NFPA 450:2021

Chapter 1 Administration1.1 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. 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 Design Analysis. 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.5.13 Medical Center Resources.5.14 EMS System Risk 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 Finance6.1 Determining Cost of an EMS System.6.2 Method for Anticipating EMS System Funding Sources.6.3 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 Medical Authority.7.3 System Support of Medical Authority.7.4 Medical Director Role.7.5 Medical Authority Role.7.6 Medical Director Responsibilities.7.7 Online and Off-Line (Direct and Indirect) Medical Direction.7.8 Medical Director Qualifications.Chapter 8 Quality Management, Clinical Quality, and Data Reliability 8.1 Quality Management Program.8.2 Objectives.8.3 Public Health Clinical Outcome Parameters.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.Chapter 10 Community Education and Risk Reduction 10.1 Community Education.10.2 Community Education Goals.10.3 Personnel Qualifications.10.4 Community 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.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.11.8 Quality Management.11.9 Communication 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.12.2 Replacement and Maintenance Plan.12.3 Response Vehicle Licenses.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 Resources13.1 Introduction. 13.2 Recruitment.13.3 Retention. 13.4 Personnel.13.5 Rules and Regulations.13.6 Health and Safety. Chapter 14 Operations14.1 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 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.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. 15.6 Vehicle Operations Training. Annex A Explanatory Material Annex B Time Intervals and ComponentsAnnex C Informational References

This document is designed to assist individuals, agencies, organizations, or systems as well as those interested or involved in emergency medical services (EMS) system design.