EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewAdd – The commissioner, thru the NJOEMS will be responsible for determining theimplementation of how the prioritization will operate.26:2K-58. Waiver of training fee….Delete – “…a volunteer ambulance, first aid or rescue squad by the chief supervisingofficer of that squad.”Replace with – “a licensed EMS organization by the chief supervising officer of thatorganization.”26:2K-59. Advisory council for basic…Delete the entire section. Responsibility for the fund should be delegated to theNJOEMS. See regulations.26:2K-60. Request for emergency assistance…Change to include these protections for any municipal, commercial or private agency.26:2K-61. Enactment of reciprocal……Change to include these protections for any municipal, commercial or private agency.Rulemaking Process for Mobile Intensive Care Programs(N.J.A.C. 8:41)The rulemaking process for MICU’s is cumbersome and contrary to good patient care.Changes involve too many bureaucratic procedures that should be reserved for adaptive changeand not technical updates.Recommendation 31: Change EMS legislation and regulations to move operationaland technical issues outside of the legislative and regulatory process. Operational and technicalissues should be the responsibility of the NJOEMS and the state EMS medical director.Legislation – Chapter 5F: Highway SafetyThis legislation contains important items that are necessary for the oversight of EMS inNew Jersey. The lingering question is whether to continue this legislation as is or move it to the26:2K legislation. Below is a review of the current legislation followed by an overallrecommendation.TriData, a Division of 72September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System Review27:5F-21. Duties of the Governor;…(4) Change – “Adopt training programs, guidelines and standards of employees ormembers of organizations providing emergency medical service programs.”27:5F-22. Training programsChange – “the New Jersey Highway Traffic Safety Program shall include the trainingprogram for all basic life support providers that shall comply with…27:5F-23. Political subdivisions….Add: c. “Political subdivisions submitting grants for these federal funds must provide orcause to be provided emergency medical services for their subdivision.”27:5F-26. Applications from political subdivisions……Merge this with 27:5F-23.27:5F-27. First aid, rescue and ambulance……This should be changed to read:“Each volunteer or non-volunteer EMS provider organization shall be licensed by theNJOEMS to provide ambulance transportation. They shall also notify the local jurisdictionhaving authority of their intent to become licensed. Upon approval of the local jurisdiction, theymay file an application with the NJOEMS to seek licensure. Within 90 days of application,NJOEMS will determine whether the organization meets the minimum standards for licensure.Those agencies meeting the prescribed standards will be issued a two year license to operate.Licensed volunteer or non-volunteer EMS organizations shall agree that all vehicles andequipment meet standards espoused by NJOEMS before they are placed in service. Personnelwill be licensed/certified as New Jersey EMT-Bs. Non-EMT-Bs may serve as part of a BLS crewprovided that at least two EMT-Bs are staffing the unit.The licensee or the licensees political subdivision may voluntarily surrender their BLSlicense to NJOEMS. The NJOEMS may revoke, suspend or place conditions on licensed BLSorganizations for violations of legislative or regulatory mandates. Actions against the licenseemay be taken as outlined in legislation.”The above suggestions are a possible solution for some legislative needs. It may still notbe the most appropriate way to introduce comprehensive EMS legislation. Ultimately, the bestsolution would be to move all EMS issues out of the Highway Safety Act and move it into theEMS legislation.TriData, a Division of 73September 2007System Planning Corporation
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EMS System Review - State of New Jersey

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