In this episode of the Tennessee EMS Education Association Leadership Podcast, recorded during the 2024 TEMSEA Conference, we sit down with two prominent figures in the EMS industry—Chris Kelly, a seasoned healthcare attorney specializing in EMS-related law, and Matt Zavadsky, a leading expert in mobile integrated healthcare (MIH) and EMS system transformation. Chris Kelly shares his insights on the critical importance of thorough documentation, informed consent, and the potential legal pitfalls that EMS providers must navigate. Matt Zavadsky discusses the evolving role of EMS as a comprehensive healthcare provider, emphasizing the need for sustainable funding models and evidence-based system redesign.

Listeners will gain valuable perspectives on how to protect themselves legally while also exploring innovative approaches to improving EMS services for the communities they serve. Don’t miss this engaging and informative discussion that addresses both the challenges and opportunities facing the EMS industry today.

EMS leaders listening to this podcast will take away several practical applications, including:

Enhanced Documentation Practices:

Leaders will understand the critical importance of thorough documentation in EMS reports. They’ll learn to emphasize the need for complete narratives, proper patient signatures, and the documentation of pertinent negatives to protect their services from legal and financial repercussions.

Informed Consent Processes:

Leaders will gain insights into the importance of obtaining informed consent from patients who refuse treatment or transport. They’ll be better equipped to train their teams on how to clearly communicate risks, care options, and ensure patients fully understand the implications of their decisions.

Implementing Mobile Integrated Healthcare (MIH):

The podcast will provide leaders with a clear understanding of how MIH can be integrated into their EMS services. They’ll learn how to address challenges like hospital overcrowding and emergency service misuse by offering alternative care pathways through MIH programs.

Advocacy for System Redesign:

Leaders will be encouraged to advocate for the transformation of EMS from a traditional transport service to a comprehensive healthcare provider. This includes pushing for sustainable funding models, exploring alternative response options, and redesigning EMS systems based on evidence to improve service delivery.

Risk Management and Legal Compliance:

The conversation with Chris Kelly will highlight key areas where EMS providers are legally vulnerable, encouraging leaders to implement policies and training that minimize these risks. This includes regular audits of refusals and ensuring all EMS staff are well-versed in legal requirements.

Strategic Communication with Stakeholders:

Leaders will be inspired to engage with local and national stakeholders, including government officials, to push for necessary changes in EMS funding and policies. The podcast will emphasize the importance of communication in ensuring EMS services are recognized and reimbursed as essential healthcare services.