Smacc

Ryan Wubben discusses the standards in Helicopter HEMS. He asks the question, what standards? The development of Helicopter EMS (HEMS, or as the Federal Aviation Administration recently coined it: “Helicopter Air Ambulance” or “HAA”) services in the United States has taken a different path in recent years compared to other countries. The widespread use of single engine, VFR only aircraft, owned and operated by for profit companies is a uniquely American phenomena. This is at odds with most other countries who have developed HEMS programs around the world. This has resulted in significant direct competition between HEMS programs. Additionally, it has drawn attention to highly questionable billing practices. Ryan examines the origins of this development. This includes the use of the US “Airline Deregulation Act” to prevent states from regulating HEMS programs. More recent efforts in the US to tie reimbursement and program accreditation to the levels of care provided and minimum standards of equipment are still