Funding for Emergency Operations

livelihood for Emergency trading operations Jenalyn L. Brock EMC/330 March 19, 2013 Robert E. Wynne Funding for Emergency trading operations regimen funding for extremity health check do (EMS) trading operations and training comes from numerous polar resources. regimen withal oversees weigh options for funding Medicaid, Medic be, restitution, and one-on-one volunteerrs. The Taylor Ambulance c each(prenominal)er-up in the University of capital of Arizona scenario has its own iron with the city of Kelsey. This cut off should accumulate some invite some superior general tr demolition principles. Emergency managers film to record the center that legislation has on funding and operations. political sympathies Options for Funding EMS operations and training own funding from the public and fee-for-service recoupment (Brennan, 2006, p. 93). How an EMS organization is configured determines how the EMS work be funded. Traditionally, cloistered EMS providers re ly on fee-for-service funding, while public service providers rely on public funding. According to Brennan (2006), both providers be bearing for serve and toffee-nosed EMS companies are more and more dependent on public funding. In 1966, the National passage Safety Act acquired a subsidization weapons platform that provided funding for equipment and military group.In order to receive money for grants, EMS organizations progress to to write grant proposals to the government. In the grant proposals, managers energise to explain on the nose how the funds impart be used, who pull up stakes take in from the funds, and prove that they leave behind non villainy the funds (FEMA, 2012). Local organizations besides see receipts from funding alternatives such as taxes, substance abuser fees, fines, forfeitures, citations, enterprise funds, utility rates, gross revenue of organizational assets, benefit assessments, and borrowing revenue (FEMA, 2012). These funding alternati ves are acquired by government processes.In 1973, sexual congress passed the Emergency Medical Systems Act that provided further counselling and funding for EMS systems (Brennan, 2006, p. 94). unavowed EMS organizations standardized American Medical Response and inelegant/Metro stack are mostly supported by user fees, unless they are patients dawned by Medicare or Medicaid. Each of these government funding choices has its own implications and comes with restraints, as in restricting the way the money is used. weightlift Options for Funding EMS organizations also have their contr practise options for funding.According to the Centers for Medicare and Medicaid service (2013), they developed a fee record for ambulance service, in order to contain cost. This catalogue is written into a contract. some(prenominal) patients that are acquited by ambulance are Medicare beneficiaries. The government will only reimburse the companies for services rendered during transport, unless contraindicated by the patients medical condition. there are codes associated with treatment that either replace or add ICD-9 codes. The fee schedule also corresponds with BLS and ALS levels of care, rating treatment from mundane to complex (Brennan, 2012).Private insurance companies like Blue Cross Blue bulwark include ambulance services for their patients when other transportation would otherwise harm the patient. Cities and hospitals defecate contract agreements with private ambulance companies for services. Taylor Ambulance familiarity Service Contracts cosmopolitanly in contract writing, there are six basic contract elements (The Law Handbook, 2010). The start-off is that both parties essential have the capacity to enter a contract. There must be an offer and then acceptance. There needs to be intention to create legal relations. Considerations are made regarding as farther as the harbor of what is being ex transplantd.There is also consideration for what will decea se if the other companionship fails to follow through with their portion of the contract. The considerations must not be ineligible in nature, or the contract is not valid. The Taylor Ambulance fellowship has a General Services Agreement with the urban center of Kelsey. The two parties are capable of move into the contract. The contract clear states that both parties agree that Taylor Ambulance Services will provide emergency transport for the city, through 911-dispatch. The contract also clearly states that Taylor Ambulance caller-out will provide appropriately trained personnel and its own equipment.The contract also delineates how many ambulances will be running, rounded, and stocked with during the contract. It also identifies Taylor Ambulance follow as the primary provider of emergency transport services for the urban center of Kelsey. The ambulances must be in good workings order and staff must be trained according to all applicable laws. The contract states exactly how much Taylor Ambulance Company will be paid for each patient that it transports. The total of $829. 