Re: IRS looks into 2 ambulance firms for possible Medicare fraud

[Guest guest]

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

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

>

>

>

>

>

>

[Guest guest]

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

>

>

>

>

>

>

[Guest guest]

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

>

>

>

>

>

>

[Guest guest]

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

>

>

>

>

>

>

[Guest guest]

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

>

>

>

>

>

>

[Guest guest]

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

> >

> >

> >

> >

> >

> >

[Guest guest]

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

> >

> >

> >

> >

> >

> >

[Guest guest]

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

> >

> >

> >

> >

> >

> >

[Guest guest]

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

> >

> >

> >

> >

> >

> >

[Guest guest]

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

> >

> >

> >

> >

> >

> >

[Guest guest]

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

> >

> >

> >

> >

> >

> >

[Guest guest]

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

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

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

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

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

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

>

>

>

>

>

>

[Guest guest]

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

>

>

>

>

__________________________________________________