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What were the major issues identified in the Institute of Medicines report regarding the EMS work environment?

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What were the major issues identified in the Institute of Medicines report regarding the EMS work environment?

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Aside from the workforce issues of increasing turnover, challenges with recruitment and concern with worker wellness and safety, the main focus was on volunteers and whether the volunteer model (which is still an extremely strong presence in EMS) is sustainable. Over the next decade there will be migration away from the volunteer workforce and mixed models will become more common. A major challenge in this paradigm shift will be defining what additional roles this new workforce can play in the healthcare and public health arenas. What, if any, recommendations did the IOM’s Prehospital Emergency Medical Services Subcommittee make given these issues? There were two recommendations: • That Congress appropriate $88 million a year for five years for demonstration projects in various regions of the country. Some portion of this appropriation must include large rural areas so that we can test various alternative staffing models and find best or promising practices. • Establishment of an advis

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