reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 12 - EMS System Quality Improvement › Article 2 - EMS SERVICE PROVIDER › Section 100402 - EMS Service Provider Responsibilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An EMS service provider shall:
(1) Develop and implement, in cooperation with
				  other EMS system participants, a provider-specific written EMS QI program, as
				  defined in Section
				  100400 of this Chapter. Such programs
				  shall include indicators, as defined in Section III and Appendix E of the Emergency
				  Medical Services System Quality Improvement Program Model Guidelines, which address,
				  but are not limited to, the following:
(A)
				  Personnel
(B) Equipment and
				  Supplies
(C) Documentation
(D) Clinical Care and Patient Outcome
(E) Skills Maintenance/Competency
(F) Transportation/Facilities
(G) Public Education and Prevention
(H) Risk Management
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 12 - EMS System Quality Improvement › Article 3 - PARAMEDIC BASE HOSPITAL › Section 100403 - Paramedic Base Hospital and Alternate Base Station Responsibilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A paramedic base
				  hospital and alternate base station shall:
(1)
				  Develop and implement, in cooperation with other EMS system participants, a
				  hospital-specific written in EMS QI program, as defined in Section
				  100400 of this Chapter. Such programs
				  shall include indicators, as defined in Section III and Appendix E of the Emergency
				  Medical Services System Quality Improvement Program Model Guidelines, which address,
				  but are not limited to, the following:
(A)
				  Personnel
(B) Equipment and
				  Supplies
(C) Documentation
(D) Clinical Care and Patient Outcome
(E) Skills Maintenance/Competency
(F) Transportation/Facilities
(G) Public Education and Prevention
(H) Risk Management
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 12 - EMS System Quality Improvement › Article 4 - LOCAL EMS AGENCY › Section 100404 - Local EMS Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The local
				  EMS agency shall:
(1) Develop and implement, in
				  cooperation with other EMS system participants, a system-wide written EMS QI
				  program, as defined in Section
				  100400 of this Chapter. Such programs
				  shall include indicators, as defined in Section III and Appendix E of the Emergency
				  Medical Services System Quality Improvement Program Model Guidelines, which address,
				  but are not limited to, the following:
(A)
				  Personnel
(B) Equipment and
				  Supplies
(C) Documentation
(D) Clinical Care and Patient Outcome
(E) Skills Maintenance/Competency
(F) Transportation/Facilities
(G) Public Education and Prevention
(H) Risk Management
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 12 - EMS System Quality Improvement › Article 5 - EMS Authority › Section 100405 - EMS Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The EMS
				  Authority shall:
(1) Develop and implement, in
				  cooperation with other EMS system participants, a state-wide written EMS QI program,
				  as defined in Section
				  100400 of the Chapter. Such programs
				  shall include indicators, as defined in Section III and Appendix E of the Emergency
				  Medical Services System Quality Improvement Program Model Guidelines, which address,
				  but are not limited to, the following:
(A)
				  Personnel
(B) Equipment and
				  Supplies
(C) Documentation
(D) Clinical Care and Patient Outcome
(E) Skills Maintenance/Competency
(F) Transportation/Facilities
(G) Public Education and Prevention
(H) Risk Management
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 13 - EMS System Regulations › Section 100450.100 - Appeal Proceedings to the Commission

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any proceeding
				by the Commission to hear an appeal of a local emergency medical services agency's
				(LEMSA) emergency medical services (EMS) plan, pursuant to Health and Safety Code,
				Section
				1797.105,
				shall be conducted in accordance with the provisions of the Administrative Procedure
				Act, Government Code, Section
				11500 et seq,
				and its associated regulations as contained in Title 1 of the California Code of
				Regulations.
(b) The Office of
				Administrative Hearings, using an administrative law judge, shall hold a public
				hearing and receive evidence according to the Administrative Procedures
				Act.
(c) The administrative law judge,
				in making a proposed decision to the Commission, shall only make a recommendation as
				described in Section 1797.105(d) of Division 2.5 of the Health and Safety Code to:
(1) sustain the determination of the authority,
				or
(2) overrule the determination of the
				authority and permit local implementation of the plan.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 13 - EMS System Regulations › Section 100450.100 - Appeal Proceedings to the Commission

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any proceeding
				by the Commission to hear an appeal of a local emergency medical services agency's
				(LEMSA) emergency medical services (EMS) plan, pursuant to Health and Safety Code,
				Section
				1797.105, shall be
				conducted in accordance with the provisions of the Administrative Procedure Act,
				Government Code, Section
				11500 et seq, and its
				associated regulations as contained in Title 1 of the California Code of
				Regulations.
