Clinical care
Communications
Field clinical
practice
Physician clinical
role
• On-scene medical direction
• Current knowledge and skills
• Knowledge of incident command system
Personnel
education
• Training for base station and out-of-hospital personnel
• Evaluation of medical competency of providers
• Collaborative relationships with academic institutions
• Continuous quality improvement
• Mechanism for data collection
• Ensure compliance with protocols
• Analyze system efficacy and cost-effectiveness
• Application of research methods
• Collaborative relationships with academic institutions
• Reliable methods of data collection
• Information flow from out-of-hospital to ED to inpatient care
• Standards for base station education and physician field
experience
• Qualifications and training for delegation of authority for online
medical direction to surrogates
• Resolution of disputes involving medical care within EMS
system
• Interactions with national, regional, state, and local EMS
authorities
• Coordination of emergency preparedness activities
• Educator and liaison to the media
System evaluation
EMS research
Administration
Liaison activities
Finance
Public access
Public health
• 9-1-1 system
• Training and continuing education of dispatchers
• Dispatch protocols
• Prearrival patient care instructions
• Dispatch criteria
• Continuous quality improvement
• Qualified online medical direction
• Training and credentialing of personnel
• Verification of skill proficiency for personnel
• Protocols for transport and nontransport
• Protocols for interaction with responders
• Protocol for online medical direction
• Transport and destination criteria
• Authority to limit activities of providers for cause
• Continuous quality improvement
• Equipment specifications
Public education
• Budgetary planning
• Grant application
• Establish funding priorities
• Collaborate with community to guarantee access to EMS
• Appropriate EMS utilization, prevention of emergencies
• Initial approach to common emergencies
• Community health assessment and surveillance