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NASEMSO Projects

Military to Civilian EMS Transition

EMS Workforce Planning & Development Guidelines


NASEMSO 2018 Annual Meeting

May 21-24, 2018
Providence, RI


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Apr. 2018
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NASEMSO Internet Policies


The National Association of State EMS Officials is the lead national organization for EMS, a respected voice for national EMS policy with comprehensive concern and commitment for the development of effective, integrated, community-based, universal and consistent EMS systems. Read more...


NASEMSO Issues Press Release Responding to Ambulance "Borders in the Sky"

(08/03/18) Portions of the air medical industry have recently made calls for action against a U.S. Senate Bill (S. 2812) introduced to provide consumer protections stating that it would “essentially create borders in the sky, preventing air ambulances from crossing state lines to get patients to the nearest, most appropriate medical facility.” NASEMSO, as the collective voice of each state office charged with oversight and regulation of emergency medical services (EMS), including the promulgation of rules and regulations, released a response via press release today.

State EMS Offices have appropriately maintained their focus on the patient’s needs and have a demonstrated pattern of effectively and appropriately regulating care and medical transportation that must cross state lines to get the patient to the nearest, most appropriate medical facility. Rules and regulations promulgated by the State EMS Offices have not and will not create a border in the sky, and they have not and will not prevent ambulances from getting patients to the nearest, most appropriate medical facility.

Recent Update of National Model Clinical Guidelines, Version 2.1, Now Online

(07/17/18) The National Model EMS Clinical Guidelines, Version 2 was updated recently when a reviewer noted a dosing error in the Pediatric Respiratory Distress (croup) guideline. On page 139 under (3) Inhaled medications (a) Epinephrine nebulized was changed to Epinephrine 5 mL of 1 mg/mL (5 mg) nebulized. We were able to notify those who had requested the document in Microsoft Word since the 2017 version was released in September. Other users who have downloaded the PDF version of the document will want to take note of the correction. The updated version is known as the National Model EMS Clinical Guidelines, Version 2.1 and dated June 29, 2018. Obtain more information on the project and a copy of the newly revised document here.

Feedback on Final Draft of National EMS Scope of Practice Model Requested by May 31, 2018

(05/15/18) NASEMSO, under contract from the USDOT NHTSA Office of EMS and USDHHS HRSA EMS-C, is soliciting feedback on the third and final draft of the 2018 National EMS Scope of Practice Model (“Practice Model”) prior to publication. During the past 18 months, a subject matter expert panel solicited public comments and updated the 2007 document to prepare a revision to the National EMS Education Standards. The expert panel was tasked to define entry-level expectations, the minimum requirements in advance of gaining field experience, to ensure a level of national consistency.

Although some jurisdictions already exceed the Practice Model where coordination between the state and EMS medical director have determined that an experienced practitioner with proper education and oversight can safely serve the local needs and health of the public, the expert panel determined that increasing the Practice Model to the level of an experienced practitioner would create an unsustainable burden in time and expense to programs and individuals without substantial measurable benefit.

Download the current 2007 version of the National EMS Scope of Practice Model and the 2018 Final Draft Revision. Those who wish to provide input should complete the online form by 5:00 p.m. EDT on May 31, 2018.


|EMS News & Resources

NASEMSO Announces Sept. 12 Webinar on Health Surveillance for EMS Workers Using NEMSIS Data

(08/03/18) NASEMSO will host a webinar on "Occupational Health Surveillance for EMS Workers on Sept. 12, 2018, 1:00 p.m. EDT. This session will provide an overview of data elements in NEMSIS Version 3 standards that can be used to inform and improve EMS safety policy and practice, including safer ambulance design, and proper infection control and PPE practices. The abstract for this upcoming presentation is currently available on our web site. Dr. Matthew Groenewold of the National Institute for Occupational Safety and Health, is the featured presenter. The session is open to all interested persons. Register online.

Other sessions that are currently available for review include:

National Heatstroke Prevention Day, July 31, 2018, to Focus on Look Before You Lock

(07/24/18) National Heatstroke Prevention Day will take place Tuesday, July 31, 2018, focusing on the theme of Look Before You Lock. The National Highway Traffic Safety Administration is offering promotional materials that will help to get this year’s message out. A related video is available online, as well as a Facebook page where recent efforts to combat heatstroke are shared. The Look Before You Lock campaign is designed to inform the public of the dangers of heatstroke fatalities that can occur when children are left unattended in a locked car.

Missouri and New Hampshire Join REPLICA

(07/10/18) Governor Chris Sununu signed SB 370 on July 2, 2018, paving the way for New Hampshire’s entry into the Recognition of EMS Personnel Licensure Interstate Compact (REPLICA). The bill was introduced in December 2017 and passed in one legislative session. The law becomes effective on August 31, 2018. New Hampshire will be the 15th state to join REPLICA and the first New England state to pass REPLICA legislation.

Governor Mike Parson signed SB 870 on July 6, 2018, finalizing the legislation for Missouri to become the 16th state to join REPLICA. This legislation has been under consideration for two years and represents the support of many persons and advocates. Special recognition goes to Rep. Kathleen Swan for her tireless support of this initiative. The law becomes effective on August 28, 2018. Missouri joins its adjacent neighbors from Kansas, Nebraska and Tennessee as members of REPLICA.

As a result of the new legislation in these two states, EMS personnel in New Hampshire and Missouri will be afforded a privilege to practice under authorized conditions in other REPLICA states. Congratulations to both states

CMS Releases Guidance on How States Can Leverage Medicaid Technology to Address the Opioid Crisis

(06/18/18) On June 11, 2018, the Centers for Medicare & Medicaid Services (CMS) released guidance through State Medicaid Director’s Letter SMD#18-006 on how states can leverage Medicaid technology to address the opioid crisis. EMS is identified as partners that could benefit from having access to prescription drug monitoring programs (PDMP) data through health information exchange. The letter also reiterates to State Medicaid Directors the importance of adding data sources, including EMS data, to the Medicaid system to help close referral loops, enable appropriate follow-up, and coordinate patient care.

The material published on the NASEMSO Web site is for informational purposes only. NASEMSO does not support, endorse or recommend any position, product or service unless explicitly stated.