Guest guest Posted December 17, 2005 Report Share Posted December 17, 2005 For the less dense among us, Medicare fraud is considered a crime. EMS Ambulance Transport Fraudulent Billing and Medicare Fraud Mike > EMS > Ambulance Transport > Drug and Organized Crime Scenarios... > > Yeah...I see the tie. > > Dudley > > Re: Re: IRS looks into 2 ambulance firms for > > possible > > > Medicare fraud > > > > > > Before we start the turf wars again, let me say from personel > > experience > > > that the two providers named in this article are shady, and cast a > > very dim > > > light on those transport providers that do provide a good quality > > service, > > > some of which are in the DFW area. > > > > > > In addition to the two named in the article, there were several > more > > > " shady " operations that were hit the same day. DFW Ambulance, Royal, > > Care > > > First, which are in part connected with the first two. > > > > > > We have all had dealings with " fly-by-night " providers. My question > > now > > > is, will TDH or DSHS do ANYTHING to pull these providers licensure? > My > > > guess, maybe but probabaly not. > > > > > > Wayne > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 17, 2005 Report Share Posted December 17, 2005 THEDUDMAN@a... wrote: > > BTW, what makes the hip fracture in the nursing home less important (or > need less care) than the hip fracture in a living room? Absolutely nothing. That's why they should be calling 911 and not Bob's Ambulance Service. And that is why I have long argued with administrators over the systemic inequities that nursing home patients receive from EMS. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 17, 2005 Report Share Posted December 17, 2005 THEDUDMAN@a... wrote: > > BTW, what makes the hip fracture in the nursing home less important (or > need less care) than the hip fracture in a living room? Absolutely nothing. That's why they should be calling 911 and not Bob's Ambulance Service. And that is why I have long argued with administrators over the systemic inequities that nursing home patients receive from EMS. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 17, 2005 Report Share Posted December 17, 2005 Mike <paramedicop@g...> wrote: > > For the less dense among us, Medicare fraud is considered a crime. And it is a crime that I am much more concerned about than drugs, because Medicare fraud involves MY money! Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 The biggest complaints from nursing homes about 911 providers is that they are rough with the patients and rude to the nursing staff. Whereas a transfer service is more compassionate, not in a hurry to get back in service for the next woo-woo call, and somewhat more patient with the nurses. Why? The transfer services understand this is their bread and butter and will do anything not to jepordize their contracts. Salvador Capuchino Jr EMT-Paramedic --- dustdevil31 wrote: > THEDUDMAN@a... wrote: > > > > BTW, what makes the hip fracture in the nursing > home less important > (or > > need less care) than the hip fracture in a living > room? > > Absolutely nothing. That's why they should be > calling 911 and not > Bob's Ambulance Service. And that is why I have > long argued with > administrators over the systemic inequities that > nursing home patients > receive from EMS. > > Rob > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 The biggest complaints from nursing homes about 911 providers is that they are rough with the patients and rude to the nursing staff. Whereas a transfer service is more compassionate, not in a hurry to get back in service for the next woo-woo call, and somewhat more patient with the nurses. Why? The transfer services understand this is their bread and butter and will do anything not to jepordize their contracts. Salvador Capuchino Jr EMT-Paramedic --- dustdevil31 wrote: > THEDUDMAN@a... wrote: > > > > BTW, what makes the hip fracture in the nursing > home less important > (or > > need less care) than the hip fracture in a living > room? > > Absolutely nothing. That's why they should be > calling 911 and not > Bob's Ambulance Service. And that is why I have > long argued with > administrators over the systemic inequities that > nursing home patients > receive from EMS. > > Rob > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 Isn't there a DSHS rule that requires nursing homes to notify DSHS anytime they call and/or have a pt transported by 911? If so, this tends to make nursing homes wait with pts that are in bad shape for the transfer service with an extended ETA rather than calling 911. Years ago, I worked for a private that rather than roll the call over to the local 911 service they would send a transfer unit emergency traffic from across Houston to League City. As a side noted, LCEMS station was only about 2 minutes from this particular nursing home. Saunders LP  The biggest complaints from nursing homes about 911 providers is that they are rough with the patients and rude to the nursing staff. Whereas a transfer service is more compassionate, not in a hurry to get back