Developing Optimal Ambulance Services Essay

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King County Emergency Management System: Ambulances

This paper reviews the relevant literature to determine how the seven unit hour production (UHP) processes work together to simultaneously achieve clinical excellence, response time reliability, economic efficiency, and customer satisfaction in the operation of King County Emergency Management System (EMS) with a specific focus on its ambulance services. An assessment concerning whether any of the processes have unintended consequences that negatively impact the system's performance is followed by a discussion concerning which of these processes work and do not work within the King County, Washington EMS. Finally, a summary of the research and important findings concerning the King County EMS are presented in the conclusion.

Review and Discussion

Today, tertiary healthcare facilities in the United States are required by 42 CFR 482.55 (the Conditions of Participation for Hospitals for Emergency Services) to ensure that they meet the emergency needs of patients in ways that are congruent with acceptable standards of practice (Hamilton, 2006). Although emergency management systems differ in their organization, most of the EMSs in the United States operate using a single-tier system that uses advanced life support (ALS) response personnel and equipment or a multi-tiered system that includes ALS as well as basic life support (BLS) personnel and equipment (Wilson, Gratton, Overton & Watson, 1992).

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There are advantages and disadvantages for patients associated with each alternative, but some researchers suggest that a single-tier, all-ALS system can provide superior emergency management services compared to the use of a multi-tiered system (Wilson et al., 1992).

The overarching goal of the unit hour production process is to optimize the use of ambulance in an EMS in ways that ensure the most efficient use of these resources that matches a community's needs while eliminating wasted produced unit hours (Unit hour production process, n.d.). In this context, the seven unit hour production (UHP) processes are as follows:

1. Demand analysis

2. Flexible demand-based scheduling of staff

3. Recruitment and orientation

4. Clinical quality and training

5. Fleet operations

6. Materials and equipment management

7. Operations management and support (Unit hour production process, n.d., slide 7).

In situations such as cardiac arrest where seconds can make the different between life and death, the careful evaluation of a community's ambulance needs and average response times over a period of time can help determine what blend of advanced life support and basic life support services can provide….....

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