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Rotterdam Ambulance vs Mohawk Ambulance
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CICERO
April 26, 2011, 8:51am Report to Moderator

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Quoted from LogicFirst


Technically, your statement is correct.  REMS was providing a high quality service, quickly, efficiently and urgently (as requested through 911 dispatch).  


So there are probably dozens of people that received medical care with no trasport by Mohawk and they weren't billed.  And whoever receives medical treatment with no transports by ANY Ambulance Provider shouldn't feel as if they are getting any special favors when they aren't billed, it's part of the federal medical billing guidelines.  


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LogicFirst
April 26, 2011, 8:56am Report to Moderator
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Quoted from CICERO


So there are probably dozens of people that received medical care with no trasport by Mohawk and they weren't billed.  And whoever receives medical treatment with no transports by ANY Ambulance Provider shouldn't feel as if they are getting any special favors when they aren't billed, it's part of the federal medical billing guidelines.  


Actually, I disagree with you.  If Mohawk had been responding to a larger number of no-transport calls, they probably would have raised a red flag of concern quite some time ago that they were covering the task of Rotterdam EMS and pushed the issue of which agency can provide the most effective and efficient service for citizens of the town much sooner than it was raised.  

If you are interested in how many times Mohawk Ambulance Service was dispatched to 911 calls in the Town of Rotterdam, I encourage you to FOIL the information from the town; however, I caution you to also ask why the call was given to Mohawk as well, the response may well be system overload (too many calls at the same time) and mutual aid processes may be in place.  In an ideal world, the calls are timed out to happen only when the previous call is finished, that doesn't always happen and having multiple agencies to assist in this situation is highly beneficial and in place across the country.

Putting all of your eggs in one basket without a solid mutual aid plan is a recipe for disaster.
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gadfly
April 26, 2011, 9:14am Report to Moderator
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Quoted from bumblethru




Can someone remind REMS on why they are a financial mess!!


Exactly! No business can survive providing services or products for free....their "proposal" is full of references to their free services
and they apparently believe that this should get them the ems contract....the same socialist practices that has kept them begging
for public money forever.

In the agenda discussion after the executive session yesterday, the Town attorney, who is obviously clueless about REMS
history, indicated that REMS is suddenly self sustaining and unbelieveably suggested that they are now miraculously a financially
solid operation.

Their discussion only generates more questions....

Why are we asking the Police Chief for advice on an ems contract? He is obviously favorable to REMS...like the rest of the PD...which
is why they always dispatch REMS....the first THREE on their list. Jim H made it clear that this is about saving REMS at all costs rather
than just cutting losses at their hands...bailouts, stolen ALS funds.

Why isn't the Board enforcing their own RFP rules that specifically prohibited marketing in these proposals? At least REMS' idea of
"marketing"....which includes free services, everything wrong with Mohawk....primarily their "for-profit" status...their determination
that we need a "community based" ambulance and only REMS meets this definition....they they are the only ones who can provide
these services for this Town....it's really, REALLY pathetic. Someone should tell REMS that whoever the ems provider is WILL
be "community based"...that's why a contract will be necessary.

Anyone familiar with the detailed history of this operation would recognize that "proposal" for what it is....a gigantic sob story
full of convenient deceptions....they will "reimburse the Town for ALS"...funny they never thought of that before they were
caught keeping all that money....which of course isn't mentioned...but one thing is crystal clear in that proposal where ALS
collection is concerned....they were FULLY aware of the proper process for ALS collection and knowingly avoided that process.

BTW....the AG and State Comptroller are now sharing information on this case....too bad most of the Board members just don't
get it. Meanwhile, here's hoping ND will generate a common sense majority over the TJ suckers while this plays out.
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bumblethru
April 26, 2011, 2:47pm Report to Moderator
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Quoted from LogicFirst


Technically, your statement is correct.  REMS was providing a high quality service, quickly, efficiently and urgently (as requested through 911 dispatch).  


The only difference is REMS is in a financial free fall and TJ Hooker is doing his best to wrangle some way to keep a failing service a float. ONLY IN ROTTERDAM!!!


When the INSANE are running the ASYLUM
In individuals, insanity is rare; but in groups, parties, nations and epochs, it is the rule. -- Friedrich Nietzsche


“How fortunate for those in power that people never think.”
Adolph Hitler
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LogicFirst
April 27, 2011, 6:24am Report to Moderator
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Quoted from bumblethru


The only difference is REMS is in a financial free fall and TJ Hooker is doing his best to wrangle some way to keep a failing service a float. ONLY IN ROTTERDAM!!!


Have you read their latest financial reports?  I haven't seen them and am curious how bad the financial free fall you are stating truly is?  We can't presume that simply the loss of the government contract revenue is placing them into a free fall if they are meeting their financial obligations (long term debt, payroll, monthly operating expenses, etc.).  In this recessionary economy every individual and organization has needed to prune their expenses and re-evaluate their efforts to maintain a fiscally viable organization ~ perhaps REMS has done that!
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Shadow
April 27, 2011, 6:50am Report to Moderator
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How about the $100,000 in ALS money that kept them afloat, has that been paid back to the town yet?
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gadfly
April 27, 2011, 7:11am Report to Moderator
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Quoted from Shadow
How about the $100,000 in ALS money that kept them afloat, has that been paid back to the town yet?


