AIMHI Benchmarking Report

The Academy of International Mobile Healthcare Integration (AIMHI) Releases 

Part 1: System Demographics, Operational Performance, Clinical Outcomes & Total Quality Management

AIMHI benchmarking reports perform a fundamental service to EMS leaders and local policy makers by demonstrating the clinical, operational, and economic outcomes of High Performance/High Value EMS (HPHVEMS), systems.

These reports also demonstrate the innovation and system design changes that occur in these systems to meet the current challenges in EMS delivery and sustainability.

AIMHI’s goals in releasing this information are to:

• Provide current, relevant and digestible information to ensure the progress and growth of the HPHVEMS model.
• Inform local public policy officials and EMS leaders on the clinical, operational and fiscal outcomes that are achievable by using a High-Performance, High-Value EMS delivery model.
• Expand the reputation and efficiency of EMS nationally and internationally.

AIMHI is releasing quarterly reports on the member EMS systems that highlight the demographic, clinical, operational, and financial outcome statistics of the nation’s highest performing EMS systems.  The data contained in these reports demonstrates excellent clinical outcomes and proficiency, outstanding operational effectiveness, and exceptional financial efficiency.

These are the reports you want to read if you want to know how your urban or suburban EMS system compares to these systems on key measures such as clinical proficiency, service delivery innovation, response times, cost per unit hour, cost and revenue per transport, and reliance on local tax subsidy.

Data contained in this Part 1 2024  report contains information related to:

• Service Area & EMS Delivery Model
  
• Recent System Delivery Innovations
• Clinical Outcomes
• Call Taking & Emergency Medical Dispatch Processes
• Response Plan Configuration & Deployment Model (ALS/BLS)
• Response Volume
• Lights and Siren (HOT) Vehicle Operations
• Service Area Population & Population Density
• Dispatch, Clinical and Revenue Cycle Total Quality Management
• Response Time Goals & Outcomes

Key Takeaways from the Report include:

• 100% of the participating HP/HVEMS systems have transitioned from an all-ALS ambulance deployment to a Tiered Deployment (ALS/BLS) to better match resources with emergency needs and enhance ALS provider utilization and experience.
• ALL the participating HP/HVEMS systems use a flexible deployment strategy to match resources with predicted response volume.
• ALL the participating HP/HVEMS systems triage Medical First Response (MFR), not using MFR on all calls, reserving MFR for calls with a higher medical acuity, based on EMD determinants derived through an accredited communications center.
• Across these systems, an average of 42% of EMS calls receive MFR, with a low of 13% (Harris County, TX) to a high of 95% (Pinellas County, FL).
• 56% of the emergency responses in the HP/HVEMS systems receive a lights & siren (HOT) response.
• 7% of the patients transported to hospitals receive a HOT transport.
• The Median ambulance response time for high acuity responses in HP/HVEMS systems is 8 minutes, 8 seconds.
• The response time calculation begins at time call received in 57% of the participating HP/HVEMS systems. 
• Participating agencies serve a combined population of 16.3 million people and a geography of over 10,000 square miles.
• Participating agencies responded to 1.1 million emergency ambulance calls in 2023, transporting 759,951 patients, for a transport ratio of 69.1%.
• 100% of the participating AIMHI member agencies hold at least one accreditation. 71% are accredited by the Commission on the Accreditation of Ambulance Services (CAAS) and 100% of participating dispatch centers are accredited by the International Academies of Emergency Dispatch.
• 100% of participating AIMHI member agencies publish Clinical Performance Dashboards.
• None of the HP/HV EMS systems require ALS MFR.

Download the full Part 1 2024 Benchmarking report here:

2024 AIMHI Benchmarking Summary - Part 1.pdf

To view the compendium of 2022 AIMHI Benchmarking Reports, select the link below:

2022 AIMHI Benchmarking Summary - Full.pdf