without hiring and utilizing the existing crews that qualify to work as Careflite personnel. I am not in any way stating that Wise County EMS is better or worse than any EMS in the state of Texas but I would really like to know how they can compare protocols with another service when they have never seen the other services protocols. I will continue to read the Messenger and see how many people of the county run Careflite into the ground without even knowing what Careflite is about. I live in a County just Northwest of Wise and I obviously work for Careflite in Dallas and I have to say that every job has its ups and downs but Careflite as a whole is a great company to work for. I do not know what will happen with Wise County but I will say that if Careflite takes over they will be in just as good of hands if not better than what the County has now because it will still be the same crews that they are used to seeing with maybe a few people that would love to come to Wise County and show them why Care is the first part of Careflite. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Doc (AKA ), As you said this is not necessarily a " bad thing " but has anyone ever studied the ethical aspects of this issue? Has any entity ever been accused or whatever of doing things in ways that are not in the best interest of the patients but rather in the best interest of the bottom line? Not anecdotal mind you but proven either via empirical data or by some form of litigation proving such an allegation? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Office) (Cell Phone) (Office Fax) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Doc (AKA ), As you said this is not necessarily a " bad thing " but has anyone ever studied the ethical aspects of this issue? Has any entity ever been accused or whatever of doing things in ways that are not in the best interest of the patients but rather in the best interest of the bottom line? Not anecdotal mind you but proven either via empirical data or by some form of litigation proving such an allegation? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Office) (Cell Phone) (Office Fax) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 OK.... 1. .let's take something that is of the highest quality in the state and has served the community for at least 15-20 years(that I know of) and that works well. 2. then smash it up. 3. then replace it with the unknown. Sounds just great.....why don't they also do the same with the S.O. or Roads and Bridges Dept. -MH >>> gary.moseley@... 09/13/05 10:13 AM >>> This is from the Wise County Messenger today. NO EMS DISCUSSION * A roomful of people showed up Monday morning, prepared > to offer their opinions on privatization of the county's emergency medical > service. But county Judge Dick Chase canceled the discussion, saying Wise > County commissioners need more time to gather information before listening > to the public on the controversial issue. Chase said it could be a month to > six weeks before a public meeting on the EMS is held. CareFlite, which had > initially said it would make a formal presentation to take over the > ambulance service, asked for more time before it gave a proposal. Chase said > up to three more companies have been invited to make presentations as well. > " After we gather information, we will have a public hearing, " Chase > promised. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Actually If I remember correctly under the GOV Code, they can contract for " professional Services " without RFP's Re: Wise County info OK.... 1. .let's take something that is of the highest quality in the state and has served the community for at least 15-20 years(that I know of) and that works well. 2. then smash it up. 3. then replace it with the unknown. Sounds just great.....why don't they also do the same with the S.O. or Roads and Bridges Dept. -MH >>> gary.moseley@... 09/13/05 10:13 AM >>> This is from the Wise County Messenger today. NO EMS DISCUSSION * A roomful of people showed up Monday morning, prepared > to offer their opinions on privatization of the county's emergency medical > service. But county Judge Dick Chase canceled the discussion, saying Wise > County commissioners need more time to gather information before listening > to the public on the controversial issue. Chase said it could be a month to > six weeks before a public meeting on the EMS is held. CareFlite, which had > initially said it would make a formal presentation to take over the > ambulance service, asked for more time before it gave a proposal. Chase said > up to three more companies have been invited to make presentations as well. > " After we gather information, we will have a public hearing, " Chase > promised. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Actually If I remember correctly under the GOV Code, they can contract for " professional Services " without RFP's Re: Wise County info OK.... 1. .let's take something that is of the highest quality in the state and has served the community for at least 15-20 years(that I know of) and that works well. 2. then smash it up. 3. then replace it with the unknown. Sounds just great.....why don't they also do the same with the S.O. or Roads and Bridges Dept. -MH >>> gary.moseley@... 