> ----------
> From: Trauma-EMS Librarian[SMTP:trauma-l@trauma-ems.org]
> Reply To: Trauma-EMS Librarian
> Sent: Tuesday, January 20, 2004 5:52 AM
> To: Trauma-EMS Listserv
> Subject: Institute of Medicine (IOM) ad hoc committee
>
> An ad hoc committee will be formed under the auspices of the
> IOM, Board on Health Care Services to examine the current and
> future roles of emergency care in the United States health care
> system. Key issues to be addressed include:
>
> 1. The Role of Emergency Care Hospital-based EDs and trauma
> centers constitute the hubs of the emergency care network.
> Although the primary purpose is the provision of emergency care,
> EDs are increasingly called upon to perform other roles, including:
> A coordinating role with other local emergency service providers
> (aero medical, paramedics); A safety net provider; A portal of entry
> in other hospital services; and A critical component of the public
> health system especially in response to disaster and bioterrorism
> events. Each role has different organizational, capacity, workforce,
> and infrastructure requirements. This project will examine the
> extent to which EDs perform these roles and the challenges they
> confront. The project will also consider whether these roles are
> compatible.
>
> 2. Professional Workforce Issues What are the professional
> workforce staffing requirements in the ED environment? What are
> the issues confronting physicians, nurses, emergency medical
> technicians? To what extent do these individual health care
> providers work as organized teams and what are the issues that
> challenge such a multidisciplinary team's performance? What are
> the core competencies for emergency department physicians?
> What changes are necessary in the education and training
> environment to enhance the skill set of emergency physicians?
>
> 3. Information Technology and Systems Issues It is increasingly
> recognized that the health care sector lacks adequate
> infrastructure, especially in information technology. Nowhere is that
> clearer than in emergency care. The lack of access to patient
> information is a major problem. It is a significant issue in terms of
> the information needs required for immediate treatment but also for
> referral or follow- up care by the patients home provider. Information
> technology provides opportunity to improve quality by remote
> monitoring and virtual consultations. The project will examine how
> best EDs can take full advantage of these opportunities. Quality and
> service problems abound in the ED, as it is one of the highest risk
> environments for medical errors. Providers frequently work under
> pressure with oftentimes multiple "hand-offs" to other providers. It
> calls for a carefully defined care process with safety in mind. The
> IOM project will identify ways to improve safety and quality.
>
> 4. Research Agenda What is the status of clinical and health
> services research in emergency care? Is there sufficient depth and
> breadth of science in the specialty of emergency medicine? How
> should emergency medicine investigators acquire the training,
> skills and funding to conduct high quality clinical and health
> services research? What should be on the clinical and health
> services research agendas?
>
> The following link http://www.iom.edu/project.asp?id=16107 is the
> main page for information on the project and from that page you
> can access links to the committee roster and staff members,
> committee bios, and future meetings. When you access this page,
> you can click on a link on the top right-hand corner of the page --
> "More Information" -- which will take you to a page where there is a
> mechanism for the public to provide feedback on the project at
> anytime.
>
>
>
>
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