(b) The Office of
				Administrative Hearings, using an administrative law judge, shall hold a public
				hearing and receive evidence according to the Administrative Procedures
				Act.
(c) The administrative law judge,
				in making a proposed decision to the Commission, shall only make a recommendation as
				described in Section 1797.105(d) of Division 2.5 of the Health and Safety Code to:
(1) sustain the determination of the authority,
				or
(2) overrule the determination of the
				authority and permit local implementation of the plan.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.200 - California Emergency Medical Services Information System (Cemsis)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"California emergency medical services information system" or
					 "CEMSIS" means the secure, standardized, and centralized electronic information and
					 data collection system administered by the California EMS Authority which is used to
					 collect statewide emergency medical services (EMS) and trauma
					 data.
1. New chapter 14
					 (articles 1-4, sections
					 100450.200-1000450.224), article 1
					 (sections 100450.200-100450.215) and section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.102
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.201 - Emergency Medical Services Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Emergency medical services authority" or "EMS authority" or
					 "EMSA" means the department in California responsible for the coordination and
					 integration of all state activities concerning emergency medical
					 services.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.54,
						1797.100,
						1797.103
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.202 - Emergency Medical Services for Children (Emsc) Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Emergency medical services for children program" or "EMSC
					 program" means the prehospital and hospital pediatric care components integrated
					 into an existing local EMS agency's EMS Plan for pediatric emergency
					 care.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.203 - Interfacility Transfer

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Interfacility transfer" means the transfer of an admitted or
					 non-admitted pediatric patient from one licensed health care hospital to another
					 pursuant to the policies and procedures of the local EMS agency.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1798.170,
						1798.172
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.204 - Local Emergency Medical Services Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Local emergency medical services agency" or "local EMS agency"
					 or "LEMSA" means the agency, department, or office having primary responsibility for
					 administration of emergency medical services in a county or multicounty region and
					 which is designated pursuant Health and Safety Code commencing with section
					 1797.200.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.205 - National EMS Information System (Nemsis)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"National EMS information system" or "NEMSIS" means the national
					 repository used to store secure, standardized, and centralized electronic EMS data
					 from every state in the nation.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.206 - Pediatric Emergency Care Coordinator (Pecc)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Pediatric emergency care coordinator" or "PECC" means a
					 physician or registered nurse who is qualified in the emergency care of pediatric
					 patients pursuant to section
					 100450.218(b).
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Section
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.207 - Pediatric Experience

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Pediatric experience" means demonstrated competency through
					 experience to care for children of all ages within their specialty as determined by
					 hospital staff credentialing.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Section
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.208 - Pediatric Intensivist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Pediatric intensivist" means a physician who is board-certified
					 or board-eligible in pediatric critical care medicine as recognized by the American
					 Board of Medical Specialties, the Royal College of Physicians and Surgeons of
					 Canada, or the American Osteopathic Board of Medical Specialties.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.209 - Pediatric Patient

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Pediatric patient" means a person who is less than 14 years of
					 age, consistent with Title 22, Division 5, Chapter 1, Article 6, section
					 70537 of the California Code of
					 Reguations.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.210 - Pediatric Receiving Center (Pedrc)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Pediatric Receiving Center" or "PedRC" means a licensed general
					 acute care hospital with, at a minimum, a permit for standby, basic, or
					 comprehensive emergency services that has been formally designated as one of four
					 types of PedRCs pursuant to sections
					 100450.218 through
					 100450.222, by the local EMS agency for
					 its role in an EMS system.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.67,
						1797.88
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.211 - Qualified Emergency Specialist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Qualified emergency specialist" means a physician who is
					 licensed in California, board certified or board eligible in emergency medicine or
					 pediatric emergency medicine by the American Board of Medical Specialties, the
					 American Osteopathic Association Bureau of Osteopathic Specialties, or a Canadian
