ET3 - Emergency Triage, Treat and Transport Model
HHS announced a new payment model that will make Medicare reimbursement available for certain non-transport ambulance services and ambulance transports to alternate destinations in early 2019.
The model – dubbed the Emergency Triage, Treat and Transport Model, or ET3 – will make it possible for participating EMS agencies to partner with qualified healthcare providers to deliver treatment in place (on-scene or via telehealth) and with alternative destination sites (such as primary care doctors’ offices or urgent-care clinics).
The CMS announced the first ET3 performance period (rescheduled due to COVID-19) will begin Jan. 1, 2021.
Find the latest ET3 news, analysis and predictions from EMS leaders on what ET3 means for EMS reimbursement and billing, as well as value-based service here.
Use this guide to determine when to activate air EMS and transport to a level 1 burn center
Communication applications, tech allow real-time feedback on critically ill patients; enable error-insulated hospital reporting
How Mehlville Fire Protection District used ET3 and community paramedicine to improve overall health and quality of life for the community
Members of the University of South Carolina’s Sigma Phi Epsilon were traveling to New Orleans when the bus hit a concrete barrier
UMass Lowell EMS and PrideStar Trinity EMS held a large exercise at Tsongas Center
Engaging payers, the medical director, administrators and field providers was key to MedStar’s successful telehealth implementation
“Instead of responding to the majority of 999 calls we receive every day, we want to flip that so we only go to those patients who really, really need a double staffed paramedic emergency ambulance quickly.”
Which event will have the biggest impact on EMS? Cast your vote
Chris Cebollero and Kelly Grayson tackle paramedics behaving badly, violence, medical errors and the premature end of the ET3 model
Legislation focuses on extending Medicare coverage for ambulance services
Legislation requires hospitals to develop ambulance bed delay protocols by Sept. 1, 2024
News investigation finds that Syracuse hospital emergency departments have wait times high above the national average
Top takeaways on what’s next for EMS after the discontinuation of the CMS ET3 model for reimbursing treatment in place
Dr. Linda Dykes and Rom Duckworth discuss trans-Atlantic lessons in emergency management
Peer-reviewed, empirical data is needed to pursue alternative payment structures
Turning frustration into action as the end of ET3 puts a wrench in treatment in place, alternate destinations
The current number of interventions was a factor in ending the model at the end of 2023
Multiple departments responded to a crash in Barron County that killed two people and critically injured three
Witnesses say a van appeared to have been crushed between two tractor-trailers in a crash that left several people injured
The agency gets paid whether its crews care for patients at home, or transport them to a clinic or an ED
A total of 18 EMS providers responded, and 25 Louisville Fire crewmembers assisted with treatment, triage and transport
Three outdated paradigms holding EMS back
Translating data into information, and information into action
Austin’s 911 Mental Health Diversion Program is getting the right resources to mental health crisis and lowering arrest rates
David Page, MS; Hezedean Smith, DM; and Ayanna Walker, MD, share best practices for evaluating and interpreting prehospital research
3,213 EMS providers speak up about job satisfaction, effective leadership, safety and innovation in the EMS Trend Survey
The National EMS Advisory Council offers updates on EMS issues from roadway safety to ET3 and COVID response
We need our legislators to enact laws that focus on the real issues of reimbursement, enabling ET3 and recognizing EMS as an essential service