09/13/05 10:13 AM >>> This is from the Wise County Messenger today. NO EMS DISCUSSION * A roomful of people showed up Monday morning, prepared > to offer their opinions on privatization of the county's emergency medical > service. But county Judge Dick Chase canceled the discussion, saying Wise > County commissioners need more time to gather information before listening > to the public on the controversial issue. Chase said it could be a month to > six weeks before a public meeting on the EMS is held. CareFlite, which had > initially said it would make a formal presentation to take over the > ambulance service, asked for more time before it gave a proposal. Chase said > up to three more companies have been invited to make presentations as well. > " After we gather information, we will have a public hearing, " Chase > promised. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 If I remember correctly, you still issue a RFP to procure professional services under the Government Code. The Government Code applies to state agencies. However, since this is county government, the Local Government Code controls. I'd have to research how a county would procure EMS services under the Local Government Code. -Wes Re: Wise County info OK.... 1. .let's take something that is of the highest quality in the state and has served the community for at least 15-20 years(that I know of) and that works well. 2. then smash it up. 3. then replace it with the unknown. Sounds just great.....why don't they also do the same with the S.O. or Roads and Bridges Dept. -MH >>> gary.moseley@... 09/13/05 10:13 AM >>> This is from the Wise County Messenger today. NO EMS DISCUSSION * A roomful of people showed up Monday morning, prepared > to offer their opinions on privatization of the county's emergency medical > service. But county Judge Dick Chase canceled the discussion, saying Wise > County commissioners need more time to gather information before listening > to the public on the controversial issue. Chase said it could be a month to > six weeks before a public meeting on the EMS is held. CareFlite, which had > initially said it would make a formal presentation to take over the > ambulance service, asked for more time before it gave a proposal. Chase said > up to three more companies have been invited to make presentations as well. > " After we gather information, we will have a public hearing, " Chase > promised. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 If I remember correctly, you still issue a RFP to procure professional services under the Government Code. The Government Code applies to state agencies. However, since this is county government, the Local Government Code controls. I'd have to research how a county would procure EMS services under the Local Government Code. -Wes Re: Wise County info OK.... 1. .let's take something that is of the highest quality in the state and has served the community for at least 15-20 years(that I know of) and that works well. 2. then smash it up. 3. then replace it with the unknown. Sounds just great.....why don't they also do the same with the S.O. or Roads and Bridges Dept. -MH >>> gary.moseley@... 09/13/05 10:13 AM >>> This is from the Wise County Messenger today. NO EMS DISCUSSION * A roomful of people showed up Monday morning, prepared > to offer their opinions on privatization of the county's emergency medical > service. But county Judge Dick Chase canceled the discussion, saying Wise > County commissioners need more time to gather information before listening > to the public on the controversial issue. Chase said it could be a month to > six weeks before a public meeting on the EMS is held. CareFlite, which had > initially said it would make a formal presentation to take over the > ambulance service, asked for more time before it gave a proposal. Chase said > up to three more companies have been invited to make presentations as well. > " After we gather information, we will have a public hearing, " Chase > promised. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Is Careflite a governmental operation responsible directly to the citizens of Wise County? I thought not. Mike > Wise County EMS and supporters, in my opinion, are not putting into > perspective the whole outlook on Careflite taking over the EMS contract in Wise > County. I have read the messenger since day one and have mostly laughed at all > that was written in the opinion columns. I really would like to know if they > truly believe that Careflite would take over a contract at midnight with a > crew of people that had no clue how to get around in Wise county? I think some > common sense needs to be used and realize that Careflite could not even begin > to run in Wise County without hiring and utilizing the existing crews that > qualify to work as Careflite personnel. I am not in any way stating that Wise > County EMS is better or worse than any EMS in the state of Texas but I would > really like to know how they can compare protocols with another service when > they have never seen the other services protocols. I will continue to read > the Messenger and see how many people of the county run Careflite into the > ground without even knowing what Careflite is about. I live in a County just > Northwest of Wise and I obviously work for Careflite in Dallas and I have to > say that every job has its ups and downs but Careflite as a whole is a great > company to work for. I do not know what will happen with Wise County but I > will say that if Careflite takes over they will be in just as good of hands if > not better than what the County has now because it will still be the same > crews that they are used to seeing with maybe a few people that would love to > come to Wise County and show them why Care is the first part of Careflite. