How can EMS evolve beyond a traditional 911 response model to address the root causes of patient crises? In this episode of Registry Insider, Bill Seifarth speaks with Nate Metz, CEO of Phoenix Paramedic Solutions, about overcoming “tradition bias” and redefining value in healthcare. Metz shares how his organization expanded into occupational and behavioral health, reducing 911 overuse by 38% and lowering annual care costs to $998 per patient. The conversation also explores how this mission shift can reduce burnout by empowering Clinicians to support long-term patient outcomes.

What happens when the traditional boundaries of rural healthcare and paramedicine begin to blur for the benefit of the patient? In this 75th episode of Registry Insider, Bill Seifarth sits down with Shannon Chambers, the Senior Director of Provider Solutions at the South Carolina Office of Rural Health, to explore the vital intersection of rural health and EMS. They discuss how innovative partnerships and pilot projects are paving the way for the community Clinician to thrive through telehealth and home visits. Shannon also shares her insights on the journey toward securing national recognition and sustainable funding for community paramedics. This conversation offers a unique look at how collaborative efforts are bridging gaps in care and provides a roadmap for agencies looking to evolve through new resources.

This installment of Registry Insider features a conversation between Bill Seifarth and Samantha Hilker, Vice President of Programs and Services at the American Ambulance Association, regarding the critical role of leadership development within the profession. Samantha shares the history and vision behind the EMSNext Program, an initiative designed to empower emerging leaders and ensure the future of the industry is in capable hands. They also explore the vital distinction between specialized leadership tracks and broader mentorship opportunities available to the EMS community. This discussion offers a unique look at how these programs address workforce needs and provide Clinicians with the support necessary to take the next step in their professional journeys.

Your gear evolves. Your protocols evolve. Your science should too. On this episode of Registry Insider, Bill Seifarth introduces a new podcast from the National Registry Research Team: From Science to the Scene. EMS Fellow Chris Gage explains how this new 10-minute series turns complex research and the Prehospital Guidelines Consortium reading list into practical takeaways for EMS Clinicians. No journals to sift through. No academic jargon. Just the evidence that matters for patient care. From airway management to mass casualty response and emerging EMS research, From Science to the Scene helps bring the latest science out of the journal and into the ambulance. Listen to the preview on Registry Insider today. The first episode drops Friday.

What happens when leaders from influential EMS organizations sit down at the same table for conversation? In this episode of Registry Insider, Bill Seifarth hosts a powerhouse panel at the inaugural EMS Association Summit to discuss the unprecedented spirit of collaboration currently defining the profession. Featuring Jamie Pafford-Gresham (American Ambulance Association), Chris Way (National Association of EMTs), and Dr. Scott Gilmore (National Registry Board of Directors), the conversation dives into why a unified voice is critical for the future of the industry. From the halls of Congress to state-level advocacy, discover how these partners are "walking the walk" to push for legislative wins like treatment-in-place and sustainable reimbursement. The unique perspective of every Clinician can help shape the next era of emergency medical services.

Is the future of EMS testing more than just multiple-choice? In this episode of Registry Insider, Bill Seifarth sits down with Brian Hamilton and Stacey Kaizer from the National Registry to discuss the evolution of Technology Enhanced Items (TEIs) and how they are transforming the candidate experience. From the shift away from traditional paper-and-pencil formats to the introduction of interactive "hotspot" questions for AEMT and Paramedic examinations, our guests explain how these tools more accurately measure a Clinician's ability to apply knowledge in the field. Tune in to learn how these authentic assessments are developed by subject matter experts, what they look like in practice, and when you can expect to see these new features appearing.

"Who actually decides what questions are asked?" In this milestone 70th episode of Registry Insider, Bill Seifarth goes behind the scenes to help answer that question. National Registry psychometricians Brent Stevenor and Nadine McBride help to demystify the process, including the extremely important component – the ALS Practice Analysis. Discover how a rigorous, scientific blend of field observations, NEMSIS data, and Clinician interviews forms the "bedrock" of every National Registry examination. Tune in to learn how we translate real-world emergency medicine into a fair and valid assessment, and find out why your expertise might just be the "secret sauce" the National Registry needs for the next generation of Advanced Life Support testing.

Is a culture problem the real reason behind the EMS staffing crisis? Bill Seifarth sits down with Chris Holden to uncover how shifting the focus from paperwork to people can revolutionize your organization. They explore the secret sauce for keeping Clinicians engaged, from cutting out daily obstacles like truck washing to building a team where leadership stands shoulder to shoulder with the crew. Tune in to discover why culture is much more than just a buzzword and how it can become your service's greatest tool for long-term retention.