- 5,012
- 1,405
- 113
The problem is that each state pretty much thinks that they do things better... Florida has a good model for certain things, Texas, Ohio, Oregon, Washington... the list goes on and on. With California, while Title 22 "kind of" sets the tone for EMS here, each county behaves like most States. There has been (for years) some rumblings about going to a single, statewide system that basically does away with local accreditation/certification because there will be ONE set of protocols for the entire state and ONE licensing/certification agency. I'm not holding my breath on this as there are almost as many EMS Agencies as there are Counties... and about the only way to really shove this through would be to (quite literally) change the law, or get all the EMS Agencies to "buy in" to the idea... and that means basically giving up local control of prehospital care regulation.