40 will be the price. For the rest of the costs associated with the transport, like medical supplies, blankets, and other equipment, must be provided by Taylor Ambulance Company.At the end of each month, Taylor Ambulance Company must total the ambulance transports. The City of Kelsey will agitate them an accounting report and Taylor Ambulance Company must clear the statement. If both parties legato disagree, they will seek further counsel. These elements of the contract cover the consideration elements of a contract. The contract has an exact start and stop time, and is gestural by the city manager of the City of Kelsey and the Owner of Taylor Ambulance Company. Effect of Legislation on Funding and Operations federal and local legislation can have significant personal transactions on funding and operations.Depending on the type of organization, it could be dependent on Federa l funding. Mercer (2013) reported that the South Dakota state Senate jilted an attempt to change financial agreements between insurance companies and ambulance services. A Senator wanted to allow ambulance services to be paid directly by insurance providers, as argue to sending checks to patients. There are times when the ambulance companies were not receiving payments. The interruption in the payment cycle can have a direct effect on the companys funding and operations. On a Federal level, financial stability can have a great boilers suit impact on ambulance companies.Fortunately, in January 2013, President Obama sign(a) the National justification Authorization Act. It reauthorized the brace and SAFER grant programs and called to reform the universe Safety Officers Benefits Program. The act also keep ons Medicare bonus payments for ambulance services. Ambulance companies will receive an superfluous two percent for urban transports, three percent for rural transports, and 22. 6% for super-rural transports (Fire Chief, 2013). Conclusion Government funding for EMS operations and training comes from several different resources. Ambulance companies rely on both public and private funding.Government also oversees contract options for Centers for Medicare and Medicaid Service providers like Medicaid and Medicare. Insurance companies and private providers also adhere to contracts. The Taylor Ambulance Company in the University of capital of Arizona scenario has its own contract with the City of Kelsey. This contract meets the general contract principles and clearly outlines the terms of the deal between Taylor Ambulance Company and the City of Kelsey. Emergency managers who understand legislation and how it effects funding will be able to annunciate changes and effectively manage their organizations. References Brennan, J.A. (2006). Principles of EMS systems. (3rd ed. ). Sudbury, MA Jones and Bartlett Centers for Medicare and Medicaid Services. (2013). pecuniary alignment initiatives. Retrieved from http//www. cms. gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid- Coordination/Medicare-Medicaid-CoordinationOffice/ FinancialModelstoSupportStatesEffortsinCareCoordination. hypertext markup language FEMA. (2012). Funding alternatives for emergency medical and fire services. Retrieved from http//www. usfa. fema. gov/downloads/pdf/publications/fa_331. pdf Fire Chief. (2013). Obama signs bills to re-fund USFA, FIRE grants, extend Medicare ambulance payments.Retrieved from http//firechief. com/legislation-amp regulations/obama-signs-bills-re-fund-usfa-fire-grants-extend-medicare-ambulance-pa Mercer. (2013). Rapid City Journal. Senate blocks changes to ambulance service payments. Retrieved from http//rapidcityjournal. com/news/senate-blocks-changes-to-ambulance-service-payments/article_880d2ee4-ef1f-54dd-a98a-0c6e81ef95e7. hypertext markup language National Highway Transportation and Safety Administration. (1996). Emergency medical services agenda for the future. Retrieved from http//www. nremt. org/nremt/ downloads/EMS%20Agenda%20for%20the%20Future. pdfFunding for Emergency OperationsFunding for Emergency Operations Jenalyn L. Brock EMC/330 March 19, 2013 Robert E. Wynne Funding for Emergency Operations Government funding for emergency medical services (EMS) operations and training comes from many different resources. Government also oversees contract options for funding Medicaid, Medicare, insurance, and private providers. The Taylor Ambulance Company in the University of Phoenix scenario has its own contract with the City of Kelsey. This contract should meet some meet some general contract principles. Emergency managers need to understand the effect that legislation has on funding and operations.Government Options for Funding EMS operations and training receive funding from the public and fee-for-service reimbursement (Brennan, 2006, p. 93). How an EMS organization is configured determines how the EMS serv ices are funded. Traditionally, private EMS providers rely on fee-for-service funding, while public service providers rely on public funding. According to Brennan (2006), both providers are billing for services and private EMS companies are more and more dependent on public funding. In 1966, the National Highway Safety Act created a grant program that provided funding for equipment and personnel.In order to receive money for grants, EMS organizations have to write grant proposals to the government. In the grant proposals, managers have to explain exactly how the funds will be used, who will benefit from the funds, and prove that they will not abuse the funds (FEMA, 2012). Local organizations also see revenue from funding alternatives such as taxes, user fees, fines, forfeitures, citations, enterprise funds, utility rates, sales of organizational assets, benefit assessments, and borrowing revenue (FEMA, 2012). These funding alternatives are acquired through government processes.In 19 73, Congress passed the Emergency Medical Systems Act that provided further guidance and funding for EMS systems (Brennan, 2006, p. 94). Private EMS organizations like American Medical Response and Rural/Metro Corporation are mostly supported by user fees, unless they are patients cover by Medicare or Medicaid. Each of these government funding choices has its own implications and comes with restraints, as in restricting the way the money is used. Contract Options for Funding EMS organizations also have their contract options for funding.According to the Centers for Medicare and Medicaid Services (2013), they developed a fee schedule for ambulance services, in order to contain costs. This schedule is written into a contract. Many patients that are transported by ambulance are Medicare beneficiaries. The government will only reimburse the companies for services rendered during transport, unless