Medical Directrs Cuncil Gals and Strategic Directins 2013
Gals and Strategic Directins The Medical Directrs Cuncil f the Natinal Assciatin f State EMS Officials is cmmitted t the prvisin f the medical aspects f leadership, versight, crdinatin, access t best practices, system quality management and research in rder t ensure the best pssible EMS system fr patients. The Cuncil s cmmitment t these principles is evident in its visin, missin and scpe, as stated belw. Visin: The highest quality patient care thrugh EMS medical versight. Missin: The NASEMSO Medical Directrs Cuncil brings tgether state EMS medical directrs t prvide medical expertise and leadership t NASEMSO. Scpe: The NASEMSO Medical Directrs Cuncil prvides a frum fr cmmunicatins, interactin and netwrking amng peers, ther natinal rganizatins and federal agencies with similar missins. This frum allws fr the sharing f best practices; develping and encuraging mentring prgrams; the jint reslutin f bstacles and challenges; and the natinwide prmtin f evidence-based decisin making. Leadership refers t the rle f state EMS ffices as lead agencies fr EMS as well as thughtful leaders in public plicy develpment. State EMS ffices are lked t by the EMS cmmunity fr guidance and apprval, as well as regulatin and licensure. NASEMSO wrks t supprt EMS fficials natinwide in understanding and implementing prcesses that imprve EMS practice and subsequent patient utcmes. The Medical Directrs Cuncil supprts leadership under these principle gals: Gal #1: Supprt the state EMS directrs in the shared missin t increase the number f states with a designated state EMS medical directr. By serving as a resurce n the rle and parameters f the state medical directr, the Medical Directrs Cuncil will assist in the creatin and retentin f state medical directr psitins thrughut the states and U.S. territries. Gal #2: Increase the participatin f state EMS medical directrs in Cuncil meetings, telecnferences, prjects, and surveys. Fr states that d nt have a state EMS medical directr, the Cuncil will welcme the state s physician designee, regardless f NASEMSO membership status, in discussins. Gal #3: Fster quality state, reginal and lcal medical directin and serve as a resurce t new and experienced EMS medical directrs. This includes serving as a resurce f supprt and mentrship fr EMS fellwship prgrams natinwide. Gal #4: Expand utreach and relatinships with natinal EMS and medical rganizatins, sharing the Medical Directrs Cuncil s expertise and experience in rder t imprve care f EMS patients natinwide. Updated as f: Nvember 27, 2012 Page 1
Systems Develpment refers t the rle f state EMS ffices in the develpment f effective systems f emergency medical care. The grwing natinal awareness f the imprtance f crdinated systems f care places NASEMSO squarely in a leadership rle, demnstrating the need fr state ffices t crdinate the disparate functins that supprt effective systems. Such functins include Emergency Medical Dispatch (EMD), cmmunicatins systems; reginal asset crdinatin in daily peratins and in natural and man-made disasters; EMS data cllectin, analysis and reprting; and nging review and refinement f systems peratins. The Medical Directrs Cuncil supprts systems develpment under these principle gals: Gal #5: Prmte a culture f safety in EMS by educating Cuncil members n innvatins in EMS safety practices, sharing examples f safety initiatives, and participating in cmmittees and prjects fcused n advancing the safety f EMS prviders and patients. Gal #6: Develp a Cre Set f Mdel EMS Clinical Guidelines t further the advancement f up-t-date, standardized prehspital care. Gal #7: Supprt the Natinal Evidence-Based Guideline (EBG) Mdel Prcess thrugh a three-year pilt prject invlving the disseminatin, implementatin and evaluatin f an EBG in specified gegraphic areas. Quality Imprvement r QI is the prcess f cntinually reviewing, assessing and refining practices t imprve utcmes. The steps f develping an effective cycle f cllecting high quality data, reviewing it in prven multidisciplinary prcesses, identifying strategies t implement needed changes and cmmunicating them t all stakehlders are the key t QI success, and t subsequently imprving patient utcmes. The Medical Directrs