RECOMMENDATIONS
1.Facilitate & improve communication between EMS and other stakeholders a. Organizations providing services in the home or community should: i. Include EMS in discussions about patient and community needs to improve program alignment and enable optimal use of all community- based resources. ii.Partner with EMS to pursue patient-centered and population health management approaches to meet quality goals and address priorities across care settings. b. Local authorities / EMS agencies should: i. Actively engage organizations providing health care, public health, or public safety services in the home or community in their discussions to enable optimal use of all community-based resources. ii.Convene discussions with hospitals, primary care providers, payers and other community health professionals to pursue patient-centered and population health management approaches to meet quality goals and address priorities across care settings. iii. Engage their workforce in discussions around communication and collaboration with other stakeholders and evolving roles of EMS providers. c. State policymakers / EMS authorities / should: i. Advocate for EMS perspectives to be consistently included in new health care, public health, public safety or emergency preparedness initiatives. ii.Ensure representation of EMS on Medicaid committees. iii. Advocate for EMS during review of state education policies. iv. Periodically review state statutes to ensure laws facilitate innovation and partnerships with EMS agencies for public health initiatives. v. Represent EMS interests across all other state agencies
d. National EMS associations should: i. Advocate for EMS representation within all relevant state and local committees and agencies. ii.Open discussions about standardization of EMS roles, job descriptions, education, and performance improvement. 2.Create EMS multi-agency collaboratives to match i. Consider financial or other partnerships to enable improved coordination of community health care services across geographies that better match the catchment areas of hospitals or other key community health care stakeholders. ii.Engage in discussions around standardization/harmonization of terminology, services and offerings to enable interdisciplinary collaborations. a. State EMS authorities / associations should: i. Act as a convener for local EMS agencies to facilitate conversations around coordinating across a region for the purpose of enabling collaboration with other disciplines. b. National EMS associations should: i. Provide expertise and guidance to local EMS agencies and authorities seeking to better understand the benefits of multi-agency collaborations and examples of policies and written agreements. ii.Create awards to recognize EMS agencies that have created unique or successful partnerships with other disciplines in their community. geographic territory of key stakeholders Local EMS authorities / agencies should:
3.Develop a common vision for interdisciplinary collaboration a. Local EMS authorities / agencies should:
i. Establish roundtable discussion with local community health care, public safety, and public health stakeholders around unmet patient and community needs to arrive at a common understanding of how those needs can be met.
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CHAPTER 6
MOUNT SINAI HEALTH SYSTEM | UNIVERSITY OF CALIFORNIA, SAN DIEGO
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