You arrive at the scene to find a patient who fights to breathe. They cannot speak clearly, there is no present family, and nobody knows their medical history. What mediations are they in? Do they have allergies through life? Are they diabetic, asthmatic or recover from surgery?
EMS suppliers face situations like this every day, which requires them to make decisions of seconds without access to the information that the hospital staff takes for granted. Until recently, that was simply the nature of prehospital care. But national interoperability networks are beginning to change that.
EMS data deficit
Emergency responders are often the first clinical contact on the care of a patient, but for decades, they have had the least access to the medical records of that patient. Without vital data, suppliers must trust intuition and limited clues, which leads to possible treatment delays or simply errors.
A 2023 study published in emergency care prior to the hospital found that 11% of EMS calls experience delays, and almost half occurred in the scene. While factors such as traffic and logistics play a role, the lack of easily available patient data can aggravate delays in critical situations over time.
Hospitals, clinics and urgent care centers have long benefited from electronic health records (EHR) and health information exchanges (HIES). Now, national initiatives are working to extend that access to the people who need it most.
What is changing: qhins and tefca
The federal trusting exchange frame and the common agreement (TEFCA) is helping to create a national baseline for the exchange of health data. In the center of this effort are the qualified health networks (QHINS), which Act Act central connectors between medical care providers, systems and networks. In December 2023, the Office of the National Health Coordinator (ONC) designed the first team of official QHINS under Tefca, including Carequality and Ehealth Exchange.
These developments have huge implications for EMS. With adequate tools and integrations, field suppliers can now consult national networks to access patient medicines lists, medical allergy information and history, in real time, directly in the scene.
Why does this matter in the field
Imagine an EMS provider that treats an unconscious patient. With safe access to national networks to share data, now they scan the patient’s driver’s license or enter the basic demography to recover relevant health data. This information can guide treatment decisions, avoid dangerous drug interactions and improve the accuracy of the documentation sent to hospitals.
Real -time access to patient records also benefits hospital partners. When EMS data is previously populated with precise lists of medicines and conditions, hospitals receive better transfers and more complete records, contributing to better results and reduced redundancy in care.
The way to integration
For many EMS agencies, start with the meaning of access to real -time patients with technology suppliers that are part of the carquality or other national frameworks. It also requires safe Internet access, updated documentation systems and basic training for suppliers on how to consult, review and use the responsible data.
It is important to emphasize that this change is not about adding new tasks to EMS equipment already overcome. On the other hand, it is about eliminating the barriers to the information they need, which makes attention faster, safely and more aligned with the broader health system.
And it is already happening. According to the recent data of the National Emergency Medical Services Information System (NMSIS), around 1.2 million records of patients with EMS included hospital results data in 2024, a dramatic increase of only 300000 in 2022. As a residence.
EMS’s future is connected
For years, EMS has been isolated from broader health IT conversations. But in 2024, that wall began to break. As Qhins expands and Tefca continues to win traction, EMS has a seat on the table and a role to play in the construction of a more connected and data -based health ecosystem.
Equipo field suppliers with access to patient records is no longer a luxury. It is a necessity. Because when care data of attention, the results begin with confidence.
Credit: Chalabala, Getty Images

Joe Grawis, Imagetrend’s growth director. Joe’s passion for learning and exploring new ideas in the industry is more than managing the growth of ImageTend, it is a vision of thinking. Participating in many imagerend facets is part of what it drives Joe. It is dedicated to our community, customers and their use of data to boost the results, implement changes and promote improvement in their industries.
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