Project Description: This project is funded by The Duke Endowment through a subcontract to the EMS Performance Improvement Center by the NC Dept. of Health and Human Services, Division of Health Service Regulation, Office of EMS. This project will begin on January 1, 2010 and will end on June 30, 2010. Funding will be used to provide six months of technical assistance and support by the EMS Performance Improvement Center to the EMS systems and agencies. This support includes ensuring full access to all six EMS Performance Improvement Toolkits, assisting in the generation and use of the EMS Toolkits and their performance measures, as well as educating state and local EMS professionals in EMS performance improvement.