Abstract
The medical transport business is very complicated today compared with 10 years ago. The single type of business model is no more. The familiar single hospital-based helicopter program with 1 vendor supplying the aircraft, pilots, and maintenance is becoming a rare entity. This trend is understandable because many medical transport services attempt to survive with creative business and financial arrangements in a highly competitive environment. Several years ago, the Commission on Accreditation of Medical Transport Systems (CAMTS) changed its name to include the critical care ground transport services that were either stand-alone organizations or part of an air system. Adding a ground service is not the only change we are seeing lately, and it is a challenge to apply standards and procedures to models that no longer fit the mold.
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