How do you determine the cost of an emergency medical services system?

To determine the cost of an emergency medical services (EMS) system, researchers, policymakers, and EMS providers need a framework with which to identify the components of the system that must be included in any cost calculations. Such a framework will allow for cost comparisons across studies, communities, and interventions.

Which EMS agencies are included in the EMS framework?

This framework is intended to estimate the cost of the entire EMS system and, as such, may require consideration of 1 or more of the various types of agencies that are part of a system (eg, fire departments, police departments, first-tier EMS agencies, second-tier EMS agencies).

What is an EMS system?

The EMS system has a responsibility to the public it serves to foster improved community health. Basic expectations of an organization include ethical practice and protection of public health, safety, and the environment. EMS system participants should share in efforts in community wellness and injury prevention.

Is there a methodology for evaluating EMS costs?

However, a methodology for evaluating cost within an EMS system, developed by the American Ambulance Association, was identified. 33 Although this methodology was designed for use by a single EMS agency and was not comprehensive enough for determining EMS costs from a societal perspective, it was used to refine the comprehensive cost framework.

How to evaluate EMS system performance?

All reliable sources of information should be utilized in the evaluation of system performance. EMS organizations should also consider the use of hard copy review, collection check-sheets, customer surveys, direct observation, and skills simulation. Information systems should be designed to answer EMS system performance questions.

What is EMS quality improvement?

EMS System Quality Improvement (EMS-QI) - An organized and formal effort to continually achieve superior outcomes through ongoing evaluation of performance indicators by system users and providers within an organized EMS Health Delivery System. Effectiveness - How well a system is meeting an expressed objective or established benchmark.