Product Development Approach for a Stabilized Ambulance Stretcher
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Ambulance Transportation Billing Guide
Washington Apple Health (Medicaid) Ambulance Transportation Billing Guide January 1, 2021 Disclaimer Every effort has been made to ensure this guide’s accuracy. If an actual or apparent conflict between this document and a Health Care Authority (HCA) rule arises, HCA rules apply. Billing guides are updated on a regular basis. Due to the nature of content change on the internet, we do not fix broken links in past guides. If you find a broken link, please check the most recent version of the guide. If this is the most recent guide, please notify us at [email protected]. About this guide* This publication takes effect January 1, 2021, and supersedes earlier billing guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562- 3022. People who have hearing or speech disabilities, please call 711 for relay services. Washington Apple Health means the public health insurance programs for eligible Washington residents. Washington Apple Health is the name used in Washington State for Medicaid, the children’s health insurance program (CHIP), and state-only funded health care programs. Washington Apple Health is administered by the Washington State Health Care Authority. Refer also to HCA’s ProviderOne Billing and Resource Guide for valuable information to help you conduct business with HCA. How can I get HCA Apple Health provider documents? To access provider alerts, go to HCA’s provider alerts webpage. To access provider documents, go to HCA’s provider billing guides and fee schedules webpage. -
SPECIFICATIONS for ORGANISERS These Specifications Are a Supplement of the UCI Regulations for All Races That Are Part of the UCI Worldtour
SPECIFICATIONS FOR ORGANISERS These specifications are a supplement of the UCI Regulations for all races that are part of the UCI WorldTour. The different topics mentioned in this document and the UCI Regulations have to be respected by organisers. In addition, the organiser should also take into account the prevailing laws and regulations of the country in which the event is to be held. The specifications give details of standards that organisers have to comply with. Events are expected to comply with certain criteria in the following areas: SECTION A | EVENT OPERATIONS 1. Race routes 2. Start area 3. Finish area 4. Race vehicles 5. Timekeeping 6. Technical guide 7. Riders’ security 8. Medical services 9. Race radio 10. TV production 11. Accommodation and catering for the teams SECTION B | EVENT COMMUNICATIONS 12. Relations with the media 13. Event website and digital media 14. Branding TABLE OF CONTENTS SECTION A | EVENT OPERATIONS 4 1. Race routes 5 8. Medical services 19 1.1 SELECTION OF RACE ROUTES 5 8.1 GENERAL PRINCIPLES 19 1.2 DISTANCE OF STAGE RACES 5 8.2 THE RESOURCES REQUIRED 19 1.3 SCHEDULED FINISH TIMES 5 8.3 DISTRIBUTION ON THE GROUND AND INTERVENTIONS 20 1.4 TRANSFERS IN STAGE RACES 5 1.5 TRANSFERS AND REST DAYS 5 9. Race radio (Radio Tour) 21 1.6 TIME TRIALS 6 10. TV production 22 1.7 FEED ZONE 6 10.1 RESOURCES REQUIRED 22 1.8 LITTER ZONE 6 10.2 RACE INFORMATION SYSTEM 22 1.9 SUMMIT FINISHES 6 10.3. STANDARD FORMAT OF INTERNATIONAL SIGNAL 23 1.10 SUBSTITUTION ROUTE – PLAN B 6 10.4 GUIDELINES FOR CAMERA MOTORBIKES 23 1.11 THE OFF-RACE ROUTE 6 10.5 TV PRODUCTION AND SPORTING CONTROL OF THE RACE 25 1.12 PREPARATION OF THE ROUTE 7 2. -
English Summary Walter Ulreich / Wolfgang Wehap Die Geschichte Der PUCH-Fahrräder ISBN 978-3-7059-0381-4 22,5 X 26,5 Cm, 400 Seiten Mit Ca
English Summary Walter Ulreich / Wolfgang Wehap Die Geschichte der PUCH-Fahrräder ISBN 978-3-7059-0381-4 22,5 x 26,5 cm, 400 Seiten mit ca. 500 farbigen Abb., Hardcover mit Schutzumschlag, geb., Euro 48,– 1. Beginnings of Bicycle Manufacturing in Austria and Weishaupt Verlag • www.weishaupt.at Styria (1885 – 1889) High wheel bicycles first appeared in Austria-Hungary in 1880. Since they were originally imported from England, they were called “bicycles”. The word Fahrrad came later (though in Swiss German, Velo became the established term). Regular production of high wheel bicycles in Austria-Hungary began in Jan Kohout’s factory for agricultural machines in Smíchov, near Prague, in 1880, following English designs. Kohout’s sons Josef and Petr made a name for themselves and the bicycles as successful racers. Smaller makers before 1885, such as Valentin Wiegele in Korpitsch near Villach, only became known locally. In Vienna, Karl Greger’s Velociped-Fabrik started making high wheel bicycles in 1884 under the brand name ‘Austria’; the annual output seems to have reached 300–400 bicy- cles. In 1896, Greger was mentioned as “the oldest bicycle factory of Austria and one of the largest on the continent”, and as “ founder of the bicycle industry in Austria-Hunga- ry”. At about the same time as Greger, Carl Goldeband and the sewing-machine factory of H. Wagner also began making bicycles in Vienna. In the years from 1885 to 1889, there is good evidence that bicycles were also being made by Mathias Allmer, Josef Benesch und Josef Eigler in Graz, Johann Jax in Linz, Josef Fritsch in Eger (Cheb), Julius Mickerts und Otto Schäffler in Vienna, Nicolaus Heid in Stockerau, near Vienna and G. -
