FIGURE 2: SURVEY RESPONDENTS
39% EMS Agency
1% Police Department
19% Health Care Provider
6% Other 5% Business 3% Technology Company 1% Social Work/Community Based Care 1% Insurance Plan (Payer)
14% Fire Department
11% Government
and mobile integrated health care, health economists, and experts in public health and political science. SURVEYS AND INTERVIEWS Together, the steering committee and project leadership facilitated an expansive exploration of experiences and challenges faced by other localities throughout the United States through a structured process including an open survey and exploratory interviews. Overall, project leadership surveyed 189 EMS stakeholders, and used the survey responses to guide in-depth interviews of 48 providers, industry representatives, and experts. Insights gleaned from this exploratory process were fed into the conversation at subsequent stages, including the creation of our initial five “themes” or
categories of challenges: legal, finance, education, workforce and culture, and data.
SURVEY RESULTS: The 189 survey respondents came from 38 states and included 122 EMS providers, 32 physicians, 18 allied health providers, 43 EMS directors, 46 EMS administrators, and experts in business, public health, law, and policy (there was crossover between professions). EMS providers from commercial, volunteer, municipal, hospital- based, government/military, and public utility agencies were all included in the surveys. Of the 73 innovative projects highlighted in the survey, new clinical interventions, alternative destination initiatives, and programs to support high utilizers were the most common.
FIGURE 3: TYPES OF INNOVATIONS
FIGURE 4: BARRIERS ENCOUNTERED
25
25
20
20
15
15
10
10
5
5
0
0
12
CHAPTER 1
MOUNT SINAI HEALTH SYSTEM | UNIVERSITY OF CALIFORNIA, SAN DIEGO
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