Resources

Welcome to our Resource Center. You will find valuable materials that support the mission of the Prehospital Transfusion Coalition. Explore recordings of our Coalition meetings, featuring insightful discussions held via Zoom. These sessions provide critical updates and collaborations. You’ll also find guidance documents that outline our mission, goals, and best practices to help enhance prehospital transfusion efforts. Additionally, we offer videos related to the coalition’s work, aiming to inform and educate those involved in this essential field. Dive into our resources to stay informed and engaged with our ongoing initiatives.

CMS Proposed Regulatory Changes RE: Prehospital Blood Transfusions

The Centers for Medicare and Medicaid Services (CMS) published proposed regulations to “to modify the definition of ALS2 at § 414.605 by adding the administration of low titer O+ whole blood transfusion to the current list of seven ALS2 procedures as a new number 8. We would also reflect this change in the Medicare Benefit Policy Manual, Chapter 10, Ambulance Services, section 30.1.1, Definition of Ground Ambulance Services. Under this proposal, a ground ambulance transport that provides WBT would itself constitute an ALS2-level transport.”

In response to that proposal, the Coalition and several other organizations and individuals provided comments to CMS about this proposal. The Coalition’s response can be found below. In addition, with their permission, the responses of the American Ambulance Association, the International Association of Fire Chiefs and a joint response from The American Association of Blood and Biotherapies, the American Blood Centers and the American Red Cross are included below.

The Centers for Medicare and Medicaid Services (CMS) Proposed Regulations

Coalition Response to Proposed Regulations

Joint response from The American Association of Blood and Biotherapies, the American Blood Centers and the American Red Cross to Proposed Regulations

The International Association of Fire Chiefs Response to Proposed Regulations

American Ambulance Association Response to Proposed Regulations

General Coalition Meetings

General Coalition Meeting –  November 13, 2023

General Coalition Meeting – May 20, 2024

General Coalition Meeting – July 15, 2024

Guidance Documents

Prehospital Blood Transfusion Initiative Coalition Guidance Document

Videos

31 Mar 2023
Case for Prehospital Transfusion Reimbursement
John Holcomb, MD, FACS
31 Mar 2023
Prehospital Blood Transfusion Initiative Coalition Meeting 13 Nov 2023
Prehospital Blood Transfusion Initiative Coalition Meeting 13 Nov 23
31 Mar 2023
Reimbursement Efforts To March 23
Susan N. Leppke, MPH , AABB