“iSMART 2 unites U.S. hospitals with certified solo drivers and fleet operators — a national bulletin board where facilities post roles and the platform auto-distributes tailored alerts to the right providers by tier and region.”
Six Pillars of the National System
National Operational Awareness
EMTALA Compliance Architecture
EMTALA Compliance Architecture
iSMART 2 aligns with EMTALA 42 CFR § 489.24 by enforcing a structured chain of accountability across the medical-transport workforce. Every role posted, every alert distributed, and every dispatch authorized passes through four governed pillars — Certification, Routing, Verification, and Dispatch — ensuring patients are matched to appropriately credentialed providers and that escalation to ambulance-level care is never bypassed. The platform maintains an auditable compliance trail from hospital posting through provider response to trip completion.