Regionalizing Emergency Care Workshop Summary (2010) / Chapter Skim
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9 Wrap-Up Discussion with Federal Partners
9 Wrap-Up Discussion with Federal Partners
Pages 123-130
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From page 123... ...
Drew Dawson, director of the Office of Emergency Medical Services at the National Highway Traffic Safety Administration (NHTSA) within the Department of Transportation, led off the response.
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From page 124... ...
He said that with the advent of FICEMS and the Council on Emergency Medical Care and the establishment of the ECCC, "we are at a unique place in time where emergency care is finally getting a voice within the federal government -- and very importantly, a centralized voice." Roszak said that the ECCC is very interested in regionalization. He said, "We are tasked with looking at the delivery of daily in-hospital emergency care.
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From page 125... ...
[It is] collegial communication and coordination, so that everybody wins -- the patient, the local medical community, the local health care professionals, EMS, [and]
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From page 126... ...
There needs to be an interagency committee. There needs to be a lead agency in the federal government that speaks to the clinical systems that we are talking about here, the old ones and the new ones." He emphasized the importance of the federal lead agency concept.
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From page 127... ...
They are sparsely populated and sparsely resourced." Boyd said all three models are important in framing how the issues in the demonstrations should be tested. THE ROLE OF A FEDERAL LEAD AGENCY Dia Gainor, chief of the Idaho Emergency Medical Services Bureau, argued that "for any of us to say this problem has been around for a long time is really no excuse.
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From page 128... ...
Roszak said, "If we ever did move to a national system, where a paramedic is a paramedic is a paramedic, it would be a great resource to have the federal government help determine appropriate treatment protocols and then disseminate best practices."
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From page 129... ...
Dawson responded that "the concept of what the responsibility of the federal government should be is a legitimate item for discussion at FICEMS, at the Council for Emergency Care, and, from a non-federal perspective, through the National EMS Advisory Council." BUILDING A UNIFIED SYSTEM Jon Mark Hirshon of the University of Maryland observed that "we have discussed many systems -- trauma systems, EMS systems, STEMI systems. There are multiple different systems." During an earlier part of the workshop, Ken Kizer pointed out that there is no health care system in the United States, no systematic approach to the issues we face.
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From page 130... ...
"The federal government can help significantly on the front end by establishing the relationships necessary to make this a reality and helping to identify some of the potential pitfalls that may run the project afoul, and then on the back end, providing support, data collection, analysis, and performance assessment, and ways to improve." He added, "They could then package all that up and generate best practices that could be disseminated to other parts of the country.
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