Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 16
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34Finance Committee DRAFT Advisory
EMS System Performance-based Funding and Reimbursement Model
EMS System Finance Matrix -- Summary
Financing of EMS System Functions via User Fees or Government Funding
Community Outreach/Prevention Activities
X
EMS System Regulatory Oversight
External Medical Control / Clinical Performance Standards / Scope of Practice
X
Response Time / Level of Service Performance Standards
X
Personnel Licensing & Certification
X
Agency Accreditation
X
Regional Coordination
X
EMS Research
X
EMS Administration
X
Ambulance Dispatch Services
Interfacility Dispatch Services
X
Emergency (911 Primary PSAP - Fire, Police)
X
Emergency (911 Secondary Medical PSAP)
X
Alternative Response / Referral
X
First Response Dispatch, Response, Extrication, Hazmat & Technical Rescue
X
On Scene Medical Care - Without Transport
Treatment On Scene and Transition (for transport)
X
Attempted Resuscitation No Transport
X
Treatment with Refusal of Transport
X
Treatment with Referral and No Transport
X
On Scene Medical Care with Ambulance Transport
Paramedic Intercept (with transport)
X
Interfacility
X
Emergency
X
Air Ambulance
X
Transport to Alternative Destination
X
Disaster Management
Planning
X
Response
X
Recovery
X
Mitigation
X
Mutual Aid / Surge Capacity
X
Medical Standbys
X
Hospital Interface
X
Community Paramedicine/Population Health/Follow-up Care
X
Conclusion 4. EMS Systems exists concurrently within the realm of health care, public
health, public safety, and emergency medical preparedness systems, yet, reimbursement by
user fees (health care) is often the only reliable source of funding. This concurrent existence
directly leads to chronic underfunding of EMS Systems. Therefore, each of these
stakeholder communities (health care, public safety, public health, and emergency medical
preparedness) must recognize the contribution of EMS services to each of their individual
missions and thus must undertake responsibility to provide appropriate financial support of
EMS Systems.
March 29,2012
Draft Advisory
16
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