Mobile Integrated Healthcare in California: Pilot Projects . Howard Backer, MD, MPH, FACEP Director, California Emergency Medical Services Authority. CA Professional and Legal Climate. Supportive State embracing healthcare reform Medical system pioneered managed care
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Howard Backer, MD, MPH, FACEP
Director, California Emergency Medical Services Authority
Any local EMS agency may authorize an advanced life support program which provides services utilizing EMT‑P for the delivery of emergency medical care to the sick and injured at the scene of an emergency, during transport to a general acute care hospital, during inter-facility transfer, while in the emergency department of a general acute care hospital until care responsibility is assumed by the regular staff of that hospital, and during training ….
Effective August 30, 2012:
Using the same process … for using pilot projects to evaluate the workability and appropriateness of incorporating a particular emergency medical treatment technique or a type of equipment into any licensure level, the board may establish up to 12 pilot projects for the purpose of developing and evaluating a community paramedicine program.
A pilot project established pursuant to this subsection may not exceed 3 years in duration.
improve the effectiveness of health care delivery systems… to utilize health care personnel in new roles and to reallocate health tasks to better meet the health needs of the citizenry.
experimentation with new kinds and combinations of health care delivery systems
health workforce pilot projects should be exempt from the healing arts practices acts
accountability of projects to public health, safety, and the career viability of persons trained in these programs.
incorporate innovations developed in approved projects that are likely to improve the effectiveness of health care delivery systems.