5 min read

10 Things You Need to Know About Community Paramedicine

By Team Pulsara on Nov 06, 2019

Be sure to understand your community’s needs, your agency’s goals and how you will fund your MIH-CP program and assess its success.

EDITOR'S NOTE: Special thanks to our guest blogger this week, Ben Thompson**

Faced with the challenges of growing costs, aging populations, chronic illnesses and people with limited access to or understanding of the healthcare system, many EMS agencies are considering community paramedicine and mobile integrated healthcare (aka MIH-CP) programs.

Topics: EMS Regional Systems of Care Community Paramedicine
3 min read

What Matters Most to EMS Crews? A Roundtable Discussion

By Hannah Ostrem on Oct 25, 2019

Topics: EMS Healthcare Regional Systems of Care
4 min read

How Virginia Mason Medical Center Broke Down Healthcare Communication Silos [WEBINAR]

By Team Pulsara on Oct 21, 2019

Pulsara recently partnered with Rea Berg, Virginia Mason Medical Center's Director of the Emergency Department/Observation Unit to present some of the successes the hospital has seen in their treatment times following some process improvements they made. The full webinar can be seen right here. 

Following the webinar, Becker's Healthcare Review wrote up the following article about the presentation. The following is authored by Anuja Vaidya, and originally appeared here. 

One of the biggest contributors to inefficiency in healthcare is a lack of communication, which can lead to lower quality of care and higher costs. Communication in healthcare is siloed for many reasons, including the complexity of the work, the size of health systems, outdated and non-integrated communication technologies, and HIPAA constraints.

Topics: Regional Systems of Care Connected Teams Interoperability
2 min read

Implementing Pulsara and FirstNet® improves North Texas Regional EMS patient care and treatment times

By Team Pulsara on Oct 18, 2019


Topics: EMS Press Regional Systems of Care Interoperability
2 min read

Pulsara Platform Selected as EMS World Innovation Award Finalist for New EMS Handoff Feature

By Hannah Ostrem on Oct 11, 2019


October 11, 2019

Hannah Ostrem
(877) 903-5642

The feature is the first of its kind to give first responders a dedicated platform to communicate with other out-of-hospital care providers and hospitals in real time.

Bozeman, Mont. — Pulsara is excited to announce that the company has been selected as a Finalist by a 4-person judging panel for the 2019 EMS World Expo Innovation Award.

 Pulsara connects care teams across organizations and their latest innovative feature to be nominated for the award is their new EMS handoff feature. Whereas EMS providers have historically had workflows to hand off patients to hospital teams in Pulsara, First Responders now have the ability to start a case and hand off the patient to an EMS crew.

Topics: EMS Healthcare Press Communication Emergency Medicine Innovation Regional Systems of Care Awards
3 min read

Pulsara Provides NEMSIS-formatted Public API for ePCR Vendor Interoperability

By Team Pulsara on Oct 09, 2019

October 9, 2019

Hannah Ostrem
(877) 903-5642

The adoption by Pulsara of the NEMSIS format further strengthens its role as the leading regional healthcare communication platform.

BOZEMAN, Mont. — Pulsara announced today that the healthcare communication platform is the first to adopt the NEMSIS prehospital format to connect regional systems of care.

The purpose behind the National Emergency Medical Services Information System (NEMSIS) is to enhance patient care by storing EMS data from local, state, and national sources. The NEMSIS database allows EMS providers to share, collect, standardize, and use this data to analyze their systems and make process improvements.

Through a standardized API, Pulsara’s platform now allows all ePCR partners to access Pulsara data in near real time. Importing Pulsara data via this new API using the NEMSIS 3.4 format eliminates dual data entry by medics and improves communication to all care providers, ultimately enhancing patient care.

Topics: EMS Press Regional Systems of Care ePCRs Interoperability
5 min read

Miami Valley Hospital First in World to Integrate Two Stroke Technologies

By Team Pulsara on Sep 27, 2019


Combination of Pulsara and RAPID expands window of opportunity for treatment 

BOZEMAN, MT – September 27, 2019 Miami Valley Hospital is the first site in the world to use the combination of a specific software application and mobile platform to enhance the treatment used to preserve a patient’s neurological function after a stroke.

While many hospitals use both applications – Pulsara and RAPID – in their stroke care, none have taken the step to combine their capabilities into one, said John Terry, MD, director of inpatient stroke care at Miami Valley Hospital.

Pulsara, a mobile platform, was developed by physicians to improve coordination and communication essential for stroke patient assessment. RAPID is a global leader in advanced imaging.

