News & Events


National EMS Scope of Practice Model Now Available

April 9, 2019

The National EMS Scope of Practice Model represents the foundation for the knowledge and skills necessary for the four levels of EMS clinicians.  The 2019 version, just released by the National Highway Traffic Safety Administration (NHTSA) Office of EMS represents the first significant revision since the Model was first published in 2007. It identifies the minimum recommended practice expectations in advance of gaining field experience (and prior to supervised or individual work experience), not the limits for EMS practice determined by the state and/or EMS medical director. An expert panel considered data from a systematic review of literature, national evidence-based guidelines, and input from the EMS community over a period of 2 years.  Rationale for specific changes are described in the document. The 2019 National EMS Scope of Practice Model is now available at

Wyoming Partners with Biospatial

February 26, 2019

The Wyoming Department of Health, Public Health Division has completed Data Use and Analytic Agreements to become the 17th state to partner with Biospatial, Inc. The Wyoming Department of Health will be submitting National EMS Information System (NEMSIS) data  elements to the Biospatial Platform to both assist in national preparedness and enhance the state’s ability to visualize their data with other data layers of relevance.

Andy Gienapp, Director of Wyoming’s Office of EMS, looks forward to using the EMS data to drive policy and system design.  He states, “You can’t do that unless your data is comprehensive, linked, and easily digestible. We think our agreement with Biospatial can help paint that picture for us, to give us the real picture of what’s happening in Wyoming, and then an opportunity to make a difference.” By linking EMS data to traffic and trauma data, the system can be evaluated to find what works in EMS to improve patient outcomes.

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Promoting Innovations in Emergency Medical Services National Framework Document Released

February 20, 2019

The “Promoting Innovations in Emergency Medical Services” Project was administered by the Mount Sinai Health System in collaboration with the University of California, San Diego Health System. It was funded and supported by the United States National Highway Traffic Safety Administration, Office of Health Affairs, the Department of Homeland Security and the Department of Health & Human Services.

This project was intended to respond to the call from a variety of stakeholders for the federal government to support the implementation and dissemination of innovative Emergency Medical Services (EMS) delivery models. Regulatory, financial, technological, and other barriers have posed challenges to innovation in EMS. The project involved broad stakeholder involvement over a multi-year period to develop a national framework document providing guidance to overcome commonly faced barriers to innovation at the local or state level, and foster the development of new innovative models of healthcare delivery within EMS. Read More

HHS launches innovative payment model with new treatment and transport options to more appropriately and effectively meet beneficiaries’ emergency needs

February 14, 2019

HHS launches innovative payment model with new treatment and transport options to more appropriately and effectively meet beneficiaries’ emergency needs

Supporting ambulance triage options aims to allow beneficiaries to receive care at the right time and place

Today, the U.S. Department of Health and Human Services (HHS), Center for Medicare and Medicaid Innovation (Innovation Center), which tests innovative payment and service delivery models to lower costs and improve the quality of care, announced a new payment model for emergency ambulance services that aims to allow Medicare Fee-For-Service (FFS) beneficiaries to receive the most appropriate level of care at the right time and place with the potential for lower out-of-pocket costs.  Read More

The need for EMTs and paramedics is growing, but finding people to fill the jobs isn’t easy

February 1, 2019

  • Northern Light Health’s medical transport and emergency care in Maine is currently about 10 percent understaffed.
  • EMTs and paramedics are in demand around the country, with some 37,400 jobs set to be added through 2026, a 15 percent increase.
  • About five years ago, there were 15 to 20 applicants per open position at Northern Light. Today, it’s not uncommon to post a job and have zero applicants.
  • The health-care industry has added 368,000 jobs over the past year, while unemployment continues to hover near historic lows.

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NHTSA: EMS 2050 Agenda Released

January 31, 2019

EMS Agenda 2050 describes a people-centered vision for the future of EMS

After more than two years of stakeholder and public input, the Office of EMS at the National Highway Traffic Safety Administration and its federal partners today released “EMS Agenda 2050: A People-Centered Vision for the Future of Emergency Medical Services.” The document describes a vision for evidence-based, data-driven EMS that is integrated with the rest of the nation’s healthcare system.

“The release of EMS Agenda 2050 marks a beginning, not an end. It is now up to all of us to work together to make this vision a reality,” said Jon Krohmer, MD, director of the NHTSA Office of EMS. “NHTSA and our federal partners appreciate the work of the Technical Expert Panel, project team, and everyone who contributed to this effort. They have provided an inspiring framework on which to build.”

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NSC Press Release on Accidental Opioid Overdoses

January 14, 2019

Opioid OD Surpasses MVC in New NSC Report on Odds of Dying

For the first time in U.S. history, Americans are more likely to die from an opioid overdose than a motor vehicle crash. A new report from the National Safety Council (NSC) found that Americans have a 1 in 96 chance of dying from an opioid overdose, while the probability of dying in a motor vehicle crash is 1 in 103. The rising rates of overdoses is part of an overall trend of Americans dying from preventable, unintentional injuries that has increased over the past 15 years. Read more at

Alaska and Georgia Partner with Biospatial

November 27, 2018

November 27, 2018 (Falls Church, Va.) – The Alaska Department of Health and Social Services, Division of Public Health and the Georgia Department of Public Health have recently completed Data Use and Analytic agreements with Biospatial, Inc. These states will be submitting National Emergency Medical Services Information System (NEMSIS) data elements to the Biospatial Platform to both assist in national preparedness and enhance their ability to visualize and understand their data with other data layers of relevance. Read More

Fatigue EBG Implementation Guidebook Now Available!

October 29, 2018

October 29, 2018 (Falls Church, Va.) The National Association of State EMS Officials (NASEMSO) partnered with the University of Pittsburgh School of Medicine to develop “Evidence-Based Guidelines (EBG) for Fatigue Risk Management in Emergency Medical Services” published in the journal Prehospital Emergency Care in January 2018. The aim of the guidelines is to mitigate the effects of fatigue with recommendations based on a comprehensive evaluation of the best available evidence related to numerous fatigue mitigation strategies. Now, as an adjunct to the guidelines, NASEMSO and the University of Pittsburgh have joined forces to produce an Implementation Guidebook to complement the scientific papers, which includes a condensed summary of each recommendation and sample policy statement templates that may be tailored/edited to the needs of local agencies. Read More

New Framework Supports EMS Scope of Practice Decisions

October 29, 2018

The National Association of State EMS Officials (NASEMSO) has collaborated with the National Council of State Boards of Nursing (NCSBN) to provide a derivative work of their decision-making framework to compliment state-based rules and regulations related to EMS scope of practice.  NASEMSO’s “Scope of Practice Model Decision-Making Framework for Emergency Medical Services” is now available on NASEMSO’s website at Read More