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Clinical Initiative Review Process & Committee

The clinical practice serves as the foundation for any emergency medical services system. Our clinical practice is designed to guide the safe and effective delivery of clinical services in a manner that places the patient at the center, uses an evidence-based approach to defining care, minimizes the risk of harm to patients and providers, and seeks to provide a positive patient experience. The Clinical Initiative Review Process is intended to proactively plan for the successful implementation of clinical initiatives (new or revised), identify potential challenges and unintended consequences, and evaluate the financial and operational impacts of the proposed clinical initiatives. 

The process evaluates and prioritizes clinical initiatives while also serving as a project planning process for EMS System stakeholder agencies. The Clinical Initiative Review Committee (CIRC) is comprised of representatives from various stakeholder agencies and focuses on planning for clinical initiative implementation once clinical effectiveness and patient/provider safety priorities are established.

Refer to the following documents for detailed information about the process and committee function. Please note the EMS System Equipment and Medications Committee (SEMC) is now an ad hoc subcommittee of the CIRC.

To submit a Clinical Initiative Proposal, please follow these steps:

  1. Review the Initiative Submission description included on page 4 of the Clinical Initiative Review Process Description (see link above).
  2. Download the Proposal Submission Form (see link above)
  3. Complete the Proposal Submission Form.  Gather all additional supporting reference materials.
  4. Ensure ALL components, information and attachments are included with your submission.
  5. Email all completed proposals to: All submissions must be in an electronic format submitted via email.

For more information, please contact us at: or 512-978-0000.