EMC 445
EMS Systems Management for Distance Learning
Spring 2008
Dr. Michael W. Hubble
122 Moore
(W) (828) 227-7113 (H) (828) 681-0178 (C) (828)-231-1294
Online Office Hours
TWR: 11:00-1:00 (available by phone, instant messenger, or email)
This is a survey course of EMS administration. Topics include EMS system design, operations, staffing, and financial management. Students will participate in designing and managing a fictitious EMS system. Computer simulations will provide results of their administrative and financial decisions. Students should be familiar with the use of computers, especially spreadsheets (Microsoft Excel).
Prehospital Care Administration 2ed (PCA). J. Fitch. JEMS Publishing, 2004.
Buy Low, Sell high, Collect Early, and Pay Late. Levin. 1983.
Journal Articles as assigned.
Accommodations for Students with Disabilities
Western Carolina University is committed to providing equal educational opportunities for students with documented disabilities. Students who require disability services or reasonable accommodations must identify themselves as having a disability and provide current diagnostic documentation to Disability Services. All information is confidential. Please contact Disability Services for more information at (828) 227-2716 or 144 Killian Annex.
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EMS System Cost Assignment |
15% |
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EMS Staffing Assignment |
5% |
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Personnel Cost Assignment |
10% |
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EMS System Design Assignment |
30% |
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EMS Manager Problems |
10% |
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Peer Evaluation |
10% |
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Quizzes |
10% |
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Final Exam |
10% |
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TOTAL |
100% |
Grading Scale
90-100 A
80-89 B
70-79 C
60-69 D
<60 F
Criteria |
3 Points |
2 Point |
1 Points |
Score |
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Content |
Addresses all relevant issues, including an action plan, from the perspective of an EMS director. |
Addresses most relevant issues, including an action plan, from the perspective of an EMS director. |
Does not adequately address issues, or lacks action plan, or recommendations run counter to good management principles. |
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Originality |
Posting offers significant new insight to the topic. |
Posting offers limited new insight, but also contains minor redundancy. |
Posting is mostly restatement of previous comments. |
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Connectivity |
Post makes clear connection of issues to course content and application to professional practice. |
Post makes clear connection of issues to course content or includes anecdotal experiences. |
Posting is a vague generalization with no connection made to course content or anecdotal experience. |
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Response |
Responds to at least 2 previous postings with a post that adds substance to the discussion. |
Responds to at least 1 previous posting with a post that adds substance to the discussion. |
One or more response to previous posting, but does not add substance to the discussion. |
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Mechanics |
Posts are made early enough for others to read and respond. Postings are grammatically correct and free of spelling errors. |
Posts are made later in the discussion, but still early enough for others to read and respond. Posting contains some spelling or grammatical errors. |
Posts are made at the last minute with no opportunity for others to respond, and/or contains obvious grammatical and spelling errors. |
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Total Score (15 max.) |
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/15 |
Discussion Board Grading Rubric
UNIT 1. EMS SYSTEM COMPONENTS AND DESIGNS |
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Week of |
Topic |
Reading/Lecture Assignment |
Assignment Due |
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1/14 |
Course Introduction
Regulatory Structure of EMS |
Handout: Kuehl Ch. 8: Legislation
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1/21 |
Historical Perspective of EMS Systems |
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Post comments on EMS Manager Problem 1 by 23:00 1/27
Email your group selection for system design assignment by 23:00 1/27.