MEDICAL COVERAGE POLICY SERVICE: Air Ambulance
MEDICAL COVERAGE POLICY SERVICE: Air Ambulance Policy Number: 282 Effective Date: 05/01/2021 Last Review: 03/25/2021 Next Review Date: 03/25/2022 Important note: Unless otherwise indicated, this policy will apply to all lines of business. Even though this policy may indicate that a particular service or supply may be considered medically necessary and thus covered, this conclusion is not based upon the terms of your particular benefit plan. Each benefit plan contains its own specific provisions for coverage and exclusions. Not all benefits that are determined to be medically necessary will be covered benefits under the terms of your benefit plan. You need to consult the Evidence of Coverage (EOC) or Summary Plan Description (SPD) to determine if there are any exclusions or other benefit limitations applicable to this service or supply. If there is a discrepancy between this policy and your plan of benefits, the provisions of your benefits plan will govern. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Unless otherwise specifically excluded, Federal mandates will apply to all plans. With respect to Medicare-linked plan members, this policy will apply unless there are Medicare policies that provide differing coverage rules, in which case Medicare coverage rules supersede guidelines in this policy. Medicare-linked plan policies will only apply to benefits paid for under Medicare rules, and not to any other health benefit plan benefits. CMS's Coverage Issues Manual can be found on the CMS website. -
Revitalizing Health for All: Case Studies Of
REVITALIZING HEALTH FOR ALL Case Studies of the Struggle for Comprehensive Primary Health Care While impressive medical and technological developments have im- proved health care around the world, improvements in health have been moderate and inconsistent across countries and communities. In response to this challenge, the World Health Organization outlined the concept of comprehensive primary health care, which involves not only providing a range of medical care from prevention to treatment, but also working to improve equity in health care access, community em- powerment, the participation of marginalized groups, and collabora- tion across sectors beyond health. Revitalizing Health for All examines 13 cases of efforts to implement comprehensive primary health care reforms in communities around the globe, including in Australia, Brazil, Democratic Republic of Congo, South Africa, and Iran. The case studies originated from an international research-to-action initiative that brought researchers and research-users from national public health systems together to design, implement, and assess local projects. This volume reveals the similarities among com- prehensive primary health care projects in diverse national contexts and offers a rich evidence base from which future reform initiatives can draw. ronald labonté is a professor in the Faculty of Medicine at the University of Ottawa and the Faculty of Health Sciences at Flinders University. david sanders is a professor emeritus and founding director of the School of Public Health at the University of the Western Cape. corinne packer is a senior researcher in the Faculty of Medicine at the University of Ottawa. nikki schaay is a senior researcher in the School of Public Health at the University of the Western Cape. -
Wisconsin Emergency Medical Services System Overview; a Call to Action
WISCONSIN EMERGENCY MEDICAL SERVICES SYSTEM OVERVIEW; A CALL TO ACTION Developed by EMS Stakeholders September, 2008 Approved by EMS Board 08/2008 EMS System Overview; A Call to Action EXECUTIVE SUMMARY The current state of the Emergency Medical Services (EMS) System and Trauma Care System are at risk of catastrophic failure. This document discusses the issues through a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the system. Primarily the following are the main findings: Strengths‐ These are generally categorized as the number of volunteers that provide care, the dedicated stakeholders/providers, various committees providing network opportunities, a developing hospital and trauma system, EMS educational system, progressive scopes of practice for all level of providers, and the current funding assistance initiatives. Weaknesses‐ identified as workforce issues, lack of stable funding to support development and structure, no increase in funding assistance dollars since its inception, poor communication of information through the EMS industry adding to inadequate representation, lack of DHS/DPH support, lack of regional EMS support, and the geography of service areas. Opportunities ‐ a potential legislative council study, building consensus through stakeholder initiatives and consortia, potential restructuring of the systems, infrastructure to educate and promote EMS & Trauma, developing EMS & Trauma data systems. Threats‐ include inconsistent and inaccurate messages to the public and government leaders, Public perception, other special interest groups, strong ethics of the workforce, lack of stable funding, open administrative rules, DHS/DPH Management, all of which are representative of a failing EMS & Trauma infrastructure. The SWOT analysis is found to be directly associated with the 2001 National Highway Transportation Safety Administration (NHTSA). -
