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Public EMS agencies come to us when these problems must be solved.

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

Wall Times

Non-compliance

Fines and Penalties

RFP and Reference Damage

Almost always, the underlying problems are

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:
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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
TP Team photo

EMS System Turnaround Story of the Decade

"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."

Our Vitals since 2021

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

Connect with us

During regular business hours - 406-602-4202

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

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

Contact Us
Business team meeting boardroom


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