5. Improve public safety IT infrastructure a. Local EMS agencies / authorities should:
ii.Explore opportunities for pilot programs which involve sending EMS data to social service organizations or receiving social information to inform EMS care delivery. iii. Engage housing, law, and mental health agencies to identify gaps/opportunities to improve outcomes through the exchange of information. ii.Clarify rules and requirements for patient consent and consider opt-out policies where appropriate. iii. Promote awareness among hospitals, health systems and HIEs that EMS is a covered entity under HIPAA. iv. Facilitate and/or require EMS-HIE data integration and exchange. v. Define standards for EMS data exchange (e.g. SAFR.) vi. Incentivize pilot programs that utilize social and health data to improve patient outcomes. vii. Establish ePOLST registries accessible to EMS in the field. c. National EMS associations should: i. Clarify the authority of health providers to exchange with social providers. ii.Support the development of local and regional HIE-social information exchanges. iii. Advocate for the ONC-HIT to support development of a nationwide HIE that includes EMS data. iv. Support and guide the development of trust networks necessary to integrate behavioral and physical health data. v. Encourage development of EMS measures of quality care. b. State EMS authorities / associations should: i. Assure EMS representation on state HIEs.
i. Anticipate Next Generation 9-1-1 (NG9-1-1) in CAD updates. ii.Provide open access to data re: 9-1-1 performance. b. State EMS authorities / associations should: i. Ensure access to comparative 9-1-1 performance data and facilitating benchmarking. ii.Ensure adequate funding for NG9-1-1. iii. Explore low-cost ubiquitous coverage access for EMS. iv. Champion funding and encourage research on effective EMS communication infrastructure. v. Advocate for supporting development of interoperable broadband Internet, Wi-Fi, and telecommunications platforms. vi. Advocate for enhanced security of public safety infrastructure . vii. Advocate for greater funding of research in 6.Enable and leverage telehealth technology to support new clinical care models. a. Local EMS agencies / authorities should: i. Adopt or pilot available technologies to enhance clinical care or systems management. b. State EMS authorities / associations should: i. Eliminate barriers to direct mobile telehealth between EMS providers, physicians and hospitals. ii.Engage proactively with efforts to support and implement FirstNet. c. National EMS associations should: i. Promote utilization and exchange of biometric, audio, photo, and video data in EMS. ii.Promote awareness among states and local EMS agencies about FirstNet. iii. Encourage development of new telehealth platforms. iv. Promote innovative applications of available telehealth and quality research that demonstrate its value. EMS HIT.
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CHAPTER 8
MOUNT SINAI HEALTH SYSTEM | UNIVERSITY OF CALIFORNIA, SAN DIEGO
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