The National Highway Traffic Safety Administration (NHTSA) and the Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA) commissioned the development of the EMS Agenda for the Future: Implementation Guide. A multidisciplinary steering committee (Appendix E) prepared the Implementation Guide. Committee members studied the goals proposed in the EMS Agenda for the Future, and developed objectives that will lead to achieving those goals. During the process of creating the Implementation Guide, the committee sought input from individuals with specific expertise and a broad spectrum of EMS-interested organizations and individuals.
The steering committee initially met on September 16 and 17, 1996. Subsequent meetings occurred in November 1996 and February and May 1997. Several individuals (Appendix F) attended one or more steering committee meetings to provide expertise and participate in the process of formulating meaningful objectives. Following its November meeting, the steering committee distributed a draft document to 300 organizations and individuals interested in EMS, including those who attended the December 1995 EMS Agenda for the Future Blue Ribbon Conference. Further duplication and distribution of the draft by those recipients was encouraged. Eighty-seven people furnished comments to the steering committee. The steering committee reviewed each comment during its February meeting, and revised the document accordingly.
A second draft document was sent to the original list of recipients and any one else who had provided feedback. The steering committee received 24 additional comments, which were reviewed during the May meeting. The draft was revised accordingly, and final preparation of the Implementation Guide occurred during the ensuing months.
The steering committee recognized that the number of objectives in the Implementation Guide is initially overwhelming. In an effort to provide additional direction, ten priority objectives were identified. Committee members developed criteria for determining the priority objectives, and used a Delphi technique to successively narrow their choices until they reached a consensus. The steering committee delivered the EMS Agenda for the Future: Implementation Guide to NHTSA in February 1998.