Author Archives: Kyle Gaines

Paramedics Launch #8KinMay Initiative

Since March, more than 25 million Americans filed for unemployment amid the COVID-19 pandemic.  Layoffs, furloughs and reductions in work hours have translated to increased requests for nutrition assistance at food pantries across the nation, including those served by St. Louis-based Operation Food Search [OFS].  St. Charles County Ambulance District [SCCAD] paramedics saw this critical need as an opportunity to repay the tremendous support and kindness that residents have shown first responders in recent weeks, and invite members of the community to join their #8KinMay effort to support OFS.

“The idea began as an internal collection among our team,” said Lieutenant Ashley Pease, who along with Paramedic Bill Norris, is leading the #8KinMay movement.  “The support was swift and resounding – scores of our team members have pitched in, and ultimately raised more than $4,000, which will be used by OFS to stock pantries throughout our county.”

With appeals for food assistance certain to increase in the days to come, Norris, Pease and the SCCAD team have a simple request for members of the community able to make a donation: join us.  Donations can be made directly to OFS using this link:

“By shining a light on this critical need in our community, our hope is that residents will be moved to make a contribution to help neighbors, matching our paramedics’ $4,000 donation for a total of $8,000,” said Norris.

OFS has seen a tremendous increase in demand for services since the onset of COVID-19.  The organization normally supports approximately 200,000 individuals monthly, and is seeing the need for emergency food supplies explode across the region as thousands of families are facing a loss of household income.

“The paramedics of St. Charles County have been long-standing partners in our effort to heal the hurt of hunger,” said Kristen Wild, Executive Director of OFS.  “Monies collected through their #8KinMay effort will fund vital OFS programs that provide nutritional support to children, seniors and families.

#8KinMay is not the first pairing of SCCAD and OFS; the organizations have collaborated during the holiday season for the past decade on ‘Fill the Ambulance with Food’ – an initiative that has collected 25,000 pounds of food from local retirement communities.

Information on Misleading EOBs

Most patients who are transported by ambulance have medical insurance that pays for this service as part of their medical benefits plan. Often, the patient is responsible for a deductible or copay as defined by their specific insurance plan.  SCCAD does not have any control over what a patient’s insurance plan mandates they pay as a copay or deductible.  SCCAD must, however, attempt to collect any copay or deductible to receive the insurance payment.

Increasingly, the District is hearing from patients following a transport that the Explanation of Benefits (EOB) that they are receiving from their insurance company is referencing “negotiated discounts” that do not, in fact, exist. For more information on this deceptive practice on the part of insurance companies, please click here.

SCCAD Selected to Pilot Groundbreaking ET3 Model

St. Charles County Ambulance District [SCCAD] was one of only three emergency medical service agencies in the State of Missouri selected last week by the Centers for Medicare & Medicaid Services [CMS] to take part in a groundbreaking pilot program.  The initiative is called Emergency Triage, Treat and Transport – ET3 for short.  The model provides greater flexibility for paramedics to address the unique health care needs of patients.  Announced by CMS last year, the ET3 model creates a new set of incentives for emergency transport and care, ensuring patients get convenient, appropriate treatment by a variety of providers.

Under current CMS guidelines, patients who dial 911 are typically transported to an emergency department at a hospital, which is unquestionably appropriate in the case of serious medical events such as cardiac arrest, traumatic injury or stroke.  In lower-acuity situations, however, alternative treatment options, may be more appropriate and cost-effective for patients, which is where ET3 will come into play.

 “For years, EMS agencies have been paid to transport patients to emergency rooms.  Under the ET3 framework, our team of 200+ highly-skilled clinicians will have the latitude to confer with lower-acuity patients and perhaps recommend transport to an alternative, lower-cost destination such as an urgent care that can meet their needs,” said SCCAD Assistant Chief David Lewis. “Crews also will have the ability to initiate and facilitate treatment in place by a qualified health care practitioner via telehealth with a tablet device.”

SCCAD paramedics will work with a variety of healthcare partners to facilitate a robust array of options for ET3 patients, including multiple urgent care facilities and hospitals.  Ultimately, the initiative will work to reduce avoidable transports to emergency departments and unnecessary hospitalizations.

“Though the initiative was developed with Medicare/Medicaid insurance patients in mind, SCCAD is poised for multi-payer alignment, working with several commercial insurers to deliver enhanced treatment and transport options to their patients,” said Lewis.

ET3 is the latest in a series of cutting-edge EMS initiatives to debut in St. Charles County; in the past three years alone, SCCAD paramedics have launched multiple successful programs to address critical healthcare needs in their community, including the opiate epidemic, special needs pediatric patients, behavioral health emergencies, and hospital readmission avoidance.

204 agencies throughout 36 states selected to take part in ET3 will work over the coming weeks to develop program-specific protocols, with program launch occurring this spring. 

Going for the Gold: SCCAD Recognized by Heart Assn. for STEMI Care

Next summer, residents throughout the metro area will undoubtedly be tuned in to see if American athletes bring home the gold at the 2020 Olympic Games in Tokyo.  This week, one group in our region already garnered gold status, albeit in a different form!  St. Charles County Ambulance District [SCCAD] paramedics earned the American Heart Association’s Mission: Lifeline EMS Gold Plus distinction for their continued implementation of quality measures for the treatment of patients who experience ST elevation myocardial infarction [STEMI] – a severe type of heart attack.

