Preparedness and Response to a Rural Mass Casualty Incident Workshop Summary (2011) / Chapter Skim
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7 Improving Rural Mass Casualty Response in the United States
7 Improving Rural Mass Casualty Response in the United States
Pages 77-86
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From page 77... ...
. In describing preparedness and response to rural MCIs, the theme of the absence of a centralized and dedicated federal office to support emergency medical services (EMS)
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From page 78... ...
When engaging an entity on the issue of funding, noted associate chief medical officer at the Office of Health Affairs at DHS Mike Zanker, emphasis should not only be given to urban centers. In addition to the need for rural EMS to respond to an MCI in their community, in the event of a major urban incident urban communities will be reliant on their rural neighbors to help support response efforts, especially if the urban center is incapacitated.
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From page 79... ...
Secretary Sebelius on August 23, 2010, announced the awarding of over $32 million in funding to support rural health priorities. The FY2010 funds are administered by the Office of Rural Health Policy at HRSA and span seven programs: Rural Hospital Flexibility Program, Rural Health Workforce Development Grant Awards, Telehealth Network Grant Program, Telehealth Resource Center Grant Program, Flex Rural Veterans Health Access Program, Frontier Community Health Integration Demonstration Program, and the Rural Training Track Technical Assistance Demonstration Program.
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From page 80... ...
Medicare requirements are not flexible. Only when there is a declaration of a disaster or emergency by the President and a public health emergency declaration by the HHS secretary, can temporary waivers or modifications to requirements be made.3 Once an "1135 Waiver" is authorized, healthcare providers submit requests to file Medicare claims under that waiver (i.e., it is not a blanket or group waiver, requests are individually considered)
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From page 81... ...
EMS receives some fire grant money, some HRSA funding, some Medicare reimbursements, but no dedicated singular source exists. This lack of reliable funding has led to a concomitant absence of fellowship funds in rural areas noted session chair Dia Gainor.
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From page 82... ...
In fact, Dawson commented that the federal government is in a key position to develop and share best practices, by sponsoring forums such as this IOM workshop and others that bring rural communities together with state and local partners. He suggested that there is also a need for federal support of additional research into rural emergency medical services, not just with respect to patient care, but with respect to systems.
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From page 83... ...
Dawson said that an important leadership role for the federal government is to conduct and facilitate an assessment, based on solid data, of where we are in the nation with respect to emergency medical services. Such an assessment should identify if there are barriers nationally to improving rural emergency medical services and rural mass casualty care, and what can be done to eliminate such barriers.
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From page 84... ...
In the noted absence of a single dedicated federal agency, the responsibility falls to a coordinated effort across multiple agencies, all sectors, and involving all stakeholders. Addressing the pervasive communications challenges is a priority, posited workshop chair Robert Bass.
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From page 85... ...
The federal government also has a role in facilitating the sharing of best practices, supporting research and data collection (e.g., for technology development, accurate characterization of the workforce) , increasing awareness and coordination, and the development of consistent, nationwide metrics and assessment strategies.
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