Report on the organization, performance, and standardization of emergency medical services within the Department of Defense

(a) Report required Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall submit to the Committees on Armed Services of the Senate and the House of Representatives a report on the organization, oversight, capabilities, and performance of emergency medical services across military installations. (b) Matters To be included The report required under subsection (a) shall include the following: (1) Organizational structure A description of the current organizational structure responsible for providing emergency medical services across military installations, including the roles of— (A) the Secretary of Defense; (B) the Secretary of each military department; (C) the Director of the Defense Health Agency; (D) installation commanders; (E) fire and emergency services organizations; and (F) military medical treatment facilities. (2) Assessment of emergency medical services capabilities An assessment of emergency medical services capabilities at military installations, including— (A) the number and distribution of emergency medical services response units; (B) ambulance capabilities and equipment levels; (C) staffing levels and certification levels of emergency medical personnel; (D) availability of advanced life support services; (E) integration with military medical treatment facilities and local civilian hospitals; and (F) an evaluation of systems used to track naloxone distribution, including— (i) the degree of integration of such tracking systems between emergency medical services reporting systems and medical record systems; (ii) procedures for documenting naloxone administration during emergency responses; and (iii) recommendations for establishing a standardized Department-wide tracking framework. (3) Performance metrics Standardized performance metrics for emergency medical services operations across military installations, including— (A) response-time metrics, including— (i) the average dispatch-to-arrival response time; (ii) the percentage of emergency calls with arrival on scene within eight minutes; and (iii) the time from arrival on scene to patient contact; (B) patient care metrics, including— (i) cardiac arrest survival rates; (ii) time to first defibrillation during cardiac arrest events; (iii) trauma stabilization and transport intervals; and (iv) adherence to established pre-hospital clinical protocols; (C) operational capacity metrics, including— (i) the number of available ambulances per installation population; (ii) the availability of advanced life support capabilities; and (iii) emergency medical services coverage areas and response zones; and (D) personnel-readiness metrics, including— (i) certification levels of emergency medical technicians and paramedics; (ii) training completion rates; and (iii) participation in joint emergency response exercises. (4) Automated external defibrillator assessment An evaluation of the deployment and readiness of automated external defibrillator devices across military installations, including— (A) the number and distribution of such devices; (B) identification of high-traffic locations where such devices are deployed; (C) maintenance and inspection compliance rates for such devices; (D) training levels for personnel in cardiopulmonary resuscitation and usage of such devices; (E) the usage of such devices in training and physical fitness evolutions; and (F) response outcomes for cardiac emergencies in which such devices were used. (5) Integration with civilian emergency systems An assessment of coordination between installation emergency medical services systems and State or local emergency response systems, including— (A) mutual aid agreements; (B) interoperable communications systems; (C) joint training and response exercises; and (D) procedures for patient transport to civilian medical facilities. (6) Resource and capability gaps Identification of any capability gaps or resource deficiencies affecting emergency medical services operations, including— (A) personnel shortages; (B) equipment or ambulance shortfalls; (C) deficiencies in placement or maintenance of automated external defibrillator devices; (D) limitations affecting response times; and (E) funding challenges. (7) Recommendations Recommendations of the Secretary of Defense regarding— (A) the development of emergency medical services standards throughout the Department of Defense; (B) improvements to emergency response performance; (C) enhanced automated external defibrillator device deployment and cardiac emergency preparedness; (D) standardized funding within one organization of the Department; (E) legislative or administrative actions necessary to standardize emergency medical services operations across the Department; and (F) other matters that are relevant to standardized emergency medical services and usage of automated external defibrillator devices. (c) Briefing requirement Not later than 30 days after submission of the report required under subsection (a), the Secretary of Defense shall provide to the Committees on Armed Services of the Senate and the House of Representatives a briefing on the findings and recommendations contained in the report. (d) Definitions In this section: (1) Emergency medical services The term emergency medical services means pre-hospital emergency medical care and patient transport provided by trained personnel in response to medical emergencies. (2) Military installation The term military installation has the meaning given that term in section 2801(c) of title 10, United States Code.