reglab/statecodes huggingface dataset:
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › Section 16.01.12.076 - MEMBERS OF A PEER REVIEW TEAM

Current through August 31, 2023
The peer review team will consist of four (4) team members
				selected by the EMS Bureau as appropriate to the case being considered from the
				following: (3-17-22)
01.
Licensed Personnel
. EMS personnel licensed at, or above, the license
			 level of the subject; or (3-17-22)
02.
Agency Administrator
. EMS
			 agency administrator; or (3-17-22)
03.
Training Officer
. EMS agency
			 training officer; or (3-17-22)
04.
Course Coordinator
. Course coordinator of an EMS Bureau-approved
			 education program or course; or (3-17-22)
05.
Instructor
. EMS
			 Bureau-certified EMS instructor; and (3-17-22)
06.
Chairman of Peer Review
			 Team
. Each peer review team will be chaired by a licensed Idaho EMS
			 physician as follows: (3-17-22)
a. An Idaho
			 EMS Physician Commissioner for cases involving EMS personnel; or
			 (3-17-22)
b. An Idaho EMS agency
			 medical director for cases involving an EMS agency; or (3-17-22)
c. An Idaho EMS Bureau-approved education
			 program or course sponsoring physician for cases involving educators who are
			 not licensed EMS personnel. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › Section 16.01.12.077 - QUALIFICATIONS REQUIRED OF A PEER REVIEW TEAM MEMBER

Current through August 31, 2023
An individual, serving as a member of an EMS peer review team,
				must have successfully completed an orientation to EMS-related statute, rules
				and procedures and have signed confidentiality and conflict of interest
				agreements provided by the EMS Bureau. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › REPORTING OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.100 - COMPLAINT SUBMITTED WHEN A VIOLATION IS SUSPECTED

Current through August 31, 2023
Complaints must be submitted in writing on a complaint intake
				  form found online at:
http://www.idahoems.org
. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › REPORTING OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.110 - REPORTING SUSPECTED VIOLATION

Current through August 31, 2023
01.
Suspected Violations
. Any person may report a suspected violation of any
				law or rule governing EMS. (3-17-22)
02.
Report Violation
. To report
				a suspected violation, contact the EMS Bureau, see online at:
http://www.idahoems.org
.
				(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › REPORTING OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.111 - ANONYMOUS COMPLAINTS

Current through August 31, 2023
Anonymous complaints are accepted; however, the inability to
				  collect further information from the complainant may hinder the progress of the
				  investigation. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › INVESTIGATION OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.200 - EMS BUREAU INITIATES OFFICIAL INVESTIGATION

Current through August 31, 2023
An official investigation will be initiated when the any of
				  the following occurs: (3-17-22)
01.
Complaint with Allegations
. A complaint with an allegation that,
				if substantiated, would be in violation of any law or rule governing EMS.
				(3-17-22)
02.
Discovery of
				Potential Violation of Statute or Administrative Rule
. EMS Bureau staff
				or other authorities discover a potential violation of any law or rule
				governing EMS. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › INVESTIGATION OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.210 - VIOLATIONS THAT MAY RESULT IN ADMINISTRATIVE ACTIONS

Current through August 31, 2023
The EMS Bureau may impose administrative actions, including
				  denial, revocation, suspension, or retention under conditions specified in
				  Sections 300 through
				  399 of these rules. Administrative
				  actions may be imposed on any of the following: the holder of, or an applicant
				  or candidate for, an EMS license, certificate, education program approval, or
				  recognition. Administrative actions may be imposed on any of the previously
				  mentioned for any action, conduct, or failure to act that is inconsistent with
				  the professionalism, standards, or both, established by statute or rule.
				  (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › INVESTIGATION OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.220 - REFUSAL TO PARTICIPATE IN AN INVESTIGATION

Current through August 31, 2023
The refusal to participate by the subject will not prohibit
				  full investigation or a peer review, nor prevent potential administrative
				  license action. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › INVESTIGATION OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.230 - SURRENDER OR LAPSE OF LICENSE

Current through August 31, 2023
Surrender or lapse of a license will not prohibit full
				  investigation with the potential consequence of EMS Bureau imposing a formal
				  administrative license action or fine. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › INVESTIGATION OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.240 - INVESTIGATION CONFIDENTIALITY

Current through August 31, 2023
01.
Informal
				Resolution
. Informal resolution of complaints or non-compliance by
				guidance or negotiated resolution is not public information.
				(3-17-22)
02.
Administrative
				License Action
. Preliminary investigations and documents supplied or
				obtained in connection with them are confidential until a formal notice of
				administrative license action is issued. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › INVESTIGATION OF COMPLAINTS AND SUSPECTED VIOLATIONS › Section 16.01.12.250 - NOTICE OF THE FINAL DISPOSITION OF AN INVESTIGATION

