Skip to main content

Currently Skimming:

Appendix E Recommendations and Responsible Entities from the Future of Emergency Care Series
Pages 307-324

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 307...
... appendix E Recommendations and Responsible Entities from the Future of Emergency Care Series 0
From page 308...
... 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 309...
... 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 310...
... payment. 4.2 Hospital chief executive officers should adopt enterprisewide X operations management and related strategies to improve the quality and efficiency of emergency care.
From page 311...
... Chapter 5: Technology and Communication 5.1 Hospitals should adopt robust information and communications X systems to improve the safety and quality of emergency care and enhance hospital efficiency. Chapter 6: The Emergency Care Workforce 6.1 Hospitals, physician organizations, and public health agencies X X X should collaborate to regionalize critical specialty care on-call services.
From page 312...
...  Congress DHHS DOT DHS DOD States Hospitals EMS Agencies Private Industry Professional Organizations Other 6.2 Congress should appoint a commission to examine the impact X of medical malpractice lawsuits on the declining availability of providers in high-risk emergency and trauma care specialties, and to recommend appropriate state and federal actions to mitigate the adverse impact of these lawsuits and ensure quality of care. 6.3 The American Board of Medical Specialties and its constituent X X boards should extend eligibility for certification in critical care medicine to all acute care and primary care physicians who complete an accredited critical care fellowship program.
From page 313...
... 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 314...
...  Congress DHHS DOT DHS DOD States Hospitals EMS Agencies Private Industry Professional Organizations Other 8.2 The Secretary of the Department of Health and Human Services X X X X X should conduct a study to examine the gaps and opportunities in emergency and trauma care research, and recommend a strategy for the optimal organization and funding of the research effort. 8.2a This study should include consideration of training of new investigators, development of multicenter research networks, funding of General Clinical Research Centers that specifically include an emergency and trauma care component, involvement of emergency and trauma care researchers in the grant review and research advisory processes, and improved research coordination through a dedicated center or institute.
From page 315...
... EMERGENCY MEDICAL SERVICES AT THE CROSSROADS Congress DHHS DOT DHS DOD States Hospitals EMS Agencies Private Industry Professional Organizations Other Chapter 3: Building a 21st-Century Emergency Care System 3.1 The Department of Health and Human Services and National X X X 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. 3.2 The National Highway Traffic Safety Administration, in X X partnership with professional organizations, should convene a panel of individuals with multidisciplinary expertise to develop evidencebased model prehospital care protocols for the treatment, triage, and transport of patients.
From page 316...
... 3.7 The Centers for Medicare and Medicaid Services should X convene an ad hoc working group with expertise in emergency care, trauma, and emergency medical services systems to evaluate the reimbursement of emergency medical services, and make recommendations with regard to including readiness costs and permitting payment without transport.
From page 317...
... 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 318...
... 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 319...
... 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 320...
... 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 321...
... The working group should have representation from federal and state agencies and professional disciplines involved in emergency and trauma care. 3.7 Congress should appropriate $37.5 million per year for the next X 5 years to the Emergency Medical Services for Children program.
From page 322...
... 5.2 The Department of Health and Human Services and the X X X X National Highway Traffic Safety Administration should fund the development of medication dosage guidelines, formulations, labeling guidelines, and administration techniques for the emergency care setting to maximize effectiveness and safety for infants, children, and adolescents. Emergency medical services agencies and hospitals should incorporate these guidelines, formulations, and techniques into practice.
From page 323...
... • 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 324...
...  Congress DHHS DOT DHS DOD States Hospitals EMS Agencies Private Industry Professional Societies Other Chapter 7: Building the Evidence Base for Pediatric Emergency Care 7.1 The Secretary of Health and Human Services should conduct X X X X a study to examine the gaps and opportunities in emergency care research, including pediatric emergency care, and recommend a strategy for the optimal organization and funding of the research effort. This study should include consideration of the training of new investigators, development of multicenter research networks, involvement of emergency and trauma care researchers in the grant review and research advisory processes, and improved research coordination through a dedicated center or institute.


This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More information on Chapter Skim is available.