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.

Cardiac Surgery May Result in More Complications in Patients with Opioid Use Disorder

A new study has found that cardiology patients with opioid use disorders have more complications, longer hospital stays and costlier surgeries.

The study looked at 5.7 million patients who underwent cardiac surgery and compared outcomes of those who had opioid use disorders and those who didn’t. While there wasn’t a significant difference the rate of death between the two groups, patients with opioid use disorders had more complications, longer length of stay in the hospital and higher costs.

Over the last 15 years, researchers said there’s been an 8-fold increase of opioid use disorder among cardiac surgery patients and even that may be underreported. Prolonged opioid use has been associated with cardiovascular risk, but the research isn’t clear as to why exactly there’s a connection.

In the conclusion, the authors wrote that cardiac surgery is safe for patients with opioid use disorder, but that the patients should be carefully monitored postoperatively for complications.

The study was published this week in the Journal of the American Medical Association.

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from the Marshall Health, Charleston Area Medical Center and WVU Medicine.

Authority OKs New Cardiac Services at Princeton Hospital

State regulators have approved Princeton Community Hospital’s request to develop diagnostic cardiac catheterization services.

The hospital recently received a certificate of need from the West Virginia Health Care Authority for the project.

Dr. Wallace Horne tells the Bluefield Daily Telegraph that offering the services in Princeton will give patients more options. He says market information shows that patients in Mercer County go to hospitals in Bluefield, Charleston and Roanoke, Virginia, for cardiac diagnostic and treatment catheterization services.

Princeton Community Hospital’s project doesn’t include angioplasty or stents. Horne says the hospital could apply for another certificate of need to offer these services if there’s a medical need in the community.

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