Statewide Implementation of an Evidence Based Guideline


This four-year project was funded by the National Highway Traffic Safety Administration, Office of EMS (NHTSA OEMS) with supplemental funding from the Health Resources and Services Administration (HRSA)Emergency Medical Services for Children (EMSC) Program, and was awarded to NASEMSO through a competitive application process in September 2013. The objective of this grant is to support the use and further refinement of the National Evidence-Based Guideline (EBG) Model Process, developed under the auspices of the Federal Interagency Committee on EMS (FICEMS) and the National EMS Advisory Council (NEMSAC). Using a Pain Management Guideline (with special attention paid to pediatric patients), this project focused on the last three steps of the EBG Model Process: Dissemination, Implementation and Evaluation. Five states participated in this project: Arizona, Idaho, Kansas, Tennessee, and Wyoming. The project ended in September 2017.


Final Report

Toolkit & Supplemental Documents

Educational Resources

Evaluation Resources

Co-Principal Investigators

  • Matt Sholl, MD (State EMS Director, Maine)
  • Peter Taillac, MD (State EMS Director, Utah)


  • Rachael Alter (NASEMSO, Project Lead)
  • Dia Gainor (NASEMSO)
  • Jeff Lindsey, PhD (Lead Educator)
  • Kristin Lauria Gurley (Lead Assessment & Evaluation Designer)
  • Kathleen Adelgais, MD (Pediatric Emergency Medicine Specialist)
  • Janet Houston (NASEMSO PEC Council Representative)
  • Joe Ferrell (NASEMSO EPS Council Representative)
  • Lindsey Narloch (NASEMSO Data Manager Council Representative)

For More Information

Rachael Alter, BA, QAS
NASEMSO Program Manager