Chapter Ten
Emergency Health Care Systems
Farmington Native American Regional Meeting Input:
· Integrate behavioral health crisis response in this chapter. Behavioral health crisis response is poor.
GOAL 1: Improve the Emergency Medical Services System in New Mexico
STRATEGIES1
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15 / State Government:
· Develop public/private goal to increase of base funding for Emergency Medical Services in top 3 priorities for ’09 legislature
· Explore the possibility of earmarking a percentage of health insurance premiums for the EMS Fund Act, similar to the home insurance method used by State Fire Fund Formula
· Provide a tax credit for volunteer and paid EMS providers to improve recruitment and retention
· Enable publicly employed and/or volunteer EMS providers to participate in PERA at same levels as police officers and career/volunteer fire fighters
· Increase EMS Resources (Governor’s House Memorial Task Force Report www.nmems.org):
· Increase EMS operational funding in the EMS Fund Act
· Support EMS Regional Infrastructure:
§ EMS Region I - Santa Fe
§ EMS Region II - Las Cruces
§ EMS Region III - Clovis
· Provide capital funding for EMS equipment and vehicles
· Establish EMS Simulation labs for education
Albuquerque Native American Input:
· County/municipal/Tribal to be on current data collection. NMEMS stars; extend opportunity to participate. This incentive with proper data will add funding. Incentives for Tribes to participate in data.
· Enhance funds for EMS equipment.
· How will state advocate for more funds?
· Five or six Tribes are now certified through state. Do other Tribes qualify for state EMS Bureau for funding?
· Medicaid reimbursement for ER transportation. Assist tribes to be able to bill. Outreach – provider numbers.
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6 / Tribal Government:
· Participate with the Navajo Nation Trauma Planning Advisory Committee to improve EMS and Hospital response to medical emergencies on Navajo Nation areas
· Ensure services and facilities on all Native American Nations have the support and opportunity to participate in the NM EMS System
· Ensure all Native American Nations are included in the NM EMS System, including encouraging the collection of data from Native American EMS agencies
Albuquerque Native American Input:
· Line 1 - Navajo Planning group is dormant. Pick it back up. Move forward with the Navajo Nation’s trauma planning committee. This system will affect other Tribes. Arizona, NM, Utah and Navajo Nation makes it complex.
· Line 3 - Change “Nations” to “Tribes and/or Tribal organizations and I.H.S.”
· Line 5 – Patient care reports – pre-hospital reporting is lacking. County/municipal/Tribal to be on current data collection. NMEMS stars; extend opportunity to participate. This incentive with proper data will add funding. Incentives for Tribes to participate in data.
· Enhance funds for EMS equipment.
· How will state advocate for more funds?
· Five or six Tribes are now certified through state. Do other Tribes qualify for state EMS Bureau for funding?
· Need more internal Tribal advocacy for certification.
· Medicaid reimbursement for ER transportation. Assist tribes to be able to bill. Outreach – provider numbers.
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4 / Local Government/Communities:
· County entities should investigate the feasibility of available tax based funding solutions for EMS services
· Governmental entities should assure that funds collected from billing for EMS services are earmarked for use for the EMS Service
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5 / Educational Systems:
· Enhance a partnership with emergency departments and clinics across the state to increase the number of EMS training and clinical sites.
· Provide instructor-specific testing data
· Establish a unified technological approach for EMS distance learning
· Provide a centralized clearinghouse for EMS training opportunities
Farmington Native American Regional Meeting Input:
· Expand first responder training to include behavioral health crisis.
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5 / Health Care Providers/Organizations:
· Participate in and maintain local and state EMS advisory groups and other local EMS oversight activities
· Participate in the review and revisions of EMS protocols and guidelines
· Current EMS providers should actively participate in the recruitment of volunteer and career EMS professionals
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5 / Businesses/Worksites/Volunteer Organizations:
· Review work site safety and injury response plan.
· Support employees who are participating in EMS activities as volunteers
· Ensure participation of local businesses in Local Emergency Planning Committees (LEPC)
· Provide Injury Prevention and Education programs to employees.
· Require CPR training for workers at business sites, and implement an AED program
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3 / Families/Individuals:
· Participate in local hospital and EMS advisory meetings and other forums, providing input as to local EMS systems and structure
· Seek CPR, First Aid, and other emergency preparedness training
GOAL 2: Improve the New Mexico Trauma Care System.
