2017 NFPA 450 Guide - Current Edition
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  • Description

    Design effective emergency medical services (EMS) systems with the guidelines and expert recommendations in NFPA 450.

    Make sure your local EMS system is one of the best. To serve the public and support first responders, effective provision of pre-hospital care requires the coordination and cooperation of disparate elements. The comprehensive 2017 edition of NFPA 450: Guide for Emergency Medical Services and Systems provides the guidelines, resources, and recommendations you need for comprehensive EMS systems development and/or design.

    This document is useful as a template when developing an EMS system as well as in the evaluation of measurable outcomes. It provides a framework for evaluating systems and making improvements based on that evaluation.

    Essential for agencies looking to establish an EMS system, the 2017 edition of NFPA 450:

    • Reflects changes in the delivery of healthcare services as a result of the Affordable Care Act
    • Adds new coverage for Mobile Integrated Healthcare and Community Paramedicine -- growing areas in the delivery of EMS
    • Includes greater emphasis on the importance of the Chain of Survival
    • Covers the issue of addressing public health as part of an EMS system, in response to recent health-related events
    • Highlights data collecting and the reporting of that data
    • Features updated references throughout

    NFPA 450 correlates with other federal EMS documents and is consistent with commonly used terminology in the EMS community. Everyone from local stakeholders to owners and staff of agencies and organizations needs the latest edition. (Print, 42 pp., 2017)


    Interested in other editions of NFPA 450? Use the drop down menu above to select the edition year you need.

  • Table of Contents (2017 Current Edition)

    NFPA® 450 Guide for Emergency Medical Services and Systems, 2017 Edition

    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.
    Chapter 3 Definitions
    3.1 General.
    3.2 NFPA Official Definitions.
    3.3 General Definitions.
    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.
    5.3 Community Needs Analysis.
    5.4 System Goals and Objectives Analysis.
    5.5 System Design Analysis.
    5.6 Essential System Analysis Components.
    5.7 EMS System Planning.
    5.8 Continual Risk Assessment and Planning.
    5.9 System Assessment Cycle.
    5.10 Current Conditions.
    5.11 Data Element/Collection/Analysis/Reporting.
    5.12 Feedback Loop.
    Chapter 6 Finance
    6.1 Determining Cost of System.
    6.2 Method for Anticipating System Funding Sources.
    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.
    7.4 Medical Authority Role.
    7.5 Medical Director Responsibilities.
    7.6 On-Line and Off-Line (Direct and Indirect) Medical Direction.
    7.7 Medical Director Qualifications.
    Chapter 8 Quality Management, Clinical Quality, and Data Reliability
    8.1 Quality Management Program.
    8.2 Performance Objectives.
    8.3 Public Health Outcome Parameters.
    8.4 Physician 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.
    Chapter 9 Public Information, Education, and Relations (PIER)
    9.1 Public Education.
    9.2 Public Education System Goals.
    9.3 Qualifications of Personnel for PIER Activities.
    9.4 PIER Activities.
    9.5 PIER Activities Related to Mass Gatherings.
    9.6 PIER Activities.
    9.7 EMS Agenda for the Future.
    9.8 Disaster Education.
    9.9 Collaborative Efforts.
    9.10 Identification of Available Public Media Resources.
    9.11 Identification of Funding Resources.
    Chapter 10 Communications
    10.1 Introduction.
    10.2 Access of Emergency Services.
    10.3 Lead Agency.
    10.4 Centralized Communication Plan.
    10.5 Computer-Aided Dispatch.
    10.6 Capture of Key Data Elements.
    10.7 Quality Management.
    10.8 Communications Equipment.
    10.9 Operability.
    10.10 Criteria-Based Dispatch.
    10.11 Training.
    10.12 Direct Medical Control.
    10.13 Nonemergency Services.
    Chapter 11 Equipment and Facilities
    11.1 Standard for First Response and Ambulance Transportation.
    11.2 Replacement Plan.
    11.3 Response Vehicle Licenses.
    11.4 Inspecting Emergency Equipment.
    11.5 Personnel Education and Training.
    11.6 Maintenance Plans.
    11.7 Maintenance Personnel for Emergency Equipment.
    11.8 Response Facilities.
    Chapter 12 Human Resources
    12.1 Introduction.
    12.2 Recruitment.
    12.3 Education/Training/Certification.
    12.4 Retention.
    12.5 Personnel.
    12.6 Rules and Regulations.
    12.7 Health and Safety.
    Chapter 13 Operations
    13.1 Implementation of System Design (Operations).
    13.2 System Preparation.
    13.3 Communications Coordination.
    13.4 Response Coordination.
    13.5 Incident Management.
    13.6 Treatment Guidelines.
    13.7 Patient Destination (Transport).
    13.8 Functional Capabilities of Health Care Facilities.
    13.9 Coordinated Medical Oversight.
    13.10 Quality Management/Documentation.
    13.11 Logistics.
    13.12 Staff Management.
    13.13 Public Information, Education, and Relations.
    13.14 Regulatory Compliance.
    13.15 Automatic and Mutual Aid.
    13.16 Alternative Patient Transport.
    13.17 Training.
    13.18 Emergency Response Planning.
    13.19 Joint Coordination and Planning.
    13.20 Research and Development.
    Annex A Explanatory Material
    Annex B Informational References
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