Sec. 5. Integration of field EMS into the National Health Information Infrastructure
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The authority for the administration of the National EMS Information System, including the National EMS Database, shall be transferred from NHTSA to the National Coordinator for Health Information Technology. Section 3001(c) of the Public Health Service Act ( 42 U.S.C. 300jj–11(c) ) is amended by adding at the end the following: The National Coordinator shall promote the collection and reporting of data on field EMS (as defined in section 1291) in a standardized manner. The National Coordinator shall ensure that information in the National EMS Database (other than individually identifiable information) is available to Federal and State policymakers, EMS stakeholders, and researchers.
In carrying out subparagraph (A), the National Coordinator may provide technical assistance to State and local agencies, field EMS agencies, and other entities, as the National Coordinator determines appropriate, to assist in the collection, analysis, and reporting of data. . Not later than 18 months after the date of enactment of this Act, taking into account the definition of health care provider under section 3000 of the Public Health Service Act ( 42 U.S.C. 300jj ), the Secretary shall promulgate a regulation that specifically includes emergency medical service provider under the definition of health care provider for purposes of title XXX of the Public Health Service Act, to enable and facilitate the integration and assimilation of field EMS data systems as part of the electronic exchange and use of health information and the enterprise integration of such information.
The Comptroller General of the United States, in consultation with the National Coordinator for Health Information Technology, the Assistant Secretary for Preparedness and Response, and the Federal Interagency Committee on Emergency Medical Services, as appropriate, and taking into consideration input from relevant stakeholders, shall undertake an evaluation of issues, impediments, and potential solutions pertaining to integration of field EMS into the National Health Information Infrastructure.
The Comptroller General of the United States shall submit a report to Congress detailing the extent to which the Secretary of Health and Human Services (referred to in this subsection as the Secretary ) has authority to implement solutions to achieve such integration and the extent to which statutory changes are required to achieve such integration. The evaluation under paragraph
(1)and report under paragraph
(2)shall address— the integration of patient health information regarding care provided to patients in field EMS into each patient's electronic health care record; the bi-directional integration and data sharing among providers and entities providing patient care related to performance measures as part of quality initiatives; the means by which to achieve contemporaneous field EMS practitioner access to a patient's medical record without regard to physical location while preparing to provide or providing care to that patient in the field, for the purpose of enhancing care delivery and populating the electronic health care record in real time; and incorporation of patient health information created subsequent to the receipt of field EMS care into the National EMS Information System, taking into consideration— the types of medical information created subsequent to the receipt of field EMS emergency care (such as outcomes information or information regarding subsequent care and treatment) that would, if included in the National EMS Information System, be potentially useful in evaluating and improving the quality of EMS care; how best to integrate such information into the National EMS Information System; potential modifications to the Health Information Technology for Economic and Clinical Health Act (title XIII of division A and title IV of division B of Public Law 111–5 ) to require eligible hospitals (as defined in section 1886(n)(6)(B) of the Social Security Act ( 42 U.S.C. 1395ww(n)(6)(B) )) to develop or report relevant data to the National EMS Information System or other appropriate State or private registries for the purpose of determining whether such a hospital shall be— subject to a reduction in the applicable percentage increase otherwise applicable to such hospital under section 1886(b)(3)(B)(ix) of such Act; or eligible for an incentive payment under section 1886(n) of such Act; potential modifications to the Medicare and Medicaid programs under titles XVIII and XIX, respectively, of the Social Security Act ( 42 U.S.C. 1395 et seq. ; 1396 et seq.) or other Federal health programs to provide appropriate reimbursement and financial incentives for field EMS agencies to develop or report relevant data to the National EMS Information System or other appropriate State or private registries; and any other changes to improve integration of patient health information across the continuum of emergency medical care and bidirectional integration and data sharing related to performance measures that the Secretary has authority to implement or that requires a statutory change by Congress to enable the Secretary such authority to implement.
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- 42 USC 300jj–11(c)
- Pub. L. 111-5
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Sec. 5
Integration of field EMS into the National Health Information Infrastructure
Cite42 USC 300jj–11(c)
Pub. L.Pub. L. 111-5
Cites 5Cited by 0 across 0 sources