EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewThe state EMS division’s primary goal would be to oversee and develop EMS’ role in healthcare, public health and public safety.The NJDEMS would also take a greater role in regulation and licensing. If the licensingrequirement for volunteer units is enacted, then the planning and initiation of this of this changewill need close coordination.A restructuring will allow for the beginning of regionalization for EMS. Three EMSRegional Directors should be appointed, each overseeing one designated area within the state.The EMS region would become the primary oversight authority that county and municipalgovernments, hospitals and squads would interact with for daily operational matters.Figure 3: A Proposed Senior Staff Structure for the New Jersey Division of EMSDirector,NorthernEMSRegionStateEMSMedicalDirectorAssistantCommissioner,Division ofEMSDirector,CentralEMSRegionDirector,SouthernEMSRegionTriData, a Division of 86September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewFor the first one to two years, the senior staff members would work to develop the stateregional program, construct and promulgate EMS legislation, form liaisons and developregulations and procedures. Another major goal for the senior staff would be to formulate theregional process and designate what areas would be primarily state or regional responsibilities.They would also plan for any changes in the state’s ALS and Air Medical delivery profiles.Recommendation 34: Restructure the state EMS system as described above.Immediately appoint the senior staff and have them begin a one to two year transition process forthe NJDEMS. Recently, the State of Pennsylvania has upgraded their EMS oversight agency to abureau level.The state EMS system would include an expanded senior staff with four “chiefs” ofmajor system components. The major administrative components would include:• EMS Education and Training – to include all programming of basic and advancedlife support education and training, Medical Priority Dispatch education and training,online and simulation training, educational institutions and continuing educationproviders, instructor training, EMS leadership and administration education andoperational oversight of the EMT Training Fund. Also included would be the initialtesting and licensure for EMD, EMT-B and paramedic.• Licensure, Certification and Credentialing – includes the granting of licenses andcertifications for all EMS provider levels, EMS program designations, EMS vehicledesignations and the renewal of the same. This administrator will also oversee themedical discipline, program complaint and similar processes for the EMS system.Another role will be working with the EMS Council concerning legislative andregulatory matters.• Operations and Information Services – will oversee the liaison between NJDEMSand other public safety entities and coordinate the State EMS Task Force. Willoversee the establishment and upkeep of a state EMS information system withemphasis on a statewide EMS database, a statewide PCR, and merging of informationfrom county primary access points/primary dispatch points into the informationsystem. Will serve as the primary liaison to the NJSFAC Executive Board and staff.• Financial and Administrative Services – Will oversee the budget preparation andaccountability for the EMS Division. Also works with local, state and federal payorsto assist in promoting a workable financial system for reimbursements. Oversees theEMS-Children’s program and is liaison for pediatric and poison center services.Maintains the appropriate liaison with trauma center authorities. This administratorTriData, a Division of 87September 2007System Planning Corporation
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EMS System Review - State of New Jersey

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