To support practical and equitable participation across California’s emergency medical services (EMS) system, the Emergency Medical Services Authority (EMSA) intends to offer services as an Intermediary to facilitate Data Exchange Framework (DxF) participation by Local EMS Agencies (LEMSAs) and EMS provider entities. EMSA’s Intermediary services are designed to reduce administrative and technical burden, particularly for smaller or resource-limited agencies, while maintaining compliance with applicable data exchange requirements.

Under this approach, LEMSAs and EMS provider entities may participate in DxF through EMSA’s Intermediary services:

 

• Using any compliant health information exchange network or technology, consistent with DxF Data Sharing Agreement and its Policies and Procedures; or
• A combination of both EMSA’s Intermediary services and any other compliant health information exchange network or technology

 

Before using EMSA’s Intermediary services, LEMSAs and EMS provider entities will need to execute an Intermediary Participation Agreement with EMSA. For additional information on EMSA’s intermediary services, please see the EMSA website.

EMSA will provide guidance, technical support, and implementation pathways to support EMS system participation in DxF in a manner that is consistent, scalable, and aligned with EMSA’s and HCAI’s statutory roles.