contraindicated by the patients medical condition. There are codes associated with treatmen t that either replace or supplement ICD-9 codes. The fee schedule also corresponds with BLS and ALS levels of care, rating treatment from routine to complex (Brennan, 2012).Private insurance companies like Blue Cross Blue Shield include ambulance services for their patients when other transportation would otherwise harm the patient. Cities and hospitals create contract agreements with private ambulance companies for services. Taylor Ambulance Company Service Contracts Generally in contract writing, there are six basic contract elements (The Law Handbook, 2010). The first is that both parties must have the capacity to enter a contract. There must be an offer and then acceptance. There needs to be intention to create legal relations. Considerations are made regarding as far as the value of what is being exchanged.There is also consideration for what will happen if the other party fails to follow through with their portion of the contract. The considerations must not be illegal in natu re, or the contract is not valid. The Taylor Ambulance Company has a General Services Agreement with the City of Kelsey. The two parties are capable of entering the contract. The contract clearly states that both parties agree that Taylor Ambulance Services will provide emergency transport for the city, through 911-dispatch. The contract also clearly states that Taylor Ambulance Company will provide appropriately trained personnel and its own equipment.The contract also delineates how many ambulances will be running, staffed, and stocked during the contract. It also identifies Taylor Ambulance Company as the primary provider of emergency transport services for the City of Kelsey. The ambulances must be in good working order and staff must be trained according to all applicable laws. The contract states exactly how much Taylor Ambulance Company will be paid for each patient that it transports. The total of $829. 40 will be the price. For the rest of the costs associated with the tran sport, like medical supplies, blankets, and other equipment, must be provided by Taylor Ambulance Company.At the end of each month, Taylor Ambulance Company must total the ambulance transports. The City of Kelsey will send them an accounting report and Taylor Ambulance Company must approve the statement. If both parties still disagree, they will seek further counsel. These elements of the contract cover the consideration elements of a contract. The contract has an exact start and stop time, and is signed by the Mayor of the City of Kelsey and the Owner of Taylor Ambulance Company. Effect of Legislation on Funding and Operations Federal and local legislation can have significant effects on funding and operations.Depending on the type of organization, it could be dependent on Federal funding. Mercer (2013) reported that the South Dakota state Senate rejected an attempt to change financial agreements between insurance companies and ambulance services. A Senator wanted to allow ambulanc e services to be paid directly by insurance providers, as opposed to sending checks to patients. There are times when the ambulance companies were not receiving payments. The interruption in the payment cycle can have a direct effect on the companys funding and operations. On a Federal level, financial stability can have a great overall impact on ambulance companies.Fortunately, in January 2013, President Obama signed the National Defense Authorization Act. It reauthorized the Fire and SAFER grant programs and called to reform the Public Safety Officers Benefits Program. The act also extends Medicare bonus payments for ambulance services. Ambulance companies will receive an extra two percent for urban transports, three percent for rural transports, and 22. 6% for super-rural transports (Fire Chief, 2013). Conclusion Government funding for EMS operations and training comes from several different resources. Ambulance companies rely on both public and private funding.Government also ov ersees contract options for Centers for Medicare and Medicaid Service providers like Medicaid and Medicare. Insurance companies and private providers also adhere to contracts. The Taylor Ambulance Company in the University of Phoenix scenario has its own contract with the City of Kelsey. This contract meets the general contract principles and clearly outlines the terms of the deal between Taylor Ambulance Company and the City of Kelsey. Emergency managers who understand legislation and how it effects funding will be able to anticipate changes and effectively manage their organizations. References Brennan, J.A. (2006). Principles of EMS systems. (3rd ed. ). Sudbury, MA Jones and Bartlett Centers for Medicare and Medicaid Services. (2013). Financial alignment initiatives. Retrieved from http//www. cms. gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid- Coordination/Medicare-Medicaid-CoordinationOffice/ FinancialModelstoSupportStatesEffortsinCareCoordination. html FEMA. (2012). Funding alternatives for emergency medical and fire services. Retrieved from http//www. usfa. fema. gov/downloads/pdf/publications/fa_331. pdf Fire Chief. (2013). Obama signs bills to re-fund USFA, FIRE grants, extend Medicare ambulance payments.Retrieved from http//firechief. com/legislation-amp regulations/obama-signs-bills-re-fund-usfa-fire-grants-extend-medicare-ambulance-pa Mercer. (2013). Rapid City Journal. Senate blocks changes to ambulance service payments. Retrieved from http//rapidcityjournal. com/news/senate-blocks-changes-to-ambulance-service-payments/article_880d2ee4-ef1f-54dd-a98a-0c6e81ef95e7. html National Highway Transportation and Safety Administration. (1996). Emergency medical services agenda for the future. Retrieved from http//www. nremt. org/nremt/ downloads/EMS%20Agenda%20for%20the%20Future. pdf