Cuncil supprts quality imprvement under these principle gals: Gal #8: Prmte the acquisitin and analysis f quality EMS data that will lead t the develpment and utilizatin f EMS perfrmance measures fr lcal and state EMS systems which fcus n the quality f patient care. The Medical Directrs Cuncil 2013 wrk plan will undertake strategies fcused n the fllwing issues: Strategy 1: Supprt the initiatives f NASEMSO t ensure that each state and territry has a state EMS medical directr. Serve as a resurce t NASEMSO and state EMS ffices as they create r enhance their respective state EMS medical directr psitins. Strategy 2: Strive fr increased participatin f the state EMS medical directrs in the Medical Directrs Cuncil activities. Strategy 3: Prvide input, suggestins, and feedback t NASEMSO regarding issues affecting prehspital care and emergency care systems, such as prpsed prtcls, legislatin, medical care initiatives, psitin statements, and research. Updated as f: Nvember 27, 2012 Page 2
Strategy 4: Explre and ffer recmmendatins t NASEMSO n practices and initiatives that will enhance the culture f safety within EMS, in particular thse measures that are related t medical issues fr bth the patient and the EMS prvider. Strategy 5: Lead a tw-year natinal prject t develp a cre set f EMS clinical guidelines t help state EMS systems ensure a mre standardized apprach t the practice f patient care and t incrprate evidence-based guidelines as they becme available. Strategy 6: Supprt the use and further refinement f the Natinal Evidence-Based Guideline (EBG) Mdel Prcess develped under the auspices f the Federal Interagency Cmmittee n EMS (FICEMS) and the Natinal EMS Advisry Cuncil (NEMSAC). This will be achieved thrugh a three-year pilt prject invlving five states where the EBG develped fr pain management will be disseminated, implemented and evaluated. Updated as f: Nvember 27, 2012 Page 3
2013 Wrkplan Gals, Objectives and Actin Steps Gal 1: Supprt the state EMS directrs in the shared missin t increase the number f states with a designated state EMS medical directr. By serving as a resurce n the rle and parameters f the state medical directr, the Medical Directrs Cuncil will assist in the creatin and retentin f state medical directr psitins thrughut the states and U.S. territries. Objective/Strategy: Cnduct and update state medical directr resurce dcuments n a peridic (every 3-5 years) basis. Examine impediments fr states withut medical directr. (CAP1, Task 1: Mdel State EMS Office Tls) Descriptin f the bjective and expected utcme: Prduce summary dcuments t serve as resurces fr states that wish t create, mdify, r retain an EMS Medical Directr psitin. By examining impediments t state medical directr appintment, ptential slutins can be identified/addressed. Task Respnsibility Due Date Dne Ntes Annually update the list f states withut state Mary Hedges medical designee. Jan 2013 Develp strategy, talking pints and identify MDC Executive Cmmittee resurces fr states withut medical directr. Jan 2013 Interview state directrs withut a state medical Reginal Representatives directr designee t determine Oct. 2013 impediments/reasns. Gal 2: Increase the participatin f state EMS medical directrs in Cuncil meetings, telecnferences, prjects, and surveys. Fr states that d nt have a designated EMS medical directr, the Cuncil will welcme the state s physician designee, regardless f NASEMSO membership status, in discussins. Objective/Strategy: Initiate cntact with nn-participating Medical Directrs in rder t demnstrate and ffer NASEMSO supprt. (CAP1, Task 4, Cmmittee & Cuncil Supprt) Descriptin f the bjective and expected utcme: After determining challenges t participatin, Cuncil will be better prepared t encurage invlvement by all members. Task Primary Respnsibility Due Date Dne Ntes Annually cntact nn-participating Medical Directrs Reginal Representatives May 2013 and examine challenges t lack f invlvement. Send invitatin frm NASEMSO President and MD Je Nelsn, Jim DeTienne (via Nv and Cuncil Chair t Medical Directrs, encuraging Mary Hedges) April participatin in January and Annual Meetings. Updated as f: Nvember 27, 2012 Page 4
