February 6, 2012

Don't ignore the big HIPAA in the room

The Detroit EMS Saga continues to get more interesting as we watch the system fall to pieces before our very eyes. Most of you probably heard about the infamous 20 minute response that possibly resulted in the death of a patient, and as it turns out, the blame is being shifted on to the crew. Their termination from employment has sparked quite the up-roar amongst fellow EMS professionals and citizens from that community. But that’s not the reason for this article. I’m not going to voice an opinion on the matter because I don’t know all the details surrounding the situation. What I do know is that the EMT made a huge mistake going on camera to talk about that call.

After watching the video I turned on my stop watch to count the amount of time it takes for a privacy law suite to be filled for an obvious HIPAA violation. By going on national TV and talking about details surrounding the call, he not only put himself but the entire Detroit EMS service in harms way. That was a HUGE, HUGE, HUGE, no no. Being that the call itself made national headlines makes it extremely easy to reference the call, and the individual involved with his comments. I get the frustration, and I understand why he did it, but it was a bad move.

As medical professionals, we really have to watch ourselves when it comes to talking in front of a camera. This is why services like the one I work for prohibit us from speaking to the media at all. Just because he isn’t employed anymore, doesn’t mean he won’t get nailed with a hefty fine. If nothing else, he now has less protection then he did before the termination.

I’m keeping my fingers crossed that nothing happens to this EMT as a result of his statements, but I’m not exactly holding my breath.


Detroit EMS – Government Healthcare at It's Best

After reading about the budget shortfalls and response time issues with Detroit EMS, I am left to wonder why they haven’t considered contracting the service to a private ambulance provider? This is just another example of what happens when government is in charge of providing healthcare. Obviously Detroit’s issues go much deeper than EMS. As a matter of fact, their EMS service probably isn’t the problem at all. It’s the lack of funding and support that has put them and their citizens in this unfortunate position. Keep in mind, this is a service that not only bills the patients but receives tax dollars as well.

Had this problem come up with a private provider, they could put the contract up for bid and get someone else in who is capable of fulfilling the needs of the community. For those of you that argue that private EMS is bad because they can go out of business, then just read these articles. This sounds like a service that NEEDS to go out of service so someone can come in who isn’t subjected to cuts and do the job.

Our response time is atrocious. At any given point, day or night, consecutively for the last few months, there were no units available. That means if you call 911, it may be an hour, it may be two.

Emergency workers told Local 4 that they’re already understaffed, but come July 1, 33 more EMS positions will be eliminated.
The cause of the layoffs comes from a planned $1.8 million cut to the city budget.

Rationing care? That nonsense could never happen here!

I feel for the EMT’s, Paramedics and patients that have unfortunately been subjected to this. I really hope this gets better for them.

http://www.jems.com/article/news/budget-cuts-hit-detroit-ems

http://www.allvoices.com/contributed-news/6550028-chaos-continues-in-detroit-ems-workers-frustrated-over-lack-of-units

http://www.jems.com/video/news/detroit-ems-relying-crwon-vics