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EMS Workforce Planning & Development

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EMS Workforce Planning & Development EMS Workforce Planning & Development GUIDELINES FOR STATE ADOPTION October 2014 Preparation of this publication was funded through a Cooperative Agreement between the National Association of State Emergency Medical Services Officials and the National Highway Traffic Safety Administration [DTNH22-11-H-00338/0003]. Supplemental funding was provided by the EMS for Children Program of the Maternal and Child Health Bureau, Health Resources and Services Administration. The opinions, findings, and conclusions expressed in this publication are those of the author(s) and not necessarily those of the Department of Transportation or the National Highway Traffic Safety Administration. The United States Government assumes no liability for its contents or use thereof. If trade or manufacturers’ name or products are mentioned, it is because they are considered essential to the object of the publication and should not be construed as an endorsement. The United States Government does not endorse products or manufacturers. Core Ten EMS Workforce Guidelines Table of Contents Acronym List ............................................................................................................... 3 Foreword .................................................................................................................... 5 Executive Summary..................................................................................................... 6 Purpose Statement ...................................................................................................................................................... 8 Overview of Guidelines............................................................................................................................................... 8 Conclusion ..................................................................................................................................................................... 10 Background, Rationale and Needs Assessment .......................................................... 11 Summary of EMS Workforce for the 21st Century: A National Assessment ................................. 11 Workforce Supply....................................................................................................................................................... 12 Workforce Demand ................................................................................................................................................... 12 Workforce Shortages ................................................................................................................................................ 14 Critical Policy Issues ................................................................................................................................................. 14 Summary of the EMS Workforce Agenda for the Future ......................................................................... 15 Health, Safety and Wellness of the EMS workforce .................................................................................... 16 Education and Certification .................................................................................................................................. 17 Data and Research .................................................................................................................................................... 18 Workforce Planning and Development ............................................................................................................ 19 State EMS Office Overview........................................................................................ 20 Brief History............................................................................................................................................................. 20 Regulatory Practices of State EMS Offices ................................................................................................... 20 EMS Data Collection Issues ................................................................................................................................ 22 State Workforce Agencies ......................................................................................... 24 Local One-Stop Career Centers ........................................................................................................................ 25 Levels of Service Provided ...................................................................................................................................... 26 Youth Programs .......................................................................................................................................................... 27 Workforce Data Collection, Planning & Development Resources ............................... 27 California’s Health Workforce Clearinghouse .............................................................................................. 29 Health Workforce Information Center ............................................................................................................. 29 Bridging the Gap..................................................................................................................................................... 30 Guidelines for State EMS Office Implementation ....................................................... 31 Guideline 1 Acquire Essential Workforce Data ......................................................................................... 33 Guideline 2 Engage Local EMS Agencies ...................................................................................................... 40 Guideline 3 Engage State Workforce Agencies .......................................................................................... 43 Guideline 4 Credential EMS Educators ......................................................................................................... 45 Guideline 5 Obtain Educational and Institutional Data ......................................................................... 46 Guideline 6 Understand the EMS Education Pipeline ............................................................................. 49 Guideline 7 Quantify Population Actively Functioning in a Paid or Volunteer Capacity ......... 54 Guideline 8 Understand EMS Workforce Demand ................................................................................... 57 Guideline 9 Support Military & Spouses Transitioning to the EMS Workforce ........................... 61 Guideline 10 Maintain a Healthy EMS Workforce .................................................................................... 64 Appendix – Workforce Research and Literature Review .... 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Page 2 of 66 Core Ten EMS Workforce Guidelines Acronym List ACOs Accountable Care Organizations ACEP American College of Emergency Physicians AEMT Advanced Emergency Medical Technician ALS Advanced Life Support AMA American Medical Association BLS Basic Life Support CES Current Employment Statistics CMS Centers for Medicare & Medicaid Services CPS Current Population Survey CAAHEP Commission on Accreditation of Allied Health Education Programs CoAEMSP Committee on Accreditation of Educational Programs for the EMS Professions HHS Department of Health & Human Services (federal) DOL Department of Labor EMR Emergency Medical Responder EMT Emergency Medical Technician EMT-I Emergency Medical Technician – Intermediate EMS Emergency Medical Services EMSC Emergency Medical Services for Children FTE Full-Time Equivalent HRSA Health Resources and Services Administration HWIC Health Workforce Information Center HWRC Health Workforce Research Centers ITAs Individual Training Accounts LEADS Longitudinal EMT Attributes and Demographics Study LPN Licensed Practical Nurse LVN Licensed Vocational Nurse LWIB Local Workforce Investment Boards NAPA National Academy of Public Administration NASEMSO National Association of State Emergency Medical Services Officials NASWA National Association of State Workforce Agencies NCSEMSTC National Council of State Emergency Medical Services Training Coordinators NCES National Center for Education Statistics NEMSAC National EMS Advisory Council NEMSIS National EMS Information System NGO Non-Governmental Organization NHWC National Health Care Workforce Commission NHTSA National Highway Traffic Safety Administration NIOSH National Institute for Occupational Safety and Health NTCCM Nursing Turnover Cost Calculation Methodology Page 3 of 66 Core Ten EMS Workforce Guidelines NREMT National Registry of Emergency Medical Technicians OES Occupational Employment Statistics OSHPD Office of Statewide Health Planning and Development PPACA Patient Protection and Affordable Care Act UI Unemployment Insurance TAC Technical Assistance Center WIA Workforce Investment Act WMD Weapons of Mass Destruction Note: This is the first generation of workforce related guidelines; future work may evolve. These guidelines are developed as a tool and they do not address issues related to staffing, ambulance distribution and access or population-based supply, demand and needs assessments. Page 4 of 66 Core Ten EMS Workforce Guidelines Foreword In the United States, emergency medical care is available to individuals suffering from medical emergencies and traumatic injuries. The core components of this system typically consist of 9-1-1 centers and operators, first responders, Emergency Medical Services (EMS) personnel,
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