124 STAT. 519 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(c) PILOT PROJECTS.—The Secretary shall award a contract or grant under subsection (a) to an eligible entity that proposes a pilot project to design, implement, and evaluate an emergency medical and trauma system that— ‘‘(1) coordinates with public health and safety services, emergency medical services, medical facilities, trauma centers, and other entities in a region to develop an approach to emer- gency medical and trauma system access throughout the region, including 9–1–1 Public Safety Answering Points and emergency medical dispatch; ‘‘(2) includes a mechanism, such as a regional medical direction or transport communications system, that operates throughout the region to ensure that the patient is taken to the medically appropriate facility (whether an initial facility or a higher-level facility) in a timely fashion; ‘‘(3) allows for the tracking of prehospital and hospital resources, including inpatient bed capacity, emergency depart- ment capacity, trauma center capacity, on-call specialist cov- erage, ambulance diversion status, and the coordination of such tracking with regional communications and hospital destination decisions; and ‘‘(4) includes a consistent region-wide prehospital, hospital, and interfacility data management system that— ‘‘(A) submits data to the National EMS Information System, the National Trauma Data Bank, and others; ‘‘(B) reports data to appropriate Federal and State databanks and registries; and ‘‘(C) contains information sufficient to evaluate key elements of prehospital care, hospital destination decisions, including initial hospital and interfacility decisions, and relevant health outcomes of hospital care. ‘‘(d) APPLICATION.— ‘‘(1) IN GENERAL.—An eligible entity that seeks a contract or grant described in subsection (a) shall submit to the Sec- retary an application at such time and in such manner as the Secretary may require. ‘‘(2) APPLICATION INFORMATION.—Each application shall include— ‘‘(A) an assurance from the eligible entity that the proposed system— ‘‘(i) has been coordinated with the applicable State Office of Emergency Medical Services (or equivalent State office); ‘‘(ii) includes consistent indirect and direct medical oversight of prehospital, hospital, and interfacility transport throughout the region; ‘‘(iii) coordinates prehospital treatment and triage, hospital destination, and interfacility transport throughout the region; ‘‘(iv) includes a categorization or designation system for special medical facilities throughout the region that is integrated with transport and destination protocols; ‘‘(v) includes a regional medical direction, patient tracking, and resource allocation system that supports day-to-day emergency care and surge capacity and is
