EMS System Review - State of New Jersey

State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewFigure 27: ALS Patients Transported by Volunteer Squads, 2000–2005# of ALS Transports10000075000500002500000 2 4 6 8 10 12 14 162000-2016Raw DataTriDataForecastThe above data indicates a potential problem with ALS service and EMS response ingeneral. As data were not available concerning overall responses by NJSFAC and non-affiliatedvolunteer services, the above data indicates that volunteer services are declining and are likely tocontinue to do so. Action should be taken before volunteer problems become critical. AllowingALS projects to transport patients or using commercial services may bridge the gap left by thereduction in volunteer BLS transport services.Regression models support the above information. They indicate that as the total numberof completed ALS calls increase, the number of these patients transported by volunteerambulance services decreases. 61Recommendation 46: Allow ALS projects to provide patient transportation.ALS Project Viability – A paradox exists between ALS care and ALS project viability.The two-tiered system appears to facilitate the delivery of good patient care. Paramedics are welltrained and their scope of practice covers the basic services that they provide. In general, ALSprojects have intense medical oversight by qualified physicians who are active in the daily unit61 A Pearson’s Product Moment Coefficient indicated a correlation factor of .76 for the number of ALS alerts inrelation to ALS transports and -.89 for the number of transports and the number of transports handled by volunteersquads.TriData, a Division of 111September 2007System Planning Corporation