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Preventing falls, preserving independence: An EMS success story

Jimmy Pierson and Angeline Pierson on why prevention may be one of the greatest opportunities facing EMS today

The 2026 AIMHI Excellence in Public Information or Education Award recognizes organizations that create innovative programs which improve health, educate communities and demonstrate measurable outcomes. This year’s recipient, the Medic Keep the Beat Foundation, earned national recognition for a groundbreaking fall-prevention initiative that is helping older adults remain independent, reducing repeat 911 calls and preventing avoidable hospital admissions. The award celebrates programs that move EMS beyond emergency response into proactive, community-based healthcare.

In this episode of EMS One-Stop, Rob Lawrence sits down with Jimmy Pierson, president and COO of Medic Ambulance; and Angeline Pierson, occupational therapist with the Medic Keep the Beat Foundation, to explore the award-winning program in depth. The discussion covers everything from home safety assessments and occupational therapy interventions, to public-private partnerships, sustainable funding, EMS workforce innovation and why prevention may be one of the greatest opportunities facing EMS today.

Key quotes

“You’ve taken the frequency out of a faller.” — Rob Lawrence

“We don’t want healthier transports; we want a healthier community.” — Jimmy Pierson

“This isn’t a business model; it’s a community model.” — Jimmy Pierson

“We want to keep people safe and independent in their own homes.” — Angeline Pierson

“With this program they can stay at home instead of moving into a skilled nursing facility.” — Angeline Pierson

“The key is finding partners who see you as a partner; not as a subcontractor.” — Jimmy Pierson

“The Australian paramedics became part of our family; they weren’t temporary staff.” — Jimmy Pierson

Additional resources

Episode timeline

01:00 – Meet Jimmy and Angeline Pierson

02:00 – Inside the award-winning fall prevention program

06:45 – How patients enter the program

08:30 – Why preventing falls starts inside the home

12:30 – Measuring outcomes and demonstrating return on investment

15:00 – Funding, grants and building community partnerships

17:00 – Public-private partnerships with California fire departments

22:00 – Sonoma County Fire and collaborative EMS delivery

28:00 – Workforce rebuilding after COVID-19

31:30 – Recruiting Australian paramedics and creating a sustainable workforce

34:30 – Final reflections on prevention, partnerships and the future of EMS

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Rob Lawrence has been a leader in civilian and military EMS for over a quarter of a century. He is currently the director of strategic implementation for PRO EMS and its educational arm, Prodigy EMS, in Cambridge, Massachusetts, and part-time executive director of the California Ambulance Association.

He previously served as the chief operating officer of the Richmond Ambulance Authority (Virginia), which won both state and national EMS Agency of the Year awards during his 10-year tenure. Additionally, he served as COO for Paramedics Plus in Alameda County, California.

Prior to emigrating to the U.S. in 2008, Rob served as the COO for the East of England Ambulance Service in Suffolk County, England, and as the executive director of operations and service development for the East Anglian Ambulance NHS Trust. Rob is a former Army officer and graduate of the UK’s Royal Military Academy Sandhurst and served worldwide in a 20-year military career encompassing many prehospital and evacuation leadership roles.

Rob is the President of the Academy of International Mobile Healthcare Integration (AIMHI) and former Board Member of the American Ambulance Association. He writes and podcasts for EMS1 and is a member of the EMS1 Editorial Advisory Board. Connect with him on Twitter.