¶ … EMS Bill is primarily designed to modernize and transform the current Emergency Medical Services System. One of the cornerstones of the bill is improved integration of services, to provide better coordination of service delivery. Currently, the EMS system is fragmented with several disparate federal, state, and local entities participating in EMS service. Resulting tensions and miscommunications are not only costly, but can also create medical errors. However, the proposed Field EMS Bill is far from perfect, and has far from universal support. One of the main EMS stakeholders, the International Association of Fire Chiefs (IAFC) has expressed concern about the way the bill is currently worded. In short, the Field EMS Bill is worded in ambiguous language that promotes core concepts like "value" over ethics and quality of care. Cost reduction seems to be a primary focus on the Field EMS Bill, rather than ensuring that first responders have access to the tools they need.
The IAFC (2014) lists three main concerns with the Field EMS Bill, including its provision for grants to private EMS entities, with "lenient eligibility requirements." Moreover, the Field EMS Bill systematically disempowers federal EMS entities and participants in
Yet as the IAFC (2014) points out, cutting down on the number of federal agencies in charge of EMS services only looks good on paper. In reality, services are complex and squeezing them into an artificially tight chain of command might reduce overall quality of care. The most notable challenges associated with passing this bill are its lack of support among publically funded entities that remain, and will continue to remain, crucial to EMS. Furthermore, EMS cannot ethically be diverted to the private sector in such obvious ways.
2. Community paramedicine revolutionizes EMS by expanding the role of paramedics and widening the scope of their resources. Rather than focusing on transportation as a primary service, community paramedicine provides primary care delivery to underserved communities and also diverts some emergency care from overburdened local healthcare facilities. One of the goals of community paramedicine is to use existing emergency care resources more efficiently, diverting non-emergency cases to appropriate venues immediately (Kizer, Shore & Moulin, 2013). Another goal of community paramedicine is to increase and improve follow-up services to prevent unnecessary hospital readmissions, and a third goal of community paramedicine is professional development (Kizer, Shore & Moulin,…
Healthcare Policy Systems: Hong Kong, Australia VOUCHERS FOR THE ELDERLY Healthcare Policy Systems in Hong Kong and Australia Primary Health Care for the Elderly in Hong Kong Primary care is the starting point in the healthcare process (PCO, 2011). A good one is made available to the public for a comprehensive, holistic, coordinated and in locations accessible to where people live or work. It also provides preventive care and optimal disease management. In Hong
This situation was also due to slower growth in prescription drugs. Other categories that reported slower growth include: physician and clinical services, home health care, and other professional services. Regarding prescription drug spending, the value increased 5.8%. For the previous year, the increase was of 8.6%. The reason for this category's evolution is Medicare drug spending significant deceleration, along with generic drugs increased use. Use of brand name drugs was
Health Care Roles in Communication Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009). Effective communication involves
The American Public Health Association (APHA) is founded. This organization is concerned with the social and economic aspects of health problems. The National Quarantine Act is signed into law. This legislation is designed to prevent entry into the country of persons with communicable diseases. 1899 the National Hospital Superintendent's Association is created. It later becomes the American Hospital Association. Patel & Rushefsky, 1995, p. xvii) The seeds of health care legislation and centralization began
Professional Development of Nursing Professionals: Impact of IOM Report on Nursing Education: One of the major contents of the IOM report on the future of nursing is the need for these professionals to attain higher levels of education and training. According to the report, this can only be achievable if there is an improved education system that boosts flawless progression in academics. Education in the nursing field should act as the foundation
These needs are only beginning to be addressed in Canada and while there do not appear to be many well-established initiatives there is a growing recognition of the need for such if Canada's healthcare sector is to gain and retain the necessary workers to deliver optimal healthcare in Canada. Bibliography Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653 Back,
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