NOTICES
DEPARTMENT OF HEALTH
Division of Emergency Medical Services Systems; Notice of Funding Priorities
[26 Pa.B. 2533] Under 28 Pa. Code § 1001.23(b) (relating to allocation of funds), the Department of Health (Department) hereby gives notice of priorities for the distribution by the regional emergency medical services (EMS) councils of funding from the Emergency Medical Services Operating Fund (EMSOF) which will be distributed by the Department to regional EMS councils for the fiscal year beginning July 1, 1996 and ending June 30, 1997. The priorities are as follows:
1. State Priorities
A. Training Programs for Prehospital Personnel
Training programs for all prehospital personnel (for example, first responders, emergency medical technicians and paramedics) who will be responsible for providing EMS to patients outside of the hospital setting. Training institutes shall be accredited to insure that size and number of training programs are adequate to assure that ambulance services have a sufficient number of prehospital personnel to meet public need. Up to 100% in EMSOF funds shall be made available to procure essential equipment for training programs, but EMSOF funds shall not be used to pay the cost of course coordinators and primary and secondary instructors without the approval of the Department.
B. Management Support or Equipment for Providing Basic Life Support (BLS) Services To Areas In Need
Management support or purchase of equipment needed for the establishment of BLS ambulance service operations to serve areas not currently served by BLS ambulances within 10 minutes of dispatch, and identified as feasibly needed by regional planning. EMSOF funds shall be used up to the following amounts for urban and rural areas:
Maximum BLS EMSOF Equipment
Reimbursement*
Items Urban Rural BLS Vehicle/Management Support 15,000 20,000 Essential Equipment
(See Table 1)6,650 7,980 Communications Equipment
(See Table 2)5,500 6,600 Maximum Eligible Reimbursement 27,150 34,580 * Figures are dollar amounts per BLS Service.
C. Equipment for the Establishment of New Quick Response Services (QRSs)
Purchase of equipment needed for the establishment of new QRS services outside the 10 minute response area of current ambulance services and identified as feasibly needed by regional planning. EMSOF funds shall be used up to the following amounts for urban and rural areas:
Maximum QRS EMSOF Equipment
Reimbursement*
Items Urban Rural Essential Equipment
(See Table 1)5,250 10,300 Communications Equipment
(See Table 2)5,500 6,600 Maximum Eligible Reimbursement 10,750 12,900 *Figures are dollar amounts per QRS.
D. Management Support or Equipment for Providing Advanced Life Support (ALS) To Areas in Need
Management support or purchase of equipment needed for the establishment of ALS ambulance service operations to serve areas not currently served by ALS ambulances within 20 minutes of dispatch, and identified as feasibly needed by regional planning. EMSOF funds shall be used up to the following amounts for urban and rural areas:
Maximum ALS EMSOF Equipment
Reimbursement*
Items Urban Rural Mobile Intensive Care Unit (MICU) 15,000 20,000 Essential Equipment
(See Table 1)13,400 16,080 Communications Equipment
(See Table 2)5,500 6,600 Maximum Eligible
Reimbursement33,900 42,680 ALS Non-Transport Unit** 7,500 9,000 Essential Equipment 12,000 14,400 Communications Equipment
(See Table 2)5,500 6,600 Maximum Eligible
Reimbursement25,000 30,000 * Figures are dollar amounts per service.
** ALS Squad UnitII. Regional Priorities
The following categories may be funded and may be prioritized by each regional EMS council based on the needs determined within their region:
A. Vehicle Replacement--One vehicle per ambulance service may be replaced or rechassied during a 5-year period based on the following criteria and priorities:
First Priority:
BLS/ALS ambulances, including ALS non-transport squad vehicles that are 10 years old or older, according to the following priorities:
a. Single vehicle service (1st priority)
b. Two vehicle service (2nd priority)
c. Three vehicle service (3rd priority)
d. Greater than three vehicle service (4th priority)
Second Priority:
BLS/ALS ambulances, including ALS non-transport squad vehicles that are 5 years old or have at least 80,000 miles, according to the following priorities:
a. Single vehicle service (1st priority)
b. Two vehicle service (2nd priority)
c. Three vehicle service (3rd priority)
d. Greater than three vehicle service (4th priority)
Third Priority:
Any ALS unit over 3 years old and interfacing with multiple BLS services.
Maximum EMSOF Vehicle Replacement
Reimbursement*
Items Urban Rural BLS/MICU Vehicle 15,000 20,000 ALS Non-Transport Vehicle
(ALS Squad Unit)7,500 9,000 * Figures are dollar amounts per vehicle.
The Department may increase the amount of reimbursement from EMSOF funds based upon the financial hardship of an ambulance service. An ambulance service that seeks additional EMSOF funds because of financial hardship, to replace or rechassis a vehicle, shall be required to submit a financial disclosure statement and other documentation deemed necessary by the Department.
B. Essential Equipment for ALS/BLS/QRS Services--new or replacement. (See Table 1)
C. Communications Equipment for ALS/BLS/QRS Services--new or replacement. (See Table 2)
D. Regional EMS Council Special Needs--These items are eligible based on individual needs of each regional EMS council and are defined in regional plans.
E. Rescue Equipment for ALS and BLS services or for any service providing rescue coverage for an ambulance service:
Maximum EMSOF Regional Rescue Reimbursement* * Figures are dollar amounts per service.