in service for the next woo-woo call, and somewhat more patient with the nurses. Why? The transfer services understand this is their bread and butter and will do anything not to jepordize their contracts. Salvador Capuchino Jr EMT-Paramedic --- dustdevil31 wrote: > THEDUDMAN@a... wrote: > > > > BTW, what makes the hip fracture in the nursing > home less important > (or > > need less care) than the hip fracture in a living > room? > > Absolutely nothing. That's why they should be > calling 911 and not > Bob's Ambulance Service. And that is why I have > long argued with > administrators over the systemic inequities that > nursing home patients > receive from EMS. > > Rob > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 Isn't there a DSHS rule that requires nursing homes to notify DSHS anytime they call and/or have a pt transported by 911? If so, this tends to make nursing homes wait with pts that are in bad shape for the transfer service with an extended ETA rather than calling 911. Years ago, I worked for a private that rather than roll the call over to the local 911 service they would send a transfer unit emergency traffic from across Houston to League City. As a side noted, LCEMS station was only about 2 minutes from this particular nursing home. Saunders LP  The biggest complaints from nursing homes about 911 providers is that they are rough with the patients and rude to the nursing staff. Whereas a transfer service is more compassionate, not in a hurry to get back in service for the next woo-woo call, and somewhat more patient with the nurses. Why? The transfer services understand this is their bread and butter and will do anything not to jepordize their contracts. Salvador Capuchino Jr EMT-Paramedic --- dustdevil31 wrote: > THEDUDMAN@a... wrote: > > > > BTW, what makes the hip fracture in the nursing > home less important > (or > > need less care) than the hip fracture in a living > room? > > Absolutely nothing. That's why they should be > calling 911 and not > Bob's Ambulance Service. And that is why I have > long argued with > administrators over the systemic inequities that > nursing home patients > receive from EMS. > > Rob > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 Isn't there a DSHS rule that requires nursing homes to notify DSHS anytime they call and/or have a pt transported by 911? If so, this tends to make nursing homes wait with pts that are in bad shape for the transfer service with an extended ETA rather than calling 911. Years ago, I worked for a private that rather than roll the call over to the local 911 service they would send a transfer unit emergency traffic from across Houston to League City. As a side noted, LCEMS station was only about 2 minutes from this particular nursing home. Saunders LP  The biggest complaints from nursing homes about 911 providers is that they are rough with the patients and rude to the nursing staff. Whereas a transfer service is more compassionate, not in a hurry to get back in service for the next woo-woo call, and somewhat more patient with the nurses. Why? The transfer services understand this is their bread and butter and will do anything not to jepordize their contracts. Salvador Capuchino Jr EMT-Paramedic --- dustdevil31 wrote: > THEDUDMAN@a... wrote: > > > > BTW, what makes the hip fracture in the nursing > home less important > (or > > need less care) than the hip fracture in a living > room? > > Absolutely nothing. That's why they should be > calling 911 and not > Bob's Ambulance Service. And that is why I have > long argued with > administrators over the systemic inequities that > nursing home patients > receive from EMS. > > Rob > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 My post does not mean I agree with the nsg homes calling their contracted provider if there is a 911 provider closer. Maybe some of you 911 providers should look a little closer at the way your medics interact with nsg homes/patients/staff. The comments from one Director of a transfer service is that we 911 medics are a little rough around the edges and quick to jump the gun, etc. Salvador Capuchino Jr EMT-Paramedic --- medictaz@... wrote: > Isn't there a DSHS rule that requires nursing homes > to notify DSHS anytime they call and/or have a pt > transported by 911? > > If so, this tends to make nursing homes wait with > pts that are in bad shape for the transfer service > with an extended ETA rather than calling 911. Years > ago, I worked for a private that rather than roll > the call over to the local 911 service they would > send a transfer unit emergency traffic from across > Houston to League City. As a side noted, LCEMS > station was only about 2 minutes from this > particular nursing home. > > > Saunders LP > > > > >  > The biggest complaints from nursing homes about 911 > providers is that they are rough with the patients > and > rude to the nursing staff. Whereas a transfer > service > is more compassionate, not in a hurry to get back in > service for the next woo-woo call, and somewhat more > patient with the nurses. Why? The transfer > services > understand this