On-Demand Education

  • 23 Mar 2021 4:57 PM | AIMHI Admin (Administrator)

    Developing and Implementing Evidence-Based Protocols
    Recorded March 23, 2021 

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    EMS delivers medical care, first and foremost. The most crucial role of an EMS Medical Director is to develop, implement and quality assure protocols used in the delivery of medical care by EMS personnel, including Emergency Medical Dispatchers. This webinar will share the ways that Medical Directors of some of the most innovative EMS systems determine what medical treatments are included in protocols for EMS personnel, both in the ‘traditional’ role of EMS care delivery, but also enhanced protocols for things like Mobile Integrated Healthcare and alternate disposition models of care. Some of the topics discussed will be:

    • How do you determine an evidence-base for protocols?
    • How often should protocols be updated?
    • How do you balance clinical efficacy with operational realities?
    • What are some best practices in provider credentialing?


    Brian Miller, MD, FACEP, FAEMS is an Assistant Professor in the Department of Emergency Medicine, and EMS division faculty at the University of Texas Southwestern Medical Center in Dallas, Texas. He is the Associate System Medical Director with the Office of the Medical Director for the MAEMSA/MedStar Mobile Healthcare system in Fort Worth, TX. He also serves as the Deputy Medical Director for Dallas Fire-Rescue and 11 other surrounding suburbs making up the UTSW/Parkland BioTel EMS System. He graduated from Emergency Medicine residency at Indiana University and completed his EMS fellowship at UT Southwestern.

    Dr. Doug Munkley started his career in 1980 as an Emergency Medicine Physician for Niagara Health where he practiced until 2016. During this time, he became actively involved in the early development of emergency prehospital care in Ontario and has worked as Medical Director for the Niagara Paramedic Program (1986-2020) as well as for the Niagara EMS Ambulance Communications Services from 2004 to present.

    Over the course of his career, Dr. Munkley has been an integral part in EMS research including co-author of the Ontario Pre-hospital Advanced Life Support (OPALS) Project as well as the Resuscitation Outcomes Consortium (ROC) as a Site Investigator. Most recently, as Medical Director for Niagara EMS’s Accredited Centre of Excellence (MPDS and ECNS), Dr. Munkley has helped develop an evidence-based, clinical-outcome response plan based on a Mobile Integrated Health model of service delivery.

    Dr. Munkley spends his free time as an avid cyclist, skier, old house restorer, gardener and beekeeper with hopes to resume travelling once his COVID antibodies are up.

  • 2 Feb 2021 2:57 PM | AIMHI Admin (Administrator)

    Best Practices in EMS Transformation During the Pandemic
    Co-Hosted by NASEMSO, NAEMSP, and AIMHI
    Recorded Tuesday, February 2, 2021

    Many EMS agencies have dramatically transformed their clinical and operational and approach for care delivery, as well as enhancing their role in the community, in response to the COVID-19 pandemic. EMS regulators have had to navigate the regulatory environment to change rules that facilitate the changes necessary for EMS agencies to effectively serve their communities. Implementing transformational change requires strong clinical leadership, responsive operational acumen, and in many cases, changes in the regulatory environment. Successful transformation takes close collaboration with medical direction, operations and regulatory oversight.

    Join panelists from the Academy of International Mobile Healthcare Integration, the National Association of EMS Physicians, and the National Association of State EMS Officials as they highlight examples and best practices for navigating the clinical, operational and regulatory maze to facilitate transforming the role of EMS.

    Have specific questions for our panelists? Send them to amanda@ambulance.org in advance of the webinar!


    Kenneth A. Scheppke, MD, FAEMS 
    EMS Medical Director, State of Florida
    Medical Director, Palm Beach County Fire Rescue 

    Veer D. Vithalani, MD, FACEP, FAEMS
    System Medical Director, Office of the Medical Director,
    Metropolitan Area EMS Authority
    Chief Medical Officer, MedStar Mobile Healthcare

    Ashley Thoele, MSN, MBA, RN
    Division Chief, Emergency Medical Services and Highway Safety
    Office of Preparedness and Response
    Illinois Department of Public Health

    J. Sam Hurley, MPH, EMPS, NRP
    Director, Maine Emergency Medical Services

    Kevin Smith, BAppB:ES, CMM III, ACP, CEMC (Invited)
    Chief, Niagara Emergency Medical Services

    Kenneth J. Simpson, J.D., NRP
    Interim Chief Executive Officer, MedStar Mobile Healthcare

    Matt Zavadsky, MS-HSA, NREMT
    Chief Transformation Officer, Medstar Mobile Healthcare
    Immediate Past President, NAEMT
    Education Chair, AIMHI

  • 12 Nov 2020 4:21 PM | AIMHI Admin (Administrator)

    High-Performance High-Value Financial Outcome Measures
    Recorded November 12, 2020 | 14:00 ET | FREE

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    View/Downloads slides
    Mentioned during webinar: NAEMT.org / Initiatives /3.0

    Your largest payer just sent you an email asking to start an Alternate Payment Model (APM) with you in which they pay you for the response, as opposed to the transport.  They are offering to pay you 75% of the Usual, Customary and Reasonable (UCR) payment for a transport.  Do you take the deal or not?  Knowing your High-Performance/High-Value financial metrics like cost and revenue per response, per unit hour, and per transport are crucial.  Further, changing payer mixes, payer policies and evolving service lines add to financial complexities.  This webinar will focus on the development, tracking, and evaluation of the key financial performance metrics that will prepare you for the dynamic changes occurring in the EMS industry.


