National Emergency Care Enterprise Advancing Care Through Collaboration: Workshop Summary (2009) / Chapter Skim
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1 Federal Progress Reports: Advancing Emergency and Trauma Care
1 Federal Progress Reports: Advancing Emergency and Trauma Care
Pages 5-14
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From page 5... ...
The first of these, he said, was that the health care system should end the practices of boarding and emergency medical services (EMS) diversion.
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He criticized the original committee for proposing so many recommendations, and noted that fully implementing them will require substantial cultural change. To get a sense of who was in the audience, Runge asked the participants to raise their hands and identify themselves as practitioners of emergency care or policy makers.
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Runge remarked that in many cases, IOM reports instigate change by catalyzing a reaction that has already begun to take place. The problem in the case of the emergency care reports, he said, was that there was very little chemical reaction going on at the time of their release, and it is very difficult to catalyze something without reagents.
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From page 8... ...
, DHS, Department of Defense, Congress, the states, hospitals, EMS agencies, the Joint Commission, professional associations, educational institutions, industry, and many others. These tasks and objectives can be divided into various categories, such as reimbursement, curriculum design, standards, performance indicators, state legislation, changes in medical and EMS practice, hospital operations, and competitive cooperation among disparate and usually fighting groups.
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NHTSA provides primary administrative support. Some of FICEMS' priorities include submission of an annual report to Congress, EMS data standardization and collection, EMS disaster preparedness assessment and needs, EMS research funding review, and supporting improvements in medical oversight.
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NEMSIS includes a national uniform XML standard dataset and a national EMS database that currently contains approximately 6 million patient records from across the United States. Currently, 16 states submit records to this database.
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From page 11... ...
This center helps EMS-C grantees and state EMS offices develop their capabilities to collect, analyze, and use EMS data to improve the delivery of emergency and trauma care. To examine a detailed summary of federal progress toward achieving the 2006 IOM report recommendations, see Appendix C
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From page 12... ...
Charlotte Yeh responded that Carolyn Clancy, director of the Agency for Healthcare Research and Quality, has assembled a task force to look at the issue of interfacility transfers and specifically the need for additional research in that area. Handrigan added that "research agendas are not hard to find; everybody has one." He said the principal mission for the ECCC is to look at all the federal agencies that are engaging in research activities, figure out where the overlaps and gaps are, and help the agencies devise a more coordinated research direction, if not an agenda.
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From page 13... ...
He asked what political muscle exists or should exist to cajole the professional societies into playing ball and helping these recommendations move forward. Dawson replied that the NHTSA has always gone about its business by actively involving professional associations in the decision-making process, so they feel they are part and parcel of the process.
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