EMS System Review - State of New Jersey

More documents

Recommendations

Info

State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewThis is the case in New Jersey, where all three Level I trauma centers are hospitals which areaffiliated with the University of Medicine and Dentistry of New Jersey. A Level I trauma centeris a regional resource facility and has the capability to provide total care for all aspects of trauma,from prevention through rehabilitation.Level I trauma centers in New Jersey must treat a minimum of 600 patients per year. Thisis because data show there is a correlation between patient outcome and the number ofprocedures, which a surgeon performs annually. Adequate experience with life-threatening orurgent cases is necessary for the trauma team to maintain its skills. Cost-effectiveness is also aconsideration.Level II trauma centers are also expected to provide definitive trauma care, regardless ofthe severity of injury. Level II trauma centers have most of the clinical capabilities of a Level I.Level II trauma centers are required to participate in trauma research conducted by the Level Isand to sponsor public and provider educational programs in cooperation with the Level I centers.Level II trauma centers must treat a minimum of 350 patients per year.Level I Trauma Centers• UMDNJ-University Hospital, Newark• Robert Wood Johnson University Hospital, New Brunswick• Cooper Hospital/University Medical Center, CamdenLevel II Trauma Centers• Hackensack University Medical Center, Hackensack• St. Joseph's Hospital and Medical Center, Paterson• Jersey City Medical Center, Jersey City• Morristown Memorial Hospital, Morristown• Capital Health System at Fuld, Trenton• Jersey Shore Medical Center, Neptune• AtlantiCare Regional Medical Center, Atlantic City 5050 NJOEMS. (2006). NJ Trauma Centers. Available: [Online.].http://www.state.nj.us/health/ems/trama_centers.shtml.TriData, a Division of 84September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewEMS Task Force – A federal UASI grant allowed NJOEMS to form an EMS TaskForce for the purpose of assuring a coordinated response for mass casualty incidents where localresources become overwhelmed. The task force is divided into three major sections, northern,central, and southern New Jersey. Counties are assigned to a task force and agree to followguidelines similar to mutual aid agreements. Squads and ALS projects that wish to participatemust apply to the regional task force for admission. Units must meet minimum requirements andstaffing profiles, including a minimum of two EMT-Basics on each BLS unit.Upon acceptance into the task force, participating units are required to advise what unitsand types are available. The task force pre-plans for mass casualty incidents and providesassistance upon request. This does not take the place of existing incident command systems ormutual aid agreements.The NJOEMS provides one, full-time employee as the task force coordinator. Althoughthe regionalization concept is limited to the EMS Task Force, it creates future possibilities forNJEMS.Proposed Restructuring of the EMS System – New Jersey would greatly benefitfrom a restructured EMS system. Restructuring should focus on decentralization of the dailymanagement of EMS, favoring adaptive oversight instead of technical duties for state-levelofficials, assuring that essential positions are filled and allowing for better coordination betweenstate, regional and local agencies. The current structure of the OEMS is insufficient to carry outthese responsibilities.Restructuring of the NJOEMS should meet three basic goals:• To structure a system that allows for state, regional and local oversight of EMS.• To create a system where comprehensive EMS legislation can be operationalized.• To bring the state EMS system closer to provider organizations.The initial change should be the designation of EMS as a full division of the Departmentof Health and Senior Services. For the state to pursue the requirement that municipalitiesconsider EMS equal to police and fire, state government must set that same example. TheNJOEMS should be renamed the New Jersey Division of EMS (NJDEMS). The NJDEMSshould be directed by an Assistant Commissioner.The NJDEMS state office would focus on statewide oversight matters includinglegislation, regulations and protocols. Efforts would include increased coordination with theState EMS Advisory Council, the Mobile Intensive Council and other components of the council.TriData, a Division of 85September 2007System Planning Corporation
Page 3 and 4:
State of New Jersey, DHSS, OEMSCons
Page 5:
Page 8 and 9:
Page 10 and 11:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38: State of New Jersey, DHSS, OEMSCons
Page 87: State of New Jersey, DHSS, OEMSCons
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

Create successful ePaper yourself

Delete template?

Save as template?