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ET3 from CMS Needs CPR ASAP or EMS Will Be DOA

From JEMS:


The ET3 concept is not flawed, nor is it unworkable. In fact, we need it…. badly. The overutilization of our most expensive healthcare resource, the hospital emergency department, is unsustainable. Finding more cost-effective and higher quality care for patients is within our reach.


Fortunately, we have models for this practice that can, and already, in fact, do it. The two major flaws in ET3 were the exclusion of smaller services that would benefit more from the ET3 model and the definition and reimbursement model for the QHCP. First, a large EMS agency, (with a call volume of over 15,000 responses per year) would have a significant task of re-working policies and procedures for the destination and treatment alternatives.

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