The Zambakari Advisory, L.L.C.’s Post

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gNhJbjFM Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gC-g4KKn Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gC-g4KKn Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gNhJbjFM Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gC-g4KKn Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gC-g4KKn Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gC-g4KKn Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gNhJbjFM Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Report: Phoenix VA patient died after waiting 11 minutes for emergency care. The Phoenix VA Health Care System was heavily criticized in a U.S. Department of Veterans Affairs Office of Inspector General (OIG) report for its inadequate response to a medical emergency. A patient, who had just left a urology appointment, collapsed outside the facility. It took up to 11 minutes for the patient to receive basic care, only after the Phoenix Fire Department arrived. The patient later died at a community hospital. The OIG highlighted deficiencies in the initiation of emergency care, the quality of care before the emergency, and the completion of quality reviews. This report follows a decade after a major scandal at the Phoenix VA where veterans died while waiting for care, highlighting ongoing issues. The report indicated that staff did not initiate a rapid response or call VA police, citing procedural constraints as the patient was technically outside the building. The OIG criticized this policy misalignment with VHA requirements for patient safety and emergency response. Additional issues included conflicting policies, insufficient CPR training for staff, and limited access to defibrillators. Faults were also found in the patient’s prior care, including the failure to order a cardioverter defibrillator and omission of vital signs during the medical appointment. https://lnkd.in/gC-g4KKn Unfortunately, as someone who has dealt with the Phoenix VA for nearly a decade, these problems seem to plague the VA year after year. Until there are policies that prioritize the lives of veterans, it appears the VA has learned nothing from the major failures dating back to 2014. #VeteranCare #HealthSystemReform #MedicalEmergency

Which medical emergency calls require an immediate ambulance response with lights & sirens, and which ones can be safely held in a queue, or even referred to a nurse navigation line or mobile integrated health program? I’ve spent a good part of my adult life thinking about this question from many different angles – responding to emergencies on an ambulance at Samariterbund Wien, getting richer data to 911 centers at RapidSOS, building situational awareness applications for comm centers at RapidDeploy, and introducing the next generation of longitudinal patient care reporting at ESO. Now I’m adding another angle to this – my first involvement in academic research alongside Dr. Matthew Levy (The Johns Hopkins University), Brent Myers, MD MPH, Remle Crowe, PhD and several other EMS thought leaders. This study represents the largest number of linked MPDS Protocols and Determinant levels associated with both EMS interventions and emergency department outcomes conducted to date. "Dispatch Categories as Indicators of Out-of-Hospital Time Critical Interventions and Associated Emergency Department Outcomes" is now published in Prehospital Emergency Care, and shines a light on some really interesting insights. Turns out when you look at hospital outcomes and time-sensitive interventions, not all ALPHA codes are safe to hold. For more detail, see the link below. https://lnkd.in/g564MUsM NENA: The 9-1-1 Association APCO International International Academies of Emergency Dispatch