					 Board or other appropriate foreign specialty board as determined by the American
					 Board of Medical Specialties.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.212 - Qualified Pediatric Specialist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Qualified pediatric specialist" means a physician who is
					 licensed in California, board certified or board eligible in a pediatric specialty
					 by the American Board of Medical Specialties, the Advisory Board for Osteopathic
					 Specialties, or a Canadian Board or other appropriate foreign specialty board as
					 determined by the American Board of Medical Specialties.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.213 - Qualified Specialist. "Qualified Specialist" Means a Physician Licensed in California Who is Board Certified or Board Eligible in the Corresponding Specialty by the American Board of Medical Specialties, the Advisory Board for Osteopathic Specialties, or a Canadian Board or Other Appropriate Foreign Specialty Board as Determined by the American Board of Medical Specialties

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.214 - Quality Improvement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Quality Improvement" or "QI" means methods of evaluation that
					 are comprised of structure, process, and outcome evaluations that focus on
					 improvement efforts to identify root causes of problems, intervene to reduce or
					 eliminate these causes, and take steps to correct the process, and recognize
					 excellence in performance and delivery of care.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.103,
						1797.107,
						1797.176,
						1798.150
						and
						1799.204,
						Health and Safety Code. Reference: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 1 - Definitions › Section 100450.215 - Telehealth

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Telehealth" means the mode of delivering health care services
					 and public health via information and communication technologies to facilitate the
					 diagnosis, consultation, treatment, education, care management, and self-management
					 of a patient's health care while the patient is at the originating site and the
					 health care provider is at a distant site.
1. New section
					 filed 4-23-2019; operative 7-1-2019 (Register 2019, No.
					 17).
Note: Authority cited: Sections
						1797.107
						and
						1799.204,
						Health and Safety Code. Reference: Section
						2290.5,
						Business and Professions Code; and Section
						1799.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 2 - Local EMS Agency Emsc Program Requirements › Section 100450.216 - Emsc Program Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A local EMS
				  agency may develop and implement an EMSC program.
(b) A local EMS agency implementing a new EMSC
				  program shall have the EMSC component of an EMS plan approved by the EMS Authority
				  prior to implementation.
(c) The EMSC
				  component of an EMS plan submitted to the EMS Authority shall include, at a minimum,
				  the following:
(1) EMSC program goals and
				  objectives.
(2) The names and titles of
				  the local EMS agency personnel who have a role in the planning, implementation, and
				  management of an EMSC program.
(3)
				  Injury and illness prevention planning that includes coordination, education, and
				  data collection.
(4)
(A) Policies for care and services rendered to
				  pre-hospital EMS pediatric patients:
1. First
				  response non-transport.
2.
				  Transport.
3. Interfacility
				  Transfer.
4. Critical
				  Care.
(B) This shall include,
				  but not be limited to:
1. Pediatric-specific
				  personnel training.
2. Pediatric
				  ambulance equipment.
(5) A quality improvement plan containing
				  process-outcome measures as referenced in section
				  100450.224 of this Chapter.
(6) A list of facilities providing pediatric
				  critical care and pediatric trauma services.
(7) List of designated hospitals with agreements
				  to participate in the EMSC system of care.
(8) A list of facilities providing pediatric
				  physical rehabilitation resources.
(9)
				  Copies of the local EMS agency's EMSC pediatric patient destination
				  policies.
(10) A description of the
				  method of field communication to the receiving hospital specific to the EMSC
				  patient.
(11) A description of the
				  method of data collection from the EMS providers and designated EMSC hospitals to
				  the local EMS agency and the EMS Authority.
(12) A policy or description of how the local EMS
				  agency integrates a PedRC in a neighboring jurisdiction.
(13) Pediatric surge planning.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 2 - Local EMS Agency Emsc Program Requirements › Section 100450.217 - Annual Emsc Program Update

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  local EMS agency shall submit an annual update to its EMSC program as part of its
				  annual EMS plan submittal, which shall include, at a minimum, all the following:
(1) Any changes in the EMSC program since
				  submission of the prior annual EMS plan.
(2) The status of EMSC program goals and
				  objectives.
(3) A summary of the EMSC
				  program performance improvement activities.
(4) Progress on addressing action items and
				  recommendations provided by the EMS Authority within the EMSC program or Status
				  Report approval letter, if applicable.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 3 - Pediatric Receiving Centers › Section 100450.218 - All Pedrc Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All
				  PedRCs shall meet the following facility requirements:
(1) All PedRCs shall have an interfacility
				  transfer plan for pediatric patients in accordance with Title 22, Division 9,
				  Chapter 7, Article 5, section
				  100266.
