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Data collection initiative — Office of Research and Statistics

By Nick Nudell, PhD(c), MS, MPhil, NRP, WP-C

Executive Director, NE Colorado RETAC

Opportunity for EMS agencies, system leaders, and partners across Colorado to contribute to an important statewide effort focused on behavioral health crisis response.

During the 2025 legislative session, the General Assembly passed Senate Bill 25-042, which established a collaborative data collection initiative led by the Office of Research and Statistics (ORS) within the Division of Criminal Justice. The goal is to better understand how communities across Colorado are responding to behavioral health crises, identify effective and emerging models, and document gaps in services, funding, and reimbursement.
This effort is intentionally broad and inclusive. ORS is seeking input from:
      •     EMS agencies and regional/state advisory bodies
      •     Law enforcement and fire protection agencies
      •     Behavioral health providers and crisis services
      •     Hospitals, clinics, and pediatric providers
      •     Community-based organizations (e.g., family resource centers, substance use treatment, domestic violence programs)
      •     Any partners involved in supporting individuals experiencing behavioral health crises

How to help

Participants are asked to complete a short Collaboration Form (less than 3 minutes) to indicate interest in participation and stakeholder category. The information collected will be used to:
      •     Map how behavioral health crises are currently addressed across Colorado
      •     Highlight models that other communities may replicate or adapt
      •     Identify reimbursement and funding gaps that impact response capacity
      •     Inform future policy, planning, and investment discussions
There will also be optional virtual focus groups later in the process to allow deeper discussion around challenges, gaps, and opportunities related to crisis response systems.
From an EMS and system-readiness perspective, this is a valuable opportunity to ensure that the realities faced by responders—particularly in rural and frontier settings—are accurately represented and inform future state-level decisions.
Please feel free to forward this information to partner agencies or individuals you believe should be included. If you receive this request through multiple channels, only one response is needed.
Nick Nudell, PhD(c), MS, MPhil, NRP, WP-C
(970) 580-2668 (Cell/WhatsApp)
[email protected]
ncretac.org

EMS Sustainability Task Force

By Sean Caffrey, EMSAC representative to the Task Force
The Colorado EMS Sustainability Task Force created by Senate Bill 22-225 continues to work on their year 4 analysis and draft report. Year 4 is focused on financial sustainability. During the fall the TF received aggregated information from the Colorado Department of Health Care Policy and Financing (HCPF) on the Medicaid Ambulance Supplemental Payment Program on costs reported by governmental EMS services eligible for the program. A chart of those costs breakdowns by quartile is below.
The quartile groups are roughly:
  • First Quartile - 25% - 127 calls/yr or less
  • Second Quartile - 50% - 128 - 612 calls/yr
  • Third Quartile - 75% - 613 - 2088 calls/yr
  • Fourth Quartile - 2089+ Calls/yr  
These numbers match pretty closely with financial modeling we did in 2023 to estimate EMS agency costs by size. 
A draft report is being worked on in the background while the Task Force goes on to a limited meeting schedule during the legislative session. We expect behind the scenes work on drafting through April with finalization May - July once the regular meetings kick in monthly. 

The Inevitable Intersection of EMS and Autonomous Technologies: A Colorado Perspective

The Inevitable Intersection of EMS and Autonomous Technologies: A Colorado Perspective
By Donnie Woodyard, Jr., NRP
Executive Director of the United States EMS Compact

Over the past couple of years, I’ve had the privilege of delivering keynote addresses nationwide on the future of EMS. Each time I step onto a stage, I’m struck by how quickly technology is evolving and how dramatically the conversation has shifted. What felt like a distant, theoretical discussion about autonomous vehicles, aerial mobility, and machine-assisted response just two years ago has now become a practical, near-term reality. From my perspective, the intersection of these technologies with EMS is no longer a sci-fi dream, but it is now a foregone conclusion. The only questions left are when, and how ready we will be when they arrive.

While this is an intriguing national EMS discussion, it must also be a Colorado discussion. We live in a state where mobility innovation, aerospace engineering, and public safety are overlapping in a meaningful way. The decisions we make in the coming months and years will shape how EMS evolves in mountain communities, frontier regions, and the rapidly growing Front Range corridor.

