Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 28
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34Appendix C
Proposed EMS System Functions and Definitions
(NEMSAC Finance Committee, 12-2011)
Community Outreach/Prevention Activities
The planning, coordination and provision of community education programs regarding EMS as
well as initiatives to improve the health and safety of the population served. These may include
such programs as;
CPR training and certification
Citizen first aid classes
AED training
Guest speaker programs for community groups
Tours of facilities and ride along programs
Provision of standby EMS personnel or units at community events
Health screening activities; blood pressures, heart monitor checks, pulse oximetry, blood
glucose
Student mentorship and internship programs
EMS System Regulatory Oversight
External Medical Control / Clinical Performance Standards / Scope of Practice
The medical oversight of EMS, including the treatment protocols to be utilized, the level
and breadth of EMS interventions to be provided and the skills required to do so, the
quality and successful rate of performance by practitioners, and the quality assurance
and improvement processes to monitor both practitioners and agencies
Response Time / Level of Service Performance Standards
Establishment of standards for the provision of EMS. This usually includes such
parameters as response time requirements, level of EMS care to be provided, types of
EMS units to be available, etc.
Personnel Licensing & Certification
Establishment of standards for the level of education needed for each level of EMS
practitioner, including knowledge and performance evaluation parameters. Also includes
the establishment of, and process to accomplish, the testing of candidates, awarding of
credentials, maintenance of credentials and decertification.
Agency Accreditation
Official recognition of the EMS agency as attaining certain standards. This includes
licensure to provide service by a cognizant authority and the attainment of certification
by a professional accrediting organization.
Regional Coordination
Organizing and synchronizing EMS services between multiple agencies, often over a
multi-jurisdictional geography, to improve response of services and plan for episodes of
excess demand which exceeds local resources
EMS Research
The attainment and accumulation of essential, scientifically sound, medical evidence of
the effectiveness of EMS services, especially the outcomes of patients who are provided
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