EMS System Review - State of New Jersey

More documents

Recommendations

Info

State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewMedical oversight is provided by individual Medical Directors for each agency throughthe Regional Physician’s Advisory Board (RPAB). The state is divided into ten regions, eachwith one representative, who work with the State EMS Medical Director who sets protocol andestablish minimum standards that serve as guidelines to develop individualized protocols bestsuited to each agency’s needs.Legislatively, all of the actions performed by the Division of EMS are identified in OhioAdministrative Code 4765: State Board of Emergency Medical Services, which has 19 chaptersdefining the exact scope of the Division’s authority and the organization of the agency.Operations in the Ohio Division of EMS are funded through three main sources. In 2005,the State provided operating funds of $3,189,690. Federal funds totaled $5,917,333, while grantsfrom other organizations brought in $9,355,138. The State also provides grants to EMSorganizations in Ohio through money collected in seatbelt fines, approximately $5 million everyyear.VirginiaThe Virginia Office of EMS is part of the Virginia Department of Health. A 27-personadvisory board provides direction to an agency that provides training and support to EMSagencies statewide. The state is divided into 11 regions, each with its own EMS Council. Thesecouncils work with the state to assure sufficient training is made available, in each region, forALS and BLS providers. Training can be obtained through the state, through Regional EMSCouncils, and through private organizations. The OEMS is responsible for accrediting all EMStraining programs. The Commonwealth of Virginia certifies EMS agencies and also maintains alist of all certified First Responder, BLS, and ALS providers throughout the state. VirginiaOEMS also has a section dedicated to aiding localities with grant preparation.There are several regulations in Virginia legal code that relate to EMS in the state. EMSvehicles, ground and air, transport and non-transport, are regulated by the OEMS and must meetstate standards. Each EMS agency is required to have an operational medical director, who mustmeet standards set forth in Virginia code. This code, 12 VAC 5-31-590, is very specificregarding responsibilities of the medical director and conflict between an agency and a medicaldirector. State code also requires a Quality Management Program to be integrated into all areasof operation.TriData, a Division of 24September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewTable 1: A Comparison of Statewide EMS Systems Close to New JerseyState Training Equipment Medical Direction Legislation State FundingConnecticutDelawareMarylandOhioVirginiaNew JerseyCourses developed andapproved by state.Certification, testing,and instruction throughstateALS training thoughCommunity Colleges &BLS training throughState Fire SchoolState has 21 certifiedproviders of ALSeducation, 3 BLS, and15 for refresherprograms.State certifiesinstructors and handlesaccreditation of trainingfacilities. Also overseesstate, local, and privatefirefighter and instructorprogramsState accredits trainingprograms. Trainingavailable through state,regional councils, &private entitiesState accredits trainingprograms. Trainingavailable throughvarious organizations.ALS training at fourcommunity collegesState inspects vehiclesand equipmentState Fire PreventionCommission overseesBLS equipment &apparatus. State EMSOffice does same for ALSState inspects andlicenses commercialambulances. No oneinspects fire service EMSvehiclesState provides standardsfor apparatus andequipment; localities areresponsible forcomplianceAll vehicles providing EMSare certified by StateAll ALS and licensed BLSvehicles are certified bythe state. Equipment forALS specified inregulations.State Medical Directoradvises Medical Directors inhospitalsEach ALS agency isassigned a Medical Directorby the StateEach region has appointed aMedical Director. Onlinemedical direction is available24/7State Medical Director workswith Regional PhysiciansAdvisory Board to developprotocols and minimumstandardsEach EMS agency isresponsible for hiring aMedical Director.Commissioner of Health isresponsible for EMS. Nospecific state EMS medicaldirector. ALS programs andlicensed BLS programshave medical directorsGoverns EMSorganizations, providesdirection on grants, sets upstate trauma systemSet up as part of Health &Social Service but EMSOversight Council makesrecommendations toSafety & HomelandSecurity1993 Maryland EMS Lawshaped existing structure;has been modified over theyears to improve EMSdeliveryState Administrative Code4765 defines purpose,scope, and organization ofthe agencyEMS is a part of HealthDepartment, as isEmergency Preparedness& Response; separatefrom Fire ProgramsState Legislation andRegulations governadministrative andoperational regulationsState funded $1.2 M in2006, grants of approx.$8.4 MState provided inexcess of $30 M toEMS care in 2005State provided $10.8 MState funds $3.2 M,Federal funds $5.9 M.Other grants $9.3 M.Seatbelt fines $5 MState OEMS received$2.5 M in FY2007, eachof 11 regional councilsunequally divided $2.9based on servicesprovided.State receives fundingfrom Treasury, UASIand other federalmonies. Funding forBLS training from trafficcitations (indirect)TriData, a Division of 25August 2007System Planning Corporation
Page 3 and 4: State of New Jersey, DHSS, OEMSCons
Page 5: State of New Jersey, DHSS, OEMSCons
Page 27: State of New Jersey, DHSS, OEMSCons
Page 79 and 80:
State of New Jersey, DHSS, OEMSCons
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
EMS ResearchState of New Jersey, DH
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171:
show all

EMS System Review - State of New Jersey

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?