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NFPA 450 2021

NFPA 450 2021

$80.71

NFPA 450: Guide for Emergency Medical Services and Systems

Published By Publication Date Number of Pages
NFPA 2021 47
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Design more effective emergency medical services (EMS) systems with the guidelines and expert recommendations in NFPA 450. Make your local EMS system as effective and proficient as possible. To serve the public and support first responders, pre-hospital care must be skillfully coordinated and provisioned. The comprehensive 2021 edition of NFPA 450, Guide for Emergency Medical Services and Systems, provides the guidelines, resources, and recommendations you need to comprehensively develop and design your EMS system. This document can be used as a template when developing an EMS system, as well as during the evaluation of measurable outcomes. It provides a framework for evaluating systems and making improvements to create the best possible EMS procedures. NFPA 450 reflects the rapidly changing health care environment and the importance of effective EMS services. With the recent changes to the Affordable Care Act and an increasing need to collect and report data, NFPA 450 puts greater emphasis on the current demands facing health care and EMS responders. Significant changes and additions to the 2021 edition of NFPA 450 include the following: Alignment with the newly published NFPA 451, Guide for Community Health Care Programs Further focus on EMS and 9-1-1 systems and less focus on community/mobile health care (now covered by NFPA 451) Clarification of medical control structures and requirements Updates regarding new EMS technologies and data reporting initiatives A new chapter on training for new EMS responders and licensed EMS providers

PDF Catalog

PDF Pages PDF Title
2 Important Notices and Disclaimers
3 Additional Important Notices and Disclaimers
8 Chapter 1 Administration
1.1 Scope.
1.2 Purpose.
Chapter 2 Referenced Publications
2.1 General.
2.2 NFPA Publications.
2.3 Other Publications.
2.4 References for Extracts in Advisory Sections. (Reserved)
Chapter 3 Definitions
3.1 General.
3.2 NFPA Official Definitions.
9 3.3 General Definitions.
12 Chapter 4 System Regulation and Policy
4.1 General.
4.2 Oversight.
4.3 Authorization.
4.4 Evaluation.
4.5 Roles and Responsibilities.
4.6 Service Levels.
4.7 Management Structure.
4.8 Planning.
4.9 Authority to Implement Plans.
4.10 Resources.
4.11 Participation in Policy Development.
4.12 Authority for Policy, Procedure, and Operation.
4.13 Patient Information Protection.
Chapter 5 EMS System Analysis and Planning
5.1 Introduction.
5.2 Analysis of System Resources.
13 5.3 Community Needs Analysis.
5.4 System Design Analysis.
14 5.5 Continual Risk Assessment and Planning.
5.6 Call Processing.
5.7 Geography.
5.8 First Response.
5.9 Demographics.
5.10 Regulatory Environment.
5.11 Additional System Needs.
5.12 Disasters.
15 5.13 Medical Center Resources.
5.14 EMS System PlanningRisk Reduction.
5.15 Resource Allotment.
5.16 Master Planning/Forecasting.
5.17 Public Education and Injury/Illness Prevention.
5.18 Other Programs.
5.19 Public Health.
5.20 EMS Quality Measures.
Chapter 6 Finance
6.1 Determining Cost of an EMS System.
6.2 Method for Anticipating EMS System Funding Sources.
16 6.3 Use of Revenue and Cost Analysis.
6.4 Financial Plans.
6.5 Business Analysis.
6.6 Additional Financial Issues.
Chapter 7 Medical Oversight
7.1 General.
7.2 Single Medical Authority.
7.3 System Support of Medical Authority.
17 7.4 Medical AuthorityDirector Role.
7.5 Medical Authority Role.
7.6 Medical Director Responsibilities.
7.7 On-LineOnline and Off-Line (Direct and Indirect) Medical Direction.
7.8 Medical Director Qualifications.
18 Chapter 8 Quality Management, Clinical Quality, and Data Reliability
8.1 Quality Management Program.
8.2 Performance Objectives.
8.3 Public Health Clinical Outcome Parameters.
19 8.4 Physician and EMS Leadership Participation.
8.5 Patient Confidentiality.
8.6 Injury/Illness Reduction and Prevention.
8.7 Complaints.
8.8 Participation in Studies and Research.
8.9 System Review.
8.10 Documentation.
8.11 Multiple Clocks Within a System.
8.12 System Transformation.
Chapter 9 Stakeholder Relations
9.1 General.
9.2 EMS System Goals.
9.3 Internal Stakeholder Relations.
9.4 External Stakeholder Relations.
9.5 Regulatory Stakeholders Relations.
9.6 Payer Stakeholder Relations.
9.7 Achieving Stakeholder Relations Success.
20 Chapter 10 Community Education and Risk Reduction
10.1 PublicCommunity Education.
10.2 PublicCommunity Education System Goals.
10.3 Qualifications of Personnel for PIER ActivitiesPersonnel Qualifications.
10.4 PIERCommunity Education Activities.
10.5 Identification of Funding Resources.
10.6 Community Risk Reduction.
Chapter 11 Health Information Technology (HIT) and Communications Technology
11.1 Interoperability in Health Care Information and Management Systems.
21 11.2 Patient Care Record Accessibility.
11.3 Data Security.
11.4 Communications.
11.5 Lead Agency.
11.6 Centralized Communication Plan.
11.7 Computer-Aided Dispatch.
22 11.8 Quality Management.
11.9 CommunicationsCommunication Equipment.
11.10 Operability.
11.11 Criteria-Based Dispatch.
11.12 Training.
11.13 Direct Medical Control.
11.14 Nonemergency Services.
11.15 Telemedicine.
11.16 Telehealth.
Chapter 12 Equipment and Facilities
12.1 Standard for First Response and Ambulance Transportation.
23 12.2 Replacement and Maintenance Plan.
12.3 Response Vehicle Licenses.
12.4 Inspecting Emergency Equipment.
12.5 Personnel Education and Training.
12.6 Maintenance Plans.
12.7 Maintenance Personnel for Emergency Equipment.
12.8 Response Facilities.
Chapter 13 Human Resources
13.1 Introduction.
13.2 Recruitment.
13.3 Retention.
13.4 Personnel.
13.5 Rules and Regulations.
24 13.6 Health and Safety.
Chapter 14 Operations
14.1 Implementation of System Design (Operations).
14.2 System and Agency Preparation.
14.3 Communications Coordination.
14.4 Response Coordination.
14.5 Incident Management.
14.6 Treatment Guidelines.
14.7 Patient Destination (Transport)Guidelines.
14.8 Functional Capabilities of Health Care Facilities.
14.9 Coordinated Medical Oversight.
14.10 Logistics.
14.11 Staff Management.
14.12 Public Information, Education, and Relations.
14.13 Regulatory Compliance.
14.14 Automatic and Mutual Aid.
14.15 Coordinated Training Plan.
14.16 Emergency Response Planning.
25 14.17 Nonconventional Resources.
14.18 System Goals and Objectives Analysis.
14.19 Infectious Diseases.
Chapter 15 Training and Education
15.1 General.
15.2 Training Program.
15.3 Certification/Licensure.
15.4 Professional Development Program.
15.5 Educational Opportunities.
26 15.6 Vehicle Operations Training.
Annex A Explanatory Material
30 Annex B Time Intervals and Components
33 Annex C Informational References

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NFPA 450 2021
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