The East Windsor Ambulance Association, inc. was established in 1978 as an all volunteer community ambulance service. For 17 years, an all volunteer staff provided essential life saving care at no cost to the community. As times changed, it became harder to maintain an all volunteer force. In January of 1995, our first EMT was hired to supplement our volunteer staff. It was the begining of a transition to an all paid EMS service. In 2001, several paramedics were then hired along with several EMT's were added to payroll and our 24 hour per day paramedic service was born.
Outsourcing of administrative or medical staff
The East Windsor Ambulance does not outsource for employee medical staffing or for its office functions. This ensures that our operation is conducted to our standards. This includes administrative, EMS staffing, patient billing, payroll, and staff scheduling.
Excellent coverage of our community
Our paramedic advanced life support ambulance service provides 2 paramedic units to the the citizens of East Windsor 24 hours per day. Providing 2 on duty crews to a community with a population of 11,162 requires a huge commitment from all of our staff. But they even go farther, when both ambulances become committed, off duty staff is recalled to staff the next ambulance while the first units are committed. The process is repeated as needed.
55 Paramedics and Emergency Medical Technicians, licensed with 6 ambulances and 2 paramedic intercept vehicles, answer over 2500 requests for advanced life support paramedic level emergency medical service. Each year, we pass fewer than 30 calls to other EMS providers.
Our Staff receive medical direction and oversight from Dr. Richard Kamin with the John Dempsey Hospital at the University of Connecticut Health Center in Farmington, CT. Paramedic Peter Canning is our liason for Dr. Kamin by coordinating our medical direction approvals and staff training.
Taxpayer funding is minimal
East Windsor taxpayers provide our ambulance association a small facility in Warehouse Point at the Town Hall Annex. Taxpayers provide for some building repairs, electricity, heat, air conditioning, snow plowing, lawn care, and garbarge removal.
All other expenses are the responsibility of the organization. There is no direct tax revenue provided to the East Windsor Ambulance by the Town of East Windsor. There are no hidden line items, operating funds, or capital improvment funding provided by the Town of East Windsor. This arrangement has existed since 2012.
The ambulance association provides for all of our own employee benefits, employee payroll, automobile insurance, general liability and malpractice insurance, workers compensation insurance, ambulance purchases, ambulance fleet maintanence, ambulance vehicle fuel, medical equipment and supplies, information technology, and staff medical training.
Our contribution to our Police Department
We also provide our police department with first responder medical supplies and all portable oxygen replacement. We also provide and restock 10 opiate antidote kits and provide annual training for their use at no charge. In a year's time they have administered Narcan several times.
EMS System funding
The primary source of funding for our organization is through patient billing for service. Regulations allow us to bill those patients that we transport to the hospital. We cannot bill patients that refuse to be transported even if we provided medical care or an evaluation. There are a few exceptions to this regulation. Providing assistance from falls and a subsequent medical evaluation is a common occurance and is not billed.
If adequate information is provided we will bill your medical insurance provider, workers compensation carrier, or automobile coverage. Of course the patient is responsible for any unpaid portion of the bill such as co-pays, deductibles, and denied claims. We regularly submit claims to Medicare, CT medicaid, and any private insurance carrier. Out of state Medicaid will not pay your claim as we are not a participating Medicaid provider except in CT.
The East Windsor Ambulance Association conducts all billing functions in house utilizing Zoll Data Systems advanced software systems. Patient accounts with insurance coverage are sent electronically to most major insurance carriers. Insurance co-pay bills are sent directly from our offices in East WIndsor Ct. Our Billing services are also available to other EMS systems looking for a vendor to incorporate an extremely efficient billing system for their service. Services that are interested are encouraged to call our business office.
Each year a full audit of our financial position is conducted by Accounting and Auditing Services Inc. in Enfield CT.
State Regulated Medical Billing Rates
Patient billing for Emergency Medical Services is regulated by the CT Department of Public Health and rates are assigned annually by the Commissioner of Public Health. There are 2 ways that rates are assigned to an ambulance provider. The most popular is to accept the annual standard rate that the Department of Public Health offers with a modest annual increase. Or you can appeal and apply to the DPH for even higher rates if your service cannot operate on the standard ambulance rates. If you are awarded a higher rate, the higher rate is applied each year thereafter.
Most community ambulance services including the East Windsor Ambulance use the State of Connecticut's standard ambulance rates.
American Medical Response (AMR) and Windsor Locks Ambulance are local exceptions which charge rates significantly higher rates (see table below). A special application to the Department of Public Health must be submitted to recieve rates above the universal standard ambulance rate.
Regionalization and consolidation of services
The future of highly successful non profit emergency medical service agencies relies heavily on the future consolidation and creation of larger more efficient departments. The East Windsor Ambulance actively looks to join forces with any similar non profit type ambulance service providers that feel a larger regional type system would benefit them and the community they serve.
The demands and high cost of high quality paramedic emergency medical care requires all services to take bold moves to ensure they provide the highest level of service possible to their community. Smaller communities do not have the emergency call volume, administrative staff or the full time advanced life support expertise to properly manage a paramedic system.
Combining organizations reduces or eliminates many duplicated costs including organizational supervision, all forms of insurance, medical supplies, fleet maintanence, patient billing, payroll administration, and scheduling. It also improves buying power for large purchases such as ambulance and other expensive medical exquipment.
Ensuring a community is receiving sufficient paramedic services is a huge problem for many communities. Our service seeks to expand our service to any community looking for an alternative emergency medical service provider. Many communitites no longer can afford to provide funding for ambulance services and have put this service out to bid. We have previously placed bids to provide service to Windsor Locks, South Windsor, and Glastonbury. I encourage municipalities and ambulance systems to read my Regional Initiatives tab for further information.
For 38 years, the East Windsor Ambulance has served our community with distinction and looks forward to many years of service to come. Our organzation is strong, fiscally heathy, and we provide cutting edge emergency medical care. We encourage those that are able to make a donation to our organization using the link on this page or by mailing it directly to our business office.
Thank you for your support.
Emergency Medical Services Chief Paramedic
Thomas J Clynch III