Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 31
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34The process used to reduce the consequences of a disaster both in terms of frequency and
severity. This occurs prior to the other processes and involves implementation and
enforcement of laws (building codes, flood plain management efforts, provision of
emergency services, ect)
Mutual Aid / Surge Capacity
Mutual Aid is a request to outside agencies from the responsible EMS to provide
emergent or immediate assistance to an incident location
Surge capacity is a measurable representation of ability to manage a sudden influx of
patients. It is dependent on a well-functioning incident management system and the
variables of space, supplies, staff and any special considerations (contaminated or
contagious patients, for example)
Medical Standbys
Initial request for service which is not tied to a patient but to a situation where a person
may become ill or injured
Hospital Interface
The transition of the patient and their care from the EMS transporting agency to the
hospital Emergency Department. This includes the circumstances and activities that
surround this transition, including hospital diversions and delays encountered.
Community Paramedicine/Population Health/Follow-up Care
The expanded scope of practice for EMS providers that includes nontraditional care of
patients outside the realm of emergency treatment of unexpected acute medical
conditions. This may include patient counseling on personal healthcare issues,
preventative care for patients with chronic medical problems and post care referral to
follow-up practitioners. Community paramedicine increases patient access to primary
and preventative care, provides wellness interventions within the medical home model,
decreases emergency department utilization (Joint Committee on Rural Emergency Care
(JCREC) National Association of State Emergency Medical Services Officials National
Organization of State Offices of Rural Health)
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