Regional EMS Authority, Reno, NV, USA

CPRenoThe Reno ambulance system received a $10 million innovation grant from the Centers for Medicare and Medicaid Services (CMS) to pilot the use of nurse triage, community paramedics, alternative transport, and readmission avoidance. Dr. Williams acted as an improvement advisor and supported the development of the operational plan, the driver diagram of their change concepts, and the associated measurement system. Dr. Williams trained the management team on improvement methods and coached the project leads on the first year execution of a three-year project.