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Is Careflite a governmental operation responsible directly to the citizens of Wise County? I thought not. Mike > Wise County EMS and supporters, in my opinion, are not putting into > perspective the whole outlook on Careflite taking over the EMS contract in Wise > County. I have read the messenger since day one and have mostly laughed at all > that was written in the opinion columns. I really would like to know if they > truly believe that Careflite would take over a contract at midnight with a > crew of people that had no clue how to get around in Wise county? I think some > common sense needs to be used and realize that Careflite could not even begin > to run in Wise County without hiring and utilizing the existing crews that > qualify to work as Careflite personnel. I am not in any way stating that Wise > County EMS is better or worse than any EMS in the state of Texas but I would > really like to know how they can compare protocols with another service when > they have never seen the other services protocols. I will continue to read > the Messenger and see how many people of the county run Careflite into the > ground without even knowing what Careflite is about. I live in a County just > Northwest of Wise and I obviously work for Careflite in Dallas and I have to > say that every job has its ups and downs but Careflite as a whole is a great > company to work for. I do not know what will happen with Wise County but I > will say that if Careflite takes over they will be in just as good of hands if > not better than what the County has now because it will still be the same > crews that they are used to seeing with maybe a few people that would love to > come to Wise County and show them why Care is the first part of Careflite. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Is Careflite a governmental operation responsible directly to the citizens of Wise County? I thought not. Mike > Wise County EMS and supporters, in my opinion, are not putting into > perspective the whole outlook on Careflite taking over the EMS contract in Wise > County. I have read the messenger since day one and have mostly laughed at all > that was written in the opinion columns. I really would like to know if they > truly believe that Careflite would take over a contract at midnight with a > crew of people that had no clue how to get around in Wise county? I think some > common sense needs to be used and realize that Careflite could not even begin > to run in Wise County without hiring and utilizing the existing crews that > qualify to work as Careflite personnel. I am not in any way stating that Wise > County EMS is better or worse than any EMS in the state of Texas but I would > really like to know how they can compare protocols with another service when > they have never seen the other services protocols. I will continue to read > the Messenger and see how many people of the county run Careflite into the > ground without even knowing what Careflite is about. I live in a County just > Northwest of Wise and I obviously work for Careflite in Dallas and I have to > say that every job has its ups and downs but Careflite as a whole is a great > company to work for. I do not know what will happen with Wise County but I > will say that if Careflite takes over they will be in just as good of hands if > not better than what the County has now because it will still be the same > crews that they are used to seeing with maybe a few people that would love to > come to Wise County and show them why Care is the first part of Careflite. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 what's the relevance of that? Re: Wise County info Is Careflite a governmental operation responsible directly to the citizens of Wise County? I thought not. Mike > Wise County EMS and supporters, in my opinion, are not putting into > perspective the whole outlook on Careflite taking over the EMS contract in Wise > County. I have read the messenger since day one and have mostly laughed at all > that was written in the opinion columns. I really would like to know if they > truly believe that Careflite would take over a contract at midnight with a > crew of people that had no clue how to get around in Wise county? I think some > common sense needs to be used and realize that Careflite could not even begin > to run in Wise County without hiring and utilizing the existing crews that > qualify to work as Careflite personnel. I am not in any way stating that Wise > County EMS is better or worse than any EMS in the state of Texas but I would > really like to know how they can compare protocols with another service when > they have never seen the other services protocols. I will continue to read > the Messenger and see how many people of the county run Careflite into the > ground without even knowing what Careflite is about. I live in a County just > Northwest of Wise and I obviously work for Careflite in Dallas and I have to > say that every job has its ups and downs but Careflite as a whole is a great > company to work for. I do not know what will happen with Wise County but I > will say that if Careflite takes over they will be in just as good of hands if > not better than what the County has now because it will still be the same > crews that they are used to seeing with maybe a few people that would love to > come to Wise County and show them why Care is the first part of Careflite. