Comment: National EMS Quality Alliance (NEMSQA) Draft Measure Specifications

NEMSQA logo.png

Open for comment through Wednesday July 17, 2019 at 6:00PM ET.

In 2017, NHTSA awarded the American College of Emergency Physicians (ACEP) a contract to continue the EMS Performance Measures initiative to include review of the candidate measures and explore development of trauma related performance measures, develop a sustainability model for the initiative and potentially form an organization focused on EMS quality measurement. Out of this initiative, the National EMS Quality Alliance (NEMSQA) was formed. Now its own organization, NEMSQA is, as part of its contract with NHTSA and commitment to the EMS community, reviewing and revising the EMS Compass Measure Set, to ensure it is of utmost value to the EMS community.After reviewing the original EMS Compass Measures, the NEMSQA Measure Development Committee moved forward with re-specifying eleven of the original candidate measures.

In April 2019, the NEMSQA Measure Development Committee approved the eleven measures included in the list below. These measures were reviewed and re-specified from their original release in the EMS Compass program. It is not required that an agency use all measures in the measure set. Agencies and EMS professionals are encouraged to choose measures most meaningful to their patient population and implement those measures to improve performance and patient care. Data should be collected for an initial baseline period and results used to develop meaningful interventions to improve quality of care. It should be noted that the draft EMS Compass Measures represent the first efforts of NEMSQA as an organization.  NEMSQA will continue to build EMS Quality Measures to support agency efforts to improve the quality of care in EMS

  1. Treatment Administered for Hypoglycemia
  2. Pediatric Respiratory Assessment
  3. Administration of Beta Agonist for Pediatric Asthma
  4. Pediatric Weight Documented in Kilograms
  5. Seizure Patient Received Intervention
  6. Suspected Stroke Receiving Prehospital Stroke Assessment
  7. Pain Assessment of Injured Patients
  8. Effectiveness of Pain Management for Injured Patients
  9. Trauma Patients Transported to Trauma Center
  10. Use of Lights and Sirens During Response to Scene
  11. Use of Lights and Sirens During Transport

As part of its measure development process, NEMSQA requests interested parties submit comments on the re-specified EMS Compass measures. The draft revised measure specifications and a link to the public comment survey can be found on NEMSQA’s website at

If you have questions or trouble accessing the public comment survey, please email

Posted: June 19, 2019