Improving quality of pre-hospital and hospital emergency services through the development and implementation of a training program

The current project is proposed within the framework for the Swiss-Romanian Cooperation Programme defined by the Memorandum of Understanding between Switzerland and the European Union (EU) dated 27 February 2006 and the Addendum of 25 June 2008 for Bulgaria and Romania, as well as the Romanian-Swiss Framework Agreement on the Swiss Contribution, signed on 7 September 2010.

The overall goal of the Swiss contribution is to reduce economic and social disparities within the enlarged European Union. Therein, Switzerland is committed to support the European Integration process in Romania through implementing several Thematic Funds. On 19th December 2011, Switzerland and Romania signed the Thematic Fund Agreement for the Thematic Fund “Reform linked to Health Issues” (Health Fund). The objectives of the Health Fund are to support Romania in widening access to the health and social services, as well as to improve the quality of health services with a focus on community integrated health and social services, improving pediatric intensive care units, pre-hospital and hospital emergency services and air rescue and will make good use of knowledge and experiences gained during the long-lasting cooperation of Romania and Switzerland between 1992-2008.

The current project proposal is based on the experience and expertise gained by the Centre for Health Policies and Services as the EA for the phases 3 and 4 of the REMSSy project implemented in Romania (2003-2008). It is a continuation of the work done in the last 2 phases of the REMSSy project that strengthened and expanded countrywide the interventions supported since 1994 by the Swiss Government in terms of Continuous Medical Education system development and quality system implementation (including clinical practice guidelines and protocols development).

The Emergency Medical Care System in Romania undertake structural changes in the last 6 -7 years with legislation starting with the chapter 4 of the Law 95/2006 and continuing with all the other legal provision such as the hospital classification, transport of critical cases, coordination of emergency departments, triage protocol, regionalization of emergency care, organization of emergency medicine residency, creation of advance supervision and advance treatment of critical cardiac patients (USTACC) and so on.

Overall Objective: Patients in need of emergency services benefit from high quality pre-hospital and hospital emergency care services offered by well-trained emergency response teams.

Outcome 1:   Romanian training centers for emergency care at pre-hospital and hospital level deliver high quality training courses according to international standards, which are integrated into the Romanian C(M)E system .

Outcome 2:     Emergency response teams have the knowledge and skills to provide services according to international standards. 

Outcome 3:    Pre-hospital and hospital emergency services are provided according to locally implemented Clinical Practice Guidelines (CPG), which correspond to international standards

Final beneficiaries of the project will be users of Romanian emergency services, local communities and local public health authorities. 

Direct beneficiaries are emergency physician-nurse teams, paramedics, pediatricians in emergency care, emergency physicians and neonatology specialists, including nurses involved in neonatal transport, heads of emergency departments, other personnel involved in emergency departments and ambulance services from the 12-15 training centers involved in the project.

Project budget: 862.292 CHF

The project will have a duration of 24 months starting in March 2014.