    Matt Zavadsky
    Medstar Mobile Healthcare
    Fort Worth, Texas

    Jonathan Washko
    Northwell Health CEMS
    Syosset, NY

    Bob Nadolski
    Emory University / Emory Healthcare
    Atlanta, GA


  • 10 Aug 2020 2:30 PM | AIMHI Admin (Administrator)

    High-Performance/High-Value Operational Outcome Measures
    Recorded August 10 at 14:30 ET | Free | Hosted by FirstWatch
    Watch On-Demand►

    The need to optimize EMS operations has never been greater! Our profession is entering into one of the most challenging economic, clinical and human resources times in a generation.

    Maximizing operational effectiveness leads to economic efficiency, but must be balanced with employee satisfaction. Ken and Jimmy have mastered the art of using data and metrics to identify opportunities for operational enhancements and implementing them with a focus on the impact to employees. They have also been literally on the front lines of the COVID-19 pandemic, giving them a unique perspective on the impact it will have on our profession for years to come. Attendees will learn the ways MedStar and Medic Ambulance develop, monitor, and improve their 5 most important ambulance service operational metrics.


    Ken Simpson
    Chief Operations Officer
    Medstar Mobile Healthcare
    Fort Worth, Texas

    James "Jimmy" Pierson
    President, Chief Operating Officer
    Medic Ambulance
    Vallejo, CA


    High-Performance/High-Value Operational Outcome Measures
    Recorded August 10 at 14:30 ET | Free | Hosted by FirstWatch
    Watch On-Demand►

  • 9 Jun 2020 9:45 AM | AIMHI Admin (Administrator)

    High-Performance High-Value Clinical Outcome Measures
    Recorded June 9 at 2:00 pm ET
    Hosted by FirstWatch

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    According to the American Heart Association (AHA), Stroke is the 5th leading cause of death in the United States. On average, there is a reported Stroke every 40 seconds in our nation. EMS has a pivotal role in the Chain of Survival, but what if there was a resource available to every EMS system that could help with Strokes? If you guessed the First First Responder (Dispatchers), you would be right. They are an untapped resource with valuable information to pass along to the many personnel in the Chain.

    Join us for this informative webinar with AIMHI Education Committee members and learn how one system brought Emergency Medical Dispatchers (EMDs) into the treatment plan. Hear from Chuck Gipson and Wayne Harbour how using High-Performance High-Value Clinical Outcome Measures can change the way EMDs, field medics, and Stroke Teams work together to combat Strokes.


    Chuck Gipson
    Quality & Education Manager
    Medic Ambulance
    Davenport, Iowa

    Wayne Harbour
    Chief Clinical Officer
    Richmond Ambulance Authority
    Richmond, Virginia


  • 13 Mar 2020 2:00 PM | AIMHI Admin (Administrator)

    COVID-19 EMS Patient Management: Myth vs. Reality
    Free Webinar Recorded March 13, 2020
    Watch On-Demand Now► | Download Slides

    Medic Ambulance Service and Solano County Public Health in Solano County, CA are on the front-line of managing COVID-19 confirmed and persons under investigation (PUI) patients at Travis AFB in Northern California. More than 40 patients have been transported to area hospitals for further treatment. 

    Hear first-hand from Jimmy Pierson, President/COO Medic Ambulance;  Dr. Bela Matyas, Solano County Public Health Director; and Ted Selby, Solano County EMS Administrator, how they planned for and executed the management of these patients and the impacts from a public health and EMS perspective. This valuable webinar will give attendees the ‘ground level truth’ about things like:

    • Myth vs. Reality of PPE
    • Crew preparation and communication
    • Ambulance decon
    • Crew member quarantine
    • Public Health Information 

    The presenters will plan 30 minutes of content so that there will be significant time to answer participant questions.


