thegreypilgrim
Forum Asst. Chief
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Alright I'm not sure if this sort of thread has been created thus far...and I don't care if it has because that's how I roll. 
Fear not though readers, this should be fun.
You have recently been appointed (because you're a badass with all the right connections) the director of your state's EMSA (the regulating body). The state economy is strong (ha!) and your superiors - apparently both fed up with and at a complete loss as to how to resolve the issues surrounding EMS in your region - have essentially given you cart blanche with your reform program. Your expertise is both unmatched and completely necessary, they will thus bow to your will and force all other affected agencies/departments/services to similarly recognize your sweeping changes.
So, money is no issue, and political resistance from other parties is futile. What, then, shall you do? What will you change? What will you keep the same? What will you destroy without mercy (ok, maybe this is too much...everyone recall the words of Lord Acton)?
Specifically, what changes will you make to the following:
(a) Provider levels themselves (e.g. replace "EMT-B" with "CFR" or something else altogether; or make some modification to an existing level; etc.)
(b) The education requirements to obtain a given level of certification/licensure
(c) Provider scope of practice
(d) The delivery of EMS (e.g. Fire-based/Third Service/Private Practice, statewide vs. local, profit vs. non-profit, etc.)
Well there you go, now have at it! Think outside the box as no bureaucrat stands (or...sits behind a desk with a disapproving scowl on his face) in your way to progress.
Fear not though readers, this should be fun.You have recently been appointed (because you're a badass with all the right connections) the director of your state's EMSA (the regulating body). The state economy is strong (ha!) and your superiors - apparently both fed up with and at a complete loss as to how to resolve the issues surrounding EMS in your region - have essentially given you cart blanche with your reform program. Your expertise is both unmatched and completely necessary, they will thus bow to your will and force all other affected agencies/departments/services to similarly recognize your sweeping changes.
So, money is no issue, and political resistance from other parties is futile. What, then, shall you do? What will you change? What will you keep the same? What will you destroy without mercy (ok, maybe this is too much...everyone recall the words of Lord Acton)?
Specifically, what changes will you make to the following:
(a) Provider levels themselves (e.g. replace "EMT-B" with "CFR" or something else altogether; or make some modification to an existing level; etc.)
(b) The education requirements to obtain a given level of certification/licensure
(c) Provider scope of practice
(d) The delivery of EMS (e.g. Fire-based/Third Service/Private Practice, statewide vs. local, profit vs. non-profit, etc.)
Well there you go, now have at it! Think outside the box as no bureaucrat stands (or...sits behind a desk with a disapproving scowl on his face) in your way to progress.