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Promoting Innovation in EMS Steering Committee Releases Draft Report

The Promoting Innovation in EMS (PIE) Steering Committee has released a draft of its forthcoming final document for public review and comment.

The PIE Project began in 2014 as an effort cosponsored by the National Highway Traffic Safety Administration, Department of Homeland Security and Department of Health and Human Services to highlight challenges and obstacles to innovation in EMS, as well as describe approaches to overcoming these obstacles. The coleads chosen to lead the PIE project were James Dunford of the University of California, San Diego Health System and Kevin Munjal of the Mt. Sinai Health System. The project team recruited a steering committee consisting of a diverse group of stakeholders and leaders from across the United States. The project team examined the difficulties of innovation in EMS by reviewing public surveys and conducting interviews. The project leadership then convened regional stakeholder meetings followed by a national steering committee meeting in September 2015 to review ways to overcome the barriers identified.

This processes has been exceptional, thanks to the inclusive and collaborative work by coinvestigators Munjal and Dunford, with support from NHTSA, HHS, DHS, Mt. Sinai Health System, UC San Diego Health System, New York Mobile Integrated Healthcare Association, West Health Institute, Greater New York Hospital Association and Kaiser Family Foundation. 

The project steering committee had representation not only from EMS providers, associations and trade organizations, but also key groups such as hospitals and health systems, home health and hospice agencies and institutions of higher learning. 

Munjal and Dunford strongly encourage everyone to review the draft document and provide feedback on the recommendations.

Here are the challenges and recommendation categories addressed by the report in its seven chapters:

  • Legal and regulatory;
  • Financial sustainability;
  • Education;
  • Regional coordination;
  • Interdisciplinary collaboration;
  • Medical direction;
  • Data and telecommunication.

Find the draft report and comment link at

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