Regional EMS Director

1. Position Purpose

The Ambulance Services of Lexington (ASL) is an integrated EMS service that provides ambulance services in counties with Braden Health-owned hospitals. The Ambulance Services of Lexington operates as a department of the hospital with their own local EMS director that reports to the local hospital officers and board.

In order to provide outstanding care, we have developed a number of system wide support positions that help each EMS service run seamlessly with their hospital and with all other ASL services. This position is for the ASL Regional Director that works with the ASL Board, EMS Medical Director(s), Clinical Mangers, Fleet Manager, Non-Emergent Coordinator, Local EMS Directors, local Field Trainers, hospital medical executive committees, hospital officers, and Braden Health leadership to ensure that all clinical practices are optimized and standardized system-wide across all locations.

The ASL EMS Regional Director provides executive leadership and oversight for all Ambulance Services of Lexington (ASL) operations, Local EMS Directors, and designated organizational support leadership. The ASL EMS Regional Director is responsible for ensuring that ASL services operate consistently with the mission, expectations, policies, strategic objectives, contractual obligations, and regulatory requirements of Braden Health. To accomplish this, they work in conjunction with Regional Directors.

The ASL EMS Regional Director reports administratively to the ASL Board and operationally to the Regional CEO.

2. Leadership and Oversight

The ASL EMS Regional Director will:

• Provide mentorship to all Local EMS Directors.
• Implement Braden Health’s organizational expectations for EMS operations while maintaining Local EMS Director responsibility and accountability for the daily management of their assigned EMS service.
• Monitor the operational performance, service readiness, staffing, quality, financial performance, regulatory compliance, and overall effectiveness of all ASL EMS locations.
• Work collaboratively with Local EMS Directors to identify operational concerns, establish priorities, implement corrective or improvement strategies, and maintain consistent standards throughout Braden Health’s EMS system.
• Ensure appropriate communication and coordination between Local EMS Directors and other Braden Health services.

Fleet Manager Oversight

The ASL EMS Regional Director will provide executive oversight and direction to the Fleet Manager regarding the management and readiness of the ASL fleet.

The ASL EMS Regional Director will work with the Fleet Manager and Local EMS Directors to:

• Ensure ambulances and other ASL vehicles are maintained in a safe, reliable, and operational condition.
• Monitor fleet readiness, vehicle downtime, maintenance needs, repair costs, mileage, age, and overall vehicle reliability.
• Establish organizational priorities for vehicle repairs, replacement, standardization, and fleet development.
• Coordinate long-range fleet planning, vehicle replacement recommendations, and major vehicle purchases.
• Ensure significant fleet concerns affecting patient safety, employee safety, regulatory compliance, 911 coverage, or operational readiness are appropriately escalated and addressed.

The Fleet Manager will maintain responsibility for the day-to-day management and coordination of fleet maintenance and related fleet operations within the authority assigned by the ASL EMS Regional Director.

Non-Emergent Transport Coordinator

The ASL EMS Regional Director will provide executive oversight and direction to Non-Emergent Transport of patients.

The ASL EMS Regional Director will work with the Non-Emergent Transport Coordinator and Local EMS Directors to:

• Ensure ambulances are available for all scheduled non-emergent appointments.
• Access Payor portals for pre-authorizations prior to dispatch and ensure that all manifests are recorded.
• Post review of non-emergent transport for billing and other compliance activities.
• Ensure each run is staffed with the appropriate vehicle, staff, and resources necessary to complete the run.

The coordinator will maintain responsibility for the day-to-day management and coordination of non-emergent medical transports.

3. New Services and Strategic Development

The ASL EMS Regional Director will provide executive leadership for the implementation of new EMS locations when tasked with opening a new service by Braden Health leadership.

Responsibilities include:

• Coordinating the planning, development, implementation, and operational readiness of a new ASL EMS location and service.
• Working with internal and external health systems, local agencies, and other stakeholders to establish operational expectations and service requirements under Braden Health guidance.
• Ensuring appropriate planning for staffing, fleet, equipment, communications, licensing, regulatory requirements, 911 response, interfacility transportation, mutual aid, and other operational needs before and during implementation of a new service.
• Monitoring new services following implementation and working with the Local EMS Director to address operational deficiencies or opportunities for improvement.

4. Hospital and EMS Collaboration

The ASL EMS Regional Director will ensure collaboration between Local EMS Directors and Hospital Leadership to support an integrated healthcare delivery system.

This includes:

• Ensuring Local EMS Directors maintain effective relationships with Hospital Administrators and Hospital Leadership.
• Supporting collaboration related to 911 response, emergency coverage, ambulance availability, mutual operational expectations, and continuity of EMS services.
• Working with Local EMS Directors and Hospital Leadership to improve patient throughput, interfacility transportation, discharge transportation, patient movement, and other transportation needs within the hospital system.
• Identifying system-level barriers that affect patient movement, ambulance availability, hospital throughput, or access to appropriate levels of care and coordinating solutions with appropriate leadership.

5. Quality, Compliance, and Regulatory Oversight

The ASL EMS Regional Director will provide executive oversight to ensure ASL EMS operations maintain compliance with applicable local, state, and federal laws, regulations, agreements, contracts, licensing requirements, healthcare requirements, and ASL policies.

The ASL EMS Regional Director will work with Local EMS Directors, the Chief Compliance Officer, EMS Medical Directors, Clinical Leadership, Hospital Leadership, and other appropriate organizational leaders to address identified compliance, quality, patient-safety, or regulatory concerns and provide corrective action plans when indicated.

6. Contracts, Agreements, and Operational Commitments

The ASL EMS Regional Director will provide executive oversight of EMS-related contracts, agreements, service commitments, and governmental or healthcare partnerships.

The ASL EMS Regional Director will ensure ASL EMS operations meet applicable contractual and service obligations and will coordinate with appropriate executive, financial, legal, compliance, hospital, and Local EMS leadership regarding the development, renewal, modification, or termination of EMS agreements and contracts.

7. Executive Accountability

The ASL EMS Regional Director maintains executive responsibility for the overall performance and strategic direction of Ambulance Services of Lexington and reports to the ASL Board.

The ASL EMS Regional Director will maintain appropriate executive oversight while allowing Local EMS Directors, the Fleet Manager, and other designated leaders the authority necessary to effectively perform their assigned responsibilities within ASL policies, approved budgets, regulatory requirements, contracts, and organizational expectations.

The ASL EMS Regional Director will ensure that ASL EMS operations remain focused on patient safety, reliable EMS coverage, operational readiness, hospital collaboration, efficient patient movement, regulatory and contractual compliance, fiscal responsibility, fleet reliability, and continued organizational growth.