Quiz 1 due by 23:00 1/27 |
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1/28 |
EMS Systems Design |
System Design and Policies PCA pp 516-542
EMS Lives or Dies by Response Time PCA 195-198
Handout: Kuehl Ch. 3: System Models
Handout: Kuehl Ch. 4: Urban Systems
Handout: Kuehl Ch. 5: Rural Systems
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2/4 |
EMS System Designs continued |
Handout: Kuehl Ch. 10: System Design
Handout: Stout: Ambulance System Designs. JEMS 1/86
Handout: Stout: Public Utility Model Revisited. Part 1-Origins. JEMS 2/85
Handout: Stout: Public Utility Model Revisited. Part 2-Ten Essential Features. JEMS 3/85
Handout: Stout: Public Utility Model Revisited. Part 3-Tulsa. JEMS 5/85
Scheduling for Strategic Opportunites PCA pp 203-209
Evolving EMS Systems, Standards, and Designs PCA 548-573
System Design |
Quiz 2 due by 23:00 2/4 |
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UNIT 2. EMS REVENUE
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Week Of: |
Topic |
Reading/Lecture Assignment |
Assignment Due |
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2/11 |
Accounting Primer
Introduction to EMS System Design Assignment
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Levin: Accounting Primer Ch. 2 Levin: Analyzing Business Ch. 5 Levin: Things are so Good Ch. 6
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2/18 |
EMS Revenue Management
Third Party Reimbursement
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Price-Subsidy Tradeoff PCA pp 366-371
Medicare PCA pp 380-383
Billing and Collections PCA pp 384-388
3rd Party Reimbursement PCA pp 389-393
Outsourcing Billing PCA pp 394-399
Lecture: Revenue Management
Handout: Jameson: Creating Financial Stability. JEMS 5/83 |
Post comments on EMS Manager Problem 4 by 23:00 2/24
Quiz 3 due by 23:00 2/24
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UNIT 3. EMS SYSTEM COSTS
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Week Of: |
Topic |
Reading/Lecture Assignment |
Assignment Due |
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2/25 |
Overview of EMS System Costs
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EMS Costs PCA pp 376-379
Handout: Fitch: Defining the Cost of Medical Transportation Services. pp. 280-290
Lecture: Overview of Costs
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Post comments on EMS Manager Problem 5 by 23:00 3/2
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3/3 |
Spring Break |
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3/10 |
EMS System Staffing I: Queuing Theory |
Lecture: Queuing Theory
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Email Staffing Assignment by 23:00 3/16 |
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3/17 |
EMS System Staffing II: Calculating Personnel Costs |
Handout: Calculating Personnel Costs
Lecture: Calculating Personnel Costs
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Email Personnel Cost Assignment by 23:00 3/23 |
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3/24 |
EMS System Staffing III: Managing Volunteers and other Personnel Issues
Inventory Control and Capital Equipment Specification |
Budgeting PCA pp 371-375
Integrating Paid and Volunteer Personnel PCA pp 57-66
Handout: Stout: Peak Load Staffing: What’s Fair for Personnel and Patients? JEMS 8/89
Handout: Kuehl Ch. 30: Volunteers
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UNIT 4. EMS COMMUNICATIONS AND CONTROL
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Week Of: |
Topic |
Reading/Lecture Assignment |
Assignment Due |
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3/31 |
EMS Communications and Emergency Medical Dispatch |
Dispatch Life Support PCA pp 210-213
Priority Dispatch PCA pp 214-223
Geographic Information Systems PCA pp 224-231 |
Post comments on EMS Manager Problem 7 by 23:00 4/6
Quiz 4 due by 23:00 4/6 |
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4/7 |
Facility Location |
Lecture: Facility Location
Handout: Larsen et al: Predicting Survival From Out-of_hospital Cardiac Arrest. |
Turn in EMS System Design Assignment by 23:00 4/13
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04/14 |
System Status Management |
Handout: Stout: System Status Mangement. JEMS 5/83 articles
Lecture: System Status Management |
Post comments on EMS Manager Problem 9 by 23:00 4/20
Quiz 5 due by 23:00 4/20 |
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UNIT 5. APPLIED QUALITY MANAGEMENT FOR EMS
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Week Of: |
Topic |
Reading/Lecture Assignment |
Assignment Due |
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4/21 |
Introduction to EMS Quality Management I
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TQM PCA pp 447-452
Improving Patient Charts PCA pp 453-462
Lecture: Introduction to EMS Quality Management Part I |
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4/28 |
Introduction to EMS Quality Management II
Final Exam: The final exam is available 4/28-5/2. Contact your testing center to schedule your exam at least 1 week in advance.
1 page (front and back) note sheet is permitted.
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Lecture: Introduction to EMS Quality Management Part II |
Online Final Exam due no later than 17:00 on 5/2/07.
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5/3 |
Review of EMS Systems Design Assignment (DL students) |
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Meet at 9:00 on 5/3 at GTCC |