Sec. 9. GAO study to identify impediments to quality improvement in field EMS
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The Comptroller General of the United States shall complete a study on impediments to the ability of field EMS practitioners, physician medical directors, and agencies to improve the quality of medical care provided to patients including— medical and administrative liability issues that may impede— medical oversight provided by physicians directly regarding specific patients and medical oversight provided by physicians in establishing medical protocols, procedures, and other activities related to the provision of emergency medical care in field EMS; and the highest quality emergency medical care in field EMS provided by personnel other than physicians, such as emergency medical technicians and paramedics; the types and levels of reimbursement necessary to ensure the highest quality of care overseen by physician medical directors, including— the actual costs of all components of medical oversight in high-performing EMS systems with demonstrated improvement in outcomes, such as those evidenced by cardiac rates and traumatic injury survival rates; the costs of medical oversight for part-time or volunteer medical directors; recommended payment model options for medical oversight that will enhance quality of care; and the sufficiency, or lack of sufficiency, of reimbursement under the Medicare program under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ) to providers and suppliers of ambulance services to enable high-quality and appropriate medical oversight; issues that may adversely impact the ability of field EMS practitioners to deliver high-quality care including— issues affecting the direct patient care provided by field EMS practitioners such as personal and patient safety, fatigue, and training; and issues affecting the ability to recruit and maintain a highly qualified field EMS practitioner workforce such as salary, hours, and benefits; and such other issues as the Comptroller General determines appropriate relating to improving the quality and medical oversight of emergency medical care in field EMS.
Not later than 18 months after the date of the enactment of this Act, the Comptroller General of the United States shall complete the study under subsection
(a)and submit a report to Congress on the results of such study, including any recommendations. In this subsection, the terms emergency medical care and field EMS have the meanings given such terms in section 1291 of the Public Health Service Act (as added by section 4).
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Sec. 9
GAO study to identify impediments to quality improvement in field EMS
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