Hospital and Specialty Care Programs

Community Paramedicine: The EMS Authority has moved its Community Paramedicine Program from a pilot project to a full statewide authorized program. Local EMS agencies (LEMSA) develop and implement CP Programs, which are monitored by EMSA. The EMS Authority responsibilities also include the review and approval of CP Plans, data collection and reporting, and the provision of technical assistance to ensure compliance with the Health and Safety Code and the California Code of Regulations.

EMS for Children: The overall goal of the emergency medical services for children (EMSC) program is to ensure that acutely ill and injured children have access to high quality, coordinated, and comprehensive emergency and critical care services appropriate for children’s special needs.

The EMS Authority, using a grant from the Maternal and Child Health Bureau, U.S. Department of Health and Human Services, and with the assistance of subcommittees of experts in various aspects of pediatric care, has developed guidelines, standards, and key products that make up a comprehensive model for EMSC services. The EMSC Model provides a continuum of care, beginning with the detection of an illness or injury to emergency department care and rehabilitation.

STEMI: To date the EMS Authority has identified the following LEMSAs as developing/implementing an approach to STEMI: Alameda, Central California, Coastal Valleys, Contra Costa, Inland Counties, Los Angeles, Marin, Merced, NorCal, Orange, Riverside, Sacramento, San Diego, San Francisco, San Mateo, Santa Barbara, Santa Clara, and Ventura EMS.

Stroke: Some local EMS agencies (LEMSA), which may include one or more counties, have developed STEMI and/or Stroke Care Systems. The systems vary from LEMSA to LEMSA. The AHA/ASA is conducting a detailed survey on STEMI and Stroke system approaches. To date the EMS Authority has identified the following LEMSAs as developing/implementing an approach to Stroke Care: Alameda, Central California, Coastal Valleys, Contra Costa, Inland Counties, Los Angeles, Marin, Merced, NorCal, Orange, Riverside, Sacramento, San Diego, San Francisco, San Mateo, Santa Barbara, Santa Clara, and Ventura EMS.

EMSA employees are members of the Stroke Work Group co-convened by the ASA and California Department of Public Health Stroke Prevention Program. The work group is discussing ways in which to improve stroke outcomes statewide.

Trauma: The EMS Authority provides statewide coordination and leadership for the planning, development, and implementation of a State Trauma Plan. The EMS Authority responsibilities also include the development of regulations for local trauma care systems and trauma centers, the provision of technical assistance to LEMSAs developing, implementing, or evaluating components of a local trauma care system, and the review and approval of local Trauma Plans to ensure compliance with the Health and Safety Code and the California Code of Regulations.

Triage to Alternate Destination: The EMS Authority has moved its Triage to Alternate Destination Program from a pilot project to a full statewide authorized program. Local EMS agencies (LEMSA) develop and implement TAD Programs, which are monitored by EMSA. The EMS Authority responsibilities also include the review and approval of TAD Plans, data collection and reporting, and the provision of technical assistance to ensure compliance with the Health and Safety Code and the California Code of Regulations.