Paramedics Plus

UPDATE: Sioux Falls Health Director tries to distract from the Ambulance Kerfuffle

UPDATE: A press release, well isn’t that special.

Jill wrote such a sweet letter today telling us about an ordinance that was already passed weeks ago by the city council instead of talking about the real elephant in the room, the musical emergency codes of Paramedics Plus.

Public health policy is a collaborative effort. It combines the efforts of leaders charged with, and invested in, improving the health of our city, public health experts who are responsible for making effective policy recommendations, as well as advocates and concerned residents who want a healthy community and a better future for those who live, work and play in Sioux Falls.

Oh, really Jill? If you were so CONCERNED about the health and well being of our community, you would make sure ambulances show up in a timely manner.

I encourage the citizens to call these fine folks and ask them why the code for Level Zero got changed to a 980.

Public Health Director • Jill M. Franken, 367-8761

Assistant Director of Public Health • Alicia Collura, 367-8009

Emergency Medical Quality Assurance Coordinator • (REMSA) Julie Charbonneau, 367-8763

EMS Medical Director • Jeff Luther, M.D., 271-9000

UPDATE: Is Paramedics Plus using a ‘Phantom Ambulance’ as their mutual aid?

Tonight on Stormland-TV, Investikeneke Angela is doing a story about the games PP has been playing since they implemented their ‘secret’ pilot program to help correct level zeros.

Teasers are HERE & HERE. UPDATE: Another story

The biggest concern is that PP has created fake mutual aid ambulances so that they still get the call and avoid zero level;

We’ve uncovered some of those late calls when no ambulance was available. But dispatchers no longer call it a Level Zero. Instead, it sounds something like this:

“Priority one for 980. Be advised that 980 is still on the call, 962 is at Sanford and will be clearing shortly to be enroute.”So while 980 sounds like an ambulance, it’s not, causing some to question is there is a “phantom ambulance” in Sioux Falls.

I was first told about this about a month ago (apparently the person who tipped me off went to Angela to). As I was asking questions about this and listening to different radio traffic, from talking to other ambulance service EMTs and providers in the region, one word kept coming up while describing PP’s new pilot program, “Corrupt”. And it wasn’t only competition that was saying this, one of their employees described the operations of PP as ‘F*cked’.

So how does this work if this is what they are truly doing?

It’s actually quite simple. In order to avoid a ‘level zero’ as an ambulance provider you have to make sure you have mutual aid in route to an emergency scene if all your ambulances are busy. Since PP has the contract with the city to provide exclusive ambulance service in Sioux Falls, they must call in mutual aid if all of their ambulances are busy. And they are busy quite often, making transports between SF hospitals, which is guaranteed revenue and at a lower risk. So when this happens, the accusation is that instead of calling in actual mutual aid (Like Med Star) they call a phantom service called a ‘980 to 989’. 911 dispatch of course are saying it is NOT a fake ambulance but another name for a Level Zero – Well isn’t that comforting. So while this FAKE level zero is happening, PP can finish their transport without getting called out on a ‘level zero’ and once the transport is finished, they call off the 980 and respond to the call, restarting the clock all over again. By this time, it could be over 45 minutes before the ambulance arrives. Rumor has it that in some cases people waited so long, they just had a family member drive them to the hospital, others died waiting.

While all of this sounds pretty crazy, it’s not to hard to pull off. Our health director, Jill Franken and REMSA have been tight lipped about this secret pilot program, so we have NO idea WHAT they are doing to fix the level zero calls, they refused to talk to KELO.

It will be interesting to see what Angela has uncovered, but the evidence I have been shown isn’t flattering.

Good thing we picked the ‘Most Qualified’ ambulance service

Looks like we enjoyed the ambulance vetting process so much, we MIGHT get to go through it again, soon;

South Dakota is not listed in the government’s lawsuit. Sioux Falls Regional Emergency Medical Services Authority says there was no profit cap for Paramedics Plus here.

However, when it got the contract in Sioux Falls, Paramedics Plus said it was making a $1.7 million investment into the REMSA system.

Meanwhile, East Texas Medical Center will merge its two ambulance services, EMS and Paramedics Plus, and spin off the division as a separate entity and is looking for a new partner to run it.

Paramedics Plus President Ron Schwartz says he it doesn’t anticipate any change in the ambulance workforce or management structure.

So what does that mean? Well if new partners join PP, that that may mean the contract has to be renewed with the new company. Not sure.

I found this comment attached to the story;

I worked at 9-1-1 for many years and it wasn’t until Paramedica Plus got the contract that I had ever heard of a level zero for ambulance response. For who ever it was on the city council to say that Paramedics Plus is living up to their contract and the responses are within the guidelines of the contract is abhorent. It is only acceptable when it’s not you or family. Get rid of Paramedics plus and get rid of what ever politicians who thinks that this contract is acceptable.

I guess we will never know what they are doing to eliminate the issue. The ‘Pilot’ program was performed under a cloak of secrecy.

Fitch did an analysis of Minnehaha County’s ambulance service, yesterday at the CC meeting (starts at 14:00)

Did Paramedics Plus promise a ‘soft’ bribe?

I found this part of Angela Keninvestigate’s Stormland TV story about Paramedics Plus interesting;

Paramedics Plus did put in its own dispatch system for Metro Communications called PULSE and two Metro Communications workers were flown to Tyler, Texas for training on the system. The City and Metro Communications tells KELOLAND News it does not know how much Paramedics Plus paid for the PULSE system that came at no expense to the City or Metro Communications.  Paramedics Plus will not tell us how much the PULSE system cost.

However, we did find in REMSA’s annual report to the City that the software system is valued at more than $150,000. 

At the time it got the City Contract, Paramedics Plus told the City it was making a $1.7 million dollar investment into the REMSA System in Sioux Falls. The U.S. Attorney in Texas who filed the suit says it’s against the law to pay kickbacks in order to gain access to Medicare and Medicaid funds.

Acting U.S. Attorney Brit Featherston says, “Kickback schemes are anti-competitive, undermine the integrity of our nation’s health care programs, and wrongly prioritize profits over patient care.”

When Paramedics Plus was being vetted by the city, we found several conflict of interests with PP and the advisory company hired to vet a new ambulance provider. Not sure what a bribe or kickback looks like, but I would think promising a $150K to $1.7 million dollar investment into the system a little murky.

Paramedics Plus being investigated by the Feds for Kickbacks

I always had a ‘weird’ feeling about this company when they rolled into Sioux Falls;

The United States’ complaint alleges that ETMC and Paramedics Plus entered into an illegal kickback scheme to obtain and retain a lucrative public ambulance services contract awarded by Williamson and EMSA, a public trust entity established under Oklahoma law.  The United States alleges the defendants created a slush fund controlled by ETMC and Paramedics Plus that was used to pay over $20 million in kickbacks.

Makes you wonder if the investigation will go national.