Office of the Chief Medical Officer

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.

• Clinical Initiative Review Process Description (a detailed text description of the process)
• Committee Charter (how the committee works)
• Process Flow Diagram (a detailed visual description of the process)
• Proposal Submission Form (the required proposal form and directions)