EMS System Functions by Discpline
Emergency/
What discipline has responsibility
Disaster
for the indicated portion of EMS Delivery?
Health Care
Public Health
Public Safety
Management
(Epidemiology,
P = Primary (score=3) S = Secondary (Score=2)
Surveillance,
(911 response,
M = Multiple (score = 1)
Research)
LEO, Fire)
(Acute Care Medicine)
P
S
M
P
S
M
P
S
M
P
S
M
3
Community Outreach/Prevention Activities
EMS System Regulatory Oversight
3
External Medical Control / Clinical Performance Standards / Scope of Practice
1
1
1
Response Time / Level of Service Performance Standards
1
1
Personnel Licensing & Certification
1
1
1
1
Agency Accreditation (State, CAAS, CAMTS)‐meeting standards
1
1
1
1
Regional Coordination
1
1
1
EMS Research
1
1
1
1
EMS Administration
Ambulance Dispatch Services
3
Interfacility Dispatch Services
3
Emergency (911 Primary PSAP ‐ Fire, Police)
2
3
Emergency (911 Secondary Medical PSAP)
3
2
Alternative Response / Referral
1
3
First Response Dispatch, Response, Extrication, Hazmat & Technical Rescue
On Scene Medical Care ‐ Without Transport
3
Attempted Resuscitation No Transport
3
Treatment with Refusal of Transport
3
Treatment with Referral and No Transport
On Scene Medical Care with Ambulance Transport
3
Paramedic Intercept (with transport)
3
Treatment on scene with transfer of care (with transport)
3
Interfacility
3
Emergency
g
y
3
Air Ambulance
3
Transport to Alternative Destination
Disaster Management
3
Planning
2
3
Response
3
Recovery
1
1
1
1
Mitigation
1
1
1
1
Mutual Aid/Surge Capacity
1
1
1
1
Medical Standbys (Special Events)
3
Hospital Interface
3
2
Community Paramedicine/Population Health/Follow‐up Care
14
1
4
2
Total Number of Primary
2
1
1
0
Total Number of Secondary
10
9
7
7
Total Number of Multiple
42
4
10
3
2
9
12
2
7
6
0
7
Score
56
14
21
13
Total Score
53.8%
13.5%
20.2%
12.5%
Percentage of EMS functions by Discipline
Emergency/
Disaster
Health Care
Public Health
Public Safety
Management
Notes:
This worksheet is purely the number of functions and the discipline it relates to. This does not indicate the time,
resources, or dollars spent on each function.
Conclusions:
Health care is the primary function of EMS Systems by nearly a 3:1 margin to the next closest discipline, Public Safety