Missed IFT's
Turning down transfer requests or emergency calls due to staffing shortages directly impacts your bottom line and damages your reputation with hospital partners. When your trucks sit idle, you lose revenue while your fixed costs remain exactly the same. Our staffing solutions ensure you have the qualified boots on the ground to say "yes" to every transport and keep your operations moving.
Overtime Overages
Paying 1.5x wages for a clinician who is 2x as tired accelerates the 'Burnout Cycle.' This reliance creates a compounding debt of preventable errors and staff resignations. As turnover rises, so do recruitment costs—locking you into a crisis of dependency that breaks your budget and your team.
Wall Times
Extended wait times at hospitals—wall times—do more than just delay your crews; they are a direct drain on your operational efficiency and revenue. When your ambulances are stuck holding walls, they aren’t available for the next call, forcing you to turn down transfer requests and lose valuable IFT opportunities. Our staffing solutions provide the qualified personnel needed to minimize these bottlenecks, ensuring your units are back in service faster and ready to say "yes" to every transport.
Non-compliance Failing to meet response time mandates isn't just an operational hiccup; it's a breach of trust. When staffing levels dip, your ability to hit critical 90th-percentile benchmarks evaporates, putting your exclusive operating rights at immediate risk. We deploy experienced clinicians to ensure your units are staffed and responding, keeping you compliant and your contracts secure.
Fines and Penalties Every late response or dropped call can trigger liquidated damages that directly erode your margins. These aren't just operational costs—they are financial penalties for underperformance that turn profitable contracts into liabilities. Eliminate these avoidable expenses by maintaining the staffing levels required to perform penalty-free.
RFP and Reference Damage Your performance today is the resume you submit for tomorrow’s RFP. A history of staffing-related service failures gives competitors ammunition and makes municipal partners hesitate to renew. Protect your long-term growth and reputation by demonstrating reliable, fully-staffed service delivery now.
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 cash flow Unpredictable staffing costs make cash flow 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.
Quickly upstaff new service areas Growth shouldn't be bottlenecked by traditional recruiting timelines. Launching a new service area often stalls while waiting for new hires to clear onboarding and credentialing. We deploy ready-to-work clinicians immediately, allowing you to go live on schedule and start generating revenue from day one without the lag time.
Confidently bid an expansion Don't let staffing uncertainty keep you from pursuing new opportunities. The fear of overpromising and under-delivering on headcount often prevents agencies from bidding on lucrative RFPs. Partner with us during the bid process to guarantee you have the flexible workforce needed to win the contract and execute the startup phase flawlessly.
Backfill for start teams Launching a new operation requires your best internal leaders on the ground, but pulling them from current routes leaves your core operations vulnerable. We provide the experienced backfill coverage needed to maintain stability in your established markets, freeing your "A-Team" to focus entirely on successfully establishing your new footprint.
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.
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.
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 TalentDiscover how your department compares
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.
Some yellow flags are appearing, likely in overtime or staffing pipelines. Your agency is managing, but there are signs of strain.
Your agency is facing moderate risk. You are likely seeing persistent overtime, compliance challenges, and a strained management team.
There are significant risks to your agency. Staffing gaps, high overtime, and compliance issues are likely systemic.
Your agency is at a critical risk level. You likely have major staffing holes, significant compliance penalties, and a burnt-out team.
Prepared for:
"Partnering with Best Practice Medicine as a core function of our strategy led to the turnaround story of the decade for ambulance operations in Las Vegas. By jump-starting our system redesign with BPM's high value low friction travel paramedics, we solved long standing problems."
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