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Queensland Emergency Medical System: A structural and organizational model for the emergency medical system in Australia
Author(s) -
FitzGerald Gerry,
Tippett Vivienne,
Schuetz Michael,
Clark Michele,
Tighe Trevor,
Gillard Noel,
Higgins Jim,
Elcock Mark
Publication year - 2009
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/j.1742-6723.2009.01244.x
Subject(s) - scope (computer science) , portfolio , emergency medical services , medicine , advisory committee , medical emergency , service (business) , state (computer science) , quality (philosophy) , operations management , process management , public relations , public administration , business , finance , marketing , political science , engineering , philosophy , epistemology , computer science , programming language , algorithm
Objective: The emergency medical system (EMS) can be defined as a comprehensive, coordinated and integrated system of care for patients suffering acute illness and injury. The aim of the present paper is to describe the evolution of the Queensland Emergency Medical System (QEMS) and to recommend a strategic national approach to EMS development. Methods: Following the formation of the Queensland Ambulance Service in 1991, a state EMS committee was formed. This committee led the development and approval of the cross portfolio QEMS policy framework that has resulted in dynamic policy development, system monitoring and evaluation. This framework is led by the Queensland Emergency Medical Services Advisory Committee. Results: There has been considerable progress in the development of all aspects of the EMS in Queensland. These developments have derived from the improved coordination and leadership that QEMS provides and has resulted in widespread satisfaction by both patients and stakeholders. Conclusions: The strategic approach outlined in the present paper offers a model for EMS arrangements throughout Australia. We propose that the Council of Australian Governments should require each state and Territory to maintain an EMS committee. These state EMS committees should have a broad portfolio of responsibilities. They should provide leadership and direction to the development of the EMS and ensure coordination and quality of outcomes. A national EMS committee with broad representation and broad scope should be established to coordinate the national development of Australia's EMS.