(2) Establish a process for obtaining and
				  providing consultation via phone, telehealth, or onsite for emergency care and
				  stabilization, transfer, and transport.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 3 - Pediatric Receiving Centers › Section 100450.219 - Basic Pedrc Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  hospital may be designated as a Basic PedRC by the local EMS agency upon meeting all
				  the following criteria:
(1) All designated Basic
				  PedRCs shall be licensed as a general acute care hospital with a basic or standby
				  Emergency Department permit.
(2)
				  Emergency Department services may include physician staffing 24 hours a day, 7 days
				  a week or a physician available for consultation.
(3) At minimum, one licensed registered nurse or
				  advanced care practitioner per shift in the emergency department shall have current
				  completion of the American Heart Association Pediatric Advanced Life Support,
				  Advanced Pediatric Life Support, completion of an Emergency Nursing Pediatric
				  Course, or other equivalent pediatric emergency care nursing course, as determined
				  by the local EMS agency.
(4) The
				  emergency department in the hospital shall be able to stabilize critically ill or
				  injured infants, children, and adolescents prior to admission to the pediatric
				  intensive care unit (PICU) or transfer to a Comprehensive PedRC facility.
(5) Establish agreements with at least one
				  Comprehensive PedRC, as approved by the local EMS agency, for education,
				  consultation, and transfer of critical pediatric patients.
(6) Establish agreements with an Advanced or
				  General PedRC, as approved by the local EMS agency, for consultation and transfer of
				  pediatric patients.
(7) Establish
				  transfer agreements for pediatric patients needing specialized care, if the
				  specialized care is not available at a Comprehensive, Advanced or General PedRC,
				  such as trauma, burn, spinal cord injury, rehabilitation, and behavioral
				  health.
(8) All Basic PedRCs shall have
				  a physician and/or nurse PECC which may be shared with other
				  PedRCs.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 3 - Pediatric Receiving Centers › Section 100450.220 - General Pedrc Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  hospital may be designated as a General PedRC by the local EMS agency upon meeting
				  all the following criteria:
(1) All designated
				  General PedRCs shall be licensed as a general acute care hospital with a basic or
				  comprehensive Emergency Department permit.
(2) Participate with a Comprehensive and/or
				  Advanced PedRC for pediatric emergency education for hospital staff and emergency
				  care providers consistent with the local EMS agency plan for ongoing pediatric
				  education.
(3) The emergency department
				  in the hospital shall be able to stabilize critically ill or injured infant,
				  children, and adolescents prior to admission to the PICU or transfer to a
				  Comprehensive PedRC facility.
(4)
				  Establish agreements with Comprehensive and/or Advanced PedRCs as approved by the
				  local EMS agency, for education, consultation, and transfer.
(5) Establish transfer agreements for pediatric
				  patients needing specialized care, if the specialized care is not available at a
				  Comprehensive, Advanced or General PedRC, such as trauma, burn, spinal cord injury,
				  rehabilitation, and behavioral health.
(6) All designated General PedRCs shall have a
				  physician and/or nurse PECC which may be shared with other PedRCs.
(7) All designated General PedRCs shall meet the
				  following additional equipment requirements:
(A)
				  Neonatal resuscitation equipment, including:
1.
				  Pediatric laryngoscope with Miller 0 and 00 blades,
2. Size 2.5 and 3.0 endotracheal tubes,
				  and
3. Umbilical vein
				  catheters.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 3 - Pediatric Receiving Centers › Section 100450.221 - Advanced Pedrc Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  hospital may be designated as an Advanced PedRC by the local EMS agency upon meeting
				  the following criteria:
(1) All designated
				  Advanced PedRCs shall be licensed by the Department of Health Services (DHS),
				  Licensing and Certification Division, under California Code of Regulations (CCR),
				  Title 22, Division 5, Chapter 1, as follows:
(A)
				  As an acute care hospital pursuant to Article 1, sections
				  70003 and
				  70005.
(B) For pediatric service pursuant to Article 6,
				  section 70535 et seq.
(C) For basic or comprehensive emergency medical
				  services pursuant to Article 6, section
				  70411, et seq.
