CAMTS is an organization of non-profit organizations dedicated to improving the quality and safety of medical transport services, with 21 current member organizations each of which sends one representative to the CAMTS Board of Directors. The Commission offers a program of voluntary evaluation of compliance with accreditation standards demonstrating the ability to deliver service of a specific quality. The Commission believes that the two highest priorities of an air medical or ground inter-facility transport service are patient care and safety of the transport environment. Originally developed through an extensive public comment process and published in 1991, revised every 2-3 years, the Accreditation Standards address issues of patient care and safety in fixed and rotary wing services as well as ground inter-facility services providing critical care transports. Each standard is supported by measurable criteria to measure a program’s level of quality. Accreditation Standards are periodically revised to reflect the dynamic, changing environment of medical transport with considerable input from all disciplines of the medical profession and serve as a marker of excellence for federal, state, and local governmental agencies, as well as private agencies and to the general public. In order to obtain accreditation, a medical transport service must be in substantial compliance with the Accreditation Standards