    • Bela T. Matyas, MD, MPH, Health Officer / Deputy Director, Solano County Public Health
    • James Pierson, President / COO, Medic Ambulance Service, Vice President, California Ambulance Association
    • Ted Selby, Agency Administrator, Solano County Emergency Medical Services

    Hosting Organizations

    • Academy of International Mobile Healthcare Integration
    • National Association of Emergency Medical Technicians (NAEMT)
    • International Academies of Emergency Dispatch (IAED)
    • FirstWatch Solutions
    • California Ambulance Association
    • Paramedic Chiefs of Canada
  • 24 Feb 2020 9:53 PM | AIMHI Admin (Administrator)

    Introduction to
    High Performance / High Value Outcome Metrics

    from the AIMHI Benchmarking Survey
    Free Webinar Recorded February 24, 2020

    Watch On-Demand Now

    Download the 2018 AIMHI Benchmarking Report

    View MEDIC EMS's Performance Statistics

    How good is your EMS system at achieving reliable outcomes for complying with a STEMI, Stroke or Trauma clinical bundle? 

    What is your average task time and how does it relate to an effective unit hour utilization? 

    Do you know your key financial metrics such as revenue and expense per unit hour, per call, and per transport? 

    AIMHI and FirstWatch are conducting a series of webinars that will provide insights into the clinical, operational and fiscal metrics that demonstrate how AIMHI member EMS systems achieve high performance/high value, and more importantly, keys to implementing quality and performance improvement methods in your system to possibly achieve comparable results.

    The first webinar in the series, “Introduction to High Performance/High Value Outcome Metrics from the AIMHI Benchmarking Survey” will be held on Monday, February 24th at 1p ET, 12n CT, 10a PT.  Your presenters will be:

    • Chip Decker, Richmond Ambulance Authority and President of AIMHI
    • Linda Frederiksen, Medic EMS, Davenport, Iowa
    • Matt Zavadsky, MedStar Mobile Healthcare

    AIMHI benchmarking studies perform a fundamental service to EMS leaders and local policy makers by providing information about the hallmarks of High Performance/High Value EMS (HPHVEMS) systems. AIMHI’s goal in releasing this information is to ensure the progress and growth EMS systems, and expand the reputation and efficiency of EMS nationally and internationally.

  • 4 Dec 2019 2:44 PM | AIMHI Admin (Administrator)

    Now On-Demand►
    Free Webinar
    Recorded December 4, 2019 at 2:00 pm ET

    The world is becoming more focused on data, and sometimes it feels we gather data but don’t get the results we want. Data is a language all on its own – a language we must master in order to understand what the data is telling us. Transitioning data into useable information takes practice, just like learning a new language. This session will present several real-world case studies that demonstrate how to create a team focused culture that transitions data into business intelligence, business intelligence into strategy, and strategy into results.

    Just as sports teams use data to build teams and win, we can do the same thing in EMS. However, when we win, our patients win.


    Heath Wright
    Director of Operations

    Mike Taigman
    Improvement Guide

    Now On-Demand►

  • 30 Oct 2019 2:39 PM | AIMHI Admin (Administrator)

    FREE | Recorded Wednesday, October 30 at 2:00 pm ET
    Part 3 in the joint AIMHI-NAEMT series EMS Finance: Follow the Money

    Now On-Demand►

    The third webinar in our EMS Finance series will walk participants through a 9-1-1 call from start (call comes in) to finish (dollars collected), explaining how each step of the process impacts the agency’s ability to get paid for the call:

    Where it begins

    • the incoming 9-1-1 call
    • Call taking processes, dispatch and condition codes, ALS/BLS unit selection, etc.

    Documentation Delirium

    • How to document assessments and treatments that will help prove medical necessity (or at least not clearly eliminate it!)
    • ePCR closed call rules, etc.
    • Examples of “the good, the bad and the ugly” documentation.

    Billing Baubles

    • A walk through a typical billing process
    • Why accurate patient demographics are important 
    • Denials & appeals *Patient payments


    • Rosa Palacios, Patient Account Representative, Medstar Mobile Healthcare rpalacios@medstar911.org

    The webinar is approved by CAPCE for a 1 hour continuining education credit.

    Sponsored by

  • 24 Sep 2019 4:26 PM | AIMHI Admin (Administrator)

    FREE | Recorded Tuesday, September 23 at 2:00 pm ET
    Part 2 in the series EMS Finance: Follow the Money

    Watch On Demand Now:

    Attendees will receive 1 hour of CAPCE-approved credit.

    Attend “EMS FINANCE—WHAT DOES EMS REALLY COST?” will discuss:

    • EMS agency costs drivers, including staffing, benefits, service level, readiness, utilization, equipment, uncompensated care and other expenses that agencies must cover as part of daily operations;
    • How geography, population density, and other factors impact EMS agency expenses;
    • What types of calls are the most expensive, and why; and
    • How the cost of service impacts EMTs and paramedics.

    Your hosts for this webinar:

    • Jon Washko, Assistant Vice President, Center for EMS, Northwell Health (New York);
    • Rick Lewis, Battalion Chief, South Metro Fire (Colorado); and
    • Matt Zavadsky, CSIO of MedStar Mobile Healthcare (Texas).

    Who Should Attend: All EMS practitioners who want to understand EMS financial operations. This webinar will help prepare attendees for positions in EMS management.

    Sponsored by

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