TY - CHAP M1 - Book, Section TI - EMS Personnel A1 - Knutsen, Christian C. A2 - Cooney, Derek R. PY - 2016 T2 - Cooney's EMS Medicine AB - Individual states regulate the education, certification, and licensure of their EMS providers. Historically, the federal government has support EMS development at the state, regional, and local levels. The EMS Systems Act passed by Congress in 1973 created a categorical grant program to support developing state and regional EMS systems and led to the distribution of more than $300 million for EMS research, planning, operations, and improvement.1 While the act identified 15 essential elements of EMS systems (communications, training, manpower, mutual aid, transportation, accessibility, facilities, critical care units, transfer of care, consumer participation, public education, public safety agencies, medical records, independent review and evaluation, and disaster linkage), it did not set national standards how these elements were to be enacted. In 1974, the Robert Wood Johnson Foundation contributed an additional $15 million to 44 regional EMS project, marking one of the largest private grants for EMS. Without a unified EMS model, states' EMS systems became significantly different from each other and customized to their needs. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1126789848 ER -