EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewThere are no known validation studies of their Emergency Medical Dispatch program.Maintaining and validating a hybrid program is not efficient. Although switching to anationally recognized program will take time and will require an initial investment, itis likely a prudent step to take.Recommendation 19: New Jersey should require emergency medical dispatchprograms to adopt one of the nationally recognized Emergency Medical Dispatch programswithin five years.3. Develop standard response times (out the door) for ALS/BLS – Most of the focusgroups felt strongly that there should be response time standards for ALS and BLSunits. Response times standards are the responsibility of each licensed or volunteerunit, subject only to local standards. There are some squads that are allowed up to 20minutes to begin responding to an emergency call.The NJSFAC is adamantly against state regulation of EMS response times. These timetend to be arbitrary and interval measurement is not exact. They also claim that arbitraryminimum response times will adversely impact the ability for volunteers to continue service. Incontrast, the NJ Medical Transportation Association (NJMTA) believes that where there areinstances that commercial units are available, they at a minimum, should be called upon toprovide back-up services. It is negligent to do anything else.Recommendation 20: The NJOEMS in conjunction with the NJ EMS Council shoulddetermine response time standards for EMS that apply to all agencies. To facilitate this,dispatch centers should be required to collect and report EMS response time intervals. Considerusing the NAEMSP position statement concerning the establishment of EMS response timegoals. 42 4. Fund Phase 2 and other current technical programs – Based on the New Jersey 911Consolidation Study, a multi-phased plan was written by the New Jersey Office ofCommunications Technology. The first phase has been completed. The focus groupssuggested that Phase 2 technology procurements proceed.5. All EMS units should be equipped with Automatic Vehicle Locators (AVL) – Thistechnology will be useful in locating EMS units and determining the closestappropriate unit to dispatch to an emergency. It will also provide an extra safetymeasure for EMS units. This is an expensive technology and may take some time toimplement. Priority for funding should be considered for units in counties that havefully consolidated their 911 and dispatch centers.42 Bailey, E.D. and Sweeney, T. (2003). NAEMSP Position Paper: Considerations In Establishing EmergencyMedical Services Response Time Goals. Prehospital Emergency Care, 7(3), 397-399.TriData, a Division of 62September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewCommunications Systems – In New Jersey, this component is a continuation ofpublic access as the ideas and recommendations are closely related. The focus groups discussed28 different ideas and selected the following top five as their top priority:1. Encourage regional primary access points/PSDP – This recommendation is similarto the recommendation in Public Access. This is also in-line with therecommendations provided in the New Jersey 911 study. 432. Financial support for regionalization of dispatch – This is also consistent with theabove. In order to hasten the regionalization process, any financial support must berestricted to those organizations that actively support the 911 regionalization process.3. Establish regional radio channels – This was suggested to avoid overuse of existingfrequencies. It will depend on the support for a regionalized communications system.4. Dispatch closest appropriate unit to emergencies – There must be an acceptance ofmore automatic and mutual aid in order to guarantee the citizens the best level ofcare. The addition of AVL will assist in identifying the closest appropriate unit andallow greater scientific accuracy for emergency dispatch.Recommendation 21: Within five years, all EMS response units should be equippedwith AVL.5. Mandate the use of one a medical priority dispatch program – Any dispatch centerthat dispatches EMS calls should be using one of the standardized medical prioritydispatch protocols. It will be more efficient to move away from the hybrid programused in New Jersey, to one of the validated protocols. As recommended above, thiswill likely take up to five years.Another consideration is what type of certification/license the EMD is required to have.As EMD is considered an EMS program, it should be overseen like other EMScertifications/licenses. Therefore, providers must be held to standards similar to other EMSproviders, each system should have a medical director and quality management should be similarto field care.Recommendation 22: Transfer responsibility and oversight of EMDlicensure/certification to NJOEMS. EMD should be codified as a license/certification similar toEMT-B.43 Helddrich Work Center. (2006).TriData, a Division of 63September 2007System Planning Corporation
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EMS System Review - State of New Jersey

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