User Guide for the Cost Data Collection Instrument

Service Mix  This section applies to ground ambulance responses and transports by type.  If you are unable to provide an  exact percentage, you will be prompted to select a percentage range.  If you did not have any responses in a  particular category, you will need to answer 0%.   

 Percentage share of emergency responses   Percentage share of non‐emergency responses   Percentage of transports that used water‐based ambulances   Percentage of transports that are inter‐facility   Percentage of transports in each of the following.   

o BLSN  o BLSE  o ALS1N 

o ALS1  o ALS2  o SCT  Note: Emergency transfers are classified by how they are billed.

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