On 8 April, 1991, the New Mexico State Corporation Commission (now the Public Regulation Commission) issued the Certificate of Public Convenience and Necessity for Rocky Mountain EMS to begin operations. The original CPCN permitted Rocky Mountain to operate in Los Alamos, San Miguel and Santa Fe counties to points and places inside these counties and beyond. The visionary mission was to serve both pre-hospital and inter-hospital healthcare needs in these three counties.
In short order, other providers such as hospitals and EMS organizations recognized the value and responsiveness Rocky Mountain's private, for profit structure brought to New Mexico healthcare. Calls started coming in from all over New Mexico for mutual aid and expertise in inter-facility transfers, both in-state and out-of-state.
In the fall of 1995, Rocky Mountain EMS filed "Proposal for Special Skills Authorization to perform transport with Intra-Aortic Balloon Pump Counter pulsation". This was a bold and innovative strategy by a Paramedic-level EMS organization to meet the needs of severely ill heart patients being transferred from one hospital to another. The proposal was approved by the Medical Direction Committee of the New Mexico EMS Bureau in 1996. To date, Rocky Mountain EMS remains the only ground based service in New Mexico authorized to transport these patients. As best as can be ascertained, Rocky Mountain EMS is the sole Paramedic-only service in the nation providing this level of care.
In the fall of 1997, Rocky Mountain EMS won the competitive bid to become the sole EMS provider for the City of Las Vegas, beginning a strong relationship which continues even today.
In the early summer of 2002, a grand and challenging change in northern New Mexico medicine unfolded. St. Vincent Hospital began doing in-house cardiac catheterizations. While the ?nay-sayers' said this would spell doom for Rocky Mountain's Critical Care Special Skill, as well as a substantial decrease in the revenue stream, in fact just the opposite has occurred. More IABP patient's are being transferred now than ever before, requiring our continued training and our skill. In addition, our company is growing to move more and more patients from other areas that were being under-served by the local providers.
In May, 2003, the Medical Direction Committee of the New Mexico EMS Bureau approved an expanded scope of practice for the Critical Care Special Skill. This new authorization will allow CCT/MICP Paramedics to transport patients on dozens of medications previously requiring that a nurse attend. This will directly help in transfer timeliness, cost control and hospital staffing. In addition, Rapid Sequence Intubation will be added to the CCT/MICP Paramedic's scope of options for optimal patient care.
The future of Rocky Mountain EMS is exciting. Never without challenges, this company offers opportunities to it's employees, support to it's neighbors and customers and uncompromising care to it's patients. The future for expansion of skills, education and areas of operation is very bright!