User Guide for the Cost Data Collection Instrument

Ground Ambulance Service Volume  This section applies to an agency that routinely provides ground ambulance responses, transports, intercepts  and/or standbys (see Definitions & Reference Documents). 

Responses 

 Your agency’s total responses   Your agency’s total number of ground ambulance responses   If your agency responds to calls with another non‐transporting agency, e.g. a local fire department, etc.  o If so   The percentage of total ground ambulance responses including a non‐transporting  agency   The kind of labor provided by the non‐transporting agency during these responses   Paramedic   Other EMT   Other (be prepared to specify)   The percentage share of ground ambulance responses in which the non‐transporting  agency continues to provide medical care in the ambulance during transport   The percentage of ground ambulances responses in your secondary service area   The total number of ground ambulance responses that did not result in a transport, e.g. refusals,  cancellations, etc.   Of the total number of ground ambulance responses that did not result in a transport, the percentage  that received medical treatment on site 

Transports 

 Your agency’s total number of ground ambulance transports   Your agency’s total number of paid transports 

Standbys 

 If your agency participates in standby events 

Paramedic Intercepts 

 If your agency provides paramedic intercept services in NY; if so, the total number of responses   If your agency provides ALS assessments and/or interventions on joint responses (also commonly  referred to as paramedic intercept services) outside of NY; if so, the total number of responses  o Note: This does not  include responses where your agency (as the intercepting ALS unit) actually  billed for the transport

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