As we implement the Medical Priority Dispatch System in many countries, we constantly see how effective the EMD can be in maintaining an airway by following the recognized protocol. Many lives are affected daily by trained and certified EMDs. However, every now and again the EMD is faced with unusual situations such as airway management with severe trauma or long response times. It's certainly not uncommon for EMS providers to pay for their workers to attend EMS conferences, take additional training, or sometimes even obtain non-EMS education. In the beginning, the ambulance billing process consisted of typing up a bill, mailing it to the patient, and hoping to get a check in the mail.
Today there is probably nothing more complex in an ambulance operation than the billing process.
In 1989, it became the first non-Japanese company to win the Deming Award and later started its own TQM consulting practice. Because its CEO thought that TQM demanded too many management meetings and excessive report writing. It was causing a drop in customer satisfaction, hurting the bottom line, and pulling managers away from the company's real work. When I taught business law full-time at Mercy College, I had seniors in my classes who were getting serious about their futures and starting the interview process. I would let them know that I had identified three important work rules to help them shoot up the ladder of success in record time and with great enthusiasm.