It was much more than 100K....they have not paid back the Town....and they have made no statements of any such intention.
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gadfly
April 27, 2011, 7:22am Report to Moderator
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Quoted from LogicFirst


Have you read their latest financial reports?  I haven't seen them and am curious how bad the financial free fall you are stating truly is?  We can't presume that simply the loss of the government contract revenue is placing them into a free fall if they are meeting their financial obligations (long term debt, payroll, monthly operating expenses, etc.).  In this recessionary economy every individual and organization has needed to prune their expenses and re-evaluate their efforts to maintain a fiscally viable organization ~ perhaps REMS has done that!


Their financial reports have never been complete....they have been in financial free fall forever....it has nothing to do with a contract
they have never had...except maybe the one they avoided in keeping all of that ALS money. There is no way to tell if they are
meeting all of their financial obligations because this is their first year without public money...and we don't even know if they are
still collecting the ALS revenue. REMS has never had to adjust to the economy because they have never had to...they have never
run the operation as a business that would be forced to do that...they just got more bailouts....legal or not. This is also the reason
REMS always preferred the tax option...so they wouldn't have to depend on sound business practices to be solvent...they wanted the
much easier way...which was to just let the public pay for it....just like any other government 'program'.
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LogicFirst
April 27, 2011, 8:48am Report to Moderator
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Quoted from gadfly


Their financial reports have never been complete....they have been in financial free fall forever....it has nothing to do with a contract
they have never had...except maybe the one they avoided in keeping all of that ALS money. There is no way to tell if they are
meeting all of their financial obligations because this is their first year without public money...and we don't even know if they are
still collecting the ALS revenue. REMS has never had to adjust to the economy because they have never had to...they have never
run the operation as a business that would be forced to do that...they just got more bailouts....legal or not. This is also the reason
REMS always preferred the tax option...so they wouldn't have to depend on sound business practices to be solvent...they wanted the
much easier way...which was to just let the public pay for it....just like any other government 'program'.


What specifically have the REMS financial reports been missing?  Did REMS have a contract with the Town of Rotterdam to bill for ALS and reimburse the town for ALS?  As a non-profit organization, they do not exist to make money but to provide a qualified service for their target population (the sick and injured within their operating territory).

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AVON
April 27, 2011, 8:58am Report to Moderator
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Quoted from LogicFirst


What specifically have the REMS financial reports been missing?  Did REMS have a contract with the Town of Rotterdam to bill for ALS and reimburse the town for ALS?  As a non-profit organization, they do not exist to make money but to provide a qualified service for their target population (the sick and injured within their operating territory).



        The question is, Did they have a contract to keep ALS billed money for a service that they don't even offer?  The Rotterdam Paramedics are ALS certifiied, REMS is not/was not.  It is considered by the public as theft of services, even if it might not fit the legal definition.

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black spidey
April 27, 2011, 9:34am Report to Moderator
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It is considered by the public as theft of services, even if it might not fit the legal definition.

Thank you for that BRILLIANT legal lesson...Did you go to the Ron Severson, ESQ (sort of) School of Law?
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AVON
April 27, 2011, 9:36am Report to Moderator
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Quoted from black spidey
It is considered by the public as theft of services, even if it might not fit the legal definition.

Thank you for that BRILLIANT legal lesson...Did you go to the Ron Severson, ESQ (sort of) School of Law?


      Yes, magna cum laude!  And you???????
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black spidey
April 27, 2011, 9:37am Report to Moderator
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Cant say I had the pleasure... But I think you should ask for your money back if you think something can be death without fitting the legal definition of theft...
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AVON
April 27, 2011, 9:43am Report to Moderator
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Quoted from black spidey
Cant say I had the pleasure... But I think you should ask for your money back if you think something can be death without fitting the legal definition of theft...


          So you are saying, (as fact), that it isn't theft????  And your basis is . . . . .
At least I qualified my statement, you sound like you have legal expertise yourself!  No?
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senders
April 27, 2011, 3:06pm Report to Moderator
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a not for profit should be just that....no money to the town and no money from the town....

again....what is the value we are looking for?

ALS or BLS?

what are the numbers for BLS vs ALS and NEED......

there is ALREADY  a system in place to cover the cost of amubulance service----WE DONT NEED ANOTHER TAX LAYER

KEEP IT SIMPLE


...you are a product of your environment, your environment is a product of your priorities, your priorities are a product of you......

The replacement of morality and conscience with law produces a deadly paradox.


STOP BEING GOOD DEMOCRATS---STOP BEING GOOD REPUBLICANS--START BEING GOOD AMERICANS

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