The Joint Committee on Rural Emergency Care (JCREC), a collaborative group of the National Association of State EMS Officials (NASEMSO), NOSORH, Technical Assistance and Services Center (TASC) and the National Association of EMS Physicians (NAEMSP), is now accepting comments on the 2019 Rural and Frontier EMS Three Year National Tactical Plan. The three-year Tactical Plan builds on the work of the original 2004 Rural EMS Agenda for the Future and proposes a three-year tactical approach to implementing some of the most important, feasible, remaining recommendations. Understanding the changes in the national healthcare environment, and specific trends and issues in the past few years, has shaped consideration of the recommendations and some recrafting of them. Some of these include the “volume to value” reimbursement emphasis, rural hospital closures, the role of communities, and the way EMS will be treated under evolving healthcare financing legislation.

The Steering Committee reviewed the recommendations of the 2004 Agenda and participated in a rating process for importance, feasibility for achievement in three years, and relevance to the JCREC. The scoring resulted in a clear grouping that had received a preponderance of the votes. These were then presented last April at the National Rural EMS and Care Conference and at the Rural Committee of the NASEMSO annual meeting. The recommendations were rated by the EMS providers, state rural health officials, EMS physicians, or state EMS officials attending these meetings. They were also invited to add to the list of recommendations. During this process and subsequent discussion, attendees approved a group of recommendations.

“We’re very appreciative of the excellent efforts that Kevin McGinnis has led, said Teryl Eisinger, NOSORH Executive Director. “I’m looking forward to reading the comments and seeing the input from State Offices of Rural Health, rural EMS agencies and state EMS Officials. This plan has the potential to impact rural communities for years to come.”

All comments on the Tactical Plan can be submitted to Kevin McGinnis, NASEMSO Program Manager, at by no later than close of business on February 22, 2019.