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<br />Copyright 7012 Netlonal Fire Protection Association (NFPA). Licensed, htrp agreement, for Individual use and tingle download on August 10, 2012 to STEPHEN ALLAN of SOLU110NS FOR LOCAL
<br />GOVERNMENT. No other reproduction or transmission In any form permitted without written permisslon of NFPA, For Inquires or to report unauthorized use, contact i,censing@nfpa.org.
<br />EMS SYSTEM ANALYSIS AND PLANNING: 450 -15
<br />5.6.9.2 Travel Interval. Travel interval objectives examined by
<br />a G1S analysis should parallel standards as established by the
<br />lead agency,
<br />5.6.9.3 First Response. The community should establish re-
<br />sponse intervals for first responders that are appropriate for
<br />that community. The standards should be suitable for the local
<br />demographics, resources, medical needs, and geography. The
<br />intervals should be systematically monitored for compliance
<br />with the local standard.
<br />5.6.9.4 Advanced life Support. The community should estab-
<br />lish response intervals for advanced life support, where avail-
<br />able, that are appropriate for the community. The standards
<br />should be suitable for the local demographics, resources,
<br />medical needs, and geography. The intervals should be sys-
<br />tematically monitored for compliance with the local standard.
<br />5.6.10 Geographic Barriers. A GIS model may also identify
<br />potential barriers to delivery of care (for example, intemhp-
<br />tion of the road network by construction, flooding, or railroad
<br />crossings).
<br />5.6.11 Distribution of Demand. AGIS may also identify die dis-
<br />Iribut.ion of calls in a communityyand areas undergoingdevelop-
<br />ntent. that would require the expansion of services in the fillure.
<br />5.6.12 Demographics. The system analysis should consider lo-
<br />cal demographics and the implications of those demographics
<br />on service requirements for a range of constituency groups.
<br />5.6.12.1 Age. Age - related injuries and illnesses (for example,
<br />pediatric, adolescent, or getiai ric) should be considered.
<br />5.6.12.2 Socioeconomics. A community's socioeconomic
<br />structure and its associated injuries and illnesses (e,g., violent
<br />crime, lack of prenatal care, or neglect) should be considered.
<br />5.6.12.3 Gender. Gender - related injuries and illnesses (e.g.,
<br />disease rates and treatment plans) should be considered,
<br />5.6.12.4 Culture and Ethnicity. Language, cultural diversity,
<br />and ethno- specific disease processes should be considered.
<br />5.6.12.5 Local Industry. Industrial area injuries and illnesses
<br />(e.g., exposure to ha7tardous materials, injuries from machin-
<br />ery) should be considered.
<br />5.6.13 Regulatory Environment. The L19S system should
<br />monitor the political and regulatory environments to analyze
<br />impacts on operations, funding, and personnel.
<br />5.6.14 Additional System Needs. The system analysis should
<br />consider other features unique to the system, such as special
<br />hazards, needs, and conditions that will affect service delivery.
<br />5.6.15 Disasters. The potential for disasters as a function of
<br />unique jurisdictional features, characteristics, and risks should
<br />be considered.
<br />5.6.16 Medical Center Resources, The system analysis should
<br />consider resources available through local hospitals (e.g., fre-
<br />quency of hospital "diversion" status, resource hospital training,
<br />resupply of disposables and medications, ALS quality assurance),
<br />5.7 EMS System Planning. Based on the comprehensive sys-
<br />Lem analysis and the identified system priorities, the system
<br />should develop a plait for ongoing system design and improve-
<br />ments. Plan development should include the components
<br />specified in 5.7.1 through 5.7.7.5.
<br />5.7.1 Roles. Identification should be made of the roles and re-
<br />sponsibilities of each position type needed for- the EMS system to
<br />function, based on the needs and wants of the community.
<br />5.7.2 Financing. Annual operating budgets and capital bud-
<br />gets consistent with generally accepted accounting principles
<br />should be established.
<br />5.7.3 Resource Allotment. Resources should be allocated ap-
<br />propriately between agencies in the system.
<br />5.7.4 Master Planning /Forecasting. A master plan should be
<br />available that ensures that the necessary resources are avail-
<br />able to the system and will meet the needs of future system
<br />requirements.
<br />5.7.5 Disaster /Catastrophe Planning. The system should en-
<br />sure that a plan is available to manage overwhelming or cata-
<br />strophic events, including coordinating activities between and
<br />among providers.
<br />5.7.6 Public Education and Injury /Illness Prevention. The
<br />system plan should include component.% required to prevent
<br />the need for emergency responses.
<br />5.7.6.1 Traditional Programs. Traditional illness and injury
<br />prevention programs such as CPR and "Stop, Drop, and Roll"
<br />Should be available and regularly provided Lo citizens in the
<br />system_
<br />5.7,6.2 Other Programs. The prevention and public educa-
<br />tion plan should include analysis of the environment and an
<br />analysis of the need for special prevention programs such as
<br />wal:er /cold safety, immunization, and basic emergency care.
<br />5.7.6.3 Disaster Preparedness. The system should coordinate
<br />with emergency management programs to ensure that citizens
<br />are prepared.
<br />5.7.7 Provider Support. The system plan should address and
<br />consider methods to support individual providers in the sys-
<br />tent.
<br />5.7.7.1 Provider TI Wning. Provider training and support pro-
<br />grams should ensure that providers receive training sufficient
<br />to meet local needs and support to ensure their continued
<br />participation,
<br />5.7.7.2 Provider Safety. The following provider safety pro-
<br />grams should be in place to reduce the amount and severity of
<br />injuries incurred by providers:
<br />(1) Equipment
<br />(2) Training
<br />(3) Accountability systems
<br />5.7.7.3 CISM. Critical incident stress management (GISM)
<br />programs designed to reduce acute and chronic effects of
<br />stress related to job Functions should be established,
<br />5.7.7.4 Wellness. Health and wellness programs should be in
<br />place to ntoni Lor and support die overall wellness of'providers.
<br />5.7.7.5 Emergency Management. Disaster preparedness pro-
<br />grams should be in place to meet the unique needs of provid-
<br />ers during catastrophic events.
<br />5.8 Continual Risk Assessment and Planning. The system
<br />should have in place a comprehensive process, articulated in a
<br />risk assessment plan and overall system design that provides
<br />continual analysis and mitigation of risk. The primary risk
<br />management processes include risk assessment (internal and
<br />external), risk elimination, risk avoidance and prevention,
<br />risk control, and loss control.
<br />2013 Edilion Q
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