EMS World

MAR 2018

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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12 MARCH 2018 | EMSWORLD.com M ore than 55 participants in the Promoting Innovation in EMS (PIE) project agreed on over 250 actionable recommenda- tions for removing barriers to EMS inno- vation. They categorized these into seven main themes: • Legal and regulatory; • Financial sustainability; • Education; • Regional coordination; • Interdisciplinary collaboration; • Medical direction and oversight; • Data and telecommunications. With such a rich body of work, determin- ing which of the recommendations should or could be acted upon was a monumental undertaking. Dr. Kevin Munjal, one of the PIE Project leaders, granted the National Asso- ciation of Emergency Medical Technicians' EMS 3.0 Committee permission to begin the work of transitioning the recommendations into actionable steps EMS practitioners, agencies, regulators, and other stakeholders can take to achieve the goals of the project (Munjal serves as a technical advisor to the EMS 3.0 Committee). But with over 250 recommendations, which ones should the committee work on first? Committee members decided that approaching this task was perhaps simi- lar to applying a triage methodology for a multiple-casualty incident: evaluating each recommendation and determining a priority to "treat." Several committee members— some appointed by NAEMT and others serving as representatives of other national organizations, each with a strong passion and/or expertise in their subject areas— volunteered to undertake this triage effort: • Financial stability—Dr. Jose Cabanas, Jonathan Washko, Matt Zavadsky; • Telecommunications—Kevin McGinnis, Jonathan Washko; • Education—Reg Allen, Bryan Nelson, Jason Scheiderer, Chris Shimer; • Legal and regulatory—Jason Scheiderer, Gary Wingrove; • Interdisciplinary collaboration—Jerr y Overton, Matt Zavadsky; • Medical direction and oversight—Dr. Jose Cabanas, Dr. Greg Mears, Jerry Overton; • Regional coordination—Dr. Greg Mears, Bryan Nelson, Jerry Overton. The committee outlined criteria for apply- ing the triage/scoring methodology to help identify the recommendations that could be addressed first: • Feasibility score—The likelihood of the recommendation being implemented, maintained, and sustained. • Value score—The value to the profession. Does the recommendation position EMS to demonstrate enhanced value to our stakeholders? • Alignment score—The extent to which the recommendation aligns with the EMS 3.0 mission. To assist with the scoring process, we converted each of the 250 recommenda- tions into a scoring worksheet tool com- mittee members used to rate each of the recommendations in the categories they volunteered to review. Once the committee members complet- ed their scoring in late December, individual scores were aggregated for each recom- mendation to develop final overall rankings. The full EMS 3.0 Committee reviewed these in late January. Next on the agenda for the project implementation team will be for the com- mittee to develop strategies to assist the EMS stakeholders (associations, groups, and agencies) best suited to act upon the recommendations and help bring them to fruition. This series of articles in EMS World is an example of methods for dissemination of the strategies that can be employed to help with actual implementation of the top recommendations based on their feasibility, value, and alignment with the future vision of the EMS 3.0 transformation. The EMS 3.0 Committee The goal of the NAEMT EMS 3.0 Committee is to develop and implement actions to help PROMOTING INNOVATION IN EMS How do you prioritize more than 250 great ideas? Treat them like patients By Matt Zavadsky, MS-HSA, NREMT Slicing the PIE: Applying Triage Methodology for Innovation Over the coming year EMS World, in conjunction with the National Association of EMTs, will provide detailed implementation strategies for key recommendations of the Promoting Innovation in EMS (PIE) project (www.EMSInnovations.org). The PIE project utilized broad stakeholder involvement over four years to identify and develop guidance to overcome common barriers to innovation at the local and state levels and foster development of new, innovative models of healthcare delivery within EMS. Each month we will focus on one recommendation and highlight the document's actionable strategies to continue the EMS transformation. Find Part 1 at www.emsworld.com/article/219575 and Part 2 at www.emsworld.com/article/219774.

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