NASEMSO Monographs
NASEMSO engages in periodic data collection from state EMS offices to determine how each state's programs compare in terms of structure, services, and regulations. The documented results are very useful to anyone who is interested in national, state, and local EMS policy development.
Current monograph titles include:
"Depletion of Experience in State EMS Systems Leadership Positions" (June 2008)
"Depletion of Experience in State EMS Systems Leadership Positions" was produced by NASEMSO with support from the U.S. Dept. of Transportation, National Highway Traffic Safety Administration. In the United States and its territories, there are 56 EMS Director positions. The specific responsibilities of these positions differ with locality, but generally encompass the highest level of administrative responsibility for the oversight of the emergency medical services system at the state or territorial government level. This is the first effort we know of to attempt to identify both the quantity and reasons for the turnover in these positions. The job of a state EMS Director is complex with a long learning curve, no matter the education or background experience of the person at the helm. Fifty of the eligible 56 jurisdictions participated in this project; this is a response rate of approximately 89%. The jurisdictions that did not respond to the survey are: California, Hawaii, Kentucky, American Samoa, Puerto Rico, and the U.S Virgin Islands. With respect to the analysis of the membership roster, tenure information is included on all 56 eligible states and territories.

"Training and Certification of EMS Personnel" (April 2007)
"The Training and Certification of Emergency Medical Services Personnel" was produced by NASEMSO with support from the U.S. Dept. of Transportation, National Highway Traffic Safety Administration. Since EMS systems have evolved differently in each of the 56 states and territories according to the resources, advocacy, political climate, case law and governing experiences of each jurisdiction, the training and certification of emergency medical services personnel also varies between states. Fifty-three of the eligible 56 jurisdictions participated in this project, including all 50 states and the District of Columbia.
"EMS Office Structure and Function" (December 2005)
"The Organization, Staffing and Function of State and Territorial EMS Offices" was produced by NASEMSO with support from the U.S. Dept. of Transportation, National Highway Traffic Safety Administration. Since EMS has evolved differently in each of the 56 U.S. states and territories, this project examined the current status of the systems to contribute to a better understanding of the challenges and opportunities facing EMS in the United States. Fifty-three of the 56 eligible jurisdictions participated, including all 50 states and the District of Columbia. The monograph includes organization and staffing of each EMS office; the specific areas in which EMS offices have definitive authority; exemptions, deemed status and waivers; cost, complexity and criticality of function; and state and territorial EMS office profiles. Respondents also reported on trends in net EMS staffing levels over the last five years.
How To Obtain Copies:
Each state EMS office receives five (5) free copies of new NASEMSO monographs. Monographs are available for purchase at $60 each; members receive a 50% discount. For information on purchasing copies of monographs, please contact NASEMSO Headquarters.
Contact for Monograph Purchase Requests:
Sharon Kelly
NASEMSO Membership Director
Phone: 703.538.1799
Fax: 703.241.5603
Email: info@nasemso.org

