Management of EMS

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2009-01-27
  • Publisher: Pearson

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Management of EMSutilizes the career development model of the National Fire Academy and the model curriculum of the Fire Emergency Service Higher Education (FESHE) group, to provide both officers and students alike with all of the elements of EMS management from core competencies, such as strategic planning, training and education, and fleet management to the legal, financial, and ethical aspects of good EMS management. Years of meaningful hands-on experience and a passion for EMS, enable the authors to bring a real-life approach to this text. Retaining its value beyond the EMS management class, groups of chapters from this text can also be used in other FESHE courses on QI/QA, Safety, and EMS Systems.

Author Biography


Bruce Evans is the EMS Chief at the North Las Vegas Fire Department in Las Vegas, Nevada.  Mr. Evans is an NFPA Fire Instructor III and coordinates the College of Southern Nevada’s Fire Technology programs teaching various fire and EMS topics.  Bruce has over 25 years experience in a variety of EMS settings.  Bruce is an adjunct faculty of the National Fire Academy in the EMS, Incident Management, and Terrorism Training programs.  He holds a Masters degree in Public Administration, Bachelors degree in Education, and Associates in Fire Management.  Bruce is a certified faculty for the International Public Safety Leadership and Ethics training with Phi theta Kappa.  Mr. Evans publishes the bi-monthly column EMS Viewpoints in Fire Chief Magazine and is on the editorial board of for the Journal of Emergency Medical Services.  He is also a board member for the Cyanide Treatment Coalition.


Jeff T. Dyar, B.S. NREMT started his career as a volunteer EMS provider in a small rural town, 36 years ago.  As with many idealistic and motivated young persons at the time, he was consumed and captured forever by the television show, “Emergency”. Not long after becoming an EMT he enlisted and served as a combat medic during the Vietnam war.    Jeff describes himself as first a teacher and then a provider and has held positions in public, private, military, and federal capacities focusing on EMS.   Known as the architect of EMS management programs at the National Fire Academy, he spent nearly twelve years in the post of Program Chair for EMS in Emmitsburg, Maryland.   He also responded with FEMA to dozens of national emergencies and achieved the level of Chief of Operations at the National Interagency Operation Center in Washington, D.C. Over the years James O. Page mentored and tormented him to bring leadership and meaning to national EMS.  Advocating partnerships and breaking down walls is his forte and many a student attending courses at NFA remember him saying, “What opportunity does this situation or problem offer you?” In 1999 Jeff received the James O. Page Award for contributions to advancing EMS on a national level, given by the EMS Section of the International Association of Fire Chiefs.Ironically, Jeff and his wife Val, landed back in a small rural town in Colorado, where he serves on the Board of Directors of a fire protection district providing ALS level EMS services to a 258 square mile response area.






Table of Contents

Government Structure and EMS
The Beginning of EMS
The History of Prehospital Emergency Medicine
Federal Initiatives
The EMS System
The EMS Agenda for the Futur
eFederal Government and EMS
Department of Transportation/National Highway Traffic Administration
Office of Domestic Preparedness
Health and Human Services
Federal Communications Commission
State Organizations and Activities
State InitiativesState EMS Offices
County and Local Governments
Other Government Interactions
Professional Organizations
Management Organizations
Unions and Labor Groups
Trade and Advocacy Groups
Physicians Groups
Aeromedical Associations
Standards Setting Organizations
Accreditation Agencies with EMS Interest
Provider Associations
Lobby OrganizationsVolunteers
Strategic Planning for EMS
Benefits of Strategic Planning
Setting the Stage for Strategic Planning
Overview of a Strategic Plan
Balanced Scorecard
Contingency Model of Strategic Planning
Planning Processes
Clearly Defined Mission and Vision
SWOT AnalysisHow to Use a SWOT Analysis
Internal Characteristics: Strengths and Weaknesses
External Characteristics: Opportunities and Threats
Clearly Defined Goals and Objectives
Costing Out Planning Process
Economies of Scale
Work Load Indicators
Capital Expenses
Operating Expenses
Facility Cost
Capital Equipment Cost
Personnel Cost
Problem Research Techniques
Who Is Involved with the Problem or Budget Item?
Project and Program Management
Tools for Strategic PlanningCritical Path Method
PERTStrategic Plan as a Living Document
Business Plan
Strategic Quality Planning at the State of Regional Level
State and Regional Vision
Strategic Quality Planning Structure
Manager to Leader
Origins of Management
The Role of Management
Values Statements
Managing Power
Management Defined
Basic Management Skills
Management Processes
Employee Needs, What Employees Want
Increase Supervisor/Subordinate Communication
Foster a Supportive Work Environment
Delegate Tasks When Appropriate
Institute Sound Performance Appraisal and Coaching Programs
Motivation and Building Teams
Foundations of Motivation
Team Building and Participation
LeadershipWhat is the Same?
What is Different?
Leadership Defined
Establishing Vision for the Organization
Leadership Styles
Managing E-mail
Communicating with People
Conflict Resolution
Ethics and the Leader
Succession Planning
Leadership Failures
Why EMS Leadership Fails and Why EMS Teams Fail
Injury Prevention and EMS
Introduction to Injury Prevention
History of Injury Prevention
Injury Prevention Programs
Databases and Injury Prevention
Science of Injury Prevention
Public Health Model
Epidemiological Model
Haddon Matrix
Access, Interpret, Use, and Present Injury Data
Framing an Injury Problem
Finding Data to Define the Injury Problem
Federal Cost Tracking
The Spectrum of Prevention
Putting It to Action
Injury Prevention Leadership
Implementing These Strategies at the Community Level
Funding Strategies
Collaborative ApproachesBest Practices in Injury Prevention
Table of Contents provided by Publisher. All Rights Reserved.

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