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21

Its Hard to be Afraid (68-75) 1983 10 JEMS

[…] negligence.

Union Contract Renegotiated

Perhaps the most difficult,
controversial, yet rewarding and
unique aspect of the facelift was the
renegotiation of the contract with the
medics’ union. If you examine the

contents of the contracts before and
after, you should easily be able to see

just how dedicated the medics were to
the job they were doing and how […]

22

A Concept Worth Stealin_1988, June JEMS

[…] hospital” for on-line medical control, Pinellas County employs a man­
aged but decentralized on -line control system. (See “Interface,” March 1988
]EMS.) In Pinellas County , the information system will actually facilitate decentralized control by showing the current availability of certified base sta­
tion physicians throughout the hospital system . And while Portland uses a sim­ ple but effective automated […]

23

Strong Words and Weak Arguements (113-117) 1986 09 JEMS

[…] prove more efficient than production of the sam e service by a
well-managed agency of governm ent. Some argue that lower wages explain the private sector’s efficiency advantage. For exam ple, wages of governm ent par­ amedics currently average about 20 percent higher than wages of para­ medics employed in the private sector. This difference does not, however, […]

24

Please, Don’t Call it Competition (38-43) 1985 08 JEMS

[…]
complex, so it is not uncomm on for public officials and even the press to approach EMS with unwarranted
confidence in their understandings of how prehospital care systems actually work.
Some people believe the city’s reluctance to abandon call rotation, the faulty diagnosis of the problem and the incomplete, even erroneous
management reports were all […]

25

Tulsa, Public Utility Model Revisited, Part 3_1985, May (58-64) JEMS

[…] Solana

Beach, CA 92075.

ambulance monopdies have evolved to

provide superb service at low cost.
Granted. And Phil will have to admit

that there have been occasional exam

ples of efficient governmentoperated
services. But a good system design
makes superior results not only possi-

ble, but likely – something neither
laissez-falre nor solicitation can […]

26

Showdown in Ft. Wayne, ID (54-59) 1983 08 JEMS

[…]
sector, fair and square.
Unfair Pricing
by
the
Governmental Bidder
The first problem involved the
possibility of the governmental
bidder offering a price well below
its own actual production costs.
How could the ambulance author­ ity convince private companies
that they should invest their own
time and money participating in
the bid process when […]

27

Organizing Quality Control in EMS_1988- March (67-74)_JEMS

[…] of the above-listed
criteria. The formula has never
failed. The aim of this article is to
replace the conventional wisdom of
EMS quality control with concepts
that actually work.
“Internal” vs. “External” QC
At the heart of the formula is a critical distinction between “inter­
nal” vs. “external” medical quality
control. The distinction is simple […]

28

To Bid or Not to Bid_1987-December (65-67)_ Jack Stout

[…] the work of a saw can only disappoint. In the
same way, inappropriate use of bid
competition can turn good service bad, bad service worse, and has actually been known to lead the public officials
involved to seek entirely new careers.
Jack Stout has been at the forefront of innova­ tions in the design and […]

29

What JEMS has meant to EMS by A.J. Heightman

[…] since JEMS’ inception in March of 1980 and not just focus on some of Jim Page’s many legendary contributions to the EMS industry.
We omitted the dozens of examples to help you see how visionary, and sometimes controversial, articles, authors and non-traditional ideas have helped guide EMS system development. We also omitted a 550-word special […]

30

1985 (January) JEMS

[…] Jack L. Stout-1985: A Turnin g Point.

111
Discussions in Paramedicine
by
Jim Democoeur-The Patient Care Reflex.
jems JANUARY 1985 3

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