Emergency Medical Services Staffing Continuing Positive Turnaround 

Ratliff said local EMS squads are excited about the ability to bill insurance patients for emergency care that doesn’t include transports. The legislature passed that law in the general session earlier this year.

Just three years ago, EMS provider numbers across the state were down a third. At that time, more than 3,000 staffers were needed..

In November 2023, state EMS Director Jody Ratliff told WVPB increased recruitment and retention efforts helped gain 600 providers over the past year. On Tuesday, Ratliff told the interim Joint Committee on Volunteer Fire Department and Emergency Medical Services he expects to see more gains when the numbers are released in May. 

Ratliff said two years into the EMS Leadership classes conducted in partnership with University of Charleston, the instruction is invaluable. He said the gains have come in promoting rural EMTs and paramedics who are great health care providers but lack the needed business expertise.

“This class is that Director 101,” Ratliff said. “That teaches about budgets, about everything HR, everything that you need to know, that base that you need to actually be a director.”

Among recent EMS advancements, Ratliff said the state is ready to sign the contract for “Hospital Hub” software that will greatly improve patient charting originating in the ambulance.

“In the past, we’ve had to submit our chart to the hospital, once we got them there, fax it to them, mail it to them, depending on what era it was, how we got it there,” Ratliff said. “The Hospital Hub is in real time. As that chart comes through our system, it’ll immediately be sent to the hospital that the patient is going to. That’s a permanent record that will automatically go to the hospital and that chart can actually flow right into the hospital’s chart. So all that permanent record stays with them.”

Ratliff told the committee he expects to see a number of positives from the upcoming Emergency Medical Services Pediatric Symposium. It will be held at the Summit Bechtel Reserve in Fayette County Sept. 29 through Oct.  2.  

“It’s free education,” Ratliff said. “It’s the first multi-day pediatric symposium we’ve had in the state. We’ve got instructors coming in from Shriners Children’s National Hospital, Florida Pediatrics and the University of Kentucky. There is going to be trauma and respiratory specialties for children, snake bites, burns, better ingestion, pediatric abuse, head trauma, shock. And the Boy Scout camp is allowing us to use their facilities.” 

Ratliff said local EMS squads are excited about the ability to bill insurance patients for emergency care that doesn’t include transport. The legislature passed that law in the general session earlier this year.

“The protocols are ready, and they will be rolling out this week,” Ratliff said. “And they’re champing at the bit to get a hold of them.” 

Del. Joe Statler, R-Monongalia, requested the committee push for additional state EMS funding in the expected upcoming special session.

“I’m an advocate that we do have to do some type of state funding that would be in conjunction with the counties where the services are needed out there,” Statler said.

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HOST: West Virginia’s long depleted Emergency Medical Services staffing continues a positive turnaround.  Randy Yohe has more.  

Randy: Just three years ago, EMS provider numbers across the state were down a third, from a total need of more than 3,000.   

State EMS Director Jody Ratliff has said increased recruitment and retention efforts helped gain 600 providers last year. He told the interim Joint Committee on Volunteer Fire Department and EMS Tuesday there is another annual net positive employment gain so far in 2024.  

Ratliff said the EMS leadership classes at the University of Charleston are invaluable in promoting rural EMTs and paramedics who are great health care providers, but lack the needed business expertise.

Ratliff bite: 21:24  “This class is that director 101, that teaches about budgets, about everything HR, everything that you need to know, that base that you need to actually be a director.”

Del. Joe Statler, a Republican from Monongalia County, requested the committee push for additional state EMS funding in the expected upcoming special session.

Whole Blood Transfusions In Ambulances Could Save Lives In Two W.Va. Counties

More life-saving methods are available on ambulances in two West Virginia counties.

The state Department of Health announced Tuesday that West Virginia is the first state in the country to provide statewide protocols for the administration of whole blood on ambulances.

According to the Department of Health’s Director of the Office of Emergency Medical Services, Joseph Ratliff, whole blood transfusions help restore a patient’s blood volume and clotting function much faster than traditional blood component therapy.

Ratliff said administering whole blood to trauma patients can significantly improve their chances of survival.

“Bleeding is often an early cause of death when it comes to trauma patients, but it doesn’t have to be,” Ratliff said. “I’m pleased to see these two counties stepping up to answer the call by providing this lifesaving service to residents.”

Cabell County EMS started offering the service in November of 2023, and in March of 2024, Harrison County also began carrying whole blood on ambulances.

Paramedics delivering whole blood on ambulances in these two counties are trained to administer the transfusion.

To expand the program, the state needs more blood donations. To make an appointment, donors may download the Red Cross Blood Donor App and use “Rapid Pass” which speeds up the time it takes to donate by allowing donors to fill out the questionnaire online.

Donors may also make an appointment at RedCrossBlood.org or call 1-800-RED CROSS 1-800-733-2767.

New Laws Benefit Some EMS Issues, Ignore Budget Requests

Several new state laws are meant to help the state’s understaffed Emergency Medical Services. But maintaining statewide EMS operations remains a challenge.

Several new state laws are meant to help the state’s understaffed Emergency Medical Services. But maintaining statewide EMS operations remains a challenge. 

Before Senate Bill 533 became law, many EMS runs were like Ubers, only getting paid to transport. Now, ambulance units will be reimbursed for care provided at the scene, even if they don’t transport the patient. 

Executive Director of the West Virginia EMS Coalition Chris Hall said the legislation speaks to the cause of readiness.

“There’s an acute cost,” Hall said. “Particularly in our rural areas where you may have less than one call a day to keep an ambulance available 24/7. When that call comes out, you respond to the scene and then you don’t get paid, it really makes it difficult to maintain the service. This bill only applies to private insurance. It won’t impact Medicare, Medicaid, PEIA, but it’s a start.”  

Hall said other new laws benefiting the industry include Senate Bill 445, that streamlines redundant EMT certification requirements.

“Some folks had to renew three out of four years,” Hall said. “Hopefully this will make it easier for everyone to get recertified and hopefully keep more certified people on the rolls in West Virginia.”

Hall said Senate Bill 602 will create cardiac emergency response plans for public schools, putting first responders in a proactive role.

“The schools will coordinate with EMS on those plans, so that we’re involved from the start,” Hall said. “Cardiac emergencies are increasingly common, particularly in football and sports like that. This just ensures that the local EMS systems are involved in a planned response to those emergencies and hopefully, save lives, particularly for our young students.”

But Hall says state funding was not approved to help maintain EMS operations and address a shortage of ambulances and equipment.     

“Every state around us has some funds that go to EMS agencies for equipment, training, things like that, to help keep the doors open,” Hall said. We still don’t have that. As you’re looking across the state, I think you’re seeing more and more reports where ambulances aren’t always available to respond to an emergency.”

Another new law, House Bill 5347, provides a state funded program for EMS personnel to become certified paramedics.

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