rapid patient-related information exchange (Data 1) • Determine the benefits of real-time patient data transfer (Data 1) System Finance • Collaborate with other health care providers and insurers to enhance patient care efficiency (IC 1) • Develop proactive financial relationships between
EMS, other health care providers, and health care insurers/provider organizations (IC 1) • Compensate EMS on the basis of a preparedness- based model, reducing volume-related incentives and realizing the cost of an emergency safety net (F 1) • Address EMS relevant issues within governmental health care finance policy (L 2)
EMERGENCY MEDICAL SERVICE AT THE CROSSROADS 2007
and responsibilities of the new agency, and develop and monitor the transition. The working group should have representation from federal and state agencies and professional disciplines involved in emergency and trauma care. (L 1) 3.6 The Department of Health and Human Services should adopt rule changes to the Emergency Medical Treatment and Active Labor Act (EMTALA) and the Health Insurance Portability and Accountability Act (HIPAA) so that the original goals of the laws are preserved but integrated systems may further develop. (L 3) 3.7 CMS should convene an ad hoc work group with expertise in emergency care, trauma, and EMS systems to evaluate the reimbursement of EMS and make recommendations regarding inclusion of readiness costs and permitting payment without transport. (F 1) Chapter 4: Supporting a High Quality EMS Workforce 4.1 State governments should adopt a common scope of practice for EMS personnel, with state licensing reciprocity. (L 4)
Chapter 3: Building a 21st-Century Emergency Care System
3.3 The Department of Health and Human Services should convene a panel of individuals with emergency and trauma care expertise to develop evidence-based indicators of emergency care system performance. (RC 4) 3.4 Congress should establish a demonstration program, administered by Health Resources and Services Administration, to promote regionalized, coordinated, and accountable emergency care systems throughout the country, and appropriate $88 million over 5 years to this program. (RC 2) 3.5 Congress should establish a lead agency for emergency and trauma care within 2 years of the publication of this report. This lead agency should be housed in the Department of Health and Human Services, and should have primary programmatic responsibility for the full continuum of EMS, emergency and trauma care for adults and children, including medical 9-1-1 and emergency medical dispatch, prehospital EMS (both ground and air), hospital-based emergency and trauma care, and medical-related disaster preparedness. Congress should establish a working group to make recommendations regarding the structure, funding,
4.2 States should require national accreditation of paramedic education programs. (Ed 1)
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MOUNT SINAI HEALTH SYSTEM | UNIVERSITY OF CALIFORNIA, SAN DIEGO
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