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In 1989, the Office of Technology Assessment released a report detailing the challenges faced by rural EMS (United States Congress, Office of Technology Assessment, 1989) (see the discussion of rural EMS below).
Gausche M, Seidel JS, Henderson DP, Ness B, Ward PM, Wayland BW, Almeida B. 1989.
In 1995, through the urging of then NHTSA Administrator Ricardo Martinez, NHTSA and HRSA commissioned a strategic plan for the future EMS system.
In 1996 the EMS Agenda for the Future was drafted, which further connected the EMS with the other medical professions.
Prior to 1997, San Francisco’s EMS system fell under the jurisdiction of the public health department, with the fire department providing first-responder support.
You're looking at OpenBook, NAP.edu's online reading room since 1999.
More recently, in 2001, the United States General Accounting Office (GAO) released a comprehensive study of local EMS system needs and of the state regulatory agencies responsible for improving EMS outcomes.
EMTALA was intended to protect access to emergency care by preventing private hospitals from turning away needy emergency patients who are uninsured or underinsured or precipitously transferring these patients to the closest public hospital, a practice known as “dumping” (GAO, 2001a).
Li and colleagues (2001) found a four-fold risk of a fatal crash in flights that encountered reduced visibility.
JCAHO (Joint Commission for the Accreditation of Healthcare Organizations). 2002.
When hospital EDs go on diversion status, ambulances may have to drive longer distances and take patients to less appropriate facilities (GAO, 2003). Fully 45 percent of EDs reported going on diversion at some point in 2003, and the problem was especially pronounced in urban areas.
The Development of 9-1-1. [Online]. Available: http://www.nena.org/PR_Pubs/Devel_of_911.htm [accessed September 28, 2004].
In 2004, 9-1-1 call centers fielded approximately 200 million emergency calls, including medical, police, fire, and other calls.
Franks PE, Kocher N, Chapman S. 2004.
In an effort to coordinate the efforts of these various components of the federal bureaucracy, Congress established a Federal Interagency Committee on Emergency Medical Services (FICEMS) in 2005.
2005 Enacted Millions of Dollars
severely injured and that they often did not deliver patients to the hospital more rapidly than ground ambulances (Levin and Davis, 2005).
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| Company name | Founded date | Revenue | Employee size | Job openings |
|---|---|---|---|---|
| Lifeguard Ambulance Service | 1990 | $6.7M | 375 | - |
| MedCorp | - | $540,000 | 50 | - |
| Cataldo Ambulance Service | 1977 | $49.9M | 800 | 46 |
| Medstar Mendocino | 2013 | $499,999 | 50 | 23 |
| Life EMS Ambulance | 1980 | - | 210 | 28 |
| Emergency Medical Services, Inc. | - | $4.8M | 125 | - |
| Gold Cross Ambulance | - | $42.2M | 329 | 6 |
| Acadian Ambulance | 1971 | $55.0M | 900 | 6 |
| American Ambulance | 1975 | $61.0M | 500 | 10 |
| American Medical Response | 1992 | $860.0M | 29,000 | - |
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Community Ems may also be known as or be related to COMMUNITY EMERGENCY MEDICAL SERVICE INC, Community Emergency Medical Service, Community Emergency Medical Service Inc, Community Emergency Medical Service, Inc. and Community Ems.