Final Bulletin-Format
Bulletin Michigan Department of Health and Human Services Bulletin Number: MSA 15-48 Distribution: Ambulance Providers, Hospitals, Medicaid Health Plans Issued: December 1, 2015 Subject: Medicaid Ambulance Policy Revisions Effective: January 1, 2016 Programs Affected: Medicaid, Healthy Michigan Plan, Children's Special Health Care Services The purpose of this bulletin is to clarify and amend Michigan Medicaid, Children's Special Health Care Services and Healthy Michigan Plan ambulance policy pertaining to Advanced Life Support (ALS) and base rate services, non-emergent air ambulance transports and neonatal emergency transports. This policy is effective for dates of service on and after December 1, 2015, and applies to Medicaid Fee-for Service. For beneficiaries enrolled in a Medicaid Health Plan (MHP), providers should contact the MHP for policy and coverage information. I. Advanced Life Support & Base Rate Services The determination to respond emergently with either an ALS or Basic Life Support (BLS) ambulance vehicle is dependent upon local 911 or equivalent service dispatch protocol. When a dispatch was inconsistent with this standard of protocol, or when no protocol was used, the beneficiary’s condition at the time of ambulance arrival determines the appropriate level of reimbursement. Even if a local government or medical control authority requires an ALS-level response to all calls, the base rate billed must reflect the level of service rendered and not the vehicle in which the beneficiary was transported. The furnishing of an ALS assessment without a medically necessary ALS intervention is sufficient to bill the ALS base rate if the beneficiary’s condition at the time of dispatch indicated an ALS level of service was required. -
Nordic Skiing
FREE! FEBRUARY 20,000 CIRCULATION COVERING UPSTATE NEW YORK SINCE 2000 2016 GARNET HILL SKI TOUR ON THE HALFWAY BROOK TRAIL, WITH GORE IN THE BACKGROUND. GARNET HILL LODGE CREW OF DEWEY MOUNTAIN YOUTH SKI LEAGUE MEMBERS HAVING FUN, AGES 6-12. DEWEY MOUNTAIN MARTIN VYSOHLID SKIING WITH HIS DAUGHTER Visit Us on the Web! ON THE JOKI LATU TRAIL AT LAPLAND LAKE. AdkSports.com LAPLAND LAKE Facebook.com/AdirondackSports CONTENTS 1 Cross Country Skiing Nordic Skiing Nordic Trends & Destinations 3 Around the Region News Briefs Trends and Destinations 3 From the Publisher & Editor By Dick Carlson elsewhere, this was a godsend, turning a dismal race calendar 4-7 CALENDAR OF EVENTS of cancellations into exciting cross country ski racing, and a February – April 2016 Events ake it Snow! – Cross country skiing has been great experience for the racers. Expect a lot more from this around for maybe 5,000 years, but we keep adapt- venue next ski season. 9 Alpine Skiing & Riding ing it to a changing climate, equipment advances Rise of Community Trails and Nonprofits – Ironically, Mid-Winter Events, Fests & Deals M and technique progressions. In response to climate chang- The North Creek Ski Bowl (now, mostly part of Gore Mountain 11 Athlete Profile es, including the warmest December ever (2015, by a lot ski center) is the birthplace of New York skiing, and the site of Multisport with Todd Shatynski – Albany since 1871), snowmaking might be a key ingredi- one of the earliest ski lifts in the country. The iconic ski trains ent in future cross country ski trail venue management. -
Ambulance Services
Medical Coverage Policy Effective Date ............................................05/15/2020 Next Review Date ......................................05/15/2021 Coverage Policy Number .................................. 0555 Ambulance Services Table of Contents Related Coverage Resources Overview .............................................................. 1 Coverage Policy ................................................... 1 General Background ............................................ 2 Coding/Billing Information .................................... 4 References .......................................................... 5 INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients. Coverage Policies are intended to provide guidance in interpreting certain standard benefit plans administered by Cigna Companies. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Policy. -
Designing a Rapid Deployment Emergency Services
