Additionally, organizations such as the National Communications Institute provide instructor training for an agency's own EMD system. It is a consumer's approach to medicine and will not pay for things that don't work.
Politicians create and change legislation.
It's one thing to learn the basic concepts, but then to go back in and learn all the protocols depending on which HMO is involved for a particular call is going to be vast. But I also see this as a challenge for PSAPs at the same time. Although the development of a contractual relationship with MCOs may appear to be a complex process, Cady feels that the number and regional orientation of most healthcare providers make the process manageable. According to Paul Rasch, Jr., Training and Development Manager for PowerPhone, overcoming misconceptions has been a big one. The protocol is the authorization by the medical community for EMDs to practice Dispatch Life Support medicine.