Risk factors related to unnecessary emergency medical services transport for pediatric patients

Kang, Eun Jin; Kim, Sun Hyu

doi:10.1177/0300060518801453

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…Nevertheless, some patients with varying degrees of acuity who seek emergency care can be safely treated by EMS clinicians and/or transported to other non-ED facilities where they can receive definitive care. Medically unnecessary emergency care represents anywhere from 13 to 32% of all EMS calls and cost EMS services an average of 448.50 USD per transport [4][5][6][7]. For a jurisdiction responding to 10,000 calls per year, this translates into 1300-3200 transports costing anywhere between 583,050 USD and $1,435,200 USD per year.…”

Section: Introductionmentioning

confidence: 99%

EMS utilization predictors in a Mobile Integrated Health (MIH) program

Pinet-Peralta

Glos

Sanna³

et al. 2021

BMC Med Inform Decis Mak

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Background The provision of unnecessary Emergency Medical Services care remains a challenge throughout the US and contributes to Emergency Department overcrowding, delayed services and lower quality of care. New EMS models of care have shown promise in improving access to health services for patients who do not need urgent care. The goals of this study were (1) to identify factors associated with EMS utilization (911) and (2) their effects on total EMS calls and transports in an MIH program. Methods The study sample included 110 MIH patients referred to the program or considered high-users of EMS services between November 2016 and September 2018. The study employed descriptive statistics and Poisson regressions to estimate the effects of covariates on total EMS calls and transports. Results The typical enrollee is a 60-year-old single Black male living with two other individuals. He has a PCP, takes 12 medications and is compliant with his treatment. The likelihood of calling and/or being transported by EMS was higher for males, patients at high risk for falls, patients with asthma/COPD, psychiatric or behavioral illnesses, and longer travel times to a PCP. Each prescribed medication increased the risk for EMS calls or transports by 4%. The program achieved clear reductions in 911 calls and transports and savings of more than 140,000 USD in the first month. Conclusions This study shows that age, marital status, high fall risk scores, the number of medications, psychiatric/behavioral illness, asthma/COPD, CHF, CVA/stroke and medication compliance may be good predictors of EMS use in an MIH setting. MIH programs can help control utilization of EMS care and reduce both EMS calls and transports.

show abstract

Section: Introductionmentioning

confidence: 99%

EMS utilization predictors in a Mobile Integrated Health (MIH) program

Pinet-Peralta

Glos

Sanna³

et al. 2021

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

show abstract

“…Medically unnecessary emergency care represents anywhere from 13-32% of all EMS calls and cost EMS services an average of $448.50 USD per transport. 4,5,6,7 For a jurisdiction responding to 10,000 calls per year, this translates into 1300-3,200 transports costing anywhere between $583,050 and $1,435,200 USD per year.…”

Section: Introductionmentioning

confidence: 99%

“…Unnecessary EMS care also contributes to overcrowded emergency departments, delays in EMS services and potential reductions in quality of care. 4,8,9,10 Since reimbursement for services occurs only when EMS transports patients to an ED, there is a strong nancial incentive to provide services even when they are unnecessary. 11 Furthermore, the current ambulance fee schedule reimburses ambulance suppliers on a Fee-For-Service (FFS) basis, which promotes volume over e ciency.…”

Section: Introductionmentioning

confidence: 99%

EMS utilization predictors in a Mobile Integrated Health (MIH) program: A retrospective analysis

Peralta¹,

Sanna²,

Frankel³

et al. 2020

Preprint

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Abstract Background. The provision of unnecessary Emergency Medical Services (EMS) care remains a challenge throughout the US and contributes to ER overcrowding, delayed services and lower quality of care. New EMS models of care have shown promise in improving access to health services for patients who do not need urgent care. The goals of this study were 1) to identify factors associated with EMS utilization (911) and 2) their effects on total EMS calls and transports in an MIH program. Methods. The study sample included 110 MIH patients referred to the program or considered high-users of EMS services between November 2016-September 2018. The study employed descriptive statistics and Poisson regression to estimate the effects of covariates on total EMS calls and transports. Results. The typical enrollee is a 60-year old single African-American male living with two other individuals. He has a PCP, takes 12 medications and is compliant with his treatment. The likelihood of calling and/or being transported by EMS was higher for males, patients at high risk for falls, patients with asthma/COPD, psychiatric or behavioral illnesses, and longer travel times to a PCP. Each prescribed medication increased the risk for EMS calls or transports by 4%. Conclusions. This study shows that age, marital status, high fall risk scores, the number of medications, psychiatric/behavioral illness, asthma/COPD, CHF, CVA/stroke and medication compliance may be good predictors of EMS use in an MIH setting. MIH programs can help control utilization of EMS care and reduce both EMS calls and transports.

show abstract

“…Medically unnecessary emergency care represents anywhere from 13% to 32% of all EMS calls and cost EMS services an average of 448.50 USD per transport. [4][5][6][7] For a jurisdiction responding to 10,000 calls per year, this translates into 1300-3,200 transports costing anywhere between 583,050 USD and $1,435,200 USD per year.…”

Section: Introductionmentioning

confidence: 99%

“…Unnecessary EMS care also contributes to overcrowded emergency departments, delays in EMS services and potential reductions in quality of care. 4,8,9 Since reimbursement for services occurs only when EMS transports patients to an ED, there is a strong nancial incentive to provide services even when they are unnecessary. 10 Furthermore, the current ambulance fee schedule reimburses ambulance suppliers on a Fee-For-Service (FFS) basis, which promotes volume over e ciency.…”

Section: Introductionmentioning

confidence: 99%

EMS utilization predictors in a Mobile Integrated Health (MIH) program

Peralta

Glos

Sanna

et al. 2020

Preprint

View full text Add to dashboard Cite

Background. The provision of unnecessary Emergency Medical Services care remains a challenge throughout the US and contributes to Emergency Department overcrowding, delayed services and lower quality of care. New EMS models of care have shown promise in improving access to health services for patients who do not need urgent care. The goals of this study were 1) to identify factors associated with EMS utilization (911) and 2) their effects on total EMS calls and transports in an MIH program. Methods. The study sample included 110 MIH patients referred to the program or considered high-users of EMS services between November 2016-September 2018. The study employed descriptive statistics and Poisson regressions to estimate the effects of covariates on total EMS calls and transports. Results. The typical enrollee is a 60-year-old single Black male living with two other individuals. He has a PCP, takes 12 medications and is compliant with his treatment. The likelihood of calling and/or being transported by EMS was higher for males, patients at high risk for falls, patients with asthma/COPD, psychiatric or behavioral illnesses, and longer travel times to a PCP. Each prescribed medication increased the risk for EMS calls or transports by 4%. The program achieved clear reductions in 911 calls and transports and savings of more than 140,000 USD in the first month. Conclusions. This study shows that age, marital status, high fall risk scores, the number of medications, psychiatric/behavioral illness, asthma/COPD, CHF, CVA/stroke and medication compliance may be good predictors of EMS use in an MIH setting. MIH programs can help control utilization of EMS care and reduce both EMS calls and transports.

show abstract

Risk factors related to unnecessary emergency medical services transport for pediatric patients

Cited by 5 publications

References 12 publications

EMS utilization predictors in a Mobile Integrated Health (MIH) program

EMS utilization predictors in a Mobile Integrated Health (MIH) program

EMS utilization predictors in a Mobile Integrated Health (MIH) program: A retrospective analysis

EMS utilization predictors in a Mobile Integrated Health (MIH) program

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