The Commission on Accreditation of Ambulance Services (CAAS) has officially released Version 4.0 of its national accreditation standards—a major update designed to reflect current industry practices, technology, and community needs. Whether you’re a newly accredited agency or preparing for reaccreditation, here are the top 10 takeaways from the recent webinar outlining what’s new and what’s changed:
1. Completely Redesigned Structure
Version 4.0 is more than just an update—it’s a complete overhaul. The new layout, numbering system, and merged documentation make it easier to read and apply. A crosswalk is available to help agencies transition from Version 3.0.
2. Reorganized and Expanded Sections
The standards have grown from two to four main sections:
- 100: Administration
- 200: Clinical
- 300: Operations (new)
- 400: Special/Other Services (new)
The number of characteristics has increased from 107 to 147, reflecting a broader scope.
3. Historical Performance Matters
Version 4.0 puts a spotlight on performance over time. Agencies will need to show a three-year history for licensure, strategic planning, clinical performance, employee feedback, education, and data tracking.
4. Modernized Language
Outdated terminology has been replaced with industry-relevant language. References now include electronic records, cybersecurity, and social media. Standards around diversity are community-focused rather than prescriptive.
5. Expanded Focus Areas
The standards now go deeper into:
- Adverse event reporting
- Medical record tech (ePCRs)
- Leadership development and succession planning
- Implicit bias education
- Recruitment, retention, and organizational safety culture
6. Brand-New Standards
Version 4.0 introduces standards covering:
- Driver monitoring
- Technology vulnerability and response
- Service and non-service animals
- Detailed facility requirements (including showers and laundry)
7. Stronger Emphasis on Tech & Security
Technology and information security get much more attention, including vulnerability assessments and response plans. Cybersecurity is no longer optional—it’s an operational imperative.
8. Updated Minimum Staffing Standards
The minimum required staffing now allows for one EMT and one Emergency Medical Responder (EMR) under certain conditions—expanding flexibility for agencies.
9. Refined Medical Direction
New details clarify the roles and qualifications of the Agency Medical Director, distinguishing it from external medical direction and outlining specific training expectations.
10. Section 400: Special/Other Services
If your agency offers services like dispatch, specialty transport, or mobile integrated health, you’ll need to meet Section 400 standards. Agencies self-report services provided, but on-site reviews will confirm.
Transition Timeline
- Published: December 2024
- Effective Date: January 27, 2025
- New Applicants (After Jan 27, 2025): Must use Version 4.0
- Existing/Reaccrediting (2025): May choose Version 3.0 or 4.0 until Dec 31, 2025
- After Dec 31, 2025: Version 3.0 is retired; all must use Version 4.0
Need Help Preparing?
CAAS is here to support your transition. From detailed crosswalks to updated resources, everything is designed to help your organization succeed with the new standards.