"The problem was that the Boulder Rural Fire Department did not know what the advantages and disadvantages of the two existing department EMS [Emergency Medical Services] transport models were. As such, the department was in a prime position to compare and contrast aspects of both fire-based EMS and private ambulance EMS transport service. The purpose was to determine what the advantages and disadvantages of the two existing department EMS transport models were. Descriptive research was utilized to study the existing models in order to determine a course of action and to arrive at a series of recommendations for the department. The research included literary review of industry recommendations, models and reports on service delivery, as well as reviews of response data, drive time maps, interview information from the private ambulance company director and financial reports from the fire district. The results indicated that the department was on a responsible path; however, there were opportunities to either change the service model slightly to improve quality and continuous quality improvement endeavors or look into sole source fire-based EMS transport through the creation of joint response areas with neighboring volunteer agencies. Recommendations were made to Boulder Rural Fire Department to improve their in-house EMS program and thereby initiate a leadership role in the EMS delivery and CQI [Continuous Quality Improvement] program in their current partnerships, and to continue to evaluate EMS delivery systems and costs to determine what the optimal time to consider sole source fire-based EMS transport would be if appropriate."
United States. Federal Emergency Management Agency, Learning Resource Center: http://www.lrc.fema.gov/