Ambulance System Design

Modern ambulance service is a relatively new community resource. Why we have the system we have, whether our service meets the need, and how we improve the system to better match the need are critical questions for local leaders.

Dave is an expert on ambulance systems and advises leaders, communities, governments, and the press internationally on the history and science of modern ambulance service.

EMS Background + Experience

Dave started his professional career as a city paramedic. He was a paramedic and leader in large ambulance systems across the United States. He pioneered actually majoring in ambulance systems in college and researched and improved them as a consultant, researcher, and university faculty member. Dave is an internationally respected expert on ambulance service systems.

Research on ambulance system design and operations is a recognized gap. Dave’s research into the obstacles to adopting evidence-based and patient-centered practices remains a landmark contribution to our understanding of ambulance systems. He introduced the Science of Improvement and core tools and methods to organizations, and his work in patient safety and developing a patient harm trigger tool is in use internationally. 

Read a peer-reviewed paper summarising Dave’s research findings here.

How do I help?

Understanding the System You Have. How does a community appreciate the system they have? How did we get here? What policy and local choices contributed to the service in place today? Dave helps community members and local leaders develop awareness of the ambulance system in their community.

Community Assessment for Change. What if our system doesn’t meet the community’s needs or is out of alignment with our aims or the investment required? How do we understand that gap and define opportunities for improvement? Dave supports communities in framing key questions, gathering and summarizing information, and using it to understand the system and set strategic priorities. Need specific expertise? He can connect you with a network of experts.

Dave works in partnership with community clients. Our work together is co-designed to match the community’s needs.

We do not respond to open competitive bid processes.

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