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EMS Update: What are the National Issues

EMS Update: What are the National Issues. Ritu Sahni, MD, MPH. Perspective. National Association of EMS Physicians – President-Elect National Registry of EMTs – Board Advocates for EMS – Board National EMS Advisory Council (NEMSAX) – Member

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EMS Update: What are the National Issues

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  1. EMS Update: What are the National Issues Ritu Sahni, MD, MPH

  2. Perspective • National Association of EMS Physicians – President-Elect • National Registry of EMTs – Board • Advocates for EMS – Board • National EMS Advisory Council (NEMSAX) – Member The following slides do not represent official views from these organizations.

  3. NEMSAC • Advises National Highway Transportation Safety Admin and Federal Interagency Committee on EMS • 21 members. 2 Oregonians – both Chair subcommittee • Recent Issues • Culture of Safety • Lead Federal Agency • Evidence Based Guideline Development • Alternative Financing

  4. NREMT • Implementation of the EMS Education Agenda for the Future • National Certification • Initial – new levels that are being implemented in Oregon • Ongoing (Mark King proposal?) • National Accreditation of EMS Education Programs • Paramedic schools must be accredited • Practical Examination development • New levels • Practice based • Recertification requirements

  5. Advocates for EMS • EMS Field Bill • Creates a new Federal Lead Agency for EMS • Creates Federal grant programs for • Local EMS Agencies • EMS Initial Education • Medical Director Educations • State EMS Offices • Calls for alternative funding demonstration projects • Funding of regionalization in Affordable Care Act

  6. What is meant by alternative funding? • Current model (barely) funds ambulance transport • Further call for funding based on: • Readiness • Treat/Release • Alternative destinations • Overall cost savings (CPAP, STEMI, proper trauma triage, etc) • Models break down if “pot stays the same.”

  7. Affordable Care Act • Calls for regionalization of emergency care systems • Electronic Information Exchange • Broader insurance coverage • Coordinated Care Organizations. – encouraged in the act (Oregon passed CCO legislation last session)

  8. The end – a quick overview

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