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Fire Departments come to us when these EMS challenges must be solved.

Integrating and unifying EMS operations can be a logistical nightmare. From personnel management to new systems and public accountability, Fire Chiefs are being asked to do more—with fewer resources and higher stakes.

When a community is considering restructuring emergency services, we notice an issue. How do progressive and modern Fire Service leaders lead well in the unification of primary EMS operations following the completion of consultants' reports?

Get back on track When you are constantly fighting staffing fires, your budget becomes a suggestion rather than a plan. Variance reports turn red as recruiting fees and panic-hiring costs spiral out of control. We help you regain financial predictability by replacing volatile emergency spending with a stable, contracted staffing solution that aligns with your fiscal year targets.

Capture lost revenue Fixed costs—stations, ambulances, and insurance—don't drop just because a unit is unstaffed. Every shift that goes unfilled is a direct hit to your profit margin. By ensuring every scheduled unit is staffed and rolling, we help you maximize the return on your existing assets and capture the billing opportunities you are currently leaving on the table.

Stabilize overtime Relying on exhausted crews to fill gaps at premium rates is an unsustainable stopgap that blows up payroll. It creates a cycle where tired providers burn out, leading to even more vacancies. Our clinicians fill the schedule gaps at a predictable rate, eliminating the need for panic-induced overtime spending that wrecks your bottom line.

Manage Budgets Unpredictable staffing costs make budgets management a nightmare. Recruiting surges and OT spikes create liquidity crunches that stall operations. Partnering with us smooths out your operational expenses, allowing you to forecast accurate cash needs and invest in long-term growth rather than short-term survival

  • Unable to hire new staff as a result of the governmental economic pictures
  • Runaway over time costs
  • Increased attrition
  • Preventable stress on staff and system

3 million hours of travel paramedicine and 40,000 learner interactions, we discovered that top-performing agencies solve these problems by addressing the root causes of undertraining and understaffing.

The paramedic shortage is a reality, but relying on traditional posting methods in a saturated market yields diminishing returns. We help you cut through the noise to attract high-quality clinicians who are looking for a career, not just a shift. Let BPM help you refine your strategy to find candidates who align with your agency's mission and standards.

Onboarding new graduates who look great on paper but freeze in the field places an immense burden on your FTOs and risks patient safety. Bridging the gap between certification and clinical competency demands immersive, realistic simulation rather than simple observation. We provide the training bridge that turns green rookies into confident providers before they ever touch a patient.

Promoting your best field providers to leadership roles without proper training often sets them up for failure and demoralizes your team. Great paramedics do not automatically make great supervisors without the specific tools and mentorship required to lead. We provide the leadership development framework necessary to transform field staff into effective, supportive managers who drive culture.

High turnover is not just an HR headache; it erodes your agency's culture and drains your budget on constant recruiting and retraining. Top performers stay where they feel challenged, supported, and professionally developed. We help you build a culture of clinical excellence that engages your veterans and gives them a reason to stay invested in your organization.

We work with hundreds of EMS systems that struggle with workforce issues.

With more than 3 million hours of staffing and 40,000 learner interactions, we continuously evaluate and update best practices.

We built a tool to help you self-identify where to focus your efforts.


EMS Risk Calculator

Understaffing Benchmark Tool

Discover how your department compares

Financial/Compliance

1. Unscheduled overtime for the last 90 days:

2. Response time compliance:

3. Compliance penalties in the last year:

Pipeline

4. Optimal Staff Size:

5. Number of open positions:

Score will be based on this as a percentage of your Ideal Roster (e.g., >10%, >25%).

6. Average days positions are open:

7. People in current EMT/Paramedic classes:

Score will be based on this as a percentage of your Ideal Roster (e.g., <25%, <50%).

Management Strength

8. All FTO positions staffed with at least 1 year personnel at the service:

9. All manager positions staffed:

10. Regular leadership/management training and attended:

11. Unplanned shifts filled/covered by supervisors / managers:

Risk Level: 1 (Low)

Your agency appears to be in a healthy, stable position. Staffing is well-managed, compliance is high, and your management team is strong. Keep up the great work.

Risk Level: 2 (Guarded)

Some yellow flags are appearing, likely in overtime or staffing pipelines. Your agency is managing, but there are signs of strain.

Risk Level: 3 (Moderate)

Your agency is facing moderate risk. You are likely seeing persistent overtime, compliance challenges, and a strained management team.

Risk Level: 4 (High)

There are significant risks to your agency. Staffing gaps, high overtime, and compliance issues are likely systemic.

Risk Level: 5 (Critical)

Your agency is at a critical risk level. You likely have major staffing holes, significant compliance penalties, and a burnt-out team.

Where should we send your detailed report?

Detailed Risk Analysis

Prepared for:

Financial & Compliance

Your Section Score:

Pipeline & Staffing

Your Section Score:

Management Strength

Your Section Score:

IAFF and Travel Paramedics

  • Working together
  • Recruitment tool
  • Try before you buy
Fireems

Fire and EMS Unification

When a community is considering restructuring emergency services, we notice an issue. How do progressive and modern Fire Service leaders lead well in the unification of primary EMS operations following the completion of consultants' reports?

FIREMS Unification
Screen Shot 2022 05 31 at 1 09 00 PM

Traditional Efforts Fail

There have been three well-documented healthcare shortages in the last 80 years. In each instance, a pattern emerged. Healthcare tried the same three things when facing a workforce crisis.

  1. Reduce the education standard to enter the field.
  2. Create in-house education pipelines.
  3. Increase compensation and offer signing bonuses.
Why Traditional Efforts Fail
Sitting TP

Top Talent - Is Leaving

It's a reality repeated over and over in the EMS systems we work with. The call volume is up, the rostered team is down, and the top talent is leaving. The race to the bottom is on. How can you retain the senior, experienced staff who stabilize the shift through their presence, who know the nuances of the system, and who guide and mentor the next generation of EMS providers?

Keeping Top Talent

The BPM Promise

  1. We ENCOURAGE you to RECRUIT our travel paramedics to your team.
  2. We WILL NOT HIRE an applicant from your organization for 12 months from the end of our last contract with you.
  3. You have FINAL APPROVAL on all travelers assigned to your organization.
TP team in hospital

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Early or late, we are working too - 406-602-4202

Twenty-four hours a day, you want to talk right now - 406-312-0284

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The Founders of Travel Paramedicine

  • Launched in early 2021
  • First, documented travel paramedic assignments
  • First, to work at scale across multiple state lines
  • First, to make the most mistakes possible
Where we came from