is their bread and butter and will > do > anything not to jepordize their contracts. > Salvador Capuchino Jr > EMT-Paramedic > > --- dustdevil31 wrote: > > > THEDUDMAN@a... wrote: > > > > > > BTW, what makes the hip fracture in the nursing > > home less important > > (or > > > need less care) than the hip fracture in a > living > > room? > > > > Absolutely nothing. That's why they should be > > calling 911 and not > > Bob's Ambulance Service. And that is why I have > > long argued with > > administrators over the systemic inequities that > > nursing home patients > > receive from EMS. > > > > Rob > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 My post does not mean I agree with the nsg homes calling their contracted provider if there is a 911 provider closer. Maybe some of you 911 providers should look a little closer at the way your medics interact with nsg homes/patients/staff. The comments from one Director of a transfer service is that we 911 medics are a little rough around the edges and quick to jump the gun, etc. Salvador Capuchino Jr EMT-Paramedic --- medictaz@... wrote: > Isn't there a DSHS rule that requires nursing homes > to notify DSHS anytime they call and/or have a pt > transported by 911? > > If so, this tends to make nursing homes wait with > pts that are in bad shape for the transfer service > with an extended ETA rather than calling 911. Years > ago, I worked for a private that rather than roll > the call over to the local 911 service they would > send a transfer unit emergency traffic from across > Houston to League City. As a side noted, LCEMS > station was only about 2 minutes from this > particular nursing home. > > > Saunders LP > > > > >  > The biggest complaints from nursing homes about 911 > providers is that they are rough with the patients > and > rude to the nursing staff. Whereas a transfer > service > is more compassionate, not in a hurry to get back in > service for the next woo-woo call, and somewhat more > patient with the nurses. Why? The transfer > services > understand this is their bread and butter and will > do > anything not to jepordize their contracts. > Salvador Capuchino Jr > EMT-Paramedic > > --- dustdevil31 wrote: > > > THEDUDMAN@a... wrote: > > > > > > BTW, what makes the hip fracture in the nursing > > home less important > > (or > > > need less care) than the hip fracture in a > living > > room? > > > > Absolutely nothing. That's why they should be > > calling 911 and not > > Bob's Ambulance Service. And that is why I have > > long argued with > > administrators over the systemic inequities that > > nursing home patients > > receive from EMS. > > > > Rob > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 My post does not mean I agree with the nsg homes calling their contracted provider if there is a 911 provider closer. Maybe some of you 911 providers should look a little closer at the way your medics interact with nsg homes/patients/staff. The comments from one Director of a transfer service is that we 911 medics are a little rough around the edges and quick to jump the gun, etc. Salvador Capuchino Jr EMT-Paramedic --- medictaz@... wrote: > Isn't there a DSHS rule that requires nursing homes > to notify DSHS anytime they call and/or have a pt > transported by 911? > > If so, this tends to make nursing homes wait with > pts that are in bad shape for the transfer service > with an extended ETA rather than calling 911. Years > ago, I worked for a private that rather than roll > the call over to the local 911 service they would > send a transfer unit emergency traffic from across > Houston to League City. As a side noted, LCEMS > station was only about 2 minutes from this > particular nursing home. > > > Saunders LP > > > > >  > The biggest complaints from nursing homes about 911 > providers is that they are rough with the patients > and > rude to the nursing staff. Whereas a transfer > service > is more compassionate, not in a hurry to get back in > service for the next woo-woo call, and somewhat more > patient with the nurses. Why? The transfer > services > understand this is their bread and butter and will > do > anything not to jepordize their contracts. > Salvador Capuchino Jr > EMT-Paramedic > > --- dustdevil31 wrote: > > > THEDUDMAN@a... wrote: > > > > > > BTW, what makes the hip fracture in the nursing > > home less important > > (or > > > need less care) than the hip fracture in a > living > > room? > > > > Absolutely nothing. That's why they should be > > calling 911 and not > > Bob's Ambulance Service. And that is why I have > > long argued with > > administrators over the systemic inequities that > > nursing home patients > > receive from EMS. > > > > Rob > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 Mr. Capuchino: I have worked both the 911 end of and private service company that responds to nursing home calls. I have found nursing home and SNF facilities very evasive,rude, and uncooperative when we try to treat their patients. Their key fear is lawsuits,DSHS,and other regulatory agencies. When a call comes to a private company calls,it is a " Transfer " . This doesn't require scrutiny of any kind. I have seen many patients injured under conditions that I feel are questionable. I can not get a straight answer on how a patient has beein injured. Why he was moved from a floor to a bed with a hip injury.Finally, why they seem to bumble when finding the pts doctor to get a transport order, and treatment is extremely delayed. I feel the Nursing Home industry is profit not patient care driven. They have a lot of staff who cannot adequately care for their pts. I feel the low pay and profit is at the bottom of the problem. There is no adequate regulation of these facilities, Bottom line nobody gives a damn. We in EMS cannot do much. But we can treat these people as best we can. I hope you see something in my perspective. Regards.rabbiems salvador capuchino wrote: My post does not mean I agree with the nsg homes calling their contracted provider if there is a 911 provider closer. Maybe some of you 911 providers should look a little closer at the way your medics interact with nsg homes/patients/staff. The comments from one Director of a transfer service is that we 911 medics are a little rough around the edges and quick to jump the gun, etc. Salvador Capuchino Jr EMT-Paramedic --- medictaz@... wrote: > Isn't there a DSHS rule that requires nursing homes > to notify DSHS anytime they call and/or have a pt > transported by 911? > > If so, this tends to make nursing homes wait with > pts that are in bad shape for the transfer service > with an extended ETA rather than calling 911. Years > ago, I worked for a private that rather than roll > the call over to the local 911 service they would > send a transfer unit emergency traffic from across > Houston to League City. As a side noted, LCEMS > station was only about 2 minutes from this > particular nursing home. > > > Saunders LP > > > > > > The biggest complaints from nursing homes about 911 > providers is that they are rough with the patients > and > rude to the nursing staff. Whereas a transfer > service > is more compassionate, not in a hurry to get back in > service for the next woo-woo call, and somewhat more > patient with the nurses. Why? The transfer > services > understand this is their bread and butter and will > do > anything not to jepordize their contracts. > Salvador Capuchino Jr > EMT-Paramedic > > --- dustdevil31 wrote: > > > THEDUDMAN@a... wrote: > > > > > > BTW, what makes the hip fracture in the nursing > > home less important > > (or > > > need less care) than the hip fracture in a > living > > room? > > > > Absolutely nothing. That's why they should be > > calling 911 and not > > Bob's Ambulance Service. And that is why I have > > long argued with > > administrators over the systemic inequities that > > nursing home patients > > receive from EMS. > > > > Rob > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 Mr. Capuchino: I have worked both the 911 end of and private service company that responds to nursing home calls. I have found nursing home and SNF facilities very evasive,rude, and uncooperative when we try to treat their patients. Their key fear is lawsuits,DSHS,and other regulatory agencies. When a call comes to a private company calls,it is a " Transfer " . This doesn't require scrutiny of any kind. I have seen many patients injured under conditions that I feel are questionable. I can not get a straight answer on how a patient has beein injured. Why he was moved from a floor to a bed with a hip injury.Finally, why they seem to bumble when finding the pts doctor to get a transport order, and treatment is extremely delayed. I feel the Nursing Home industry is profit not patient care driven. They have a lot of staff who cannot adequately care for their pts. I feel the low pay and profit is at the bottom of the problem. There is no adequate regulation of these facilities, Bottom line nobody gives a damn. We in EMS cannot do much. But we can treat these people as best we can. I hope you see something in my perspective. Regards.rabbiems salvador capuchino wrote: My post does not mean I agree with the nsg homes calling their contracted provider if there is a 911 provider closer. Maybe some of you 911 providers should look a little closer at the way your medics interact with nsg homes/patients/staff. The comments from one Director of a transfer service is that we 911 medics are a little rough around the edges and quick to jump the gun, etc. Salvador Capuchino Jr EMT-Paramedic --- medictaz@... wrote: > Isn't there a DSHS rule that requires nursing homes > to notify DSHS anytime they call and/or have a pt > transported by 911? > > If so, this tends to make nursing homes wait with > pts that are in bad shape for the transfer service > with an extended ETA rather than calling 911. Years > ago, I worked for a private that rather than roll > the call over to the local 911 service they would > send a transfer unit emergency traffic from across > Houston to League City. As a side noted, LCEMS > station was only about 2 minutes from this > particular nursing home. > > > Saunders LP > > > > > > The biggest complaints