Each year, more than 250,000 individuals experience a STEMI, which is caused by a blockage of blood flow to the heart and requires timely treatment.  To prevent death, it is critical to restore blood flow as quickly as possible.  Unfortunately, a significant number of these patients don’t receive this prompt attention.

The correct tools, training and practices allow SCCAD paramedics to rapidly identify suspected heart attack patients and trigger an early response from the awaiting hospital personnel.  Agencies that receive the Mission: Lifeline Gold award demonstrated at least 75 percent compliance for each required achievement measure for two years.  The ‘Plus’ distinction reflects that paramedics are consistently performing a 12-lead ECG on patients within 10 minutes on chest pain calls.

“Paramedics play a vital part in the system of care for those who have heart attacks,” said James Jollis, M.D., Chair of the Mission: Lifeline Advisory Working Group.  “Since they are often the first medical point of contact, they can shave precious minutes of life-saving treatment time off by activating the emergency response system that alerts hospitals.  We applaud SCCAD for meeting evidence-based guidelines in the treatment of STEMI patients.”

SCCAD paramedics and leadership staff are elated to be recognized at this high level, but are quick to highlight that it is their collaborative relationships with area hospitals that make it possible.

“We’re working diligently with our partners at Barnes-Jewish St. Peters, Progress West, SSM Health St. Joseph Hospital St. Charles and SSM Health St. Joseph Hospital Lake St. Louis to develop processes and protocols with the goal of improving the quality of care for STEMI patients,” said John Romeo, Deputy Chief Medical Officer for SCCAD.

Cardiac care has been an area of focus for SCCAD in recent years; in 2015, the District was the first in the region to debut cardio-cerebral resuscitation [CCR] – an innovative approach to cardiac arrest management that saw a significant increase in survival to hospital discharge rates.

Board of Directors Vacancy

A vacancy has occurred in District 5 of St. Charles County Ambulance District Board of
Directors. Candidates for the office of Director must be a citizen of the United States, a qualified voter of election District 5, a resident for two years and shall be at least 24 years of age.

All interested applicants shall submit a letter of interest and resume to the Executive Assistant, or St Charles County Ambulance District, Attn: Tammy Dixon, 4169 Old Mill
Parkway, St Peters MO 63376 within seven (7) calendar days of the newspaper publication date (May 28, 2019).

SCCAD Receives 2019 ‘EMS Patient Safety First’ Award

The Center for Patient Safety (CPS) recently recognized the St. Charles County (MO) Ambulance District (SCCAD) for the EMS Patient Safety First Award.

CPS Executive Director Alex Christgen said district leaders have shown dedication and resilience by taking proactive steps to improve SCCAD’s patient safety culture, and the employees have shown spirited dedication in advancing the safe care of their patients. The EMS Patient Safety Award was presented to SCCAD during the East Central Region Clinical Save Banquet on April 18.

“Only one Emergency Medical Service provider in the United States is selected annually to receive this prestigious award,” Christgen said, “and I am pleased that St. Charles County Ambulance District has been selected. Their achievements are significant and deserving of this recognition.”

The award is given as part of EMS Week, set for May 19-25. Last year’s recipient was Lee County Florida Public Safety EMS. This is the second year the award has been given.
Lee Varner, director of patient safety at CPS, noted, “EMS is a high-consequence industry where organizations will be successful through a commitment to continuous improvement and effective adaption to change.”

SCCAD has developed and implemented several new practices that, Varner said, demonstrate the district’s proven leadership in the EMS field. Those practices include:
• Adopting a “just” culture to encourage recognition and reporting of near misses and medical errors so lessons can be learned from mistakes.

• Implementing the Medication Administration Cross Check (MACC) with staff to reduce medication errors. SCCAD also integrates MACC procedures while training paramedic students and utilizes the cross check during other educational events.

• Establishing a Peer Review Committee where peer clinicians review medical reports and events to ensure care is exceptional, and improvements are identified then implemented. SCCAD’s peer review model has been shared with numerous medical providers across the country.
• Developing a patient safety plan that actively involves leadership and frontline staff.
About CPS: The Center for Patient Safety is a non-profit organization whose mission is reducing preventable harm through creative and innovative patient safety solutions. CPS provides patient safety
improvement consulting, educating, and supporting services to hospitals, home care, nursing homes, EMS, ASCs, medical offices, and pharmacies across the United States. Find the Center for Patient Safety on Facebook and Twitter @PtSafetyExpert.

SCCAD Honored for Excellence in Financial Reporting

The Certificate of Achievement for Excellence in Financial Reporting has been awarded to St. Charles County Ambulance District by the Government Finance Officers Association of the United States and Canada (GFOA) for its comprehensive annual financial report (CAFR). The Certificate of Achievement is the highest form of recognition in the area of governmental accounting and financial reporting, and its attainment represents a significant accomplishment by a government and its management.

The CAFR has been judged by an impartial panel to meet the high standards of the program, which includes demonstrating a ‘spirit of full disclosure’ to clearly communicate its financial story and motivate potential users and user groups to read the CAFR.