(D) For social services pursuant to Article 6,
				  section 70535 et seq
(E) Community neonatal intensive care unit (NICU)
				  or as an Intermediate NICU if it meets the following requirements, as per:
1. Article 6, Section
				  70545 et seq., for the provision of
				  perinatal services and licensed by DHS, Licensing and Certification Division as a
				  perinatal service;
2. Article 6, Section
				  70481 et seq., for the provision of
				  neonatal intensive care services and licensed by DHS, Licensing and Certification
				  Division as an Intensive Care Newborn Nursery (ICNN)
(F) If the hospital has a PICU then it shall be
				  licensed by DHS, Licensing and Certification Division for intensive care services,
				  and meet the requirements for the provision of intensive care services pursuant to
				  CCR Title 22, Division 5, Chapter 1, Article 6, Section
				  70491 et seq.
(G) The emergency department in the hospital shall
				  be able to stabilize critically ill or injured infant, children, and adolescents
				  prior to admission to the PICU or transfer to a Comprehensive PedRC
				  facility.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 3 - Pediatric Receiving Centers › Section 100450.222 - Comprehensive Pedrc Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A hospital may be designated as a Comprehensive PedRC by the local EMS agency upon
				  meeting all criteria of an Advanced PedRC, as well as the following facility
				  requirements:
(1) All designated Comprehensive
				  PedRCs shall be licensed as a general acute care hospital with a basic or
				  comprehensive Emergency Department permit and have full, provisional, or conditional
				  California Children's Services (CCS) approval by the Department of Health Care
				  Services as a tertiary hospital, or meet CCS criteria as a tertiary hospital as
				  approved by the local EMS agency.
(2)
				  Can provide comprehensive specialized pediatric medical and surgical care to any
				  acutely ill or injured child.
(3)
				  Inpatient resources including a neonatal intensive care unit (NICU) and a pediatric
				  intensive care unit (PICU).
(4) Provide
				  ongoing outreach and pediatric education for Community, General and Basic PedRCs,
				  and prehospital care providers, in collaboration with the local EMS
				  agency.
(5) Establish transfer
				  agreements or serve as a regional referral center for specialized care, such as
				  trauma, burn, spinal cord injury, and rehabilitation and behavioral health, of
				  pediatric patients.
(6) Emergency
				  department services include a separate pediatric emergency department or a
				  designated area for emergency care of pediatric patients within an emergency
				  department, with physician staff who are qualified specialists in emergency medicine
				  or pediatric emergency medicine.
(7) All
				  designated Comprehensive PedRCs shall meet the equipment requirements of Advanced
				  PedRCs.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 4 - 4. Data Management, Quality Improvement and Evaluations › Section 100450.223 - Data Management Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  local EMS agency shall implement a standardized data collection and reporting
				  process for EMSC program.
(1) The EMSC program
				  shall include the collection of both prehospital and hospital patient care data, as
				  determined by the local EMS agency.
(2)
				  The prehospital EMSC patient care elements selected by the local EMS agency shall be
				  compliant with the most current version of the CEMSIS and the NEMSIS
				  databases.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 14 - Emergency Medical Services for Children › Article 4 - 4. Data Management, Quality Improvement and Evaluations › Section 100450.224 - Quality Improvement and Evaluation Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each local EMS agency shall have a quality
				  improvement program in collaboration with all PedRCs.
(b) All PedRCs shall have a quality improvement
				  program. This process shall include, at a minimum:
(1) Compliance with the California Evidence Code,
				  Section
				  1157.7 to ensure
				  confidentiality, and a disclosure protected review of selected pediatric
				  cases.
(2) A process that integrates
				  emergency department quality improvement activities with the prehospital, trauma,
				  inpatient pediatrics, pediatric critical care and hospital-wide quality improvement
				  activities.
(3) A process to integrate
				  findings from quality improvement audits and reviews into education and clinical
				  competency evaluations of staff.
(4)
				  Each PedRC will complete an online or paper assessment of the National Pediatric
				  Readiness Project self-assessment and share the results with the local EMS agency
				  every three years at minimum.
(5) A
				  multidisciplinary pediatric quality improvement committee to review prehospital,
				  emergency department, and inpatient care which shall include, but not be limited to:
(A) Cardiopulmonary or respiratory
				  arrests.
(B) Child maltreatment
				  cases.
(C) Deaths.
(D) Intensive care unit admissions.
(E) Operating room admissions.
(F) Transfers.
