Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 23
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34EMS System Finance Matrix ‐‐ Current
Key
P = Primary
S = Secondary
R = Rarely
N = Never
M = Multiple
I = Indirect (Funding flows through EMS agency as direct agency expense)
Current EMS System Functions (NEMSAC Finance Committee)
Community Outreach/Prevention Activities
S
S
I
I
P
EMS System Regulatory Oversight
External Medical Control / Clinical Performance Standards / Scope of Practice
P
P
P
I
I
I
S
Response Time / Level of Service Performance Standards
S
I
I
P
Personnel Licensing & Certification
P
P
P
I
I
S
Agency Accreditation
P
P
P
I
I
S
Regional Coordination
P
P
P
EMS Research
P
P
P
EMS Administration
I
I
P
Ambulance Dispatch Services
Interfacility Dispatch Services
I
I
I
P
Emergency (911 Primary PSAP ‐ Fire, Police)
P
P
S
R
R
R
Emergency (911 Secondary Medical PSAP)
R
I
I
P
Alternative Response / Referral
R
First Response Dispatch, Response, Extrication, Hazmat & Technical Rescue
P
S
S
S
On Scene Medical Care ‐ Without Transport
Treatment On Scene and Transition (for transport)
Attempted Resuscitation No Transport
R
R
I
P
Treatment with Refusal of Transport
I
I
I
P
Treatment with Referral and No Transport
I
I
I
R
On Scene Medical Care with Ambulance Transport
Paramedic Intercept (with transport)
R
R
P
Interfacility
P
P
P
S
Emergency
S
P
P
S
Air Ambulance
P
P
Transport to Alternative Destination
Disaster Management
Planning
P
P
P
I
I
S
P
Response
P
P
P
I
I
S
P
Recovery
P
P
P
I
I
S
P
Mitigation
P
P
P
I
I
S
P
Mutual Aid / Surge Capacity
I
I
P
Medical Standbys
P
Hospital Interface
I
I
R
P
Community Paramedicine/Population Health/Follow‐up Care
R
I
I
R
DRAFT
1
Revised 11‐08‐11
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