Mission Statement.


NEMSQA will develop and endorse evidence-based quality measures for EMS and healthcare partners that improve the experience and outcomes of patients and care providers.


Vision Statement

Improving patient outcomes through the collaborative development of quality measures for EMS and health systems of care.

Development of Emergency Medical Service (EMS) Quality Measures Overview

Begun in 2014, there was a project funded by the National Highway Traffic Safety Administration (NHTSA) led by the National Association of State EMS Officials (NASEMSO) called EMS Compass. This initiative engaged with EMS stakeholders to develop a process for designing, testing and evaluating initial performance measures to improve EMS systems of care. In late 2016, EMS Compass released candidate measures for public testing, and anticipated that the EMS community would continue to develop performance measures using the initiative’s process.


NHTSA is currently continuing this initiative by developing a self-sustaining platform for the continued development of EMS Quality measures. NHTSA and the HRSA EMS-C program has engaged the American College of Emergency Physicians (ACEP) to facilitate the development of a mechanism, organizational structure and sustainability model that enables meaningful assessment of performance of EMS called the National EMS Quality Alliance. These performance measures involve emergency and non-emergency medical services, first-responders, and entities providing mobile integrated health care/community paramedicine services.


Once the National EMS Quality Alliance is established work will continue to:


  • Promote a culture of quality improvement through a collaborative, sustainable process.
  • Develop, validate and / or endorse evidence-based quality measures that are meaningful, feasible, useable, actionable, and relevant.
  • Enhance the value of EMS systems and develop awareness among interested parties about the measures, how best to use them and to advocate for improvement.

History of Compass


Begun in 2014, there was an open, collaborative two-year effort, funded by the National Highway Traffic Safety Administration (NHTSA) led by the National Association of State EMS Officials (NASEMSO) which was called EMS Compass. Over this two-year period, the initiative engaged a wide range of EMS stakeholders to develop initial performance measures that are relevant to EMS agencies, regulators, and patients. The measures are based on the latest version of the National EMS Information System (NEMSIS) and allow local and state EMS systems to use their own data meaningfully.


Due to the increasing availability of standardized data, the initiative sought to lay the groundwork for agencies and the EMS community to measure and evaluate performance.


EMS Compass established a system for creating performance measures based on the principles established by the National Quality Forum (NQF). The NQF is a highly regarded non-profit organization that works to improve healthcare by endorsing performance measures through a consensus-building, evidence-based process.


Through an initial month-long “Call for Measures,” members of the public submitted suggestions for more than 400 measures to EMS Compass. With input from stakeholders, the EMS Compass leadership prioritized the measures for development. The EMS Compass Measurement Design Group worked to ensure the measures were designed in a way that was feasible to use and consistent with the best science and evidence available.


To design measures that were consistent with data being collected by EMS systems today, the Technology Developer Group reviewed the measures and the measures were tested in the field using actual data from EMS agencies. After testing and validation, the measures were approved by the EMS Compass Steering Committee as candidate measures, which were released in late 2016.


The EMS Compass Steering Committee and the EMS community anticipated that the EMS community would continue to develop performance measures using the initiative’s process.

Milestones and Aims


Kick-off meeting at the United Stated Department of Transportation Headquarters-Completed


Phase I – Evaluate metrics from EMS Compass


  • Solicit and finalize NEMSQA Membership/Organizations-Completed
  • Launch Website-Completed
  • Kick-off Conference/Webinar, Washington, DC-In Planning
  • Finalize Bylaws
  • Evaluate existing EMS Compass work product
  • Submit Business plan for sustainable funding
  • Revise and test the selected metrics
  • Conduct the statistical assessment of the selected metrics
  • Conduct additional statistical assessment
  • Submit final report on Phase I


Phase II – Identify additional metrics


  • Identify other or existing quality measures, possibly from other health care areas
  • Develop and test the additional quality measures
  • Conduct the statistical assessment
  • Final approval of quality measure
  • Submit final project report