Gal 3: Fster quality state, reginal and lcal medical directin and serve as a resurce t new and experienced EMS medical directrs. This includes serving as a resurce f supprt and mentrship fr EMS fellwship prgrams natinwide. Objective/Strategy: Maintain an active listserv, cnduct regular, infrmative meetings, and prvide ther mechanisms fr sharing infrmatin with medical directr clleagues, including thse aspiring t be EMS medical directrs. (CAP1, Task 4, Cmmittee & Cuncil Supprt) Descriptin f the bjective and expected utcme: By sharing current and relevant infrmatin with clleagues, the quality f EMS medical directin will be enhanced. Task Primary Respnsibility Due Date Dne Ntes Query clleagues n current practices, using MD Cuncil listserv. Summarize survey results and pst All Mary Hedges r survey authr Onging n members-nly sectin f website. Share infrmatin during regular Cuncil meetings. All Onging Prmte participatin in EMS fellwship activities, All natinally and lcally. Onging Invite EMS fellws t MD Cuncil Mid Year Meeting Sarah Nafziger (at NAEMSP) as guests. Jan 2013 Gal 4: Expand utreach and relatinships with natinal EMS and medical rganizatins, sharing the Medical Directrs Cuncil s expertise and experience in rder t imprve care f EMS patients natinwide. Objective/Strategy: Ensure that members f the Medical Directrs Cuncil are active participants in natinal meetings, cmmittees and prjects where their expertise is needed. (CAP, Task 5, Outreach) Descriptin f the bjective and expected utcme: Active engagement by the MD Cuncil in utreach effrts will expand NASEMSO s utreach, presence and visibility in the natinal EMS cmmunity. Task Respnsibility Due Date Dne Ntes Identify natinal rganizatins and cmmittees where MD Cuncil members culd serve as NASEMSO leadership, Je Nelsn, Chair (Mary Hedges t representatives f NASEMSO. Identify and appint maintain list) cuncil members able t serve in these rles. Onging Maintain current NASEMSO utreach list f MD Cuncil members. Invite MD liaisns t jin MDC Mid Year and Annual Je Nelsn, Chair Meetings and prvide time n agenda fr liaisn Onging reprts. Investigate and ptentially develp plicy n Peter Taillac, Chair-Elect vendrs participating in Medical Directr Cuncil Jan 2013 meetings. Respnd t requests fr cmments frm external All, with final apprval frm Onging rganizatins n EMS clinically-riented matters. Participate in natinal discussins n drug shrtages, prviding expertise and leadership. Present infrmatin n drug shrtages t NASEMSO membership. Wrking with partner rganizatins, address cncerns regarding varying interpretatins by DEA fficials n EMS administratin f narctic cntrlled substances. NASEMSO leadership. MD cuncil members as appinted Carl Cunningham, Immediate Past Chair, Je Nelsn, Chair Onging Onging Updated as f: Nvember 27, 2012 Page 5
Gal 5: Prmte a culture f safety in EMS by educating Cuncil members n innvatins in EMS safety practices, sharing examples f safety initiatives, and participating in cmmittees and prjects fcused n advancing the safety f EMS prviders and patients. Objective/Strategy: Educate Cuncil members n innvative safety practices in EMS and encurage members t participate in safety prjects, lcally, statewide r natinally. Descriptin f the bjective and expected utcme: Sharing infrmatin n EMS safety initiatives with Cuncil members will help t prmte safer practices in EMS. Task Respnsibility Due Date Dne Ntes Cnduct presentatin annually n safety initiatives in EMS. Encurage members t reprt n EMS safety prjects in their wn states. Mary Hedges t arrange fr presentatin. Sept 2013 Gal 6: Develp a cre set f Mdel EMS Clinical Guidelines t further the advancement f up-t-date, standardized prehspital care. Objective/Strategy: Lead a 2-year prject t create Mdel EMS Clinical Guidelines develped by a wrk grup cmprised f representatives f the natinal EMS clinical cmmunity. (Funded via CAP4, Mdel EMS Clinical Guidelines Prject ) Descriptin f the bjective and expected utcme: Develping mdel EMS clinical guidelines will enhance the ability f EMS prviders t mve acrss systems, imprve EMS data cllectin/analysis, and prvide the mst current standards f practice fr prehspital care. Task Respnsibility Due Date Create and cnduct initial meeting f wrk grup; C-PI s Richard Kamin and Carl set parameters f prject, assign tasks, schedule Cunningham, Staff supprt by Jan 2013 remainder f meetings. Mary Hedges Cnduct mnthly telecnference meetings f wrk Carl Cunningham, Richard Mnthly grup. Develp list f mdel guideline titles and cmpnents; distribute t EMS stakehlder cmmunity fr cmment. Cnduct 2nd meeting f wrk grup (face t face); Review input and mdify as necessary. Kamin, Mary Hedges Wrk Grup; Staff supprt by Mary Hedges Carl Cunningham, Richard Kamin, Mary Hedges June- July 2013 August 2013 Dne Ntes Updated as f: Nvember 27, 2012 Page 6