from nursing homes about 911 > providers is that they are rough with the patients > and > rude to the nursing staff. Whereas a transfer > service > is more compassionate, not in a hurry to get back in > service for the next woo-woo call, and somewhat more > patient with the nurses. Why? The transfer > services > understand this is their bread and butter and will > do > anything not to jepordize their contracts. > Salvador Capuchino Jr > EMT-Paramedic > > --- dustdevil31 wrote: > > > THEDUDMAN@a... wrote: > > > > > > BTW, what makes the hip fracture in the nursing > > home less important > > (or > > > need less care) than the hip fracture in a > living > > room? > > > > Absolutely nothing. That's why they should be > > calling 911 and not > > Bob's Ambulance Service. And that is why I have > > long argued with > > administrators over the systemic inequities that > > nursing home patients > > receive from EMS. > > > > Rob > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 Mr. Capuchino: I have worked both the 911 end of and private service company that responds to nursing home calls. I have found nursing home and SNF facilities very evasive,rude, and uncooperative when we try to treat their patients. Their key fear is lawsuits,DSHS,and other regulatory agencies. When a call comes to a private company calls,it is a " Transfer " . This doesn't require scrutiny of any kind. I have seen many patients injured under conditions that I feel are questionable. I can not get a straight answer on how a patient has beein injured. Why he was moved from a floor to a bed with a hip injury.Finally, why they seem to bumble when finding the pts doctor to get a transport order, and treatment is extremely delayed. I feel the Nursing Home industry is profit not patient care driven. They have a lot of staff who cannot adequately care for their pts. I feel the low pay and profit is at the bottom of the problem. There is no adequate regulation of these facilities, Bottom line nobody gives a damn. We in EMS cannot do much. But we can treat these people as best we can. I hope you see something in my perspective. Regards.rabbiems salvador capuchino wrote: My post does not mean I agree with the nsg homes calling their contracted provider if there is a 911 provider closer. Maybe some of you 911 providers should look a little closer at the way your medics interact with nsg homes/patients/staff. The comments from one Director of a transfer service is that we 911 medics are a little rough around the edges and quick to jump the gun, etc. Salvador Capuchino Jr EMT-Paramedic --- medictaz@... wrote: > Isn't there a DSHS rule that requires nursing homes > to notify DSHS anytime they call and/or have a pt > transported by 911? > > If so, this tends to make nursing homes wait with > pts that are in bad shape for the transfer service > with an extended ETA rather than calling 911. Years > ago, I worked for a private that rather than roll > the call over to the local 911 service they would > send a transfer unit emergency traffic from across > Houston to League City. As a side noted, LCEMS > station was only about 2 minutes from this > particular nursing home. > > > Saunders LP > > > > > > The biggest complaints from nursing homes about 911 > providers is that they are rough with the patients > and > rude to the nursing staff. Whereas a transfer > service > is more compassionate, not in a hurry to get back in > service for the next woo-woo call, and somewhat more > patient with the nurses. Why? The transfer > services > understand this is their bread and butter and will > do > anything not to jepordize their contracts. > Salvador Capuchino Jr > EMT-Paramedic > > --- dustdevil31 wrote: > > > THEDUDMAN@a... wrote: > > > > > > BTW, what makes the hip fracture in the nursing > > home less important > > (or > > > need less care) than the hip fracture in a > living > > room? > > > > Absolutely nothing. That's why they should be > > calling 911 and not > > Bob's Ambulance Service. And that is why I have > > long argued with > > administrators over the systemic inequities that > > nursing home patients > > receive from EMS. > > > > Rob > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 I agree with you as I too have worked all angles on this problem. This does not apply to everyone, but to some. Salvador Capuchino Jr EMT-Paramedic --- richard borenstein wrote: > Mr. Capuchino: > I have worked both the 911 end of and private > service company that responds to nursing home calls. > I have found nursing home and SNF facilities very > evasive,rude, and uncooperative when we try to treat > their patients. Their key fear is lawsuits,DSHS,and > other regulatory agencies. When a call comes to a > private company calls,it is a " Transfer " . This > doesn't require scrutiny of any kind. I have seen > many patients injured under conditions that I feel > are questionable. I can not get a straight answer on > how a patient has beein injured. Why he was moved > from a floor to a bed with a hip injury.Finally, why > they seem to bumble when finding the pts doctor to > get a transport