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Appendix G Recommendations and Responsible Entities from the Future of Emergency Care Series
Pages 365-382

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From page 365...
... appendix G Recommendations and Responsible Entities from the Future of Emergency Care Series 
From page 366...
... 2.1b The Centers for Medicare and Medicaid Services should establish a working group to determine the allocation of these funds, which should be targeted to providers and localities at greatest risk; the working group should then determine funding needs for subsequent years. Chapter 3: Building a 21st-Century Emergency Care System 3.1 The Department of Health and Human Services and the X X X National Highway Traffic Safety Administration, in partnership with professional organizations, should convene a panel of individuals with multidisciplinary expertise to develop evidence-based categorization systems for emergency medical services, emergency departments, and trauma centers based on adult and pediatric service capabilities.
From page 367...
... 3.4 The Department of Health and Human Services should adopt X regulatory changes to the Emergency Medical Treatment and Active Labor Act and the Health Insurance Portability and Accountability Act so that the original goals of the laws will be preserved, but integrated systems can be further developed. 3.5 Congress should establish a demonstration program, X X administered by the Health Resources and Services Administration, to promote coordinated, regionalized, and accountable emergency care systems throughout the country, and appropriate $88 million over 5 years to this program.
From page 368...
... , hospital-based emergency and trauma care, and medical-related disaster preparedness. Congress should establish a working group to make recommendations regarding the structure, funding, and responsibilities of the new agency, and develop and monitor the transition.
From page 369...
... 4.5 Hospitals should end the practices of boarding patients in the X X emergency department and ambulance diversion, except in the most extreme cases, such as a community mass casualty event. The Centers for Medicare and Medicaid Services should convene a working group that includes experts in emergency care, inpatient critical care, hospital operations management, nursing, and other relevant disciplines to develop boarding and diversion standards, as well as guidelines, measures, and incentives for implementation, monitoring, and enforcement of these standards.
From page 370...
... 6.4 The Department of Health and Human Services, the X X X Department of Transportation, and the Department of Homeland Security should jointly undertake a detailed assessment of emergency and trauma workforce capacity, trends, and future needs, and develop strategies to meet these needs in the future. 6.5 The Department of Health and Human Services, in partnership X X with professional organizations, should develop national standards for core competencies applicable to physicians, nurses, and other key emergency and trauma professionals, using a national, evidencebased, multidisciplinary process.
From page 371...
... 7.2 All institutions responsible for the training, continuing X X X education, and credentialing and certification of professionals involved in emergency care (including medicine, nursing, emergency medical services, allied health, public health, and hospital administration) should incorporate disaster preparedness training into their curricula and competency criteria.
From page 372...
... 8.2b Congress and federal agencies involved in emergency and trauma care research (including the Department of Transportation, the Department of Health and Human Services, the Department of Homeland Security, and the Department of Defense) should implement the study's recommendations.
From page 373...
... 3.3 The Department of Health and Human Services should convene X a panel of individuals with emergency and trauma care expertise to develop evidence-based indicators of emergency and trauma care system performance. 3.4 Congress should establish a demonstration program, X X administered by the Health Resources and Services Administration, to promote coordinated, regionalized, and accountable emergency and trauma care systems throughout the country, and appropriate $88 million over 5 years to this program.
From page 374...
... The working group should include representatives from federal and state agencies and professional disciplines involved in emergency and trauma care. 3.6 The Department of Health and Human Services should adopt X rule changes to the Emergency Medical Treatment and Active Labor Act and the Health Insurance Portability and Accountability Act so that the original goals of the laws will be preserved, but integrated systems can be further developed.
From page 375...
... Chapter 5: Advancing System Infrastructure 5.1 States should assume regulatory oversight of the medical aspects X of air medical services, including communications, dispatch, and transport protocols. 5.2 Hospitals, emergency medical services agencies, public X X X safety departments, emergency management offices, and public health agencies should develop integrated and interoperable communications and data systems.
From page 376...
... 6.3 Professional training, continuing education, and credentialing X X X X and certification programs for all the relevant professional categories of emergency medical services personnel should incorporate disaster preparedness into their curricula and require the maintenance of competency in these skills. Chapter 7: Optimizing Prehospital Care Through Research 7.1 Federal agencies that fund emergency and trauma care research X X X X X should target an increased share of research funding at prehospital emergency medical services research, with an emphasis on systems and outcomes research.
From page 377...
... EMERGENCY CARE FOR CHILDREN: GROWING PAINS Congress DHHS DOT DHS DOD States Hospitals EMS Agencies Private Industry Professional Societies Other Chapter 3: Building a 21st-Century Emergency Care System 3.1 The Department of Health and Human Services and the X X X National Highway Traffic Safety Administration, in partnership with professional organizations, should convene a panel of individuals with multidisciplinary expertise to develop evidence-based categorization systems for emergency medical services, emergency departments, and trauma centers based on adult and pediatric service capabilities.
From page 378...
... 3.4 Congress should establish a demonstration program, X X administered by the Health Resources and Services Administration, to promote coordinated, regionalized, and accountable emergency care systems throughout the country, and appropriate $88 million over 5 years to this program. 3.5 The Department of Health and Human Services should adopt X rule changes to the Emergency Medical Treatment and Active Labor Act and the Health Insurance Portability and Accountability Act so that the original goals of the laws are preserved, but integrated systems may further develop.
From page 379...
... Chapter 4: Arming the Emergency Care Workforce with Knowledge and Skills 4.1 Every pediatric- and emergency care–related health professional X credentialing and certification body should define pediatric emergency care competencies and require practitioners to receive the level of initial and continuing education necessary to achieve and maintain those competencies. 4.2 The Department of Health and Human Services should X X collaborate with professional organizations to convene a panel of individuals with multidisciplinary expertise to develop, evaluate, and update clinical practice guidelines and standards of care for pediatric emergency care.
From page 380...
... 5.3 Hospitals and emergency medical services agencies should X X implement evidence-based approaches to reducing errors in emergency and trauma care for children. 5.4 Federal agencies and private industry should fund research on X X X X pediatric-specific technologies and equipment used by emergency and trauma care personnel.
From page 381...
... • Development of and improved access to specific medical and mental health therapies, as well as social services, for children in the event of a disaster. • Development of policies to ensure that disaster drills include a pediatric mass casualty incident at least once every 2 years.
From page 382...
... 7.2 Administrators of state and national trauma registries should X include standard pediatric-specific data elements and provide the data to the National Trauma Data Bank. Additionally, the American College of Surgeons should establish a multidisciplinary pediatric specialty committee to continuously evaluate pediatric-specific data elements for the National Trauma Data Bank and identify areas for pediatric research.


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