The Department of Health's performance in inspecting certified Emergency Medical Services providers has declined and it has taken little action to implement the recommendations in our 2003 report. The department has not evaluated its technical assistance efforts, developed a quality-based inspection process and adverse incident reporting system, or changed its sanctioning process to address high rates of provider deficiencies. Also, the department continues to award grants without evaluating whether the funds improve local emergency medical services.
The department plans to transfer responsibility for emergency medical technician and paramedic certification and complaint investigations to its Division of Medical Quality Assurance. This change could improve the program's efficiency and ability to track complaint information. However, the department will need to assess whether these improvements are attained and ensure that the two programs coordinate their activities.

Copies of this report in print or alternate accessible format may be obtained by email OPPAGA@oppaga.fl.gov, telephone (850) 488-0021, or mail 111 W. Madison St., Room 312 Tallahassee, FL 32399-1475.