Rec # (Report)

IOM Recommendation

Federal Response

3.1

(All)

HHS and NHTSA, in partnership with professional organizations, should convene a panel of individuals with multidisciplinary expertise to develop an evidence-based categorization system for emergency medical services, emergency departments, and trauma centers based on adult and pediatric service capabilities.

Some states (CA, IL, OK, TN) have voluntary designations that hospitals can seek. Illinois and California designate emergency departments approved for pediatrics; Oklahoma and Tennessee give pediatric medical recognition. This may signify the presence of a pediatric emergency coordinator, for example. (Kavanaugh)

3.2

(All)

NHTSA, in partnership with professional organizations, should convene a panel of individuals with multidisciplinary expertise to develop evidence-based model prehospital care protocols for the treatment, triage, and transport of patients, including children.

NHTSA, with FICEMS and NEMSAC, is creating an evidence-based guideline development process that will be dynamic rather than static and will keep pace with the changing nature of EMS best practices. (See Chapter 1.) (Dawson)

3.3

(All)

HHS should convene a panel of individuals with emergency and trauma care expertise to develop evidence-based indicators of emergency and trauma care system performance.

The ECCC has convened a new entity called the Council on Emergency Care which brings together partners from throughout government at all levels, with diverse subject matter expertise, to coordinate the entire federal emergency care agenda, but also to examine indicators of performance. (Handrigan)

 

 

NHTSA has partnered with the EMS community in conducting the Performance Measurement Project, which will recommend indicators of quality emergency medical services and system performance. This project will soon be final. (Dawson)

3.4

(ED)

HHS should adopt regulatory changes to EMTALA and HIPAA so that the original goals of the laws will be preserved, but integrated systems can be further developed.

CMS convened a technical advisory group in 2006. They issued a series of recommendations which have contributed to the progress of legislation that is now in committee. (Handrigan)



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