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 what's the relevance of that? Re: Wise County info Is Careflite a governmental operation responsible directly to the citizens of Wise County? I thought not. Mike > Wise County EMS and supporters, in my opinion, are not putting into > perspective the whole outlook on Careflite taking over the EMS contract in Wise > County. I have read the messenger since day one and have mostly laughed at all > that was written in the opinion columns. I really would like to know if they > truly believe that Careflite would take over a contract at midnight with a > crew of people that had no clue how to get around in Wise county? I think some > common sense needs to be used and realize that Careflite could not even begin > to run in Wise County without hiring and utilizing the existing crews that > qualify to work as Careflite personnel. I am not in any way stating that Wise > County EMS is better or worse than any EMS in the state of Texas but I would > really like to know how they can compare protocols with another service when > they have never seen the other services protocols. I will continue to read > the Messenger and see how many people of the county run Careflite into the > ground without even knowing what Careflite is about. I live in a County just > Northwest of Wise and I obviously work for Careflite in Dallas and I have to > say that every job has its ups and downs but Careflite as a whole is a great > company to work for. I do not know what will happen with Wise County but I > will say that if Careflite takes over they will be in just as good of hands if > not better than what the County has now because it will still be the same > crews that they are used to seeing with maybe a few people that would love to > come to Wise County and show them why Care is the first part of Careflite. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 what's the relevance of that? Re: Wise County info Is Careflite a governmental operation responsible directly to the citizens of Wise County? I thought not. Mike > Wise County EMS and supporters, in my opinion, are not putting into > perspective the whole outlook on Careflite taking over the EMS contract in Wise > County. I have read the messenger since day one and have mostly laughed at all > that was written in the opinion columns. I really would like to know if they > truly believe that Careflite would take over a contract at midnight with a > crew of people that had no clue how to get around in Wise county? I think some > common sense needs to be used and realize that Careflite could not even begin > to run in Wise County without hiring and utilizing the existing crews that > qualify to work as Careflite personnel. I am not in any way stating that Wise > County EMS is better or worse than any EMS in the state of Texas but I would > really like to know how they can compare protocols with another service when > they have never seen the other services protocols. I will continue to read > the Messenger and see how many people of the county run Careflite into the > ground without even knowing what Careflite is about. I live in a County just > Northwest of Wise and I obviously work for Careflite in Dallas and I have to > say that every job has its ups and downs but Careflite as a whole is a great > company to work for. I do not know what will happen with Wise County but I > will say that if Careflite takes over they will be in just as good of hands if > not better than what the County has now because it will still be the same > crews that they are used to seeing with maybe a few people that would love to > come to Wise County and show them why Care is the first part of Careflite. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 The bigger picture is the bigger picture. CareFlite is facing stiff competition from PHI, AirEvac, Southwest Helicopters and many others. What better way is there to assure that your helicopter service will be used in a given county and that your associated hospitals will get the patient referrals than to have YOUR employees on the ground deciding which helicopter to call or which hospital to go to. This, my friends, is a trend that you are going to see in EMS and it might not be all bad. A hospital has deep pockets and can write off EMS operational costs (ground and air) if it can demonstrate an increase in upstream revenues for patient care. In FY 2001-2002, Survival Flight in Michigan had operating costs of a little over $6 million--but generated over $61 million in upstream revenues (not including physician fees) [i can forward the Journal of Trauma article if anybody is interested]. Thus, to fill your hospital, operating a helicopter or ground ambulance service is just a cost of doing business. Trust me--this trend will continue throughout Texas with hospitals taking over numerous county and city operations. The problem may be benefit and retirement program issues for many governmental employees. _____ From: [mailto: ] On Behalf Of jple928228@... Sent: Tuesday, September 13, 2005 2:11 PM To: Subject: Re: Wise County info Wise County EMS and supporters, in my opinion, are not putting into perspective the whole outlook on Careflite taking over the EMS contract in Wise County. I have read the messenger since day one and have mostly laughed at all that was written in the opinion columns. I really would like to know if they truly believe that Careflite would take over a contract at midnight with a crew of people that had no clue how to get around in Wise county? I think some common sense needs to be used