Clinical care Communications Field clinical practice Physician clinical role • On-scene medical direction • Current knowledge and skills • Knowledge of incident command system Personnel education • Training for base station and out-of-hospital personnel • Evaluation of medical competency of providers • Collaborative relationships with academic institutions • Continuous quality improvement • Mechanism for data collection • Ensure compliance with protocols • Analyze system efficacy and cost-effectiveness • Application of research methods • Collaborative relationships with academic institutions • Reliable methods of data collection • Information flow from out-of-hospital to ED to inpatient care • Standards for base station education and physician field experience • Qualifications and training for delegation of authority for online medical direction to surrogates • Resolution of disputes involving medical care within EMS system • Interactions with national, regional, state, and local EMS authorities • Coordination of emergency preparedness activities • Educator and liaison to the media System evaluation EMS research Administration Liaison activities Finance Public access Public health • 9-1-1 system • Training and continuing education of dispatchers • Dispatch protocols • Prearrival patient care instructions • Dispatch criteria • Continuous quality improvement • Qualified online medical direction • Training and credentialing of personnel • Verification of skill proficiency for personnel • Protocols for transport and nontransport • Protocols for interaction with responders • Protocol for online medical direction • Transport and destination criteria • Authority to limit activities of providers for cause • Continuous quality improvement • Equipment specifications Public education • Budgetary planning • Grant application • Establish funding priorities • Collaborate with community to guarantee access to EMS • Appropriate EMS utilization, prevention of emergencies • Initial approach to common emergencies • Community health assessment and surveillance