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NASEMSO Reports

NASEMSO Domestic Preparedness Survey Report Now Available (06/28/10) NASEMSO recently surveyed its members to ascertain the extent to which state and territorial EMS offices are represented and supported in ongoing multi-agency coordination for readiness and planning. State directors responded to a range of questions related to EMS participation in preparedness activities at the state level, including involvement in the state emergency operations centers, state fusion centers, EMAC requests, the National Ambulance Contract, deployment of ambulances and EMS practitioners, registration of volunteers, funding sources, and more. The results of the survey, “State EMS Office Involvement in Domestic Preparedness Efforts NASEMSO 2010 Status Report,” available for download here. The target population for the survey consisted of the EMS Directors of the States, Territories, and the District of Columbia. Of 56 surveys, 53 were returned, for an overall 95% rate of return.

NASEMSO, ACEP and NAEMSP Joint Statement on Role of State EMS Director Published in PreHospital Emergency Care Journal (06/01/10) "The Role of State Medical Direction in the Comprehensive Emergency Medical Services System: A Resource Document," by Carol A. Cunningham MD , Keith Wesley MD, Timothy D. Peterson, MD, MPH, Richard Alcorta, MD, Douglas F. Kupas, MD, Joe A. Nelson, DO, Peter Taillac, MD, and Jim Upchurch, MD, has been published in the July-September 2010 issue of PreHospital Emergency Care. This resource document provides a snapshot of the status of state EMS medical direction in our nation in 2007 and a projection of the achievable benchmarks for the role of the state EMS medical director in the future. As an informational resource, this tool will assist state EMS officials, legislators, laypersons, and partners within the emergency care system to comprehend, create or improve, and support the state EMS medical director position within their jurisdictions. The position statement, "Role of the State EMS Medical Director," that appears in this issue is based on this resource document.
Article available here.

Consensus Report: EMAC and EMS Resources for National Disaster Response (2008) In June 2007, NASEMSO and the American Ambulance Association held a summit to discuss the use of EMS resources during a state-declared disaster. Participants included many of the national EMS stakeholders and our many federal partners. The summit began with a discussion on lesson learns from Hurricanes Katrina and Rita. The end result of the summit was the development of the 6 C’s: Coordination, Cooperation, Communication, Common Standards, Continued Operations and Commitment, which would ensure a robust national EMS response while not disrupting local emergency response capacity. This consensus report is intended as a starting point to enrich the national EMS response and available resources to a natural or man-made disaster. The report also provides EMS stakeholders and our federal partners a framework of topics that need to be addressed as plans are developed. 

Prehospital Emergency Care Air Medical Article Appendices (2007) "Air Medical Services: Future Development as an Integrated Component of the Emergency Medical Services (EMS) System," a guidance document by the Air Medical Task Force of the National Association of State EMS Officials, National Association of EMS Physicians, and Association of  Air Medical Services, will be published in Prehospital Emergency Care. The appendices to this article are published here, to provide readers with complete resource documents at their fingertips.

National EMS Scope of Practice Model (2007) The National EMS Scope of Practice Model is a continuation of the commitment of the National Highway Traffic Safety Administration and the Health Resources and Services Administration to the implementation of the EMS Agenda for the Future. It is part of an integrated, interdependent system, first proposed in the EMS Education Agenda for the Future: A Systems Approach which endeavors to maximize efficiency, consistency of instructional quality, and student competence. Many organizations were included on the National Review Team, including NASEMSO. Also, many NASEMSO members, NASEMSO Executive Director Elizabeth Armstrong, and other NASEMSO staff members played critical roles in the areas of task group representation, administration of the project, and in a technical advisory capacity.

The National EMS Scope of Practice Model supports a system of EMS personnel licensure that is common in other allied health professions and is a guide for States in developing their Scope of Practice legislation, rules, and regulation. States following the National EMS Scope of Practice Model as closely as possible will increase the consistency of the nomenclature and competencies of EMS personnel nationwide, facilitate reciprocity, improve professional mobility and enhance the name recognition and public understanding of EMS.

The National EMS Scope of Practice Model defines and describes four levels of EMS licensure: Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced EMT (AEMT), and Paramedic. Each level represents a unique role, set of skills, and knowledge base. National EMS Education Standards will be developed for each level. When used in conjunction with the National EMS Core Content, National EMS Certification, and National EMS Education Program Accreditation, the National EMS Scope of Practice Model and the National EMS Education Standards create a strong and interdependent system that will provide the foundation to assure the competency of out-of-hospital emergency medical personnel throughout the United States.

