Understanding Organisations and the Role of Hr Essay

If an ambulance is to achieve and work capably, lateness should not be put up with and sometimes if the ambulance was to arrive late at a certain house they could officially put a person’s life at risk.

Each year in the United States approximately 114 million people visit their local Emergency Department (ED), and 16 million of these patients arrive by Emergency Medical Services (EMS). (Board et al.) Health care in America has moved from an individual, fee-for-service health care system, towards a more integrated healthcare system i.e., The Affordable Care Act (ACA), which is a government controlled healthcare system, and is set up to be a value-based payment system. The ACA will expand and transform the roles of EMS within the healthcare system. EMS’s ability to survive and thrive in this new era of healthcare, will revolve, in part, on its ability to articulate its value to healthcare providers, healthcare organizations, hospital systems, and payers, as well as patients and family members. (Smith) EMS can thrive in the future, if it embraces change. John F. Kennedy had this to say about change, “Change is the law of life. And those who look only to the past or present are certain to miss the future.” (BrainyQuote) In order for EMS to thrive in the changes that the future is bringing, it must: focus on mobile integrated healthcare, be data driven in their clinical practices. There are three other areas that will be discussed at length, EMS agencies should be actively pursuing a community paramedicine program, EMS using remote telemedicine and EMS moving towards a value-based payment system.

Dr. Eric Cooper is the medical director for Snohomish County Emergency Medical Services (SCEMS). SCEMS is made up of numerous Fire Departments and Private Ambulance providers to serve the citizens of the county (E. Cooper, personal communication, May 23, 2016). All of the Fire Department services are on the same instance of Electronic Health Record (EHR). Implementation of the EHR began in 2010, with Advanced Life Support entities. In 2013 the EHR vendor added a feature called Health Data Exchange (HDE) as an option. This feature allows bi-directional flow of information from the pre-hospital EHR to the hospital EHR. For the first time, pre-hospital providers can get outcomes on the patients they treat, and hospitals can have the

The Ambulance services have less complications than the Fire services does implementing the above concepts. The Fire service provides a larger spectrum of services and has many different apparatus for different uses. In the ambulance service they only have ALS and BLS ambulances which can sometimes work for eachother. For instance, a ALS ambulance can run a BLS call easily. However in the Fire service, a ALS ambulance cannot have the firefighting capabilities of a Truck or Engine crew. In addition, Ambulance companies have a plethora of resources that they can call on, to get another ambulance on the street is easy as calling a few people in since they have many spare ambulance that can be deployed if needed. The largest problem with the

Boxall, P and Purcell, J (2011), The Goals of Human Resource Management, Strategy and Human Resource Management, 3rd Edition, Palgrave Macmillan, New York, pp. 1-36.

We currently have an experienced team of skilled consultants who are key to our expansion and growing reputation as a professional and knowledgeable contact centre recruiter. You will integrate well with the team and they are delighted to have you on board.

2. Leatherbarrow, C., Fletcher, J. & Currie, D. (2010) Introduction to Human Resource Management. 2nd Edition. London: CIPD

Currie, D (2010). Introduction to Human Resource Management. 2nd ed. London: Chartered Institute of Personnel Development. 293

Most of you who are reading this, are here because you live, breathe, and bleed Emergency Medicine. EM offers the perfect mix of patients, procedures, and adrenaline. Unfortunately, not all parties involved do it for the love of Emergency Medicine. While EM may be one of the youngest specialties, its short history is rife with conflict pitting hospitals against Emergency Medicine practitioners in the form of Contract Management Groups (CMGs) 1. For an excellent history lesson as told by James Keaney, MD MPH FAAEM, the first president of AAEM, we highly suggest that every medical student and resident interested in EM read The Rape of Emergency Medicine 2.

Emergency medicine and services started out with lots of superstitions, but the focus is more in advanced services and medicine, in the 20th and 21st centuries. Previous (before 1969, there was a time when there were no consistent standards for training and testing for Emergency Medical Service (EMS) professionals. When patients were injured or ill, they didn’t know what level of medical attention they would receive. The education and ability of those providing emergency care or first aid varied. As a result, many patients may have been permanently disabled due to poorly trained personnel.(The History of NREMT). In 1973, the first recertification of a Nationally Registered EMT is processed. (The History of NREMT). As EMS evolved into the 1980's, the huge federal deficit began to take its toll on EMS funding. State and local jurisdictions began to accept some funding responsibilities and ultimately so did the consumers: the patients. "National" direction began to diminish and state by state needs sprang up with local jurisdictions demanding more from the new funder-- the State. Standardization became difficult to attain; universal agreement on issues were only resolved when the

In 1992 the LAS was proving Ambulances to the 6.8 million people in the city of London within a 600 square mile area. The general facts were that the LAS obtains a huge Calvary of vehicles and staff these include 2746 members of staff looking after 70 ambulance stations housing a helicopter, 445 transporting ambulances and 318 emergency ambulances but the problem was that only 212 on average was in service at any given time

Also, if the facility which is implementing an EMR system wants it to be successful, then it is important for them to stress to the users the importance of the increased effects the EMR system will have on the quality of care that will be given at the

2. John Bratton, Jeffrey Gold Human Resource Management, Theory & Practice, Second Edition, Macmillan, 1999.

Both partners were learning from each other and whilst in most areas it appeared that manufacturing techniques for process change could be transferred, it was becoming apparent that there were to some extent a 'separate set of rules ' for the NHS. This was because of the nature of the organization, internal and external constraints and the pace, extent and speed of change. Two projects were identified with different objectives. A reorganization of the purchasing and supplies function would hopefully meet the cost-saving requirement, whilst a reappraisal of the admission procedure was more

Peter S.Low, Mark P.Mourell, Stephen P. Robbins, Managing Human Resources, , 1986, p. 2, chapter 1