EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewII. INTERJURISDICTIONAL COMPARISONSComparing the organization and structure of the EMS system in the State of New Jerseyto other jurisdictions is one way to assess strengths and weaknesses. Issues including servicesprovided by the state, funding sources, training policies, legislative regulations, and the structurethrough which services are rendered vary with the needs of each state. Such comparisons do notprovide conclusive information, but rather they are useful in prompting jurisdictions to askquestions. Simply because most states have a certain structure does not necessarily mean that allstates should. Just the same, questions should be asked to assure that each jurisdiction isorganized in a manner that is best suited to their particular needs.Attempting to compare “apples-to-apples” requires that comparisons be drawn to stateswith population densities similar to New Jersey. A combination of urban, suburban, and ruralareas also helps to make for more useful comparisons. With a population of approximately ninemillion people living in a land area of less than 7,500 square miles, New Jersey is the mostdensely populated state in the United States. Other states that cover the urban-to-rural spectrumand have a population density high enough to allow for useful comparison include Connecticut,Delaware, Maryland, Ohio, and Virginia. These jurisdictions are reviewed in the followingsection and highlights identified in Table 1.ConnecticutConnecticut has a state-level Office of Emergency Medical Services and a State EMSAdvisory Board. Each of five administrative regions has a council, with all of the councilspartnering with the state to implement state policy and programs at the local level. According tothe Connecticut Department of Health 22 , services provided by the state include:• Training and Education• Licensing and Certification• Investigations• Data• Grants, Rural AEDs, Ambulance• MIC/EMS-C/Trauma• Provider Activity Reports & Annual Service Certification Renewals22 Information from http://www.dph.state.ct.us/EMS/index.htm.TriData, a Division of 20September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System Review• Medical Director• Office SupervisorMedical direction in Connecticut comes through the State Medical Director, whoseposition is primarily funded through grant money. This person advises and consults with medicaldirectors in hospital emergency departments, who provide oversight for EMS agencies thattransport patients to these facilities. The Connecticut EMS Mobile Intensive Committee iscomposed of a physician from each of the state’s five regions. This group reviews state policiesrelated to EMS.There are several legislative acts that affect EMS in Connecticut. The Public Health Codelays the foundation of the EMS system with codes that govern the organization of EMS systemsthroughout the state, guidelines that provide direction for new organizations wishing to engage inEMS, the establishment of a statewide trauma system, and procedures for grants related to EMSequipment.The Office of EMS receives funding through several sources. Approximately $1.2million comes from the state, with another $8.4 million coming from grants through the Centerfor Disease Control (CDC), Department of Homeland Security, and other federal sources. Moneyfrom the state is primarily used for training instructors and inspecting equipment. Instructors aretrained and certified by the state, teaching their classes through local fire and EMS departmentsand community colleges. Equipment inspection is limited to EMS equipment on ambulances,with safety inspections of the vehicles being completed by the Department of Transportation.DelawareEMS in Delaware is provided by a combination of state and local resources. The stateoperates a two-tiered system that is administered by the Division of Public Health, which is apart of Delaware Health and Social Services. Direction is provided by the Delaware EmergencyMedical Services Oversight Council (DEMSOC), which provides recommendations for the EMSsystem to the Division of Public Health. ALS providers are certified by the state and operateunder the license of one of Delaware’s three counties, the State Police aviation unit, or one oftwo private agencies.Training for EMS providers varies, depending on the level of certification. BLS courses,taught at the First Responder and EMT-B level, are taught by the Delaware State Fire School.ALS courses are handled by the Delaware Technical and Community College, which isaccredited through the Committee on Accreditation of Educational Programs for the EMSTriData, a Division of 21September 2007System Planning Corporation
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