State Trauma System Planning Guide (2006) NASEMSO published this companion document to the 2006 HRSA Model Trauma System Planning and Evaluation Document. This guide was made possible with FY 2005 support from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Division of HealthcarePreparedness (DHP), Trauma-EMS Systems Program.

The Status of State EMS Funding (2006) This NASEMSO report was supported in part by a grant from the Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC), Division of Injury Response (DIR) as part of CDC's TIIDE Project (Terrorism Injuries: Information, Dissemination and Exchange).

Planning Emergency Medical Communications

Developed by NASEMSO and supported through a contract with the National Highway Traffic Safety Administration, Planning Emergency Medical Communications is presented in two volumes. Volume 1, "State Level Planning Guide," contains general background information and information regarding the two-tiered approach to EMS communications planning. The first-tier plan focuses on factors necessary to ensure proper compatibility, interface and coordination of local EMS communications within a statewide system. Volume Two, "Local/Regional Level Planning Guide," provides more specific information and directions for use by local planners in preparing detailed second-tier local emergency medical telecommunications plans.

It is impossible for a document such as this to convey all of the information needed
regarding emergency medical communications or to keep up with continuous change in
communications technology and regulations. Changes to the Federal Communications
Commission's Rules directly influence the system configurations and use of the radio
frequency spectrum. The types of equipment offered by manufacturers constantly change,
and there also are frequent changes in funding and federal, state and local policies. These
all influence the EMS communications-system-design philosophy. EMS communications,
as with most modern communications, are being constantly developed and improved.

Special Report: Implementation Status of the EMS Agenda for the Future (2005) This NASEMSO report was supported through a cooperative agreement between the EMS Division of the National Highway Traffic Safety Administration and NASEMSO. The report represents the findings of a study of the opinions of state EMS directors as to their impressions about the extent to which the various elements of the EMS Agenda for the Future has been implemented in their respective jurisdictions. While this report is predicated upon the
opinions of these individuals, it must be acknowledged that there are no empirical and objective measures for implementation. Since state EMS directors are uniquely and advantageously positioned within their respective jurisdictions to observe and impact the whole of the EMS system, their impressions should be given significant weight. This survey project was conducted over calendar year 2004. A copy of the survey instrument is
included in the appendix. The target population of the project was the 56 state and territorial
directors of EMS systems. Of the 56 surveys sent out, 52 were returned for a response rate of 93%; however, all 50 states returned completed surveys.

State EMS Rural Needs Survey (2004) In April 2004, NASEMSO released the State EMS Rural Needs Survey. This survey was conducted as part of the development of the national Rural/Frontier EMS Agenda for the Future. It replicates part of Challenges of Rural Emergency Medical Services - An Opinion Survey of State EMS Directors, a report published by Bob Bailey, Inc. for the Office of Rural Health Policy in 2000. The portions replicated include the identification of needs and issues important to the provision of rural EMS, and the perceived need for capital budget items for the provision of rural EMS. Personnel recruitment/retention remains the single most significant issue or need in the provision of rural EMS, according to both the 2000 and 2004 surveys. Financing remained a prominently identified need through both surveys, while 24/7 coverage, communications and response time emerged as far greater concerns in the 2004 survey than in 2000. Communications equipment was the most often cited capital equipment/facility need in both surveys by slight margins. Training equipment, medical equipment and ambulances were also strong finishers in 2004.

Linkages of Acute Care and EMS with State and Local Prevention Programs (2003)

This NASEMSO report was supported in part by a grant from the National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

Linkages of Acute Care and EMS with State and Local Prevention Programs Part 1: Involvement of EMS Offices in Bioterrorism Grant and Planning Efforts

Linkages of Acute Care and EMS with State and Local Prevention Programs Part 2: "Status of Programmatic State EMS Involvement with Prevention Activities

Linkages of Acute Care and EMS with State and Local Prevention Programs Part 3: "Status of State EMS System Funding"

Model Statute for the Regulation of Emergency Medical Dispatch Agencies and Emergency Medical Dispatchers (2001) This model EMS legislation document was approved by the National Academy of Emergency Medical Dispatch (NAEMD) Board of Trustees on June 1, 2001, and endorsed by the National Association of State EMS Officials.