order, and treatment is extremely > delayed. I feel the Nursing Home industry is profit > not patient care driven. They have a lot of staff > who cannot adequately care for their pts. I feel the > low pay and profit is at the bottom of the problem. > There is no adequate regulation of these facilities, > Bottom line nobody gives a > damn. We in EMS cannot do much. But we can treat > these people as best we can. I hope you see > something in my perspective. Regards.rabbiems > > salvador capuchino wrote: > My post does not mean I agree with the nsg homes > calling their contracted provider if there is a 911 > provider closer. Maybe some of you 911 providers > should look a little closer at the way your medics > interact with nsg homes/patients/staff. The > comments > from one Director of a transfer service is that we > 911 > medics are a little rough around the edges and quick > to jump the gun, etc. > Salvador Capuchino Jr > EMT-Paramedic > --- medictaz@... wrote: > > > Isn't there a DSHS rule that requires nursing > homes > > to notify DSHS anytime they call and/or have a pt > > transported by 911? > > > > If so, this tends to make nursing homes wait with > > pts that are in bad shape for the transfer service > > with an extended ETA rather than calling 911. > Years > > ago, I worked for a private that rather than roll > > the call over to the local 911 service they would > > send a transfer unit emergency traffic from across > > Houston to League City. As a side noted, LCEMS > > station was only about 2 minutes from this > > particular nursing home. > > > > > > Saunders LP > > > > > > > > > > > > The biggest complaints from nursing homes about > 911 > > providers is that they are rough with the patients > > and > > rude to the nursing staff. Whereas a transfer > > service > > is more compassionate, not in a hurry to get back > in > > service for the next woo-woo call, and somewhat > more > > patient with the nurses. Why? The transfer > > services > > understand this is their bread and butter and will > > do > > anything not to jepordize their contracts. > > Salvador Capuchino Jr > > EMT-Paramedic > > > > --- dustdevil31 wrote: > > > > > THEDUDMAN@a... wrote: > > > > > > > > BTW, what makes the hip fracture in the > nursing > > > home less important > > > (or > > > > need less care) than the hip fracture in a > > living > > > room? > > > > > > Absolutely nothing. That's why they should be > > > calling 911 and not > > > Bob's Ambulance Service. And that is why I have > > > long argued with > > > administrators over the systemic inequities that > > > nursing home patients > > > receive from EMS. > > > > > > Rob > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 I agree with you as I too have worked all angles on this problem. This does not apply to everyone, but to some. Salvador Capuchino Jr EMT-Paramedic --- richard borenstein wrote: > Mr. Capuchino: > I have worked both the 911 end of and private > service company that responds to nursing home calls. > I have found nursing home and SNF facilities very > evasive,rude, and uncooperative when we try to treat > their patients. Their key fear is lawsuits,DSHS,and > other regulatory agencies. When a call comes to a > private company calls,it is a " Transfer " . This > doesn't require scrutiny of any kind. I have seen > many patients injured under conditions that I feel > are questionable. I can not get a straight answer on > how a patient has beein injured. Why he was moved > from a floor to a bed with a hip injury.Finally, why > they seem to bumble when finding the pts doctor to > get a transport order, and treatment is extremely > delayed. I feel the Nursing Home industry is profit > not patient care driven. They have a lot of staff > who cannot adequately care for their pts. I feel the > low pay and profit is at the bottom of the problem. > There is no adequate regulation of these facilities, > Bottom line nobody gives a > damn. We in EMS cannot do much. But we can treat > these people as best we can. I hope you see > something in my perspective. Regards.rabbiems > > salvador capuchino wrote: > My post does not mean I agree with the nsg homes > calling their contracted provider if there is a 911 > provider closer. Maybe some of you 911 providers > should look a little closer at the way your medics > interact with nsg homes/patients/staff. The > comments > from one Director of a transfer service is that we > 911 > medics are a little rough around the edges and quick > to jump the gun, etc. > Salvador Capuchino Jr > EMT-Paramedic > --- medictaz@... wrote: > > > Isn't there a DSHS rule that requires nursing > homes > > to notify DSHS anytime they call and/or have a pt > > transported by 911? > > > > If so, this tends to make nursing homes wait with > > pts that are in bad shape for the transfer service > > with an extended ETA rather than calling 911. > Years > > ago, I worked for a private that rather than roll > > the call over to the local 911 service they would > > send a transfer unit emergency traffic from across > > Houston to League City. As a side noted, LCEMS > > station