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5 min read

EMS Trend Report 2022: Proven Recruitment and Retention Strategies

By Team Pulsara on Sep 21, 2022

Editor's Note: On August 1st, 2022, EMS1, Fitch & Associates, and the National EMS Management Association released their fifth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Kerri Hatt, Editor-in-Chief of EMS1.

Proven recruitment and retention strategies: Readers sound off on what’s attracting new talent and keeping members satisfied

Our goal with the EMS Trend Survey and Report is not just to identify areas of change, growth, and stagnation, but to also source solutions to shared challenges. Nearly all (97%) of the 3,000- plus respondents to the 2022 EMS Trend Survey reported some level of difficulty with recruitment and retention. We asked readers to share their innovative ideas to improve recruitment and retention, and any creative practices that are proving successful to improve staffing. We received thousands of comments, from those in services with above-average compensation and a track record of adequate staffing, to those whose organizations had recently implemented a change and were fully staffed for the first time in years.

Topics: EMS Trend Report
5 min read

EMS Trend Report 2022: Three Outdated Paradigms Holding EMS Back

By Team Pulsara on Sep 14, 2022

Editor's Note: On August 1st, 2022, EMS1, Fitch & Associates, and the National EMS Management Association released their fifth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Jay Fitch, PhD, founding partner at Fitch & Associates. 

Will EMS Matter in The Future of Healthcare?

History teaches that if a profession doesn’t innovate, it loses relevancy.

In the 1950s and ’60s, railroads were the primary way people, goods, and services moved throughout America. Resistance to change and outdated work rules (e.g., requiring multiple conductors, even on freight trains without passengers) led to alternative transportation approaches and the expansion of air travel and freight. What outdated paradigms are limiting the future of EMS?

All ALS first response and third-party insurers requiring hospital transport for payment top the list.

Topics: EMS Trend Report
10 min read

EMS Trend Report 2022 Roundtable: Action Steps to Move EMS Forward

By Team Pulsara on Aug 24, 2022

Editor's Note: On August 1st, 2022, EMS1, Fitch & Associates, and the National EMS Management Association released their fifth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Kerri Hatt, Editor-in-Chief of EMS1.

EMS leaders respond to the 2022 EMS Trend Survey results with concrete steps to improve recruitment, retention, wellness, and safety


The EMS Trend Survey identifies where growth is needed to impact the sustainability and future of the industry. But growth requires a commitment to action.

We’ve asked a group of EMS veterans and up-and-coming leaders to identify areas where change is needed, as indicated by EMS Trend Survey results, and to offer action items for EMS supervisors, managers and chiefs.

By examining your service’s leadership strategies, and taking the steps outlined below, you’re on your way to elevating the safety, engagement and career health of your providers.

Topics: EMS Trend Report
11 min read

EMS Trend Report 2022: Defining a Path Forward

By Team Pulsara on Aug 17, 2022

Editor's Note: On August 1st, 2022, EMS1, Fitch & Associates, and the National EMS Management Association released their fifth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Anthony W. Minge, EdD, senior partner at Fitch & Associates.



Translating data into information, and information into action

Survey questions for the EMS Trend Survey were developed through a collaboration between EMS1, Fitch & Associates and the EMS Survey Team – which was instrumental in collection and interpretation of data. The EMS Trend Survey was conducted online in early 2022. The survey was widely promoted and open to any member of the EMS community. More than 3,200 people responded, the most in the survey’s history. They represent a wide range of service models, certification levels and years of experience, and every region of the nation.

The 2022 EMS Trend Survey results reinforce what many of us see every day. More than two years into the pandemic, it’s still impacting every aspect of our profession – from recruitment and retention, to safety, to how you assess and treat patients.

As we have realized that this pandemic is not just a flash in the pan, but something we may be dealing with for a long time, we have also been able to move forward. Many innovations that departments initially put on hold because of COVID-19 have now been implemented. In other cases, changes wrought by this global health emergency now have uses well beyond COVID patients and may be with us, helping patients and the people who care for them, for years to come.

Topics: EMS Trend Report
10 min read

8 Places to Invest in Provider Safety

By Team Pulsara on Oct 01, 2021

Editor's Note: On August 11th, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. This fifth and final entry in the 2021 Trend Report is written by Rob Lawrence, director of strategic implementation of PRO EMS Cambridge, Massachusetts, and executive director of the California Ambulance Association.


Safety, security, well-being, and fatigue: Key organizational indicators of a robust workforce

After a tumultuous year, we anticipated some shifts in the 2021 EMS Trend Report. We did not see a major shift in levels of burnout, or why providers are leaving their agencies, as we may have expected. What we did see, however, was a change in the three most critical issues facing EMS today. In a shift from 2020, provider mental health and provider safety rounded out the top three critical issues, behind retention of quality personnel, which has remained consistent.

The 2021 EMS Trend Report survey revealed a lot about respondents’ opinions regarding their safety and well-being. Views on and requests for support for mental health of both providers and their patients were telling, as was the need to offer physical and personal protections, both on the person and in the vehicle.