and realize that Careflite could not even begin to run in Wise County without hiring and utilizing the existing crews that qualify to work as Careflite personnel. I am not in any way stating that Wise County EMS is better or worse than any EMS in the state of Texas but I would really like to know how they can compare protocols with another service when they have never seen the other services protocols. I will continue to read the Messenger and see how many people of the county run Careflite into the ground without even knowing what Careflite is about. I live in a County just Northwest of Wise and I obviously work for Careflite in Dallas and I have to say that every job has its ups and downs but Careflite as a whole is a great company to work for. I do not know what will happen with Wise County but I will say that if Careflite takes over they will be in just as good of hands if not better than what the County has now because it will still be the same crews that they are used to seeing with maybe a few people that would love to come to Wise County and show them why Care is the first part of Careflite. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 The bigger picture is the bigger picture. CareFlite is facing stiff competition from PHI, AirEvac, Southwest Helicopters and many others. What better way is there to assure that your helicopter service will be used in a given county and that your associated hospitals will get the patient referrals than to have YOUR employees on the ground deciding which helicopter to call or which hospital to go to. This, my friends, is a trend that you are going to see in EMS and it might not be all bad. A hospital has deep pockets and can write off EMS operational costs (ground and air) if it can demonstrate an increase in upstream revenues for patient care. In FY 2001-2002, Survival Flight in Michigan had operating costs of a little over $6 million--but generated over $61 million in upstream revenues (not including physician fees) [i can forward the Journal of Trauma article if anybody is interested]. Thus, to fill your hospital, operating a helicopter or ground ambulance service is just a cost of doing business. Trust me--this trend will continue throughout Texas with hospitals taking over numerous county and city operations. The problem may be benefit and retirement program issues for many governmental employees. _____ From: [mailto: ] On Behalf Of jple928228@... Sent: Tuesday, September 13, 2005 2:11 PM To: Subject: Re: Wise County info Wise County EMS and supporters, in my opinion, are not putting into perspective the whole outlook on Careflite taking over the EMS contract in Wise County. I have read the messenger since day one and have mostly laughed at all that was written in the opinion columns. I really would like to know if they truly believe that Careflite would take over a contract at midnight with a crew of people that had no clue how to get around in Wise county? I think some common sense needs to be used and realize that Careflite could not even begin to run in Wise County without hiring and utilizing the existing crews that qualify to work as Careflite personnel. I am not in any way stating that Wise County EMS is better or worse than any EMS in the state of Texas but I would really like to know how they can compare protocols with another service when they have never seen the other services protocols. I will continue to read the Messenger and see how many people of the county run Careflite into the ground without even knowing what Careflite is about. I live in a County just Northwest of Wise and I obviously work for Careflite in Dallas and I have to say that every job has its ups and downs but Careflite as a whole is a great company to work for. I do not know what will happen with Wise County but I will say that if Careflite takes over they will be in just as good of hands if not better than what the County has now because it will still be the same crews that they are used to seeing with maybe a few people that would love to come to Wise County and show them why Care is the first part of Careflite. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 The bigger picture is the bigger picture. CareFlite is facing stiff competition from PHI, AirEvac, Southwest Helicopters and many others. What better way is there to assure that your helicopter service will be used in a given county and that your associated hospitals will get the patient referrals than to have YOUR employees on the ground deciding which helicopter to call or which hospital to go to. This, my friends, is a trend that you are going to see in EMS and it might not be all bad. A hospital has deep pockets and can write off EMS operational costs (ground and air) if it can demonstrate an increase in upstream revenues for patient care. In FY 2001-2002, Survival Flight in Michigan had operating costs of a little over $6 million--but generated over $61 million in upstream revenues (not including physician fees) [i can forward the Journal of Trauma article if anybody is interested]. Thus, to fill your hospital, operating a helicopter or ground ambulance service is just a cost of doing business. Trust me--this trend will continue throughout Texas with hospitals taking over numerous county and city operations. The problem may be benefit and retirement program issues for many governmental employees. _____ From: [mailto: ] On Behalf Of jple928228@... Sent: Tuesday, September 13, 2005 2:11 PM To: Subject: Re: Wise County info Wise County EMS and supporters, in