Feedback Form for the Draft National Framework Document

The project team thanks those that have provided input through the public survey and the meetings in California, New York, and Washington, D.C. We also appreciate your continued participation and input on the recommendations for National Framework Document for Promoting Innovation in EMS. Please scroll down as you fill out the form and when you are finished, please click on the blue "DONE" button at the bottom.

* 1. Please enter your information

* 2.
National EMS Associations should formally request that the Office of the National Coordinator for Health Information Technology recommend establishment of incentives for the meaningful use of EMS data.

Rationale: As Medicare is moving from a payment for volume to value model, it is crucial that EMS be incorporated into this transition.  Therefore national EMS organizations should advocate for hospitals and others to be incentivized to make meaningful use of EMS electronic health records.  Challenges with regards to interoperability, privacy and security concerns may only be overcome with sufficient motivation and investment.

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Do you agree with this recommendation?

* 3.
Community stakeholders including, but not limited to, EMS, Home Health, Primary Care, and Community-based Organizations should partner to facilitate the confidential electronic sharing of social and health information between each other and the regional health information organizations. 

Rationale: EMS agencies often provide care across hospital systems, clinic networks, and social services providers.  Local governments and public health systems should work to link EMS patient care information across these providers while providing real-time access to usable data by prehospital providers.  The efficient exchange of information will help avoid duplication of effort, create new opportunities for better coordination of care and management of acute medical conditions, and be the foundation for as yet unforeseen innovative opportunities.  

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Do you agree with this recommendation?

* 4.
State EMS Offices should require and receive reporting on validated performance measures and implementation of interoperability standards.
Rationale: There is significant variation in data quality across types of EMS. While imposing a requirement may seem heavy-handed or burdensome, it would help push the EMS industry into a new era of improved quality and transparency.  State governments should impose requirements for bidirectional data exchange between EMS and hospitals. Prior to any new system implementation of an ePCR, the technology must adhere to standards of interoperability.  This data sharing and interoperability is a pre-requisite to moving to a pay-for-performance system in the future. If this reporting is a requirement for reimbursement from public and private payers, it will also reward systems for adopting best practices, ie. STEMI bundles of care. 

  Strongly Disagree  Disagree Neutral Agree Strongly Agree
Do you agree with this recommendation?

* 5.
Agencies should transition to longitudinal patient-oriented record-keeping, instead of being limited to incident-based reporting.
Rationale: EMS Agencies should use their market influence to promote and work toward the transition to a patient-based reporting system by partnering with vendors, hospitals, and other EMS agencies. This would facilitate integration with hospitals, primary care groups, health information exchanges, and possibly between EMS agencies. Improved data integration would benefit patients in the form of improved quality and patient safety, and benefit the providers through efficiency gains.

Similar to Encounter ID numbers or Visit ID numbers, EMS electronic records should maintain the ability to identify multiple patients that are affiliated with the same incident.  EMS documentation should adapt with medical documentation and  include collection of social information.

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Do you agree with this recommendation?

* 6.
Local and state governments should partner with public and private EMS providers to facilitate the implementation of health information technological innovations. 
Rationale: Local governments could dramatically improve the environment for innovation across a variety of sectors by investing in free public broadband internet access and/or free public wifi.  By building an infrastructure capable of maintaining security of private health information, EMS and/or telehealth companies would face significantly lower barriers to innovation. Specifically, it would enable direct video telemedicine between EMS providers and physicians.  

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Do you agree with this recommendation?

* 7.
Encourage all states to require a collection of all EMS related data into a single repository so that all State data is available and health departments can use the data for research purposes.

Rationale: As NEMSIS Version 3 becomes ubiquitous, it should be relatively easy and very valuable for States to collect all the NEMSIS 3 data from all jurisdictions in a central location. Existing HIE's are often structured in a way that they cannot be used for quality improvement. State Legislatures should Fund and Require this to enable the recommendation.

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Do you agree with this recommendation?

* 8.
Each state should establish a “Technical Assistance Center” to assist local EMS agencies and state and regional health information exchanges to achieve integration. State Health Information Exchanges should include one or more EMS representatives on their Board. 

Rationale:  Many EMS agencies don’t have technical knowhow regarding data management and sharing. Technical assistance Center concept needed to help local EMS agencies get information flow working. State or Local discussions on coordination of data and enabling information exchange should include EMS representation as a means of recognizing the value of the data that EMS brings. The role of such a representative would be to show EMS value in the system and provide incentives for data sharing.

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Do you agree with this recommendation?