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.
State EMS Office leadership needs to take responsibility to ensure that emergency medical services perspectives and representatives are consistently included on initiatives by Medicaid leadership, Insurance Regulators, emergency preparedness leadership, education office initiatives related to health care reform and health care innovation. 

Rationale:
Too often, the essential role of emergency medical services is overlooked or misunderstood.  Important health care reform and innovation initiatives should be inclusive of emergency medical services, including, but not limited to, workforce development, health information technology, care coordination networks, population health initiatives, among others. Local, state and national EMS leaders should seek opportunities for collaboration across health care sectors with the aim to improve patient-centered outcomes and the health status of the population. By being present when problems and potential solutions are being discussed, it is far more probable that EMS might become an integrated part of new innovative solutions and collaborations.

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

* 3.
State Associations should interface with each other and State EMS Directors need to make sure that EMS is represented at the other State Agency Offices and that the State Associations need to interact with other State Associations that are their Stakeholders.
 
Rationale:
State EMS offices should be interfacing with other State offices and State EMS associations should be interfacing with each other. Non-EMS state Associations should also include representatives from State EMS Offices

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

* 4.
Organizations providing services in the home and community should convene discussions with EMS agencies about patient populations, community needs and possible program alignment and support. These discussions should eventually expand to include payers, primary care providers and acute care facilities to ensure patient-centered, population health management approaches to meet quality goals and to address priorities across various care settings.

Rationale:
Emergency medical services (EMS), home health agencies, hospital at home groups, home based primary care groups, hospice providers and other providers of home and community services can benefit from collaborative dialogue to better identify and understand the needs of patient populations traditionally served by each segment. Such dialogue frequently produces opportunities to collaborate and share resources to improve health outcomes at the community level. Engaging primary and acute care providers as well as payers can also improve patient outcomes, risk management, population health services and information exchange. Enabling and facilitating cross-provider dialogue can ensure clarity of role, expand opportunities and improve support for patients and family caregivers.

EMS provider agencies that have expanded care delivery options beyond the traditional 9-1-1 response and transport, should seek to partner or collaborate with other provider groups or agencies including hospitals, healthcare systems, ACOs, payer groups, home health agencies, hospice groups, public health agencies, or social workers with similar geographic service areas. 

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

* 5.
Individual EMS provider agencies should establish partnerships with local community healthcare stakeholders to fill unmet needs and enable innovation, customization, and coordination of community health services provided. 
 
Rationale:
EMS providers with similar geographic service areas may consider financial partnerships and joint ventures or mergers to enable improved coordination of community services. These services, depending on community need, may range from social services integration, to chronic health management, to acute stabilization and/or transport. Other stakeholders may include, but are not limited to, home health, hospice, home based primary care, or hospital at home groups. The goal is to elevate the community to understand what EMS offers and promote awareness of EMS capabilities; therefore, agencies should seek, explore, and establish partnerships with public and private entities. Collaborators should then develop economic models that improve patient care in the continuum instead of “joint ventures” with the idea that all participants in the patient's continuum of care should partner together. This may not be necessary in all areas of the country as each community is different; however, where this recommendation has already happened, it has lead to innovation.

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

* 6.
National EMS Stakeholders should meet with other organizations and establish a National Population Health Stakeholder Roundtable which meets regularly to discuss integration, cooperation and collaboration among the many healthcare system providers and payers.

Rationale:
There is consensus that there needs to be communication at national, regional and local levels for collaboration.  There needs to be local and national convening because there is often disagreement between local and national entities within same specialty. This panel would receive updates on the transformation of EMS service delivery models and serve as a forum to discuss opportunities and concerns among the stakeholders. It would also help assure programs integrate, but not replace existing service delivery models.  The goal is that National EMS Stakeholders meet with non-traditional EMS stakeholders.PIE project steering committee organizations represent a good example of the spectrum of organizations would be at the roundtable. Examples of non-traditional stakeholders could include, but are not limited to:

·         National Association for Homecare and Hospice

·         American Hospital Association

·         America’s Health Insurance Plans

·         American Nurses Association

·         American College of Emergency Physicians

·         Emergency Nurses Association

·         National Rural Health Association

·         Visiting Nurse Associations of America

·         Alliance for Home Health Quality and Innovation

·         AARP

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

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