Topics: EMS Trend Report
7 min read

Is Poor Leadership More Dangerous Than a Pandemic?

By Team Pulsara on Sep 22, 2021

Inoculate EMS leaders with the skills necessary to effectively lead our caregivers and organizations


Editor's Note: 
On August 11th, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by
Anthony Minge, Ed.D., a senior partner at Fitch & Associates.


Hopefully, we are nearing the end of one of the worst healthcare crises in modern times. At the time of this writing, there have been over 187 million known cases of COVID-19 worldwide and over 4 million deaths, in excess of 600,000 deaths in the U.S. alone. The COVID-19 pandemic has impacted and been a drain on almost every single aspect of humanity, in many instances, devastatingly and critically. The effects on our economy, healthcare system, and society will continue to be felt for years to come. EMS and public safety have literally been on the front lines
since the beginning and the impacts have most certainly not been positive.

Topics: EMS Trend Report
15 min read

Roundtable: Incremental Change in EMS Through Transformative Events

By Team Pulsara on Sep 20, 2021

Editor's Note: On August 11th, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is a roundtable discussion with a panel of distinguished industry experts, conducted by Kerri Hatt, Editor-in-Chief for EMS1.



EMS leaders interpret the 2021 EMS Trend Report results and the permanent solutions needed for challenges highlighted by the pandemic


The COVID-19 pandemic forced EMS providers, leaders and educators to shift gears, in service delivery, in training and in where EMS fits into public health. While the biggest challenges in EMS are not new – retention, burnout, salary, mental health – the ever-evolving public health emergency shed new light into how staffing, safety and sacrifice influence provider optimism and wellness.

The sixth annual EMS Trend Report explores how the last year has shaped EMS resilience. We asked industry experts to analyze how the results reflect current healthcare trends, what they mean for the future of EMS service delivery, and how they can guide efforts to support providers in the years ahead.

Topics: Trend Report
11 min read

The State of the Profession: The 2021 EMS Trend Report

By Team Pulsara on Sep 03, 2021

Editor's Note: On August 11th, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Anthony Minge, EdD, senior partner at Fitch & Associates.

The More Things Change, the More They Stay the Same

How EMS is poised to tackle the challenges ahead after the greatest public health threat in generations

There’s no doubt that COVID-19 has had an impact on the profession. From call volume, to protective equipment, to technology adaptation, many things changed in between our 2020 and 2021 surveys. But what impact did COVID-19 have on the EMS community’s perception of itself? The answer, of course, is not simple. But the quick summary? Not as much impact as we might have thought.

Topics: EMS Trend Report
17 min read

Roundtable Discussion: The Future of the EMS Profession [2020 EMS Trend Report Part 5]

By Team Pulsara on Oct 09, 2020

EDITOR'S NOTE: EMS1, Fitch & Associates, and the National EMS Management Association recently released their third annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. This excerpt is from Roundtable: Mapping Alternative Destinations and a Career Path for EMS, the fifth entry in the 2020 Trend Report. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

EMS leaders interpret the results of the 2020 EMS Trend Report in light of COVID-19, and what it means for the future workforce


The fifth annual EMS Trend Report explores how
recurring and emerging trends are impacting prehospital medicine. We asked industry experts to analyze how the results reflect current healthcare trends, what they mean for EMS post-COVID-19, and how they can guide retention efforts.

Topics: EMS Trend Report
9 min read

Q&A: How Can EMS Agencies Leverage Technology for Growth & Evolution?

By Team Pulsara on Sep 21, 2020

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their third annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

About the Author: Rachel Zoch is a branded content project lead for Lexipol, where she has written about public safety products and issues important to police, fire, EMS and corrections since 2015. 

In this Q&A, EMS1 talks with Pulsara’s Kris Kaull about the importance of communication, how to improve it with the right technology, and how the role of EMS in the overall healthcare landscape is changing.

Topics: EMS Technology Innovation Trend Report Interoperability Community Paramedicine
6 min read

Job Attrition and Lost Passion in EMS [2020 EMS Trend Report Part 3]

By Team Pulsara on Sep 08, 2020

EDITOR'S NOTE: In July, EMS1, Fitch & Associates, and the National EMS Management Association released their third annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. This excerpt is from The Consequences of Lost Passion for the Job, the third entry in the 2020 Trend Report. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. 

About the Author: Anthony Minge, EdD, is a senior partner at Fitch & Associates. Prior to joining the firm, he was the business manager for Northwest MedStar in Spokane, Washington, one of the largest air medical programs in the Pacific Northwest. He holds a Doctor of Education degree in organizational leadership.

Improve compensation, career path and safety to recruit the next generation, and retain the current EMS workforce

Parents typically hope for more for their children. This is not just a financial goal, but one of happiness and satisfaction, including a career that is gratifying. Parental encouragement and influential adults are contributing factors in young people’s career decisions that cannot be discounted. Many have followed in the footsteps of a parent, teacher, or other mentor who provided encouragement and endorsement of a particular field. There was a time when children took their parents to school and presented them to the class, bragging about what mom or dad did for a career. This year’s data suggests that not as many public safety/EMS parents are guests at show-and-tell.

