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Rural Emergency Medical Services (EMS) and Trauma – Resources

Selected recent or important resources focusing on Rural Emergency Medical Services (EMS) and Trauma.

American College of Emergency Physicians: COVID-19
Information to assist with patient care during the response to COVID-19. Addresses clinical assessment and management, testing, emergency department issues, EMS issues, and more.
Date: 05/2021
Type: Website
Sponsoring organization: American College of Emergency Physicians
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Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 04/2021
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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The EMS Compact
Information on the agreement enabling emergency medical service (EMS) personnel licensed in Compact member states to cross state borders to practice and work in other Compact states without getting an EMS license in the remote state. Describes ways in which this agreement may enhance communities' responses to COVID-19 when local resources are reduced. Includes a map showing locations of EMS Compact states and contact information for each member state's Compact Commissioner.
Date: 04/2021
Type: Website
Sponsoring organization: Interstate Commission for EMS Personnel Practice
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Emergency Medical Services Personnel as Vaccinators: Status by State
Information from all states, the District of Columbia, Guam, and American Samoa, showing scope of practice by level of licensure for paramedics, advanced-emergency medical technicians, emergency medical technicians, emergency medical responders, and other intermediate levels. Features maps with shadings showing whether vaccination administration is always allowed, currently or temporarily allowed, never allowed, or under consideration for administrative or executive action. Information is current as of March 4, 2021.
Date: 03/2021
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Rural EMS Workforce: A Call to Action
Policy brief discussing rural emergency medical services (EMS) systems. Highlights challenges facing the rural EMS workforce, including the costs of training and reimbursement concerns. Outlines policy recommendations to strengthen rural EMS systems.
Author(s): Christopher McLaughlin, Olivia Riutta, Jonnathan Busko
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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COVID-19 Resources for EMS
Resources to help emergency medical services (EMS) personnel appropriately and safely serve communities during the COVID-19 pandemic. Addresses EMS workforce protection, vaccination, patient care, crisis planning, and more.
Date: 02/2021
Type: Website
Sponsoring organizations: National Highway Traffic Safety Administration, NHTSA Office of EMS
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Characteristics and Challenges of Rural Ambulance Agencies - A Brief Review and Policy Considerations
Examines challenges including prolonged response and transport times, insufficient payment by insurers, transitions from volunteer to paid workforce, and lack of plans and policies to coordinate services. Features recommendations for identifying public policy considerations to stabilize rural ambulance agencies.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Traffic Safety Facts 2018
Presents rural and urban fatal crash data and reports average emergency medical service response times at the state level. Includes rural fatal crash data by roadway function, crash type, speed limit, and vehicle occupants killed.
Date: 11/2020
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Implementation of Flex EMS Supplemental Funding Projects: Year One Activities
Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Medicare Payment Basics: Ambulance Services Payment System
Provides an overview of Medicare payments for ambulance services. Discusses rural add-on payment policies, geographic categories determining payment rates, super-rural ZIP codes, and ambulance fee schedules. Includes information on payment system changes during the COVID-19 public health emergency.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Last Updated: 5/7/2021