STRATEGIES1
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11 / State Government:
· Improve New Mexico trauma system by providing funding support via New Mexico Trauma System Fund Authority (TSFA)
· Update 7.27.7 NMAC (Health Emergency Medical Services Trauma Care system Regulation)
· Publish and disseminate the NM Trauma system Plan with updates on a regular basis
· Maintain and further develop the state trauma registry program, to include increased participation and receipt of data
· Provide annual reports on Trauma in NM utilizing data from trauma registry
· Support the Regional Trauma Advisory Councils
· Ensure adequate rehabilitation facilities are integrated into the Trauma System
· Support current Trauma Designated facilities and recruit new facilities for Trauma Designation
Albuquerque Native American Input:
· TASSC works on updating trauma plan (field work). What services are available to the Tribes?
· Establish critical access hospitals; create level 3 & 4 to support level 1 & 2. This would include some I.H.S. hospitals to become part of the trauma system.
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5 / Tribal Government:
· Participate with the Navajo Nation Trauma Planning Advisory Committee to improve EMS and Hospital response to trauma on Navajo Nation areas
· Ensure services and facilities on all Native American Nations have the support and opportunity to participate in the NM Trauma System
· Ensure all Native American Nations are included in the NM Trauma Plan
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3 / Local Government/Communities:
· Participate in Regional Trauma Advisory Councils
· Support existing trauma centers and encourage community hospitals to become designated trauma centers
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6 / Educational Systems:
· Ensure the availability of quality cost-effective Trauma education
· Provide trauma clinical care and system development education for injury prevention, EMS and hospital personnel
· Integrate public injury prevention education into community education efforts
· Enhance trauma education and build capacity for a competent workforce
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2 / Health Care Providers/Organizations:
· Participate in and maintain Regional Trauma Advisory Council (RETRAC) activities
· Review and revise local and regional trauma plans
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4 / Businesses/Worksites:
· Review work site safety and injury response plan.
· Support employees who are participating in EMS activities as volunteers
· Ensure participation of local businesses in Local Emergency Planning Committees (LEPC)
· Provide Injury Prevention and Education programs to employees
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2 / Families/Individuals:
· Participate in local hospital and trauma advisory meetings and other forums and provide input as to local trauma and EMS systems and structure
GOAL 3: Develop and sustain a modular Emergency Care System in New Mexico that is capable of responding to all health emergencies.
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8 / State Government:
· Implement the patient surge response model: New Mexico Modular Emergency Medical System (NM MEMS) Framework
· Identify and implement NM MEMS in 3 New Mexico pilot communities for plan development and testing
· Develop and test patient surge plans in every New Mexico community
· Provide resources to support public health preparedness and patient surge response capacity in local communities
· Utilize a pandemic influenza scenario to develop and test medical surge plans
Albuquerque Native American Input:
· Integrate veterans; surge research needed.
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4 / Tribal Government:
· Implement patient surge planning and testing in Tribal communities
· Encourage Tribal Health Departments to develop and test patient surge response plans
· Allocate resources to support Tribal public health preparedness and patient surge response capacity
Albuquerque Native American Input:
· Santo Domingo is developing patient surge center.
· BHA system tracking docs; doesn’t include many Tribes; Incentive for I.H.S. participation.
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5 / Local Government/Communities:
· Implement the patient surge response model: New Mexico Modular Emergency Medical System Framework
· Conduct inclusive (emergency response, schools, business, faith based orgs) stakeholder planning forums and community engagement opportunities
· Develop and test local patient surge plans
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4 / Educational Systems:
· Include schools as stakeholders in local community response planning and testing processes
· Expand school safety planning to include emergency preparedness and response measures
· Integrate school health personnel into local volunteer responder teams
· Provide preparedness messages to students and families
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7 / Health Care Providers/Organizations:
· Develop patient surge plans based on NM MEMS
· Develop and test redundant communication capability
· Develop and test evacuation plans
· Develop and test mass fatality plans
· Report bed categories that are consistent with Hospital Available Beds in Emergencies and Disasters (HAvBED) requirements and definitions
· Demonstrate compliance with the National Incident Management System
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7 / Businesses/Worksites/Faith-based Organizations:
· Provide technical assistance and information on continuity of business operations during a large scale public health emergency
· Review and revise workplace personnel policies
· Review and revise workplace safety and infection control policies
· Integrate private and faith-based membership into local response planning and volunteer responder teams
· Provide preparedness messages to workforce and congregations
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4 / Families/Individuals:
· Participate in public forums to provide input to local emergency response plans
· Develop personal and family response plans and stockpile food, water and basic/medical supplies
· Participate in community response efforts
· Follow instructions of local and state officials during an emergency