Topics: EMS Trend Report Wellness
9 min read

How Current Events Will Shape the Future of EMS [2020 EMS Trend Report Part 2]

By Team Pulsara on Aug 31, 2020

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their third annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

About the Author: Rob Lawrence is the principal of Robert Lawrence Consulting. He previously served as the chief operating officer of Paramedics Plus in Alameda County, California. Before that, Rob was the COO of the Richmond Ambulance Authority. Rob is a former board member of the American Ambulance Association and currently serves as chair of its Communications Committee and a member of the media rapid response task force.

Examining how the COVID-19 pandemic, civil unrest, and reimbursement are impacting prehospital medicine, and how leaders can care for the workforce


This data for this year’s EMS Trend Report was collected in 2019 B.C. – before COVID-19. At the time, we didn’t know what was just round the corner. This year’s report provides a real indicator of the circumstances and challenges we have already seen in the COVID-19 era. As EMS staff were the first warriors into the battle and onto the front line, mental health, post-traumatic stress injury and burnout have elevated to the top of the chart.

Topics: EMS Trend Report ET3 COVID-19 Preparedness Reimbursement
13 min read

Roundtable: EMS Leaders React to the 2019 EMS Trend Report [Part 5]

By Team Pulsara on Aug 19, 2019

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. We invite you to read, ponder, and share the following information brought to you by the most prestigious thought leaders in EMS.

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The fourth annual EMS Trend Report explores how recurring and emerging trends are shifting in prehospital medicine. We asked industry experts to review and react to the survey results, how they reflect current healthcare trends, and how to make the data actionable for EMS leaders.

Topics: EMS Trend Report
5 min read

What's the Future of EMS? Ask My Mom [EMS1 2019 Trend Report - Part 4]

By Kris Kaull on Aug 12, 2019

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. We invite you to read, ponder, and share the following information brought to you by the most prestigious thought leaders in EMS.

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On a recent trip to Las Vegas, I wandered into Houdini’s Magic Shop and watched as a performer razzle-dazzled each patron and then upsold them on a dream that they, too, could be part of the secret club of illusionists.

A few days later, my magic talent hit me ... I have a (nearly) supernatural ability to see the future of EMS. In essence, you could call me a clairvoyant EMS psychic. My career has positioned me as an expert squarely at the intersection of EMS, technology and the human factor.

Topics: EMS Trend Report
5 min read

The EMS Evolution We Need [EMS1 2019 Trend Report - Part 3]

By Team Pulsara on Aug 07, 2019

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. We invite you to read, ponder, and share the following information brought to you by the most prestigious thought leaders in EMS.

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All levels of EMS stakeholders must bridge the gap between providers and administrators to overcome the hurdles facing the industry and to take advantage of the opportunities available.

Reading this year’s EMS Trend Report, I’m struck by the fact that there’s relatively little change in how we view ourselves and our industry from the previous year. That’s to be expected of course – one year usually makes very little difference in opinion making. But that lack of change is but one sign of a looming disaster that we are facing in prehospital medicine.

Topics: EMS Trend Report
3 min read

Employee Retention: Engage EMS Providers With Opportunities for Advancement [EMS1 2019 Trend Report - Part 2]

By Team Pulsara on Aug 01, 2019

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. We invite you to read, ponder, and share the following information brought to you by the most prestigious thought leaders in EMS.

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To retain personnel, EMS leaders must address factors beyond compensation, from work-life balance to training and support to take on new roles.

The 2019 EMS Trend Report confirmed that EMS professionals’ deep concerns about recruitment and retention in last year’s survey have not been alleviated. Once again, the ability to find and keep qualified people has survey respondents at all levels — from field providers, to medical directors to chiefs — worried. Not surprisingly, compensation is a common reason for leaving an EMS job. But it’s not the only one.

Topics: EMS Trend Report
11 min read

EMS Providers and Leaders Share their Perception of the State of EMS [EMS1 2019 EMS Trend Report Part 1]

By Team Pulsara on Jul 24, 2019

EDITOR'S NOTE: Earlier this month, EMS1, Fitch & Associates, and the National EMS Management Association released their fourth annual EMS Trend Report, proudly sponsored by Pulsara. Read, ponder, and share the following information brought to you by the most prestigious thought leaders in EMS.

Field providers, managers, chiefs and medical directors share insights into the challenges and opportunities in EMS in the U.S.

By Roxanne Shanks, MBA, and Jay Fitch, PhD

This year began with reasons to feel hopeful about the future of EMS. In February, the Secretary of Health and Human Services announced a pilot program to reimburse ambulance providers for transport to alternative destinations and for treating but not transporting – a trial run of what would be the most significant change in decades in how Medicare pays for EMS care. While the details have yet to be revealed, the Emergency Triage, Treat and Transport model (ET3) has energized many in the profession who hope it is a significant step toward recognizing the true value paramedics and EMTs can bring to individuals and communities.

Topics: EMS Trend Report