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5.2Phase 2: Alpha Site Implementation <br />Within six months of confirmed funding, implement the Mobile Healthcare Service <br />system in Lane County, Oregon. All service providers are to be compensated relative to <br />their participation in the project. The evaluation portion of the effort will begin with the <br />Alpha Site Implementation and will be used to guide and adjust both Alpha and Beta <br />implementations. A preliminary evaluation will be completed prior to Beta Site <br />Implementation. <br />Once the preliminary evaluation has been reviewed and accepted by all Stakeholders, <br />IAFC will begin soliciting, selecting and coordinating with potential Beta sites. <br />5.3Phase 3: Beta Site Implementation <br />Within six months of implementation of Phase 2 Alpha Site, initiate the Mobile <br />Healthcare Services system in two or more additional locations in the U.S. <br />5.4Phase 4: Evaluation of Demonstration Projects <br />Preliminary reports will be issued every six months. Within two years of Alpha Site <br />implementation, a final report evaluating the efficacy of the Alpha and Beta Site <br />demonstration projects for Mobile Healthcare Services will be completed. If outcomes <br />meet project objectives, ongoing funding for the system will be recommended and <br />solicited from healthcare insurers and government funded health care by the end of this <br />phase. <br />In a report to Congress in 2007 by theNational Academy of Sciences, Institute of <br />Medicine entitled "Emergency Medical Services at the Crossroads,"the Committee on <br />the Future of Emergency Care in the United States Health System recommended a <br />demonstration project such as Mobile healthcare Services. The committee believes “… <br />CMS (Centers for Medicare & Medicaid Services) should consider using demonstration <br />projects to test various options, to ensure that the models are safe, and to assess whether <br />downstream savings may result.CMS should investigate whether Medicare and <br /> … <br />Medicaid payment methodologies ought to be revised to support payment for emergency <br />6 <br />care services in the most appropriate setting (including treat and release)…” <br />17 <br />