United States Department of Transportation
i
Emergency Medical Services Performance Measures: Recommended Attributes and Indicators for System and Service Performance
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2009-12-01
[PDF-1.53 MB]
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Abstract:The EMS Performance Measures Project, begun in 2002 and concluded in 2007, gives the Nation’s EMS community an additional tool to gauge and report various aspects of an EMS system including the environment in which EMS responds, the performance of emergency medical service (EMS) agencies, and the overall performance of local systems. We recognize that many EMS performance measures existed at the beginning of this project and that others evolved in many geographic, sponsor-specific, and specialty areas during its course. So, for some, this tool may offer enhancement to their current measurement criteria by establishing common measures nationwide while, for others, it may offer a mechanism to begin measurement in their local jurisdictions. The goals of the project, addressed in two distinct phases, were to determine whether the country’s EMS leadership desired a common set of specifically defined measures and, if so, what those measures would be. The answer to the first was “yes.” This project report offers 35 consensus-based measures that addresses the second. Each measure is presented in a format comparable with formats used elsewhere in the healthcare system. It is anticipated that this will assist EMS providers and system leaders with future performance reporting, research, and reimbursement issues. The overall format, however, may be daunting to some readers, so they are encouraged to focus on the measures portrayed along with the formulas and data elements necessary to implement them. The measures are presented as they evolved and are in no specific order or priority. The measures are however categorized by characteristic or operational area (e.g., “finance and funding” and “response”) for general quick reference purposes. Finally, 3 of the 35 measures are “parked” for future development. Local EMS agencies and systems are encouraged to begin using some type of EMS performance measures to evaluate and benchmark their own systems. They may choose these or other performance measures customary to the industry. Once baseline measures are established in local systems, then comparative reports can be delivered according to a timeline determined by system leaders. These reports will be useful in making necessary system changes and assuring quality service to the public.
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