EMS World

FEB 2019

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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THE JOURNEY TO 2050: THE EMS AGENDA FOR THE FUTURE 16 FEBRUARY 2019 | EMSWORLD.com I t wasn't an easy assignment: At the first meeting of the group tasked to put together a new EMS Agenda for the Future, the facilitator, Mike Taigman, told us to set aside the specific issues fac- ing EMS today. While we knew these topics would heavily influence the new vision, what- ever it might look like, we wanted to start with the end in mind: What should EMS systems look like in 2050, without the constraints of what they look like today? I'll admit, I struggled. After several decades of dealing with EMS issues in the here and now—as an emergency physi- cian, EMS medical director, president of a national EMS organization, and now a fed- eral official—it was difficult to think past the immediate challenges facing state and local systems. That was just one of the reasons I was glad to have a great team of volunteers on board as the EMS Agenda 2050 tech- nical expert panel. Those 10 individuals, inspired by conversations with hundreds of others, created a truly motivating vision for the future, a vision that in the end addresses some of today's concerns but also takes us boldly forward. Only through an effort that included con- tributions from such a wide range of people, from EMS veterans already retired to stu- dents just beginning their careers, could we create a vision that could advance the EMS profession. The process took more than two years, and hundreds of people contributed. Here are just some of the ways: Now it falls to all of us to embrace a new guiding document's vision for people-centered care By Jon Krohmer, MD THE FIRST STEP ON A NEW JOURNEY Through this bimonthly column series, EMS World offers practical strategies derived from the NHTSA EMS Agenda 2050 initiative. Learn more at www.ems.gov/ projects/ems-agenda-2050.html. After several decades of dealing with EMS issues in the here and now, it was diffi cult to think past the immediate challenges facing state and local systems. EMS AGENDA 2050 A People-Centered Vision In 2050, EMS systems are designed to provide the best possible outcomes for patients and communities— every day and during major disasters. They collaborate with community partners and are integral to regional systems of care that are data-driven, evidence-based and safe. EMS clinicians have access to the resources they need, including up-to-date technology and training. To achieve this vision, EMS systems in 2050 will be designed around six guiding principles. Visit ems.gov to learn more about EMS Agenda 2050 and help make the vision a reality. Technologies, system designs, educational programs and other aspects of EMS systems are continuously evaluated in order to meet the evolving needs of people and communities. Innovative individuals and organizations are encouraged to test ideas in a safe and systematic way and to implement effective new programs. ADAPTABLE AND INNOVATIVE Access to care, quality of care and outcomes are not determined by age, socioeconomic status, gender, ethnicity, geography or other social determinants. Caregivers feel confident and prepared when caring for children, people who speak different languages, persons with disabilities or other populations that they may not interact with frequently. EMS systems across the country have the resources they require to provide care in a fiscally responsible, sustainable framework that appropriately compensates clinicians. Efficient EMS systems provide value to the community, minimize waste and operate with transparency and accountability. SUSTAINABLE AND EFFICIENT e entire EMS system is designed to be inherently safe in order to minimize exposure of people to injury, infections, illness or stress. Decisions are made with the safety of patients, their families, clinicians and the public as a priority. Clinical care and operations are based on the best available evidence, allowing systems to deliver effective service that focuses on outcomes determined by the entire community, including the individuals receiving care. INHERENTLY SAFE AND EFFECTIVE EMS care is consistent, compassionate and guided by evidence—no matter when or where it is needed or who is providing the care. EMS systems are prepared for anything by being scalable and able to respond to fluctuations in day-to-day demand, as well as major events, both planned and unplanned. Healthcare systems, including EMS, are fully integrated. Additionally, local EMS services collaborate frequently with community partners, including public safety agencies, public health, social services and public works. Communication and coordination across the care continuum are seamless, leaving people with a feeling that one system, comprising many integrated parts, is caring for them and their families. INTEGRATED AND SEAMLESS SOCIALLY EQUITABLE RELIABLE AND PREPARED THE FUTURE STARTS NOW

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