All EMS stakeholders asked to comment on revision to EMS Agenda

NHTSA is seeking responses to a specific set of questions to guide the next 30 years of evolution in EMS


WASHINGTON — NHTSA, on behalf of the Federal Interagency Committee on Emergency Medical Services, is seeking public input for a planned revision of the 1996 EMS Agenda for the Future.

In 1996 NHTSA, in partnership with HRSA, published the EMS Agenda for the Future as a vision for the future of EMS systems in the United States. Changes envisioned in that document included the National EMS Information System, the "EMS Education Agenda for the Future: A Systems Approach," universal wireless 9-1-1, automatic crash notification and the recognition of EMS as a physician sub-specialty.

A major revision of the EMS Agenda for the future was an April 2014 recommendation of the National Emergency Medical Services Advisory Council. The NEMSAC asked NHTSA to undertake a major revision as soon as possible using a consensus and data-driven process with broad stakeholder representation.

On June 19, 2014, FICEMS unanimously approved a motion to proceed with a revision of the EMS Agenda, with a focus on data-driven approaches to future improvements.

All sources, including public, private, governmental, academic, professional, public interest groups and other interested parties are asked to comment on the planned revision. NHTSA intends to work closely with EMS stakeholders in revising the EMS Agenda, which will envision the evolution of EMS systems over the next 30 years.

Notice of the planned revision was posted to the Federal Register on April 1, 2016.

Submit responses on these questions using the Federal eRulemaking Portal by June 30, 2016.

1. What are the most critical issues facing EMS systems that should be addressed in the revision of the EMS Agenda? Please be as specific as possible.

2. What progress has been made in implementing the EMS Agenda since its publication in 1996?

3. How have you used the EMS Agenda? Please provide specific examples.

4. As an EMS stakeholder, how might the revised EMS Agenda be most useful to you?

5. What significant changes have occurred in EMS systems at the national, State and local levels since 1996?

6. What significant changes will impact EMS systems over the next 30 years?

7. How might the revised EMS Agenda support the following FICEMS Strategic Plan goals:

a. Coordinated, regionalized, and accountable EMS and 9-1-1 systems that provide safe, high-quality care;

b. data-driven and evidence-based EMS systems that promote improved patient care quality;

c. EMS systems fully integrated into State, territorial, local, tribal, regional, and Federal preparedness planning, response, and recovery;

d. EMS systems that are sustainable, forward looking, and integrated with the evolving health care system;

e. an EMS culture in which safety considerations for patients, providers, and the community permeate the full spectrum of activities; and

f. a well-educated and uniformly credentialed EMS workforce.

8. How could the revised EMS Agenda contribute to enhanced emergency medical services for children?

9. How could the revised EMS Agenda address the future of EMS data collection and information sharing?

10. How could the revised EMS Agenda support data-driven and evidence-based improvements in EMS systems?

11. How could the revised EMS Agenda enhance collaboration among EMS systems, health care providers, hospitals, public safety answering points, public health, insurers, palliative care and others?

12. How will innovative patient care delivery and finance models impact EMS systems over the next 30 years?

13. How could the revised EMS Agenda promote community preparedness and resilience?

14. How could the revised EMS Agenda contribute to improved coordination for mass casualty incident preparedness and response?

15. How could the revised EMS Agenda enhance the exchange of evidence based practices between military and civilian medicine?

16. How could the revised EMS Agenda support the seamless and unimpeded transfer of military EMS personnel to roles as civilian EMS providers?

17. How could the revised EMS Agenda support interstate credentialing of EMS personnel?

18. How could the revised EMS Agenda support improved patient outcomes in rural and frontier communities?

19. How could the revised EMS Agenda contribute to improved EMS education systems at the local, State, and national levels?

20. How could the revised EMS Agenda lead to improved EMS systems in tribal communities?

21. How could the revised EMS Agenda promote a culture of safety among EMS personnel, agencies and organizations?

22. Are there additional EMS attributes that should be included in the revised EMS Agenda? If so, please provide an explanation for why these additional EMS attributes should be included.

23. Are there EMS attributes in the EMS Agenda that should be eliminated from the revised edition? If so, please provide an explanation for why these EMS attributes should be eliminated.

24. What are your suggestions for the process that should be used in revising the EMS Agenda?

25. What specific agencies/organizations/entities are essential to involve, in a revision of the EMS Agenda?

26. Do you have any additional comments regarding the revision of the EMS Agenda?

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