EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewFigure 8: Scores for Human ResourcesHuman ResourcesGroup Score Average 1.83 (Marginal)2.502.00Score 1 - 51.501.000.500.001GroupMedical Direction – Many felt that a quality paradox exists in NJEMS medicaldirection. At the ALS level, physicians exert significant oversight into the operations, education,and quality management of EMS providers. BLS level medical direction is just the opposite withlittle direct physician involvement at the local level. Licensed BLS companies are required tohave medical directors, however, the level of activity of the medical directors varies greatly. The507 volunteer squads in New Jersey are not required to have medical directors unless theyparticipate in an optional program such as epinephrine-auto injector.Other medical direction issues raised by the focus groups included New Jersey not havinga statewide medical director, poor oversight of physicians wanting to be involved in EMS, andnot having a hierarchical system of medical direction throughout the state. The most organizedaspect of medical direction is the NJ Mobile Intensive Council that communicates their concernsto the Health Commissioner, State EMS Director, and other EMS administrators. This committeehas many experienced EMS physician participants who appear frustrated by legislative andregulatory roadblocks.The focus groups scored this component M = 2.28, SD = 0.46, indicating a rating ofmarginal (Figure 9).TriData, a Division of 38September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewFigure 9: Scores for Medical DirectionMedical DirectionGroup Scores Average 2.28 (Marginal)3.503.002.50Scores 1 - 52.001.501.000.500.001GroupEducation Systems – The focus group participants had varying views of EMSeducation in New Jersey. Most of the groups had significant concerns with the New Jersey EMTTraining Fund and its limitations. Paramedic, fire service, and commercial EMS career providersfelt that it was unfair that the fund was restricted to volunteers whose organizations are notrequired to follow licensing rules. In contrast, volunteer participants were concerned thatexpanding access to the fund would create insufficient funding for the volunteers, therebynegatively affecting recruitment and retention efforts.Another issue that provoked concern was the quality of continuing education programsfor BLS providers. Agencies that provide EMT-B continuing education are paid $5.00 percontinuing education hour per fund eligible student. Participants were concerned that this hascreated a “cottage industry” for EMT continuing education without quality management.NJOEMS does not have the staff to provide sufficient quality oversight to these programs.Therefore, program quality is inconsistent.TriData, a Division of 39September 2007System Planning Corporation
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EMS System Review - State of New Jersey

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