Designing a Rapid Deployment Emergency Services (RapiDES) Vehicle for 2020: Addressing the problem of ever increasing traffic delaying the emergency services vehicles in big cities by Martin CS Tee A thesis submitted in partial fulfillment of the requirements for the degree of Master of Design in Industrial Design Department of Art and Design University of Alberta © Martin CS Tee, 2015 ABSTRACT This thesis/project is about the design process of designing a conceptual vehicle design that responds to a growing global phenomenon of ever increasing traffic congestion delaying emergency response times of various emergency services. This thesis aims at establishing the case for a smarter, smaller and more responsive emergency services vehicle design by first looking at the phenomenon of ever increasing traffic volume in big cities around the world particularly in North America, examining the causes and consequences of traffic congestion, and identifying the most critical impact it causes which is on the emergency response times of various emergency services which makes a difference between life and death with a minute’s delay to the scene. The thesis then attempts to offer a solution with the accompanying practical project focusing on designing a Rapid Deployment Emergency Services (RapiDES) vehicle for the near future (2020) to meet the challenges of saving lives and properties in a quick and responsive way. This design of RapiDES will serve as a baseline model for the North American context and can be modified to suit the needs and requirements for other markets. The design requirements and key features of RapiDES are generated and described in the Design Brief of RapiDES as a result of rigorous research mapping exercise and scenario studies of RapiDES in action for the three emergency services of EMS, fire rescue and law enforcement. -
Idea Bank : Community Bike Safety
312Dbb 3fllfl 5 Community Bike Safety IDEA BANK This booklet of ideas is part of a bike safety kit developed for use by schools, communities, youth groups, service organizations, and other safety advocates. In creating this kit, we worked with many people throughout Massachusetts and other states-teachers, safety officers, injury prevention specialists, and private citizens. These are some of their best ideas for running successful bike safety and education projects. Other materials in the kit contain more ideas. Developed by the Massachusetts Department of Public Health Funding from the American Academy of Pediatrics. Reprint funded by : The Governor's Highway Safety Bureau , William F. Weld, Governor ^> "2^ / fgU Nancy J. Luther. Director Table of Contents Fundraising 1 Community Outreach 4 Networking 8 Schools 11 Rodeos and Fairs 20 Helmet Promotion 22 Medical Professionals 25 Media 26 Policy Development 28 Bike Retailers 32 Publication No. 17341 -36-500- 1.44 - 4/93 -C.R. Approved by: Philmore Anderson III, State Purchasing Agent Digitized by the Internet Archive in 2014 https://archive.org/details/ideabankcommunitOOmass . FUNDRAISING IDEAS Local statistics on biking injuries are often better than national figures in persuading local policy-makers and contributors that bike safety is an important issue. Such statistics can convince people of the seriousness--and community costs-of biking inju- ries and fatalities. Unfortunately, bicycling statistics are often hard to obtain. Check with your local police department, the Registry of Motor Vehicles, or the state Highway Department-all may have information on biking injuries and fatalities in your community or neighborhood. (It's also worth pointing out that well over half of all biking injuries probably go unreported.) Here is a sample sheet of information about recent fatalities and injuries from the Registry of Motor Vehicles. -
EMS Safety, Stretchers, and Stretcher Handling Robert Brandel Rappahannock Community College
Virginia Community College System Digital Commons @ VCCS Student Writing Student Scholarship and Creative Works Spring 2016 EMS Safety, Stretchers, and Stretcher Handling Robert Brandel Rappahannock Community College Follow this and additional works at: http://commons.vccs.edu/student_writing Part of the Emergency Medicine Commons Recommended Citation Brandel, Robert, "EMS Safety, Stretchers, and Stretcher Handling" (2016). Student Writing. 9. http://commons.vccs.edu/student_writing/9 This Paper is brought to you for free and open access by the Student Scholarship and Creative Works at Digital Commons @ VCCS. It has been accepted for inclusion in Student Writing by an authorized administrator of Digital Commons @ VCCS. For more information, please contact [email protected]. Running head: EMS SAFETY 1 EMS Safety, Stretchers, and Stretcher Handling Robert L. Brandel Jr Rappahannock Community College SP16 EMS 201 “EMS Professional Development” Study EMS SAFETY 2 Abstract What has the greatest impact on EMS crew safety in the area of patient handling? In this study, EMS safety – crew safety for loading and unloading the stretcher either with or without a patient, and the stretcher – primarily powered lift stretchers, and their interface to the ambulance – either the traditional hook and antlers or the powered stretcher lift will be examined. The author, serving in agencies purchasing new ambulances and refurbishing a number of older ambulances and having precepted in agencies with both power lifts and rail mounting systems, became curious as to why new ambulances or refurbishments would be purchased specifically avoiding the newer powered lift even with its incipient cost? What are both national and state level standards and design requirements for ambulances? This study will use current standards at both national and state levels for ambulances, current manufacturer documentation, and authoritative peer reviewed documents on EMS safety.