EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewProfessions. Both ALS and BLS providers must also complete refresher training in order tomaintain certification.Each ALS agency is provided a Medical Director by the State. BLS providers operateunder the direction of the Delaware State Fire Prevention Commission, which oversees andregulates BLS operations, ambulances and apparatus, and manages all ambulance licensing andcertification. 23The State Code of Delaware Title 16 establishes the DEMSOC and provides direction forEMS services. While the Office of EMS is a part of the Department of Health & Social Services,state law requires the DEMSOC to provide guidance and direction to the Department of Safetyand Homeland Security in matters that involve EMS.Funding for EMS in Delaware comes from several sources, including state and locallevels. State-provided funding for ALS services totaled $8,339,021 in 2005. Funding levels forBLS services are more difficult to assess, as much of this tier of the system is handled througheach of the independent fire and rescue companies. In 2005, the estimated disbursements fromthe State were $20,794,111.50. The portion of the State Aviation budget attributable to EMS carewas $1,244,012.MarylandEMS in Maryland is under the direction of the Maryland Institute for EMS Systems, orMIEMSS. The state provides guidance and direction in the areas of operations, planning,evaluation, research, and medical control. The state also maintains a communications system andprovides support for EMS education as well as prevention and public education. Licensing ofcommercial ambulance companies is handled at the state level. The Maryland State PoliceAviation Division provides air transport through the state. MIEMSS and its activities are codifiedin Code of Maryland Title 30: MIEMSS.Maryland is divided into five regions, each of which is overseen by a Regional EMSCouncil. These councils provide feedback to the state in areas such as policies, procedures,grants, training, communications, and legislation. Training is provided through each region, withsupport provided from the state. Maryland’s 2006 EMS Plan identifies 21 programs that provideALS certification and three providers of BLS training. [Recertification is handled through 15providers of refresher training.] A database of certifications for both ALS and BLS providers is23 DEMSOC 2005 Annual ReportTriData, a Division of 22September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System Reviewmaintained at the state level, with MIEMSS also providing administrative support to each of theregional EMS councils.Each region has its own Medical Director, who is recommended by the Regional EMSCouncil and approved by the State EMS Medical Director, and an Associate Regional PediatricMedical Director. Online medical direction is available 24/7 with physicians and hospitalemergency departments. Public sector agencies must also have a quality assurance program.EMS activities in Maryland are governed by the 1993 Maryland EMS Law, whichcreated an 11-member Governor-appointed State Emergency Medical Services Board to governMIEMSS and a Statewide Emergency Medical Services Advisory Council (SEMSAC) to adviseand assist the EMS Board. This is the same piece of legislation that established MIEMSS. Localordinances serve to shape EMS delivery in a manner most conducive to specific service areas.More recently, Maryland Code has been modified to improve interoperability betweenjurisdictions, both at the intra- and inter-state levels.Funding for MIEMSS comes primarily from the State, receiving $10.8 million in statefunds last year. Much of this funding comes from a surcharge on motor vehicle registrations.Minimal funding comes from federal sources, but localities do contribute significantly to thecondition of EMS in Maryland, particularly in the area of operations. Billing patients and/or theirinsurance carriers for EMS transport is an increasingly popular means of recouping some of thecosts incurred in the operational side of EMS.OhioThe Ohio Division of EMS is under the purview of the Department of Public Safety.Services provided by this agency include standards for apparatus and equipment, education andcertification, accreditation, and medical oversight. The Division of EMS is overseen by the EMSBoard, which consists of 20 members, 19 of which are appointed by the Governor asrepresentatives from specific EMS-related organizations and one is an Ohio Department ofPublic Safety staff member appointed by the Director of Public Safety.Training is delivered throughout the state by instructors who are certified by the OhioDivision of EMS. Courses including First Responder, EMT-B, EMT-I, and EMT-P are offeredthrough local fire and rescue agencies, hospitals, community colleges, and universities.Accreditation of training facilities is based on six factors: Administration and Organization,Faculty and Preceptors, Curriculum and Instruction, Facilities and Equipment, Students andGraduates, and Self-Assessment. The Division of EMS also oversees training for firefighters andfire inspectors, as well as certification of instructors of these courses.TriData, a Division of 23September 2007System Planning Corporation
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EMS System Review - State of New Jersey

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