Measure Development Process

Public Comment Period Now Open: EMS Compass Measures


Draft measure specifications created by the National EMS Quality Alliance (NEMSQA) are now available and 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. As part of its measure development process, NEMSQA requests interested parties submit comments on the re-specified EMS Compass measures.


The revised measure specifications and a link to the public comment survey can be accessed below.

Revised EMS Compass Measure Specifications (Draft)

Link to Public Comment Survey


NEMSQA Measure Development and Adoption Process


In this section of the website, you will find broad-view and detailed versions of the NEMSQA Measure Development and Adoption Process. NEMSQA uses a standardized approach to measure development and adoption, and the process map provides details into our approach.


At the heart of the process map, you will find that NEMSQA takes a lifecycle approach in developing and maintaining measures. This approach ensures that as each measure developed by NEMSQA, it is thoroughly researched, specified, and tested before it is deployed into the EMS world for use. The lifecycle also ensures that the development process for a measure is never complete, as measures are everchanging entities and they must be regularly maintained by going through the rigor of the lifecycle on a regular, predetermined basis.


The current NEMSQA Measure Development and Adoption Process was approved by the Board of Trustees on February 28, 2019, however, it is a living document to be updated as required to improve this process. As the Measure Development Committee works through this process to develop new measures and identify and adopt existing measures owned and stewarded by other organizations, this process will be updated so that it is more efficient and lends itself to the development and adoption of measures that are of increasing value to the EMS community.