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  • NJ S5
  • Establishes data reporting requirements for emergency medical services providers and dispatch centers.
In Committee
Crossed Over
2016-2017 Regular Session
This bill establishes certain reporting requirements for emergency medical services (EMS) providers and dispatch centers. Specifically, each EMS provider that provides pre-hospital emergency medical care to patients in the State, including basic life support ambulance services, mobile intensive care units, air medical services, and volunteer and non-volunteer first aid, rescue, and ambulance squads, will be required to report to the Department of Health (DOH) certain information concerning each incident in which the entity provides emergency medical services. This information is to be reported in the most current format used by the National Emergency Medical Services Information System (NEMSIS) and will include: the date, time, and location of the encounter; the nature of the medical emergency, including the number of persons requiring emergency medical services and their conditions; any emergency medical treatment or services provided; the name and certification or professional licensure of each professional staffing the EMS provider unit during the encounter; whether any other EMS providers responded to the request for services; the outcome of the encounter, including whether each person receiving services was treated, refused additional treatment, was transported to a hospital or other health care facility or transferred to another EMS provider for further treatment, or died; and any other particulars of the encounter as may be relevant or as may be required by the Commissioner of Health. Additionally, EMS dispatch centers will be required to report to DOH, in a standardized format as required by the commissioner by regulation, certain information concerning each request for emergency medical services received by the dispatch center, including: the date, time, and location of the request for services; the nature and circumstances of the emergency, as provided to the dispatch center; the identity of each EMS provider dispatched; and any other particulars of the request as may be relevant or as may be required by the commissioner. The commissioner will be required to establish a system to allow for the electronic reporting of EMS dispatch and response information pursuant to the bill. DOH will be required to furnish to EMS providers and dispatchers, without charge, any software or programs developed by the DOH for accessing and using the electronic reporting system. Information will be reported to the system in a format and at such intervals as the commissioner requires, except that, to the extent possible, the system is to be designed to interact with existing systems used by EMS providers and dispatch centers, including, but not limited to, emsCharts and Image Trend, so as to facilitate automated, real-time reporting. The electronic reporting system is to record and track data concerning the types of medical emergencies for which emergency medical services are requested, patterns in the timing and location of requests for emergency medical services, patterns in the type or nature of emergency medical services provided, and patterns in dispatch and response activity. Additionally, commencing 24 months after the effective date of the bill, the commissioner will have the option to track and record response times for EMS providers. The commissioner, in consultation with the Emergency Medical Services Advisory Council currently constituted in DOH, will be required to adopt rules and regulations establishing quality performance metrics and pre-hospital protocols for emergency medical services providers, which are to be based on the data tracked and recorded under the bill. The commissioner is to review and update the rules and regulations concerning quality performance metrics and pre-hospital protocols as appropriate. The bill additionally requires the commissioner to establish, maintain, and coordinate the activities of the New Jersey Emergency Medical Services Task Force. The purpose of the task force will be to support and enhance the provision of specialized response services, utilizing personnel and equipment to respond as requested, for both pre-planned and emergency events, including natural disasters, mass casualty incidents, and chemical, biological, radiological, nuclear, and explosive events, in order to reduce morbidity and mortality through appropriate triage, incident management, and coordinated pre-hospital care and transportation. The membership of the task force is to represent all regions of the State and include first responders, emergency medical technicians, paramedics, registered nurses, physicians, communications specialists, hospitals, agencies providing emergency medical responder and other emergency medical services, and communication centers utilized for the purpose of providing emergency medical services. It is the sponsor's belief that enhanced EMS data tracking is essential to improving the EMS system of care in New Jersey. Throughout both the nation and the health care industry, technological innovations have enhanced the ability to track and utilize patient care data to improve outcomes and efficiencies and realize cost savings. In the context of emergency medical services, enhanced data tracking and reporting can help expedite hospitals' receipt of EMS triage reports, helping ensure that health care professionals at the hospital are aware of an incoming patient's treatment needs and are better prepared to provide appropriate care upon arrival. Additionally, enhanced data reporting can help identify trends in particular types of interventions, such as the administration of opioid antidotes to treat overdose victims, which can help foster improved responses to the rashes of overdose incidents that frequently result from tainted or unusually potent opioids being present in a given geographic area. Further, individual EMS squads can use their own data sets to optimize the internal improvements needed to enhance squad performance. The sponsor believes that improving the collection and use of EMS data in New Jersey will help realize these benefits and improvements throughout the New Jersey EMS system of care, and that the cost savings realized through enhanced data collection and use will offset any costs associated with implementing the new system.
2nd Reading in the Senate, Bills and Joint Resolutions Signed by the Governor, Health, Human Services and Senior Citizens, Passed both Houses
Approved P.L.2017, c.116.  (on 7/21/2017)
Date Chamber Action Description
7/21/2017 A Approved P.L.2017, c.116.
6/22/2017 A Passed Assembly (Passed Both Houses) (72-0-0)
6/22/2017 A Substituted for A4925 (2R)
6/22/2017 A Received in the Assembly without Reference, 2nd Reading
6/22/2017 S Passed by the Senate (38-0)
6/19/2017 S Senate Amendment (31-0) (Vitale)
6/1/2017 S Reported from Senate Committee with Amendments, 2nd Reading
6/1/2017 Senate Health, Human Services and Senior Citizens Hearing (19:00 6/1/2017 *Revised 5/30/17 S-5 added)
5/25/2017 S Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
Date Motion Yea Nay Other
Detail 6/22/2017 Assembly Floor: Substitute For A4925 Aca (Voice Vote) 0 0 0
Detail 6/22/2017 Assembly Floor: Third Reading - Final Passage 72 0 8
Detail 6/22/2017 Senate Floor: Third Reading - Final Passage 38 0 2
Detail 6/19/2017 Senate Floor: Second Reading (Voice Vote) 0 0 0
Detail 6/19/2017 Senate Floor: Amend 31 0 9
Detail 6/1/2017 Senate Health, Human Services and Senior Citizens Committee: Reported with Amendments 9 0 0