Some 20 years since the publication of the first EMS Agenda for the Future, the National Highway Traffic Safety Administration is in the process of commissioning a new “agenda” to guide EMS for the next 30 years. We hope that the vision set forth in the new document will be one that can serve to align the entire EMS industry and profession around a set of long term goals and principles. We anticipate that achieving the vision set forth by that forward-looking document will require using the specific recommendations presented in this Promoting Innovation in EMS National Framework Document. Thus, it is with great thanks and appreciation to all of the members of the PIE steering committee, all those that participated in the surveys, the regional and national meetings, the public comment periods and the entire EMS community and other stakeholders that participated, that we proudly bring this project to its conclusion. It is now up to you, the reader, to make use of the ideas, insights, and recommendations contained herein to help create a more favorable environment for innovation for the EMS industry and profession through improved regulation, better financial alignment, a sturdier educational foundation, greater regional coordination and interdisciplinary collaboration, stronger medical oversight, and enhanced data and telecommunication capabilities.
4.3 States should accept national certification as a prerequisite for state licensure and local credentialing of EMS providers. (Ed 1) 4.4 The American Board of Emergency Medicine should create a subspecialty certification in EMS. (MD 1)
Chapter 5: Advancing System Infrastructure
5.1 States should assume regulatory oversight of the medical aspects of air medical services, including communications, dispatch, and transport protocols. (L 1) 5.2 Hospitals, trauma centers, EMS agencies, public safety departments, emergency management offices, and public health agencies should develop integrated and interoperable communications and data systems. (Data 1) 5.3 The Department of Health and Human Services should fully involve prehospital EMS leadership in discussions about the design, deployment, and financing of the National Health Information Infrastructure (NHII). (Data 5)
Chapter 6: Preparing for Disasters
6.3 Professional training, continuing education, and credentialing and certification programs of all the relevant EMS professional categories, should incorporate disaster preparedness training into their curricula, and require the maintenance of competency in these skills. (Ed 1)
Chapter 7: Optimizing Prehospital Care through Research
7.1 Federal agencies that fund emergency and trauma care research should target additional funding at prehospital EMS research, with an emphasis on systems and outcomes research. (F 4)
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MOUNT SINAI HEALTH SYSTEM | UNIVERSITY OF CALIFORNIA, SAN DIEGO
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