Wake County Emergency Medical Services (EMS)

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This paper will discuss the internal organizational conflict that occurred in the Wake County Department of Emergency Medical Services (EMS) after the formation of the Advanced Practice Paramedic Division (APP). Wake County EMS (WCEMS) is the sole entity with in the Wake county Government structure that is charged with providing prehospital emergency medical care to the visitors and citizens of Wake County. This paper is based on the opinion of the writer; it does not and is not reflective of the department’s opinion or the stance of the county.
Wake County EMS responds to almost 90,000 requests for service annually and serves almost 1 million people, which places the WCEMS system in the top fifty EMS systems in the country based on call volume and size of population served. ("Wake county department," 2012) In response to ever-increasing call volume, a decrease in primary care, and the universal changes in healthcare, which have resulted in more people using EMS and the local emergency room for primary care and non-life threatening events, the EMS Department elected to change their service structure. The department would move away from the traditional EMS mantra of “you call we haul” and having a system being designed around reactive responses to healthcare issues in the community to an evidenced based incident prevention structure. No longer, would it be considered prudent or correct to just continue to add transport resources to address the increasing call volume and continue to place the actual burden of care on the local hospitals, it would become the burden of the EMS system to provide alternatives to properly address the actual healthcare needs of those who called 911. Wake County EMS had already utilized evidenced based ...

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Bacal, R. (2012). Manager's guide to performance management. McGraw-Hill. (Bacal, 2012)
Myers, J. (2008). Evidence-based performance measures for emergency medical services systems: A model for expanded ems benchmarking a statement developed by the 2007 consortium u.s. metropolitan municipalities' ems medical directors (appendix) read more. Retrieved from http://informahealthcare.com/doi/abs/10.1080/10903120801903793
Resolving conflict situations. (2013). Retrieved from http://hrweb.berkeley.edu/guides/managing-hr/interaction/conflict/resolving
Sayre, M. (2006). Cardiac arrest survival rates depend on paramedic experience. Retrieved from http://www.researchgate.net/publication/246149504_Cardiac_Arrest_Survival_Rates_Depend_on_Paramedic_Experience
Wake county department of ems about us. (2012). Retrieved from http://www.wakegov.com/ems/about/Pages/default.aspx

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