my opinion, are not putting into perspective the whole outlook on Careflite taking over the EMS contract in Wise County. I have read the messenger since day one and have mostly laughed at all that was written in the opinion columns. I really would like to know if they truly believe that Careflite would take over a contract at midnight with a crew of people that had no clue how to get around in Wise county? I think some common sense needs to be used and realize that Careflite could not even begin to run in Wise County without hiring and utilizing the existing crews that qualify to work as Careflite personnel. I am not in any way stating that Wise County EMS is better or worse than any EMS in the state of Texas but I would really like to know how they can compare protocols with another service when they have never seen the other services protocols. I will continue to read the Messenger and see how many people of the county run Careflite into the ground without even knowing what Careflite is about. I live in a County just Northwest of Wise and I obviously work for Careflite in Dallas and I have to say that every job has its ups and downs but Careflite as a whole is a great company to work for. I do not know what will happen with Wise County but I will say that if Careflite takes over they will be in just as good of hands if not better than what the County has now because it will still be the same crews that they are used to seeing with maybe a few people that would love to come to Wise County and show them why Care is the first part of Careflite. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 By saying " not necessarily a bad thing " I was thinking the following: 1. In my opinion, EMS should be a part of the health care system and not public safety. 2. Salaries and benefits might be better for EMS people. Those were the only thoughts I had that supported the statement. BEB _____ From: [mailto: ] On Behalf Of lnmolino@... Sent: Tuesday, September 13, 2005 1:41 PM To: Subject: Re: Wise County info Doc (AKA ), As you said this is not necessarily a " bad thing " but has anyone ever studied the ethical aspects of this issue? Has any entity ever been accused or whatever of doing things in ways that are not in the best interest of the patients but rather in the best interest of the bottom line? Not anecdotal mind you but proven either via empirical data or by some form of litigation proving such an allegation? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Office) (Cell Phone) (Office Fax) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2005 Report Share Posted September 13, 2005 Point 1 - Agreed Point 2 - I'm not sold on this thought. From the limited knowledge I have from friends and colleagues it has come to my attention that in general private sector EMS personnel have MUCH worse benefits and retirement than those of county or municipal employees. Thus the poll(s) I posed some time ago about EMS retirement systems. Tater " Bledsoe, DO " wrote: By saying " not necessarily a bad thing " I was thinking the following: 1. In my opinion, EMS should be a part of the health care system and not public safety. 2. Salaries and benefits might be better for EMS people. Those were the only thoughts I had that supported the statement. BEB _____ From: [mailto: ] On Behalf Of lnmolino@... Sent: Tuesday, September 13, 2005 1:41 PM To: Subject: Re: Wise County info Doc (AKA ), As you said this is not necessarily a " bad thing " but has anyone ever studied the ethical aspects of this issue? Has any entity ever been accused or whatever of doing things in ways that are not in the best interest of the patients but rather in the best interest of the bottom line? Not anecdotal mind you but proven either via empirical data or by some form of litigation proving such an allegation? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Office) (Cell Phone) (Office Fax) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2005 Report Share Posted September 14, 2005 Wes, I am trying to email something private to you and keep getting the following when I send you email to the aol.com email address. The message could not be sent because one of the recipients was rejected by the server. The rejected e-mail address was 'ExLngHrn@...'. Subject 'Re: Wise County info', Account: 'mail.granitesolution.com', Server: 'mail.granitesolution.com', Protocol: SMTP, Server Response: '550 5.7.1 ... Relaying denied', Port: 25, Secure(SSL): No, Server Error: 550, Error Number: 0x800CCC79 Ed Re: Wise County info >> >> >> >> Doc (AKA ), >> >> As you said this is not necessarily a " bad thing " but has anyone ever >> studied the ethical aspects of this issue? Has any entity ever been >> accused >> or >> whatever of doing things in ways that are not in the best interest of the >> patients but rather in the best interest of the bottom line? >> >> Not anecdotal mind you but proven either via empirical data or by some >> form >> >> of litigation proving such an allegation? >> >> Louis N. Molino, Sr., CET >> FF/NREMT-B/FSI/EMSI >> LNMolino@... >> (Office) >> (Cell Phone) >> (Office Fax) >> >> " A Texan with a Jersey Attitude " >> >> The comments contained in this E-mail are the opinions of the author and >> the >> author alone. I in no way ever intend to speak for any person or >> organization that I am in any way whatsoever involved or associated with >> unless I >> specifically state that I am doing so. Further this E-mail is intended >> only >> for its >> stated recipient and may contain private and or confidential materials >> retransmission is strictly prohibited unless placed in the public domain >> by >> the >> original author. >> >> _____ >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2005 Report Share Posted September 14, 2005 Wes, I am trying to email something private to you and keep getting the following when I send you email to the aol.com email address. The message could not be sent because one of the recipients was rejected by the server. The rejected e-mail address was 'ExLngHrn@...'