EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewCritical Areas Strengths Weaknesses Opportunities ThreatsNew Jersey StateEMS System-The system is based withinthe healthcare system-Emergency managementprograms are beingdeveloped to promotesystematic thinking-NJOEMS too low in thehealthcare structure-Lack of regionalization-Local municipalities not legallyobligated to provide EMS-NJOEMS lacks depth due tostaffing reductions-Too many minor “technical”issues having to be handled atthe state level-Too many “non-players” in thesystem (unlicensed/unregulated)-Changes in emergencycommunications andemergency managementare promoting a systemsapproach-Changing thecommunications system iswell-timed in regards tochanging EMS-Enhancement ofNJOEMS will allow forimplementation of otherchanges (ALS programs,education, informationmanagement, etc.)-Lack of change could lead tosystem component instability(unable to respond to criticalissues)-NJOEMS being unable to exertoversightAir Medical EMS-State program in-place-Good patient care is beingprovided-System has integratedpublic and private providers-Excellent safety record-Possible over-saturation, toomany helicopters for need-Pressure on the state to design asystem to promote private airmedical services-Vehicle registration fees appearto benefit State Police.-Fly vs. drive protocols notbeing followed-Commercial services canproperly plan to determineviability of air medicalservices-No additional statehelicopters needed.-NJOEMS can solidifyrules for commercial airmedical participation-CMS may begin to determineEMS reimbursement based ona fly vs. drive protocol-JEMSTAR fee is too low tocover EMS care costsAdvanced LifeSupport (ALS)-Excellent clinical care-Committed physician-Limiting ALS to hospital-basedsystems may lead to service-New constituents canbecome involved in ALS.-Hospitals may drop ALSprojects due to lack ofTriData, a Division of 166September 2007 September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewCritical Areas Strengths Weaknesses Opportunities ThreatsDeliverymedical oversight-NJOEMS has bettercontrol of programs-May offer control of oversaturation-100% statewide ALScoveragegaps-Limiting the ability for ALSprograms to transport negativelyaffects depth of service andfinancial solvency-Two medic requirementcontributes to ALS providershortage-EMS system will not bedependent on one deliverymodel.-ALS providers being ableto transport may filltransportation gapsprofitability.-Failure to adopt solid,evidence-based standards maylead to a loss of system control-ALS programs that providetransport may lose seniorworkers due to physicalrequirements-First Aid Squads not able toguarantee transport services-CMS and private insurancereimbursement is based ontransport of the patientEMS WorkforceIssues-Dedication of thevolunteer EMS community-The ability to providenecessary training-Fewer people seeking EMScareers-Fewer people able to volunteer-Increased training requirements-Some volunteer services are notwell-managed-Women and minoritiesmay help increase EMSworkforce-Consolidation effortscould result in moreefficient volunteer services-Opening in-hospitalcareer opportunities mayhelp the workforce develop-Citizen Corp could beused to help withrecruitment-Societal shift from rural tourban/suburban-Volunteers cannot afford tolive in areas they volunteer in-Continually increasing trainingrequirements-Volunteer leadership beingunwilling to changemanagement philosophiesTriData, a Division of 167September 2007 September 2007System Planning Corporation
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EMS System Review - State of New Jersey

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