National EMS Scope of Practice Model Revision

Solicitation DTNH2216R00061 is provided in the attachments.

This is a Pre-Solicitation notice (synopsis) for a procurement in accordance with FAR Part 5.203; to provide notice of the Government's proposed contract action listed herein.

In 2000, NHTSA released the National EMS Education Agenda for the Future: A Systems Approach (Education Agenda).  The Education Agenda lays out a vision for helping the EMS education system align with other health professions and enhances the professional credibility of EMS practitioners.  It defines an EMS education system that is national in scope while being responsive to local needs - fostering consistency of provider levels across political jurisdictions.

The Education Agenda includes five major components:  National EMS Core Content (published in 2005); National EMS Scope of Practice Model (published in 2007); National EMS Education Standards (published in 2009); National EMS Education Program Accreditation; and National EMS Certification. 

The 2007 National EMS Scope of Practice Model (Scope Model) followed a consensus based process and defines national levels of EMS provider, including their entry-level skills and knowledge.  The Scope Model was successfully used to assist states as they reviewed and revisited the medical appropriateness of their EMS interventions based on the 2005 National EMS Core Content.  The Scope Model also acknowledged that each State has the statutory authority and responsibility to regulate EMS within its borders and to determine the scope of practice of State-licensed EMS personnel. 

Today, the Scope Model is still being used by States to establish their own scopes of practice for their state which is consistent with the national model.  This helps to improve the consistency and uniformity of EMS throughout the nation while still honoring the unique needs of individual states.   Because newer scientific evidence is currently available that demonstrates improved patient outcome, several states have proceeded with implementation of new skills and interventions that exceed the national Scope Model.  However, other states are prohibited from implementing new interventions (e.g. therapeutic hypothermia in cardiac arrest, naloxone administration, hemorrhage control, etc.) until these new skills are added to the Scope Model and/or otherwise adopted through an Evidence-Based Guideline or consensus-based process.

In 2012, NHTSA tasked the National EMS Advisory Council (NEMSAC) to revisit the Education Agenda to identify any minimal updates since the Education Agenda and all of its components were successfully developed and implemented.  In late 2014, NEMSAC presented NHTSA with its final recommendations.  One of the recommendations calls for revising the Scope Model on a periodic basis to remain up to date with medical practice and science.  It also added, like the 2000 Education Agenda, that State EMS regulators are to lead the revision process with input from the rest of the EMS community.

The objective of the anticipated contract is to identify new evidence and science regarding the regulation and State licensure of EMS personnel; facilitate implementation of the Scope Model with State EMS regulators including medical directors; provide opportunities for broad public and EMS community input and participation; and revise the Scope Model, incorporating the new evidence and science as well as public and EMS community input into the document.

Solicitation Information:

The Government contemplates the award of a single Cost Plus Fixed Fee (CPFF) contract.  The period of performance of the contract will not to exceed twenty-four (24) months.  The forthcoming solicitation and any related documents to this procurement will only be available electronically for download at https://www.fedbizopps.gov referenced by the solicitation number (DTNH2216R00061).  The anticipated issuance date of the forthcoming solicitation is on or about June 21, 2016. However, it is the Offeror's sole responsibility to monitor the Internet site for the release of the solicitation and amendments (if any). Potential Offerors will also be solely responsible for downloading their own copy of the solicitation and amendments (if any), as well as other related documents.

NO FURTHER PROCUREMENT INFORMATION IS AVALABLE AT THIS TIME.