Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 10
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34Finance Committee DRAFT Advisory
EMS System Performance-based Funding and Reimbursement Model
1. There are multiple EMS providers in overlapping jurisdictions rather than a government-
based designated service area for each public health agency.
2. EMS has developed utilizing a health care model and is largely operational in nature,
rather than planning focused. This leads to distinct cost variances across the multiple
EMS Systems. EMS is user fee and local government driven to determine level of
service within their area.
3. Public Health is population-based, rather than resource or activity-based.
EMS could potentially use the public health model as a basis for its own function or activity
analysis. EMS functions describe the basic framework of all EMS Systems and can be a more
practical approach to determining the true cost of EMS Systems. Facilities, equipment, and other
capital and non-capital costs would be incorporated within each function.
Review of Veterans Health Administration Costing Methodology. The Committee reviewed
the costing methodologies used by the Veterans’ Health Administration and determined the
process in which they report costs have been questioned by both the U.S. General Accounting
Office and the Congressional Budget Office. Until which time the federal government verifies
cost evaluations and performance measures, the VHA did not appear to be a model to be
replicated at this time.
Development of Comprehensive EMS System Components. The Committee identified the
following EMS System Components as a comprehensive list of all of the current functions
performed in an EMS system:
• Community Outreach/Prevention Activities
• EMS System Regulatory Oversight
o External Medical Control / Clinical Performance Standards / Scope of Practice
o Response Time / Level of Service Performance Standards
o Personnel Licensing & Certification
o Agency Accreditation
o Regional Coordination
o EMS Research
• EMS Administration
• Ambulance Dispatch Services
o Interfacility
o Emergency (911 Primary PSAP - Fire, Police)
o Emergency (911 Secondary Medical PSAP)
o Alternative Response / Referral
• First Response Dispatch, Response, Extrication, Hazmat & Technical Rescue
• On Scene Medical Care without Transport
o Treatment On Scene and Transition (for transport)
o Attempted Resuscitation No Transport
o Treatment with Refusal of Transport
o Treatment with Referral and No Transport
• On Scene Medical Care with Ambulance Transport
o Paramedic Intercept (with transport)
o Interfacility
March 29,2012
Draft Advisory
10
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business