Better Outcomes, Lower Costs: A New Model for 911 with Guest Dr. Charles Miramonti episode artwork

EPISODE · Apr 15, 2026 · 27 MIN

Better Outcomes, Lower Costs: A New Model for 911 with Guest Dr. Charles Miramonti

from For the Love of Local · host Chaparral Creative and Riggs Ventures

What if EMS could do more than just respond — what if it could predict, prevent, and transform the way cities deliver healthcare? In this eye-opening episode, Dr. Charles Miramonte — the visionary behind Indianapolis’s groundbreaking EMS system — reveals how data-driven innovation reshaped emergency care, saving thousands of lives and slashing costs. From building Indianapolis EMS from scratch to integrating mobile health initiatives that have become national models, Charlie shares practical lessons on leadership, consensus-building, and disruptive strategies in public safety. Discover how EMS data helped stop overdoses before they happened and how adaptive, community-focused models can revolutionize healthcare—at a fraction of the traditional cost. You'll learn how Charlie’s team used dashboards and KPIs to uncover societal issues early, like rising overdose patterns, and how they launched programs like nurse-guided 911 responses that divert non-emergency calls away from costly ER visits. His approach proves that proactive, human-centered care not only saves money but uplifts entire communities. Why does this matter? Because the old model of "ambulance-to-ER" is becoming obsolete. Cities can now build scalable, cost-effective health systems that treat people where they're at—saving lives and resources simultaneously. If you're a city leader, healthcare innovator, or public safety professional, this episode is your blueprint for transforming emergency services into a compassion-driven, efficient, and proactive force for good.Plus, Charlie’s insights into organizational leadership—surrounding yourself with talented, innovative people and leveraging data for decision-making—are invaluable lessons for anyone looking to lead change. His pioneering work in mobile health and community engagement offers a glimpse into the future of smart, sustainable urban healthcare. Prepare to rethink what EMS can be and learn how pioneering cities are shaping healthcare futures. Listen now—your community’s next breakthrough starts here.

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Better Outcomes, Lower Costs: A New Model for 911 with Guest Dr. Charles Miramonti

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