. Subject 'Re: Wise County info', Account: 'mail.granitesolution.com', Server: 'mail.granitesolution.com', Protocol: SMTP, Server Response: '550 5.7.1 ... Relaying denied', Port: 25, Secure(SSL): No, Server Error: 550, Error Number: 0x800CCC79 Ed Re: Wise County info >> >> >> >> Doc (AKA ), >> >> As you said this is not necessarily a " bad thing " but has anyone ever >> studied the ethical aspects of this issue? Has any entity ever been >> accused >> or >> whatever of doing things in ways that are not in the best interest of the >> patients but rather in the best interest of the bottom line? >> >> Not anecdotal mind you but proven either via empirical data or by some >> form >> >> of litigation proving such an allegation? >> >> Louis N. Molino, Sr., CET >> FF/NREMT-B/FSI/EMSI >> LNMolino@... >> (Office) >> (Cell Phone) >> (Office Fax) >> >> " A Texan with a Jersey Attitude " >> >> The comments contained in this E-mail are the opinions of the author and >> the >> author alone. I in no way ever intend to speak for any person or >> organization that I am in any way whatsoever involved or associated with >> unless I >> specifically state that I am doing so. Further this E-mail is intended >> only >> for its >> stated recipient and may contain private and or confidential materials >> retransmission is strictly prohibited unless placed in the public domain >> by >> the >> original author. >> >> _____ >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2005 Report Share Posted September 14, 2005 LOL........ why would you suspect this? ExLngHrn@... wrote: No offense to many of the RNs on here who DO understand EMS, but I'd submit another item to Henry's list. 8. The hospital system will eventually appoint an RN with no understanding of EMS to either be the EMS director or the person the EMS director reports to. -Wes Ogilvie, MPA, JD, EMT Austin, Texas Re: Wise County info > > > > Doc (AKA ), > > As you said this is not necessarily a " bad thing " but has anyone ever > studied the ethical aspects of this issue? Has any entity ever been accused > or > whatever of doing things in ways that are not in the best interest of the > patients but rather in the best interest of the bottom line? > > Not anecdotal mind you but proven either via empirical data or by some form > > of litigation proving such an allegation? > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/EMSI > LNMolino@... > (Office) > (Cell Phone) > (Office Fax) > > " A Texan with a Jersey Attitude " > > The comments contained in this E-mail are the opinions of the author and > the > author alone. I in no way ever intend to speak for any person or > organization that I am in any way whatsoever involved or associated with > unless I > specifically state that I am doing so. Further this E-mail is intended only > for its > stated recipient and may contain private and or confidential materials > retransmission is strictly prohibited unless placed in the public domain by > the > original author. > > _____ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2005 Report Share Posted September 14, 2005 I have to completely agree with Henry, and I expound on his comments below... Mike > 2. The health system places a low priority on EMS based on Number 1 Right. EMS is a ways and means to other things, not a service in and of itself when run by a health system. For all those who believe that EMS has no place in public safety, I ask this: will you get rid of your lights and sirens completely, and stop placing your personnel in ANY dangerous situation, AND ask your rescuers, who will now retrieve your patients for you, to not perform ANY EMS while rescuing them? If not, then there is, in fact, a public safety aspect to EMS. I assert that private corporations are not as willing as they think to knowingly put employees in dangerous situations without the proper training and equipment, neither of which most EMS providers get (with regards to extrication gear, fire-resistant uniforms, personal safety equipment, etc.). > 5. The health system can only exist by keeping its head above the ground money > wise. Agreed. EMS runs aren't about the patient any more when run " for money, " they're about patient dollars. IOW, let's transport to generate a bill... regardless of whether or not this is what the patient needs... it's what my health care conglomerate system needs... > I see no real benefit at all to being part of a health system. In fact being > part of a city or county government system actually provides a better safe guard > for the citizens. What stimulates the local government to move forward? Public Agreed, which is why civil service protections are so important, and why they must be extended to EMS providers not working for fire or police departments. Civil Service provides employees a " safety net " that allows them to work with less fear of actual micromanagement and intimidation. Quote Link to comment Share on other sites More sharing options...
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