(G) Trauma
				  admissions.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 1 - Introduction › Article 1 - Definitions › Section 100501 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Unless otherwise specified, as used in this Division:
(1) Commission. "Commission" means the California
				  Medical Assistance Commission.
(2)
				  Contract. "Contract" means a written agreement, or amendments to such an agreement,
				  between a health care provider and the State of California, the terms, services, and
				  rate(s) of which were negotiated by the commission, its executive director, or the
				  Office of Special Health Care Negotiations, or an amendment or modification to such
				  agreement.
(3) Contractor. "Contractor"
				  means a health care provider who is a party to a contract or who is negotiating a
				  proposed contract.
(7) Members,
				  Chairperson, Executive Director. "Members," "chairperson" and "executive director"
				  mean respectively the members and chairperson of, and the executive director to the
				  California Medical Assistance Commission.
1. New Division
					 10 (Chapters 1-3, Sections
					 100501-100527, not consecutive) filed
					 6-30-83 as an emergency; designated effective 7-1-83 (Register 83, No. 27). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or emergency
					 language will be repealed on 10-29-83.
2. Certificate of Compliance
					 including amendment transmitted to OAL 10-28-83 and filed 12-27-83 (Register 83, No.
					 52).
3. Amendment filed 8-26-85 as an emergency effective upon filing
					 (Register 85, No. 36). A Certificate of Compliance must be transmitted to OAL within
					 120 days or emergency language will be repealed on 12-24-85.
4.
					 Certificate of Compliance as to 8-26-85 order transmitted to OAL 12-20-85 and
					 disapproved; amendment refiled 1-23-86 as an emergency pursuant to Government Code
					 Section
					 11346.1(h);
					 effective upon filing (Register 86, No. 4). A Certificate of Compliance must be
					 transmitted to OAL within 120 days or emergency language will be repealed on
					 5-23-86.
5. Order of Repeal of 1-23-86 order filed 6-18-86 by OAL
					 pursuant to Government Code Section
					 11349.6(d)
					 (Register 86, No. 28).
Note: Authority cited: Sections
						14082,
						14082.5
						and
						14165.4,
						Welfare and Institutions Code. Reference: Sections
						14081,
						14082.5,
						14165,
						14165.1
						and
						14165.3,
						Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 1 - Introduction › Article 2 - Commission Meetings › Section 100503 - Meeting Schedule

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The commission shall meet on a regular basis, once each month in
					 Sacramento, California, or in such other location designated by the commission.
					 Additional meetings may be scheduled or meetings rescheduled or cancelled or
					 relocated by the chairperson or by vote of the commission.
1. Certificate of
					 Compliance as to 6-30-83 order transmitted to OAL 10-28-83 and filed 12-27-83
					 (Register 83, No. 52).
Note: Authority cited: Sections
						14082,
						14082.5
						and
						14165.4,
						Welfare and Institutions Code. Reference: Sections
						14165
						and
						14165.6,
						Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 1 - Introduction › Article 2 - Commission Meetings › Section 100505 - Notice of Meetings. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of
					 Repeal of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code
					 Section
					 11349.6
					 (Register 83, No. 52).
Note: Authority cited: Sections
						14082,
						14082.5
						and
						14165.4,
						Welfare and Institutions Code. Reference: Sections
						14165,
						and
						14165.6,
						Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 1 - Introduction › Article 2 - Commission Meetings › Section 100507 - Commission Decisions. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of
					 Repeal of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code
					 Section
					 11349.6
					 (Register 83, No. 52).
Note: Authority cited: Sections
						14082,
						14082.5
						and
						14165.4,
						Welfare and Institutions Code. Reference: Sections
						14165.6
						and
						14165.7,
						Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 1 - Introduction › Article 3 - Commission Staff › Section 100509 - Hiring Staff. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of
					 Repeal of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code
					 Section
					 11349.6
					 (Register 83, No. 52).
Note: Authority cited: Sections
						14082,
						14082.5
						and
						14165.4,
						Welfare and Institutions Code. Reference: Section
						14165.3,
						Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 1 - Introduction › Article 3 - Commission Staff › Section 100511 - Supervision. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of
					 Repeal of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code
					 Section
					 11349.6
					 (Register 83, No. 52).