Topics: Stroke Press Patient Safety Regional Systems of Care Connected Teams
2 min read

The Changing Face of STEMI and Stroke Care

By Barry Hickerson, EMT-P on Sep 25, 2019

When I was fresh out of Paramedic school, STEMI and stroke patients were something we couldn’t do much about except monitor and transport. To be honest, we hadn’t even started using the term "STEMI," and we were years away from giving aspirin. Patients who survived to get discharged out of the CCU or ICU (there were no stroke units then) went on to rehab or an extended care facility with a shoebox full of meds. They were armed with lots of Digitalis and Lasix, but not much hope.


Topics: Stroke STEMI Healthcare Regional Systems of Care
2 min read

Texas Collaborative Uses Innovation to Provide Better Care for Mental Health Patients

By Team Pulsara on Sep 23, 2019

According to a recent article in the Longview, Texas based Longview News Journal, "At least 17 times in a three-month period starting in May, Longview police officers transported a person experiencing a mental health episode to a hospital ER." This practice costs patients a lot of money, and costs first responders significant time since they often end up waiting in the ER while the patient is seen by a physician and then referred to a mental health clinic -- in Texas, patients must get clearance from a physician via face-to-face interaction, before they can enter a mental health crisis center. 

To help ease these time and resource burdens placed on emergency and law enforcement services in the area, a group of "at least 16 governmental, health, and social agencies" have teamed up to form the Gregg County Collaborative Wellness Center.

Topics: Press Communication Regional Systems of Care
18 min read

10 Things EMS Providers Need to Know About Telemedicine

By Team Pulsara on Sep 20, 2019

Lessons learned from Houston’s ETHAN program can help your agency design, launch and manage a telemedicine program for your community.

EDITOR'S NOTE: Special thanks to our guest blogger this week, Rachel Zoch, EMS1 BrandFocus Staff

Over the past decade, the Houston Fire Department has been working on a way to respond to every call and provide appropriate patient care without tying up resources to transport non-emergency patients. These efforts have evolved from a helpline staffed by nurses to the Emergency Telehealth and Navigation, or ETHAN, program.

A telemedicine program, like the ETHAN program in Houston, can help your EMS agency bring a doctor on scene to help diagnose and advise patients. (image/Pulsara)

“ETHAN is essentially a third attempt by the city of Houston, and specifically Houston Fire, to deal with a growing problem,” said Dr. Michael Gonzalez, HFD associate medical director and director of the ETHAN project, “and that’s the increasing use of 911 for a variety of reasons that includes a growing number of patients who probably don’t have a true medical emergency.”

Topics: EMS Communication Telemedicine Regional Systems of Care
1 min read

Case Study: Virginia Mason Medical Center Reduces Time-to-Treatment by 22%

By Team Pulsara on Sep 17, 2019


Virginia Mason Medical Center is a nonprofit health care system based in King County, Seattle, serving the central Puget Sound region and Yakima area.


Focused on continually delivering the highest quality of care to patients, care teams at Virginia Mason Medical Center wanted to innovate the way they communicated with one another to better respond to time-sensitive stroke cases.

Topics: Stroke Healthcare Regional Systems of Care
1 min read

Why Uniting Care Teams is Critical for Saving Lives, Reducing Disability, and Reducing Societal Costs.

By James Woodson, MD on Sep 04, 2019

I've been asked why Pulsara started building a Regional Communication Network for Time Sensitive Emergencies. Here is one of the many reasons...

Misdiagnosis-related harms (death and disability) are concentrated in Vascular Events, Infections, and Cancers. The numbers in this study are staggering, but keep in mind that malpractice claims only represent 1.5% of actual events, and it is estimated that total societal costs are more than $100 billion annually.

Topics: Regional Systems of Care Quality Connected Teams
2 min read

Lessons Learned from Community Paramedicine Programs that can be Applied to the Emergency Triage, Treat, and Transport Model (ET3)

By Hannah Ostrem on Aug 30, 2019

As the scope of practice for first responders expands and they become increasingly empowered to treat patients within the community, incentives like the Centers for Medicare and Medicaid Services (CMS)'s Emergency Triage, Treat, and Transport (ET3) model have emerged.

How does the Emergency Triage, Treat, and Transport Model (ET3) work?

According to the CMS, "Currently, Medicare regulations only allow payment for emergency ground ambulance services when individuals are transported to hospitals, critical access hospitals, skilled nursing facilities, and dialysis centers." As a result, most patients who call 911 are therefore transported to one of these destinations, even when their conditions could be treated at home or another non-emergency care facility. This is where ET3 comes in. 