Gal 7: Supprt the Natinal Evidence-Based Guideline (EBG) Mdel Prcess thrugh a three-year pilt prject invlving the disseminatin, implementatin and evaluatin f an EBG in specified gegraphic areas. Objective/Strategy: Pilt the pain management EBG in 5 states thugh disseminatin, implementatin and evaluatin f the guideline. Descriptin f the bjective and expected utcme: Pilting ne r mre EBGs in specified gegraphic areas will help demnstrate the feasibility and value f the EBG prcess. Task Respnsibility Due Date Dne Ntes Kick-Off Webinar fr States C-PI s Peter Taillac and Matthew Shll; Staff supprt by Jan 2013 Cnduct mnthly telecnference calls fr Prject Team. C-PI s Peter Taillac and Matthew Shll; Staff supprt by Mnthly Cnduct GTMeetings with participating states fr updates n prject status t include successes and challenges. Create state-specific Implementatin Tlkits. Develp state-specific Implementatin Plans Presentatin t NHTSA in Washingtn DC current prject status. C-PI s Peter Taillac and Matthew Shll; Staff supprt by C-PI s Peter Taillac and Matthew Shll; Staff supprt by C-PI s Peter Taillac and Matthew Shll; Staff supprt by C-PI s Peter Taillac and Matthew Shll; Staff supprt by Initially mnthly; updated per state needs April 2013 June 2013 September 2013 Gal 8: In partnership with the Data Managers Cuncil, prmte the acquisitin and analysis f quality EMS data that will lead t the develpment and utilizatin f EMS perfrmance measures fr lcal and state EMS systems which fcus n the quality f patient care. Objective/Strategy: Educate Cuncil members n the status f existing EMS data systems and effrts t create EMS perfrmance measures. (CAP, Task 8 EMS Perfrmance Measures; Task 10, Data Driven Evidence-Based EMS Systems) Descriptin f the bjective and expected utcme: Imprved understanding by Cuncil members in using EMS data and EMS perfrmance measures will help prmte effective QI in their respective states. Task Respnsibility Due Date Dne Ntes Cnduct shared meeting with Data Managers Mary Hedges t arrange Sept 2013 Cuncil at Annual Meeting every ther year. Updated as f: Nvember 27, 2012 Page 7
Parked Issues Numerus issues and strategies are n the Medical Directrs Cuncil s radar, but are currently parked due t varius reasns, i.e. awaiting cmpletin f dependant activities; a current lack f champins t whm an issue can be assigned; limited funding, etc. As practical, these will be mved up int the current wrk plan r carried int a future year. Gal: Educate eligible EMS medical directrs regarding American Bard f Emergency Medicine EMS subspecialty bard certificatin when the examinatin becmes available. Objective/Strategy: [Objective #1] Descriptin f the bjective and expected utcme, shrt descriptin n mre than several sentences. Task Respnsibility Due Date Dne Budget Nt necessary until bjective becmes active Task Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nv Dec dne Cut and paste tasks frm abve Gal: Explre and supprt the creatin f standardized medical guidelines fr disasters and mass casualty incidents. Objective/Strategy: Identify the availability f medical guidelines fr disasters/mcis in ther states and regins, wrking in cnjunctin with NASEMSO s Dmestic Preparedness Cmmittee. (CAP, Task 6, All Hazards Disaster Preparedness and Public Health Pandemic Preparedness) Descriptin f the bjective and expected utcme: Cmpiling and cmparing existing disaster guidelines will create a valuable cmpendium that can be shared and ptentially develped int mdel disaster guidelines. Task Respnsibility Due Date Dne Ntes Explre interest frm Dmestic Preparedness Cmmittee in a jint prject. Identify and lead small grup f Cuncil members willing t assist in gathering disaster medical guidelines. Updated as f: Nvember 27, 2012 Page 8