Note: Authority cited: Sections
						14082,
						14082.5
						and
						14165.4,
						Welfare and Institutions Code. Reference: Sections
						14165.3
						and
						14165.5,
						Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 2 - Negotiation and Approval of Proposed Contracts › Section 100513 - General Responsibility. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of Repeal
				  of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code Section
				  11349.6
				  (Register 83, No. 52).
Note: Authority cited: Sections
					 14082,
					 14082.5
					 and
					 14165.4,
					 Welfare and Institutions Code. Reference: Sections
					 14165.5
					 and
					 14165.6,
					 Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 2 - Negotiation and Approval of Proposed Contracts › Section 100515 - Approval of Contracts

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) After a
				contract is negotiated, the executive director hall, in writing, recommend its
				approval to the commission. Such recommendation shall be mailed to each commissioner
				not more than twenty (20) and not less than 15 days prior to the next scheduled
				meeting of the commission. The timely mailing of such written recommendation shall
				constitute "approval of the executive director" set forth in Section
				14165.5
				of the California Welfare and Institutions Code.
1. Order of Repeal
				  of 6-30-83 emergency order (subsection (b) only) filed 11-28-83 by OAL pursuant to
				  Government Code Section
				  11349.6
				  (Register 83, No. 52).
2. Certificate of Compliance including amendment
				  of subsection (a) transmitted to OAL 10-28-83 and filed 12-27-83 (Register 83, No.
				  52).
Note: Authority cited: Sections
					 14082,
					 14082.5
					 and
					 14165.4,
					 Welfare and Institutions Code. Reference: Sections
					 14165.5
					 and
					 14165.6,
					 Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 2 - Negotiation and Approval of Proposed Contracts › Section 100517 - Review by Legal Counsel. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of Repeal
				  of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code Section
				  11349.6
				  (Register 83, No. 52).
Note: Authority cited: Sections
					 14082,
					 14082.5
					 and
					 14165.4,
					 Welfare and Institutions Code. Reference: Sections
					 14165.5
					 and
					 14165.6,
					 Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 2 - Negotiation and Approval of Proposed Contracts › Section 100519 - Commission Review of Contract Recommendations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) At the meeting of the commission following the
				recommendation of the executive director in respect to any contract, the commission
				shall serve as a review body, and may, by majority vote:
(1) approve a proposed contract;
(2) disapprove a proposed contract;
(3) disapprove in part a proposed
				contract;
(4) disapprove a proposed
				contract subject to specified conditions;
(5) take other appropriate action upon the advise
				of the executive director.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 2 - Negotiation and Approval of Proposed Contracts › Section 100521 - Waiver of Review

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
When the commission has disapproved a contract pursuant to Section
				  100519, it may, at its option, waive
				  review of the contract renegotiated in accordance with its specified conditions.
				  Such conditions, to the extent they limit or direct the executive director's
				  negotiations, shall be confidential.
1. Order of Repeal
				  of 6-30-83 emergency order (subsection (a) only) filed 11-28-83 by OAL pursuant to
				  Government Code Section
				  11349.6
				  (Register 83, No. 52).
2. Certificate of Compliance including amendment
				  transmitted to OAL 10-28-83 and filed 12-27-83 (Register 83, No.
				  52).
Note: Authority cited: Sections
					 14082,
					 14082.5
					 and
					 14165.4,
					 Welfare and Institutions Code. Reference: Sections
					 14165.5,
					 14165.6
					 and
					 14165.7,
					 Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 2 - Negotiation and Approval of Proposed Contracts › Section 100523 - Technical Alternations to Approved Contracts. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of Repeal
				  of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code Section
				  11349.6
				  (Register 83, No. 52).
Note: Authority cited: Sections
					 14082,
					 14082.5
					 and
					 14165.4,
					 Welfare and Institutions Code. Reference: Sections
					 14165.5,
					 14165.6
					 and
					 14165.7,
					 Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 10 - California Medical Assistance Commission › Chapter 2 - Negotiation and Approval of Proposed Contracts › Section 100525 - Contracts Not Limited to Inpatient Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Order of Repeal
				  of 6-30-83 emergency order filed 11-28-83 by OAL pursuant to Government Code Section
				  11349.6
				  (Register 83, No. 52).
Note: Authority cited: Sections
					 14082,
					 14082.5
					 and
					 14165.4,
					 Welfare and Institutions Code. Reference: Sections
					 14165.5,
					 14165.6,
					 14087.5
					 and
					 14089,
					 Welfare and Institutions Code.