Making Informed Decisions about Rural EMS

April 2019
Rural Health Information Hub (RHIhub)

This article discusses the concept of Informed Community Self-Determination (ICSD) in EMS. First discussed in the 2004 Rural and Frontier EMS Agenda for the Future (see below), it is thought to be a useful tool to evaluate the community’s EMS, informing the community of its EMS capability and limitations (e.g. costs, staffing), establish options for improved or otherwise different service, and  inform the community of the relative costs of those options so that it may select the level and type of service it wants to fund.