“What every Iowan can expect from Emergency Medical Services”
-
Upload
adam-cross -
Category
Documents
-
view
214 -
download
0
Transcript of “What every Iowan can expect from Emergency Medical Services”
Iowa EMS System Standards
“What every Iowan can expect from Emergency Medical Services”
Bureau of EMS
Certification of Emergency Medical Providers
Authorization of Ambulance/Non-transport Services
Authorization of EMS Training Programs
Verification of Trauma Care Facilities Technical Assistance System Development
Bureau of EMS Staff
Bureau Chief Regulation Manager 4 Field Staff Trauma Coordinator Data Coordinator EMS-Children Coordinator Half-time certification assistant Support position
What do you expect from EMS
Help to arrive when you need it 24/7 Staff available to respond on a
consistent basis Consistent service throughout Iowa Funding Iowans expect the same thing!
Who Provides EMS?
Volunteer
Paid Full-time Part-time Paid per call
Non-Transport First Responders Fire Department Law Enforcement Municipal
Ambulance Services Hospital based Private Fire Municipal
What is an EMS System
Dispatch
First Responder
Ambulance Basic Advanced Helicopter
Hospital Emergency
Department Trauma Center ICU/CCO Specialized Care Rehabilitation
EMS System Standards Project October 2006 EMS Advisory Council
the Bureau should continue to develop draft standards and appoint partners to assist.
2006 EMS Stakeholder Group formed with 26-30 individuals reviewing eight areas of EMS System Development
July 2007 First draft received by the Iowa EMS Advisory Council
July – September 2007 Further input from public stakeholders gathered
Pilot Project
Grants for April 2008 – 2010 Calhoun Des Moines Jones Woodbury
Results
Many standards were already being met
Met 45% of the Standards at project start
Met 67% of the standards within two years
After two years all projects met 100% of the Disaster Medical Response Standards
Why are we here today
Build it – Enhance it – Sustain it Provide education on the Iowa EMS System
Standards Project and its impact on EMS Explain the standards and answer your
questions To open the door for discussion of county
based EMS System Planning, Development and Management
Discuss legislative initiatives
Project Goals
Develop “SYSTEM STANDARDS” that will allow for the development of EMS Systems statewide
To provide direction for system development on a county level
To assure ALL IOWANS needs for emergency medical services are able to be met
What are the issues?
In Iowa today, we can not assure that the same standard of EMS will be available in a timely manner across the state!
We can not assure that someone will respond to a call for help!
Inconsistent funding streams; no standardized funding
What are the issues?
Lack of a consistent system Locally County wide Statewide system is fragmented
Personnel related issues
Lack of volunteers Lack of daytime responders Difficulty is recruiting and retaining
personnel Daytime coverage issues Time commitment factors
Personnel related issues continued,
Difficulty in assuring personnel are available to respond:
EVERY day
To EVERY emergency
EVERY time they are needed
We need to improve EMS in Iowa
Some EMS systems are working well, especially in larger communities
Many systems are struggling, especially in rural areas
Difficulty assuring adequate coverage 24 hours a day/seven days per week
Is EMS an Essential Service?
Iowa essential services include: Law Enforcement Fire Department NOT EMERGENCY MEDICAL SERVICES! Current regulations/codes allow that EMS
MAY be provided
What if your service closed? Who would respond?
EMS is a Critical Service
Lifesaving impact for Trauma patients Stroke Patients Cardiac/Heart Attack patients
All impacts that are extremely time sensitive
Delay have serious consequences for our patients (neighbor, family, friends)
EMS is the ONLY heath care available in many communities
Elderly in need of assistanceFalls who need help in getting upBlood pressure/blood sugar
checks
Guiding principles of this project
Define basic minimum services and infrastructure for every EMS System
Use clear, concise language Provide minimum standards that are
measurable Improve EMS delivery in our state
Eight Areas System Standards Address
1. System Administration
2. Staffing/Training
3. Communications
4. Response/Transportation
5. Facilities/Critical Care
6. Data collection/System Evaluation
7. Public Information/Education
8. Disaster Medical Response/Planning
System Standards Will
1. Provide a minimum infrastructure that all Iowans can reasonably expect no matter where they live in Iowa
2. Develop an integrated, measurable and sustainable statewide EMS System
3. Establish the minimum size of a system at the county level
4. Develop EMS into an essential service
System Standards Will
5. Consistent, accountable approach to EMS
6. Same standard of service provided across Iowa
7. Help your service and system to improve!
8. Help your service and system meet the needs of your service area!
Where do we go from here?
Education of: EMS providers Allied health stakeholders Elected officials
Begin planning for a legislative initiative to: Implement EMS System Standards in
Iowa EMS as an essential service
Educate Yourself
Review the EMS System Standards at:
http://www.idph.state.ia.us/ems/common/pdf/ems_system_standards/ems_system_standards.pdf
Contact members of the EMS Stakeholders group
Discuss with your IDPH/BEMS Coordinator Attend a EMS Stakeholder Meeting Be informed
Useful Resources
www.idph.state.ia.us/ems http://www.legis.state.ia.us/aspx/Co
mmittees/Committee.aspx?id=152 www.nasemso.org www.iom.edu www.nhtsa.dot.gov www.iemsa.net
Questions