Sec. 7. Enhancing evidence-based care in field EMS
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The Secretary of Health and Human Services (referred to in this subsection as the Secretary ) shall undertake a comprehensive evaluation of the extent to which research and evaluation relating to field EMS is conducted by the National Institutes of Health, the Agency for Healthcare Research Quality, the Center for Medicare & Medicaid Innovation, the Health Resources and Services Administration, the Centers for Disease Control and Prevention, and the Patient-Centered Outcomes Research Institute, and any other agencies or departments within the Department of Health and Human Services, as the Secretary determines appropriate.
Not later than 1 year after the date of enactment of this Act, the Secretary shall submit to Congress a report that includes— information related to the extent of federally sponsored research in field EMS; identification of any impediments to enhancing research in emergency medicine to improve patient outcomes; and opportunities to enhance such research within existing funding levels. In this subsection, the term field EMS has the meaning given such term in section 1291 of the Public Health Service Act, as added by section 4.
Subpart II of part D of title IX of the Public Health Service Act ( 42 U.S.C. 299b–33 et seq. ) is amended by adding at the end the following: The Director shall establish within the Office of Planning, Research & Evaluation a Field EMS Evidence-Based Center of Excellence (referred to in this section as the Center ). The purpose of the Center is to conduct or support research to promote the highest quality of emergency medical care in field EMS and the most effective delivery system for the provision of such care, including— comparative safety and effectiveness research, especially with regard to the highest cost and most prevalent emergency medical conditions with the greatest opportunity to improve patient outcomes and lower costs by care provided in the field; other appropriate clinical or systems research on the effectiveness of existing and potential treatments provided in the field that translate into improved quality, outcomes, and patient satisfaction; specific research topics designed to save lives, lower costs, and improve outcomes for patients with emergency medical conditions, including— the clinical value and benefit of critical care ground and air transport, including the potential for bidirectional care that fills gaps in rural and other underserved geographic regions, especially where hospitals have closed; the application of lessons learned in military field medicine in the delivery of emergency medical care in field EMS; the ability to intervene clinically in the early onset of an emergency medical condition that will improve patient outcomes; specific treatment modalities and protocols that are cost-effective and produce better outcomes, such as 12-lead electrocardiograms and continuous positive airway pressure; and medical conditions most conducive to regionalization of emergency care that will be most effective in improving service delivery, outcomes, and cost-effectiveness; and support research being conducted by academic medical centers, particularly those with centers of excellence formed around EMS research.
In this section, the term field EMS has the meaning given such term in section 1291. . Section 1182 of the Social Security Act ( 42 U.S.C. 1320e–1 ) is amended by striking section 1181 each place it appears and inserting section 1181 of this Act, section 938 of the Public Health Service Act, or section 7(a) of the . Field EMS Modernization and Innovation Act For the purposes of research conducted pursuant to section 1115A(b)(2)(D)(iv) of the Social Security Act (as added by section 3(a)(2)), subsection
(a)of this section, section 938 of the Public Health Service Act (as added by subsection (b)), or any other research funded by the Department of Health and Human Services related to emergency medical services in the field in which informed consent is required but may not be attainable, the Secretary of Health and Human Services shall— evaluate and consider the patient and research issues involved; and address regulatory barriers to such research related to the need for informed consent in a manner that ensures adequate patient safety and notification, and submit recommendations to Congress for any changes to Federal statutes necessary to address such barriers.
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- 42 USC 299b–33
- 42 USC 1320e–1
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Sec. 7
Enhancing evidence-based care in field EMS
Cite42 USC 299b–33
Cite42 USC 1320e–1
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