healthcare organization characterized by a payment and care deliv-
ery model that seeks to tie provider reimbursements to quality met-
rics and reductions in the total cost of care for an assigned population
Can EMS do more? For a UHU calculator, see Figure 3, p 34. Using
this year’s respondent data, participant UHU is presented in Figure
4, p. 34. Reported annual response volume and average unit hours
were distributed by 52 weeks per year to determine an average UHU.
Comparing that UHU to several published benchmarks the con-
clusion is clear. 6–8 There’s capacity to do more within many EMS
Financial Officer/Manager: A full-time management position focused
on budget and finance that may also have blended duties related to the
oversight of billing operations.
Billing/Reimbursement Clerk: A frontline position responsible for processing patient care records, billing payers and collecting reimbursement
Billing/Reimbursement Manager: Traditionally a middle management
position responsible for supervising the processing of patient care records,
billing payers and collecting reimbursement for services.
Fleet Mechanic: A frontline mechanic in fleet services whose duties may
include preventative maintenance, scheduled/unscheduled maintenance,
vehicle remounting/replacement and purchase specifications.
Fleet Manager: A middle management position charged with leading fleet services. Duties may include supervising mechanics, coordinating preventative maintenance, vehicle remounting/replacement and
Information Technology/Systems Manager: This position may or
may not be a management position. Responsibilities may include maintaining technological infrastructure (e.g., e-mail, servers, networks, etc.) for
Logistics/Supply Manager: May be management position or not.
Responsibilities may include supply purchasing, storage, distribution and tracking.
This position may also manage restocking of stations or ambulances.
EMS Operations Manager/EMS Chief: A middle- to upper-management
position responsible for managing day-to-day operations. This position may
have field supervisors and other frontline leadership positions reporting
directly to them.
Administrative Director/EMS Administrative Chief: A senior-level
management position that traditionally includes oversight of all non-operations functions and may include finance, billing/reimbursement and
Executive Director/Highest-Ranking EMS Chief: A senior leader of
all EMS functions whose duties include strategic planning, constituent
relations and leading senior management team.