Ritu Sahni, MD, MPH

PerspectiveNational Association of EMS Physicians –

President-ElectNational Registry of EMTs – BoardAdvocates for EMS – BoardNational EMS Advisory Council (NEMSAX) –

Member

The following slides do not represent official views from these organizations.

NEMSACAdvises National Highway Transportation

Safety Admin and Federal Interagency Committee on EMS

21 members. 2 Oregonians – both Chair subcommittee

Recent IssuesCulture of SafetyLead Federal AgencyEvidence Based Guideline DevelopmentAlternative Financing

NREMTImplementation of the EMS Education Agenda for

the FutureNational Certification

Initial – new levels that are being implemented in Oregon Ongoing (Mark King proposal?)

National Accreditation of EMS Education Programs Paramedic schools must be accredited

Practical Examination developmentNew levels Practice based

Recertification requirements

Advocates for EMSEMS Field Bill

Creates a new Federal Lead Agency for EMSCreates Federal grant programs for

Local EMS Agencies EMS Initial Education Medical Director Educations State EMS Offices

Calls for alternative funding demonstration projects

Funding of regionalization in Affordable Care Act

What is meant by alternative funding?Current model (barely) funds ambulance

transportFurther call for funding based on:

ReadinessTreat/Release Alternative destinationsOverall cost savings (CPAP, STEMI, proper

trauma triage, etc)Models break down if “pot stays the same.”

Affordable Care ActCalls for regionalization of emergency care

systemsElectronic Information ExchangeBroader insurance coverageCoordinated Care Organizations. –

encouraged in the act (Oregon passed CCO legislation last session)