Measure Development Process

Call for Public Comment: F.A.I.R. Measurement Project



Interested in shaping future EMS quality measures?


The National EMS Quality Alliance (NEMSQA), in collaboration with the Florida Department of Health Division of Emergency Preparedness and Community Support, invites members of the public and EMS community to submit comments on draft measures for the Feasible, Actionable, Impactful, Relevant (F.A.I.R.) EMS Measurement Project.


Share your feedback HERE


This project, funded by the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, intends to develop rural-relevant quality measures to be used in the Emergency Medical Services (EMS) Community. THE Goal of the F.A.I.R. Measurement Project is not only intended to improve quality of care in Florida’s rural areas but also to develop national measures that can be implemented in other areas.

NEMSQA is providing measure development consultant services for the F.A.I.R. project and facilitating an initial comment period. An additional comment period will be facilitated in 2022, after measures undergo controlled testing.

Quality measure development provides the foundation for EMS agencies to measure and improve patient care outcomes. NEMSQA quality measures have enabled the EMS community to collect, analyze, and benchmark data using validated, standardized and continuously reviewed measure sets.


Comments must be submitted via survey. The deadline to submit comments is 08/01/2021.


Contact Sheree Murphy, NEMSQA Executive Director at with any questions or concerns.

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.


Since adopting the Measure Development Process and releasing its first measure set, NEMSQA has received many questions about the process, how it relates to NQF, and the annual maintenance periods. Please see the Frequently Asked Questions document for more information.