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have been talking about them too long and there are things here on both sides, the fire side and the REMSA side, that we can do better collectively to really help the patients in the community we both serve, Gubbels said.

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Much ado about REMSA

As a result, the officials charged with drafting the policies that govern emergency medial services in the Truckee Meadows from city councils to the health board to REMSA Puma Black And Gold Shoes

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you as the head has been an awesome change, Weber said during the meeting. is the first time somebody has actually come to the table and said let's talk. County Commissioner Kitty Jung, who sits on the District Board of Health, said she is cautiously optimistic at the prospects for reform.

So despite positive anecdotal evidence that the region is getting good emergency medical services there currently no way to truly know if the resourcesavailableare Puma Orange Shoes being used to the fullest potential.

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don have all the relevant information to base their decisions.

Over the years there has been plenty of behind the scenes political heartburn over REMSA and its relationship to the region fire departments that also provide emergency medical services.

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He added, us and them need to go away. the meeting on Monday, Washoe County Commissioner Bonnie Weber said she was impressed by REMSA new perspective on interlocal cooperation.

Following a joint meeting with the governments on Monday, Gubbels said now is the time to address the relationship between REMSA and the local governments.

As Matt Smith, the chairman of the health board put it, you don't have the information you'reshootingin the dark."

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Since 1994, study after study has recommended more cooperation between the governments and REMSA as well as better oversight of the region emergency medical system. And year after year nothing was done about it.

date, three have been very few, if any actions taken on the recommendations made in these reports that span 19 years, Gubbels wrote. have been many reasons for this including territorial and protective positions taken by both the fire services and REMSA. However, there has been a change in the top leadership at REMSA and a shift in thephilosophyand approach of the REMSA Board of Directors. added, will commit to a renewed spirit of openness, transparency and cooperation with an end Puma Sneakers Beige

goal of promoting new ideas toward excellence in our system of pre hospital medical care. in the coming weeks a working group comprised of local government managers and REMSA officials will consider several reforms that could help ensure better emergency medical services in the region. Among the most contentious aspects of those negotiations will be the future of REMSA franchise agreement, which deals with everything from who pays for EMS supplies during emergencies to how REMSA is held accountable by the Washoe County District Board of Health.

The most recent study conducted on behalf of Washoe County that looked into the region EMS system came back with 38 recommendations, many focused on improving the communication between REMSA and the local governments. Meanwhile, the fire departments and REMSA don measure response times to emergencies the same way, making an to apples comparison all but impossible.

and Sparks, REMSA new president, James Gubbels, said the organization is now willing to act on all of the recommendations that have been piling up over the years.

On Monday, calls for collaboration between the fire departments and REMSA seemed to take a turn toward a more collaborative future, especially following an unexpected change in leadership at REMSA when its former president, Patrick Smith, resigned in January citing health concerns.

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"We haven't been able to provide that quality control from incident to patient outcome because ithasn as transparent as (the District Board of Health) would have liked it to be," she said.

In a letter sent to Matt Smith, the chairman of the District Board of Health, and the managers for Washoe County, Reno Puma Shoes Online Discount Shopping

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Other problems revolvearound dispatch systems, information sharing and who ultimately oversees the entire emergency medical services system, which includes REMSA and the local fire departments. Notably, up to 80 percent of the calls to firefighters in the region are for medicalemergencies and not fires.

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