RECOMMENDATIONS
2.Utilize Technical Assistance Centers (TACs) to support adoption of EMS health information technology. a. Local EMS agencies / authorities should: i. Support local provider access to TAC. b. State EMS authorities / associations should: i. Support and champion the work of the TACs. ii.Issue reports to local EMS authorities on TAC utilization and generalizable lessons learned. c. National EMS associations should: i. Promote awareness of resources (e.g., NEMSIS.) ii.Showcase best practices in utilization of information technology in public safety and healthcare to improve performance and promote innovation in EMS. iii. Advocate support for TACs as part of federal disaster and emergency preparedness requirements. 3.Transition to Longitudinal Record Keeping Systems a. Local EMS agencies / authorities should: i. Seek ePCR systems and data products that support longitudinal patient records. b. State EMS authorities / associations should: i. Encourage or incentivize adoption of ePCR systems capable of longitudinal record keeping. ii.Reward development that supports EMS use of “My Data” initiatives. c. National EMS associations should: i. Support the implementation of a secure unique patient identifier. ii.Support patient control and access to personal health information. 4.Encourage and facilitate the secure exchange of health and social information to support population health . a. Local EMS agencies / authorities should: i. Aggressively pursue integration of EMS data with the local health information exchange.
1.Incentivize the collection and meaningful use of EMS data a. Local EMS agencies / authorities should: i. Promote education among EMS providers regarding collection and use of standardized EMS data. ii.Share data across agencies and make performance dashboards transparent. iii. Enable local partners to perform research and population health analytics using EMS data. b. State EMS authorities / associations should: i. Support ePCR adoption by agencies, including those in rural and frontier regions. ii.Reward innovative utilization of EMS data (e.g., alerting for care coordination, hot-spotting to target community planning.) iii. Require or encourage reporting of EMS performance metrics or submission of data to public health registries (e.g CARES.) c. National EMS associations should: i. Promote utilization of the ONC-HIT incentives for meaningful use of EMS data. ii.Encourage expanded funding for EMS-HIE pilot programs for both population health and emergency preparedness purposes. iii. Steward the development, harmonization, and dissemination of EMS performance measures (e.g. EMS Compass measures.) iv. Create templates for open-access performance dashboards. v. Advocate for establishment of a deadline for states to begin participating in NEMSIS. vi. Advocate for expansion of EMS registries (e.g., CPR, CARES, STEMI, Stroke, Trauma) and to increase access for researchers to those registries. vii. Reward “Accountable Healthcare Communities” use of EMS data for population health.
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CHAPTER 8
MOUNT SINAI HEALTH SYSTEM | UNIVERSITY OF CALIFORNIA, SAN DIEGO
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