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Ambulance Crashes: Increasing Clinician, Patient and Public Safety

Ambulance Crashes: Increasing Clinician, Patient and Public Safety
Guidance on Seat Belt Use, Lights and Sirens and Fatigue

Too often, EMS clinicians, patients and others are injured or killed in ambulance-involved crashes. Crash Responder Safety Week is an opportunity to focus on safety practices around seat belts and restraints, lights and sirens use and fatigue mitigation to protect responders and the public.

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EMS Chiefs, Managers, and Directors (CMD) News

EMS Leadership Charts New Course: Focus on Financial Sustainability, Workforce Resilience and Advocacy

The EMS Chiefs, Managers, and Directors (CMD) met in Colorado Springs on September 24, 2025, for a crucial brainstorming and prioritization session, aimed at defining future educational topics and initiatives for EMS leaders. The discussions were detailed, honest and invigorating.

The day-long retreat was sponsored by Jon Cloutier, CEO and founder of LifeMed SAFETY. A paramedic himself, Jon has been active in EMS for decades and we extend our gratitude for his support of the EMS Chiefs, Managers, and Directors section of EMSAC. LifeMed Safety is a full-service EMS equipment partner — offering new and re-certified equipment sales, certified maintenance, preventive service programs, and rapid repairs.

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Colorado's State Interfacility Transport Task Force

Conclusions of the State Interfacility Transport Task Force
By Scott Sholes
EMS Chief, Durango Fire-Rescue

According to a first-of-its-kind study of interfacility transport (IFT) in Colorado, EMS systems have experienced sharp increases in IFT demand in the past 5 years. Not only has the number of trips increased by 25% during that period, the time required to complete each trip now averages close to 2 hours.  The study, a combination of data analysis by CDPHE and statewide research by Sarah Weatherred (CMRETAC) and Austin Wingate (Grand County EMS), revealed in addition to putting a significant strain on Colorado EMS systems, IFTs present significant safety concerns for patients and providers.

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United States EMS Compact, and why is it important?

Q&A with Donnie Woodyard, Jr., Executive Director of the U.S. EMS Compact

Q: What is the United States EMS Compact, and why is it important?
A: The United States EMS Compact is an agreement between states that allows licensed EMS clinicians to practice in any of the 24 Compact Member states without requiring additional licenses. It provides a "Privilege to Practice," enabling clinicians to work in multiple states while maintaining public safety and professional accountability.

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American EMS—the national view

American EMS—the national view

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EMS lights and sirens

EMS lights and sirens
StatPearls [Internet].Matthew J. NeulanderDaniyal I. SiddiquiSteven Mountfort.
Author Information and Affiliations

Introduction

At face value, the use of lights and sirens by prehospital emergency medical personnel does not seem to be an area of high-value research or controversy. Drivers are all quite used to seeing emergency vehicles at work on the streets, lights flashing, and sirens wailing.  Both lights and sirens are, and for a long time have been, standard components of EMS vehicles. They are used both to decrease the time it takes emergency medical personnel to respond to the location of an accident, illness, or injury, as well as the time it takes to transport the patient to a definitive care center. They are also used to keep medical providers safe while on the scene of an incident. The judicious and safe use of lights and sirens is a topic that has been well-researched recently[1][2], and the manner in which emergency medical service (EMS) providers use them has changed significantly over time. Their use presents quantifiable risks and benefits, both to EMS personnel and to the public. Like any medical intervention, those risks and benefits need to be thoughtfully considered and measured. This is to allow for the greatest safety for EMS providers and non-medical traffic and pedestrians, and the maximal benefit for the patients being transported for care.



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EMS at "Burning Man"

EMS at Burning Man 2023

One month later
By Jason Kotas
EMS Outreach and Education Program Manager at Children’s Hospital Colorado

It’s been 30 days since I returned from Black Rock City and my experience serving as a medic for Burning Man. I’ve been trying to process what happened and to find just the right words to describe what “it” was like. The fact is, there simply are no words and the topic of how to explain what we were experiencing was a common topic on the playa.

It was all the things. A choose-your-own-adventure city of 80,000 in the desert. I was so honored to be let into the family of Rebel Camp (comprising of about 60 medical volunteers from around the country) and for my field training experience (officially and non-officially) from Bob and Odie.



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The Surprise Billing Act—and why ambulance services are not yet included

Advocacy and public education

The Surprise Billing Act—and why ambulance services are not yet included

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