EMTS System development

The department provides technical assistance and support to local governments, local EMS, trauma service providers and RETACs.
Emergency medical and trauma services system consultative visit
Upon request, the department can provide independent expert analysis of local EMS and trauma systems. Requesting entities may include: boards of county commissioners, governing boards for local EMS and/or trauma service organizations and RETACs. The department has performed consultative visits in the following counties:
  • Las Animas County.
  • Yuma County
  • San Luis Valley.
  • Logan County.
  • Kit Carson County. 
  • Dolores County.
  • Fremont County.   
  • Jackson County.  
  • Washington County. 
  • Phillips County.
  • Moffat County.
  • Custer County.
  • Ouray County.
  • Montrose County.
  • Chaffee County.
  • Kiowa County.
  • Baca County.
  • Clear Creek County
  • Grand County


A consultative visit offers a comprehensive analysis to assist local decision-makers to determine how services are delivered in their community. These visits use outside perspective to identify the strengths and weaknesses of the current EMS and trauma services system.

The consultative visit is based on the 14 components of an EMS system established in 1996 by the National Highway Transportation Safety Administration in the "EMS Agenda for the Future" plus an additional component included specifically by Colorado. This is the same model used by each Regional Emergency Medical and Trauma Advisory Council (RETAC) to create the biennial plan and include:
  • Legislation and regulation.
  • EMS research
  • System finance.
  • Human resources.
  • Medical direction.
  • Clinical care.
  • Education system.
  • Communications.
  • Public access.
  • Information systems.
  • Public education.
  • Prevention.
  • Evaluation.
  • Integration of health services.
  • Mass casualty response*.
*Additional attribute added specifically for Colorado.
How to set up a consultative visit
The department encourages local emergency medical and trauma services system stakeholders to develop consensus support from agencies and organizations involved in the system before requesting the consultative visit.
  • Funding for these visits is available through the EMTS system improvement funding program in the technical assistance category. The funding program is open for applications from Dec. 15 to Feb. 15 each year.
  • The department encourages communities to work with their RETAC coordinator to submit a funding application that contains letters of support from the Board of County Commissioners, county EMTS council, if applicable, and local EMS and trauma provider organizations.
Costs and time
A consultative visit costs between $18,000 and $25,000, including time, travel and production expenses. Based on the number of EMS and trauma stakeholders and the overall size of the consulting team, a consultative visit requires about 40 to 60 hours of time per team member.
The department works collaboratively with the RETAC or a local emergency medical and trauma services agency to coordinate the visit. A typical consultation includes:​
  • Local stakeholders agree to actively participate in the consultative review process by completing a pre-visit survey, providing requested documents and information, participating in interviews with the consultative visit team and attending the session for presentation of the final report.
  • The consultative review team usually spends three to five days on site interviewing emergency medical and trauma services system stakeholders. The team also reviews relevant data and collaborates on a written report.
  • The consultative visit team findings are published in a final report. The team returns to present the report and recommendations about 60 days after the on-site visit. This report can then be used by the local stakeholders as a basis for future policy decisions about the emergency medical and trauma services system.
  • The department works with the coordinating agency to jointly select a team of about five subject matter experts and create the written agreements necessary to perform the consultative visit. The coordinating agency is also responsible for maintaining financial records, requesting reimbursement for expenses, scheduling and other administrative tasks.
For more information, contact Eric Schmidt at: