Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 29
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34EMS care, as well as the resulting morbidity and mortality associated with certain EMS
medical treatments and skills
EMS Administration
All activities necessary for the bureaucracy of an EMS organization to manage its
operations. This includes, but not limited to, management and administrative support
salaries, benefits, and payroll taxes; general and professional liability insurance;
utilities; office supplies and equipment; postage and freight; dues and subscriptions;
travel; accounting and audit; legal; billing; payroll; purchasing; human resources;
marketing; public education; quality improvement; training and education; risk
management; information technology; business licenses and taxes; interest; performance
penalties; performance security; medical director fees; accreditation; miscellaneous
costs; billing and collections costs, including salaries associated with this activity; and
any shared services
Ambulance Dispatch Services
Interfacility Dispatch Services
Services that process non-9-1-1 requests for, and arrange the provision of, the medical
transportation of patients, typically between healthcare facilities or discharges from
hospitals.
Emergency (911 Primary PSAP - Fire, Police)
A PSAP to which 9-1-1 calls are routed directly from the 9-1-1 Control Office
Emergency (911 Secondary Medical PSAP)
A PSAP to which 9-1-1 calls are transferred from a primary PSAP for the purposes of
additional interrogation of, and provision of advice and direction for providing care until
first responders or EMS care givers arrive on the scene, to the caller
Alternative Response / Referral
The intervention of specially trained medical practitioners, such as registered nurses,
during the 9-1-1 call in-take process that results in the decision to send resources other
than EMS providers to aid the patient, or the referral of the patient to non-EMS
assistance
First Response Dispatch, Response, Extrication, Hazmat & Technical Rescue
First Response Dispatch – The notification to, and sending of, initial personnel and units
to the scene of an unexpected, acute medical, psychological or traumatic emergency,
who are trained to provide at least very basic care to the patient, but who are not
normally capable of transporting the patient to a hospital Emergency Department
Response – The immediate movement of an EMS resource(s) to the location needed
Extrication - Removal from entrapment or a dangerous situation or position
Hazmat - substance or material posing serious risk to health, safety, property
Technical Rescue - refers to those aspects of saving life or property that employ the use
of tools and skills that exceed those normally reserved for emergency services. This
includes high angle, trench, confined space and swift water
On Scene Medical Care - Without Transport
Treatment On Scene and Transition (for transport)
EMS medical care provided at the scene of an emergency by one agency which results in
the transfer of the patient and their care to another agency for transport to a hospital
Emergency Department
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