was only about 2 minutes from this > > particular nursing home. > > > > > > Saunders LP > > > > > > > > > > > > The biggest complaints from nursing homes about > 911 > > providers is that they are rough with the patients > > and > > rude to the nursing staff. Whereas a transfer > > service > > is more compassionate, not in a hurry to get back > in > > service for the next woo-woo call, and somewhat > more > > patient with the nurses. Why? The transfer > > services > > understand this is their bread and butter and will > > do > > anything not to jepordize their contracts. > > Salvador Capuchino Jr > > EMT-Paramedic > > > > --- dustdevil31 wrote: > > > > > THEDUDMAN@a... wrote: > > > > > > > > BTW, what makes the hip fracture in the > nursing > > > home less important > > > (or > > > > need less care) than the hip fracture in a > > living > > > room? > > > > > > Absolutely nothing. That's why they should be > > > calling 911 and not > > > Bob's Ambulance Service. And that is why I have > > > long argued with > > > administrators over the systemic inequities that > > > nursing home patients > > > receive from EMS. > > > > > > Rob > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 I agree with you as I too have worked all angles on this problem. This does not apply to everyone, but to some. Salvador Capuchino Jr EMT-Paramedic --- richard borenstein wrote: > Mr. Capuchino: > I have worked both the 911 end of and private > service company that responds to nursing home calls. > I have found nursing home and SNF facilities very > evasive,rude, and uncooperative when we try to treat > their patients. Their key fear is lawsuits,DSHS,and > other regulatory agencies. When a call comes to a > private company calls,it is a " Transfer " . This > doesn't require scrutiny of any kind. I have seen > many patients injured under conditions that I feel > are questionable. I can not get a straight answer on > how a patient has beein injured. Why he was moved > from a floor to a bed with a hip injury.Finally, why > they seem to bumble when finding the pts doctor to > get a transport order, and treatment is extremely > delayed. I feel the Nursing Home industry is profit > not patient care driven. They have a lot of staff > who cannot adequately care for their pts. I feel the > low pay and profit is at the bottom of the problem. > There is no adequate regulation of these facilities, > Bottom line nobody gives a > damn. We in EMS cannot do much. But we can treat > these people as best we can. I hope you see > something in my perspective. Regards.rabbiems > > salvador capuchino wrote: > My post does not mean I agree with the nsg homes > calling their contracted provider if there is a 911 > provider closer. Maybe some of you 911 providers > should look a little closer at the way your medics > interact with nsg homes/patients/staff. The > comments > from one Director of a transfer service is that we > 911 > medics are a little rough around the edges and quick > to jump the gun, etc. > Salvador Capuchino Jr > EMT-Paramedic > --- medictaz@... wrote: > > > Isn't there a DSHS rule that requires nursing > homes > > to notify DSHS anytime they call and/or have a pt > > transported by 911? > > > > If so, this tends to make nursing homes wait with > > pts that are in bad shape for the transfer service > > with an extended ETA rather than calling 911. > Years > > ago, I worked for a private that rather than roll > > the call over to the local 911 service they would > > send a transfer unit emergency traffic from across > > Houston to League City. As a side noted, LCEMS > > station was only about 2 minutes from this > > particular nursing home. > > > > > > Saunders LP > > > > > > > > > > > > The biggest complaints from nursing homes about > 911 > > providers is that they are rough with the patients > > and > > rude to the nursing staff. Whereas a transfer > > service > > is more compassionate, not in a hurry to get back > in > > service for the next woo-woo call, and somewhat > more > > patient with the nurses. Why? The transfer > > services > > understand this is their bread and butter and will > > do > > anything not to jepordize their contracts. > > Salvador Capuchino Jr > > EMT-Paramedic > > > > --- dustdevil31 wrote: > > > > > THEDUDMAN@a... wrote: > > > > > > > > BTW, what makes the hip fracture in the > nursing > > > home less important > > > (or > > > > need less care) than the hip fracture in a > > living > > > room? > > > > > > Absolutely nothing. That's why they should be > > > calling 911 and not > > > Bob's Ambulance Service. And that is why I have > > > long argued with > > > administrators over the systemic inequities that > > > nursing home patients > > > receive from EMS. > > > > > > Rob > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2005 Report Share Posted December 18, 2005 salvador capuchino <scapuchino@y...> wrote: > > My post does not mean I agree with the nsg homes > calling their contracted provider if there is a 911 > provider closer. Maybe some of you 911 providers > should look a little closer at the way your medics > interact with nsg homes/patients/staff. The comments > from one Director of a transfer service is that we 911 > medics are a little rough around the edges and quick > to jump the gun, etc. Damn fine point, Sal. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2005 Report Share Posted December 19, 2005 Does not matter if your 911 or transfer. If your a professional it will show. I too have issues with the care given by a lot of nursing homes and I will not hold my concerns beacuse I fear losing their contract. dustdevil31 wrote: salvador capuchino <scapuchino@y...> wrote: > > My post does not mean I agree with the nsg homes > calling their contracted provider if there is a 911 > provider closer. Maybe some of you 911 providers > should look a little closer at the way your medics > interact with nsg homes/patients/staff. The comments > from one Director of a transfer service is that we 911 > medics are a little rough around the edges and quick > to jump the gun, etc. Damn fine point, Sal. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2005 Report Share Posted December 19, 2005 Does not matter if your 911 or transfer. If your a professional it will show. I too have issues with the care given by a lot of nursing homes and I will not hold my concerns beacuse I fear losing their contract. dustdevil31 wrote: salvador capuchino <scapuchino@y...> wrote: > > My post does not mean I agree with the nsg homes > calling their contracted provider if there is a 911 > provider closer. Maybe some of you 911 providers > should look a little closer at the way your medics > interact with nsg homes/patients/staff. The comments > from one Director of a transfer service is that we 911 > medics are a little rough around the edges and quick > to jump the gun, etc. Damn fine point, Sal. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2005 Report Share Posted December 19, 2005 Does not matter if your 911 or transfer. If your a professional it will show. I too have issues with the care given by a lot of nursing homes and I will not hold my concerns beacuse I fear losing their contract. dustdevil31 wrote: salvador capuchino <scapuchino@y...> wrote: > > My post does not mean I agree with the nsg homes > calling their contracted provider if there is a 911 > provider closer. Maybe some of you 911 providers > should look a little closer at the way your medics > interact with nsg homes/patients/staff. The comments > from one Director of a transfer service is that we 911 > medics are a little rough around the edges and quick > to jump the gun, etc. Damn fine point, Sal. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Wayne Edgin <ewedgin@y...> wrote: > > But to say in open air that Private EMS is not real EMS is, > well silly. I agree. And I did not say that. EMS is EMS, public, private, or otherwise. Even those firemonkeys in Dallas and Houston are EMS (but barely). What I said is that NON-EMERGENCY TRANSFER AMBULANCE SERVICES are not EMS. I stand by that. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 I disagree because they are still licensed like all EMS and by the same agency, there is no distinction. If you are that picky and hardcore about this belief then maybe you are burned out and need to find another career or another way to vent your frustrations. Maybe you have had bad experiences with these providers. You know most of the employees in these companies came from 911 providers and just got tired of the high demand with low wages. There are damn good medics in some of these companies. The fraud exists not just in these companies but in the EMS as well. BTW, alot of 911 providers are now also doing tranfers to make money. It the state has it's way and changes it's licensing policies, your 911 providers will be transporting dialysis patients to their facilities if they require oxygen. Why? As one TRAC president put it, it is secure money for the 911 providers. SO I guess when that happens you will be quitting EMS huh? Or will you eat your words? Salvador Capuchino Jr EMT-Paramedic --- dustdevil31 wrote: > Wayne Edgin <ewedgin@y...> wrote: > > > > But to say in open air that Private EMS is not > real EMS is, > > well silly. > > I agree. And I did not say that. EMS is EMS, > public, private, or > otherwise. Even those firemonkeys in Dallas and > Houston are EMS (but > barely). > > What I said is that NON-EMERGENCY TRANSFER AMBULANCE > SERVICES are not > EMS. I stand by that. > > Rob > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 I stand corrected. But,it is sitill a silly idea that non-emergent transfer ambulance is not EMS. --- dustdevil31 wrote: > Wayne Edgin <ewedgin@y...> wrote: > > > > But to say in open air that Private EMS is not > real EMS is, > > well silly. > > I agree. And I did not say that. EMS is EMS, > public, private, or > otherwise. Even those firemonkeys in Dallas and > Houston are EMS (but > barely). > > What I said is that NON-EMERGENCY TRANSFER AMBULANCE > SERVICES are not > EMS. I stand by that. > > Rob > > > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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