Topics: EMS Regional Systems of Care ET3 Community Paramedicine
11 min read

The Evolution of a Regional System of Care in Large Vessel Occlusion Stroke

By MCHD on Aug 14, 2019

The Montgomery County Hospital District EMS experience paired a novel stroke assessment endovascular pathway with specialized training.

Starting in late 2015, MCHD began a regional quality improvement project in Southeast Texas to improve coordination of stroke care between EMS and our hospital partners. This effort has been a successful collaboration that started when the clinical team at MCHD engaged regional stakeholders to improve times to revascularization therapy in large vessel occlusion stroke.

Topics: Stroke Regional Systems of Care ELVO
3 min read

Seven Ways to Improve Your Health System's Quality of Stroke Care

By Team Pulsara on Aug 05, 2019

Improving quality of care and outcomes for stroke patients goes beyond the decision to give tPA. It's about communication and coordination among ALL members of the care team to save time when even seconds matter. Here are seven tips to improve quality of care for stroke patients.
Topics: Stroke Regional Systems of Care Quality ELVO
1 min read

Radio Interview Features Pulsara Founder and CEO: What Problem Does Pulsara Solve?

By Hannah Ostrem on Jul 03, 2019

What problem does Pulsara solve?

Have you ever played the game of Telephone, where one person whispers a message to another, who then whispers to the next person in the line, and so on until the final person repeats back what she heard? The final message is almost always radically different from the original information as miscommunications cause breakdowns in understanding.

Topics: Regional Systems of Care
1 min read

Improving Quality in Healthcare Starts with Connected Teams

By Team Pulsara on Jun 26, 2019

As healthcare professionals, we have a powerful opportunity to change things for the better. To improve the lives of patients and the healthcare system as a whole - by demanding better processes and changes to protocols that simply don't work. And, to improve quality in healthcare delivery.

Topics: EMS Healthcare Regional Systems of Care Quality
2 min read

CEO Sit-Down with Acuity Link’s Alexandre Theoharidis

By Team Pulsara on May 24, 2019

Healthcare is burdened by the archaic means of communication. And everyone — from EMS to critical care teams to the discharge teams at the hospital — is feeling the effects. Luckily, hospital and EMS providers no longer need to be stuck in the dark ages of communication. Technology companies like Pulsara and Acuity Link work to streamline the most frustrating and broken parts of the patient care and communication processes from first medical transport through patient discharge.

Acuity Link’s CEO and co-founder, Alex Theoharidis purpose-built the company as a means to address mounting inefficiencies in the medical transportation request process. Today he shares his perspectives around what is needed to streamline non-emergency medical transport (NEMT) logistics in order to improve patient flow, and how solutions like Acuity Link work to elevate a customer’s patient transfer process – and ultimately the entire patient experience.

Topics: EMS Healthcare Regional Systems of Care Connected Teams
2 min read

Dear Dave - How Can My EMS Team Help Increase Hospital Engagement with Pulsara? - Part 1

By Dave Edgar on May 17, 2019

EDITOR'S NOTE: A few months ago, a Pulsara client reached out with a question which we then consulted one of our other rock star clients about! Dave Edgar is Assistant Chief at the City of West Des Moines EMS, and is a champion Pulsara user. In addition, his expertise in EMS and hospital relations makes him a fantastic consultant for questions related to integrating teams and breaking down silos. We hope you enjoy this first "Dear Dave" post!


"Dear Dave - We want to increase utilization of Pulsara in our region but are having challenges getting some of the hospitals to participate. What are your recommendations for getting our local hospitals more engaged?"

Topics: Communication Regional Systems of Care Dear Dave
2 min read

It's About Time. It's About People. It's About Quality.

By Reid Kiser on May 06, 2019

EDITOR'S NOTE: Special thanks to our guest blogger, Reid Kiser, Founder, President, and CEO of Kiser Healthcare Solutions. Reid is an innovative leader who has served in a variety of capacities with healthcare organizations over the past 20 years addressing healthcare quality, performance measurement, data analytics and reporting, and business systems design. He currently provides strategic consulting services and subject matter expertise through client engagements and multi-stakeholder panels focused on improving healthcare quality. He can be reached at rrkiser@kisersolutions.com.


Quality is a critical piece of the health care equation. To date, so much focus (and rightfully so) has been placed on prevention and management of chronic conditions, and more recently, overuse and inappropriate use. After all, these contribute to a significant chunk of our industry’s healthcare costs. But what about all of the inefficiencies and waste our systems generate when it comes to provider communications and care delivery? It's hard for most people who don't work in healthcare to get over the fact that fax machines still hold a place on countertops at our medical facilities. And providers still wear beepers on the belt loop? Clutter is a term that comes to mind, thanks to my wife’s teachings.

Topics: Communication Regional Systems of Care Quality