Specifications include, but are not limited to: provide statewide study of Emergency Medical Services (EMS), CriticalIncident Stress Management (CISM) and the use of Community Paramedicine (CP); The study must provide definitive recommendations that will enhance statewide Emergency Medical Services,Critical Incident Stress Management, and Community Paramedicine to ensure long-term sustainability anddependability. The study should be able to be leveraged for strategic planning and advancement from the localcommunity level to the Nebraska Unicameral.1.The study must include, but not be limited to:a.For EMS and Community Paramedicine:i.Challenges of providing EMS services in rural and frontier Nebraska.ii.Recruitment and Retention hardships in the:a)Volunteer EMS staffing crisis Page 28RFP Boilerplate | 07012019b)Career EMS professionalc)Ethnic minority populationiii.Financial structure, stability, issues and climate for:a)Local EMS services and feasibility of utilizing:1).Review of State Statutory and Regulatory options for funding EMS inNebraskab)DHHS Office of Emergency Health Systems Programiv.Evaluate current EMS design and delivery models in the state and the need for alternatemodels which may include telehealth for EMS and Community Paramedicinev.Evaluate interfacility transfer capabilities.