Items Life Maximum Urban* Rural* Expectancy allowable cost Air Chisel Set 10 Yrs 1,000 500 600 Toxic Environment Detection Device 10 Yrs 2,000 1,000 1,200 Come-Along, Chain (1 1/2 Ton) (including 4 chains--6' maximum) 10 Yrs 800 400 480 Hydraulic Tool** 5 Yrs 15,000 7,500 9,000 Personal Protection Equipment (boots, pants, coat and helmet--any combination) 5 Yrs 5,000 2,500 3,000 Porta-Power--10 Ton 10 Yrs 1,500 750 900
** For rescue services along the highway corridors which have been identified with high accident mortality rates. If cost is less than $15,000, the reimbursement will be limited to 25% for urban areas and 35% for rural areas.F. Recruitment/Retention Programs--for ambulance services for their activities in recruiting community volunteers to staff the services. Funding amounts to be set by each regional EMS council.
G. Data Collection hard and software--alternate method collection systems which must be approved by the Department with a maximum allowable cost of $4,000 for medical command facilities; $3,000 for receiving facilities, and $2,000 for individual ambulance services or 50%, whichever is less. The facilities must have 10,000 or more emergency patients, and the ambulance services in urban areas must transport 2,000 patients, and those in rural areas must transport 1,000 patients per year.
III. Regional Communication System Development Equipment
Purchase of equipment for the establishment or upgrading of regional communication systems. Any project exceeding $50,000 must be reviewed and approved by the Department of Health.
Table 1
Essential Equipment List
(MICU, ALS Squad, BLS and QRS)Y
Equipment Life MICU ALS/SQ BLS QRS Maximum Urban Rural Description Expectancy Allowable (50% of (60% of Cost*** MAC)*** MAC)*** (MAC) Capnometers
(End Tidal CO2
Detectors)5 Yrs Y Y N N 1,800 900 1,080 Defibrillators (if
replacement
greater than 5
years old or for
new ALS unit)5 Yrs Y Y N N 9,000 4,500 5,400 Including pacer Y Y N N 10,000 5,000 6,000 ++ Including pacer
and 12 leadY Y N N 16,000 8,000 9,600 External
Automatic (AED)N N Y* Y* 6,000 3,000 3,600 Intubation kit (as
per licensure
requirement)5 Yrs Y Y N N 300 150 180 Medical Anti-
shock trousers
(Adult/Pediatric)3 Yrs Y Y Y Y* 600 300 360 Nitrous Oxide
Unit, portable5 Yrs Y Y N N 1,400 700 840 Oxygen Equipment (any combination)
Cylinder (minimum ''D''
size, maximum
2/unit @$80 each)5 Yrs Y Y Y Y 500 250 300 Demand valve
w/hose and maskRegulator
combination
constant flow
Case/soft or hardPulse oximeters 5 Yrs Y Y Y Y+ 1,000 500 600 Splinting/Immobili-
zation devices
(including adult
and pediatric)5 Yrs Y Y Y Y 500 250 300 Stair Chair 5 Yrs Y N Y N 500 250 300 Stretchers 5 Yrs Y N Y N 1,800 900 Primary 1,080 multilevel Y N Y N 500 250 Stretcher chair
combination300 Suction Unit,
portable (battery
operated)3 Yrs Y Y Y Y 500 250 300 Ventillator,
automatic (per
Dept. of Health
Guidelines)5 Yrs Y** Y** Y** Y***/+ 1,400 700 840 Maximum Allowable Cost 26,800 24,000 13,300 10,500 EMSOF Totals 50% 13,400 12,000 6,650 5,250 60% 16,080 14,400 7,980 6,300
Yes
N
No
+
EMT personnel required.
*
Regional approval of AED plan and training program required.
**
Regional approval and completion of approved training program required.
***
All figures are dollar amounts for each item of equipment.
++
Price includes $1,000 for communications package, and receiving facility must have appropriate communications capabilities.
Table 2
Communications Equipment List
(MICU, ALS Squad, BLS and QRS)
Equipment Life MICU ALS/SQ BLS QRS Maximum Urban Rural Description Expectancy Allowable (50% of (60% of Cost** MAC)** MAC)** (MAC) Alerting
Equipment5 Yrs Y Y Y Y 4,000 2,000 2,400 Radio, Mobile (for
dispatch and
scene
coordination--one
per EMS vehicle)5 Yrs Y Y Y Y 2,500 1,250 1,500 Radio, Mobile (for
medical
communications
with hospitals--one
per EMS vehicle)5 Yrs Y Y Y Y* 3,500 1,750 2,100 Radio, Portable
(for on scene
coordination--one
per EMS
vehicle/unit)3 Yrs Y Y Y Y 1,000 500 600 Maximum Allowable Cost 11,000 11,000 11,000 11,000 EMSOF Totals 50% 5,500 5,500 5,500 5,500 60% 6,600 6,600 6,600 6,600
Y Yes N No * Mobile radios eligible if 50% or greater number of calls are EMS related for specific vehicle. ** Figures are dollar amounts for each item of equipment. Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, braille) should contact Kum S. Ham, Ph.D., Director of the Division of Emergency Medical Services Systems, at (717) 787-8740 or TDD: (717) 783-6514.
DANIEL F. HOFFMANN, FACHE,
Acting Secretary
[Pa.B. Doc. No. 96-895. Filed for public inspection May 31, 1996, 9:00 a.m.]
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