Current through August 31, 2023
01.
Subject
. The EMS Bureau will
				send notification to the last known address of the subject of the disposition
				of the investigation, including any pending or current administrative actions.
				(3-17-22)
02.
Other
				Jurisdiction for EMS Personnel
. A copy of administrative action imposed
				on EMS personnel will be sent to each agency of affiliation, agency medical
				director, the National Practitioners Data Base, and the National Registry of
				Emergency Medical Technicians. (3-17-22)
03.
Other Jurisdictions for EMS
				Agencies
. A copy of administrative action or nature of fines imposed on
				EMS agencies will be sent to the agency governing authorities and the agency
				medical director. (3-17-22)
04.
Other Jurisdictions for Educational Programs or Instructors
. A
				copy of any administrative action imposed on an EMS educational program or
				instructor may be sent to the state Board of Education, the sponsoring
				physician, the Committee on Accreditation of Educational Programs for the
				Emergency Medical Services Professions (CoAEMSP), and the National Registry of
				Emergency Medical Technicians (NREMT). (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › DISCIPLINARY AND CORRECTIVE ACTIONS › Section 16.01.12.300 - ACTIONS RESULTING FROM INVESTIGATIONS

Current through August 31, 2023
The following actions may be imposed upon the subject of an
				  investigation by the EMS Bureau without peer review: (3-17-22)
01.
Letter of Guidance
. The EMS
				Bureau may issue a letter of guidance, directing the subject of the
				investigation to the standards, rules, educational resources, or local
				jurisdiction for resolution of minor noncompliance issues where no injury or
				threat of harm to the public, profession, or EMS system occurred. The subject
				of the investigation must show a willingness to become compliant and correct
				the issue within thirty (30) days of receipt of the personnel guidance letter.
				(3-17-22)
02.
Warning
				Letter
. The EMS Bureau may issue a warning letter for a first offense
				where an unlicensed individual is providing patient care in violation of
				Section 56-1020, Idaho Code.
				(3-17-22)
03.
Negotiated
				Resolution
. The EMS Bureau may negotiate a resolution with the subject
				of an investigation where allegations of misconduct or medical scope of
				practice non-compliance, if found to be true, did not cause, or is not likely
				to cause, injury or harm to the public, profession, or EMS system. The issue
				must be resolved and corrected within thirty (30) days of the negotiated
				resolution or settlement agreed to by both the subject of the investigation and
				the EMS Bureau. (3-17-22)
a. Negotiated
				resolution participants will include the subject of the investigation, EMS
				Bureau staff and other parties deemed appropriate by the EMS Bureau.
				(3-17-22)
b. During the negotiated
				resolution process, the subject of the investigation may be offered specific
				remediation or disciplinary action by consent, which, if agreed to, will
				resolve the matter with no further right to appeal unless stipulated and agreed
				to at the time that the remediation or disciplinary action is agreed upon.
				(3-17-22)
c. When the remediation
				or disciplinary action is not agreed to by consent of both the subject of the
				investigation and the EMS Bureau, the matter may then be referred to a peer
				review. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › DISCIPLINARY AND CORRECTIVE ACTIONS › Section 16.01.12.320 - PEER REVIEW

Current through August 31, 2023
The EMS Bureau may elect to conduct a peer review for alleged
				  statute or rule violations when it determines that a peer review is an
				  appropriate action, or a negotiated resolution or settlement agreement
				  described in Section 300 of these
				  rules, is not reached. The peer review is conducted as follows:
				  (3-17-22)
01.
Review of Case by
				Peer Review Team
. The peer review team reviews the case details,
				subject's background, affiliation, licensure history, associated evidence, and
				documents, and then considers aggravating and mitigating circumstance as
				follows: (3-17-22)
a. Aggravating
				circumstances can include: prior or multiple offenses, vulnerability of victim,
				obstruction of the investigation, and dishonesty. (3-17-22)
b. Mitigating circumstances can include:
				absence of prior offenses, absence of dishonest or selfish motive, timely
				effort to rectify situation, interim successful rehabilitation, misdirection
				per agency protocol, or medical direction. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › DISCIPLINARY AND CORRECTIVE ACTIONS › Section 16.01.12.330 - ADMINISTRATIVE ACTIONS

Current through August 31, 2023
The EMS Bureau may impose the following administrative
				  actions: (3-17-22)
01.
Deny
				Application
. The EMS Bureau may deny an application for an EMS personnel
				license, EMS certificate of eligibility, EMS personnel limited recognition, EMS
				agency license, EMS education program approval, or an EMS instructor
				certification: (3-17-22)
a. When the
				application is not complete or the applicant does not meet the eligibility
				requirements provided in Sections
				56-1011 through
				56-1023, Idaho Code, IDAPA
				16.01.07, "Emergency Medical Services (EMS) -- Personnel Licensing
				Requirements," IDAPA 16.02.02, "Idaho Emergency Medical Services (EMS)
				Physician Commission," or IDAPA 16.01.05, "Emergency Medical Services (EMS) --
				Education, Instructor, and Examination Requirements"; or (3-17-22)
b. For any reason that would justify an
				administrative action according to Section
				210 of these rules.
				(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › DISCIPLINARY AND CORRECTIVE ACTIONS › Section 16.01.12.340 - VIOLATIONS THAT MAY RESULT IN FINES BEING IMPOSED ON EMS AGENCY

Current through August 31, 2023
In addition to administrative license actions provided in
				  Section 56-1022, Idaho Code, and these
				  rules, a fine may be imposed by the EMS Bureau upon recommendation of a peer
				  review team on a licensed EMS agency as a consequence of agency violations.
				  Fines may be imposed for the following violations: (3-17-22)
01.
Operating An Unlicensed EMS
				Agency
. Operating without a license required in IDAPA 16.01.03,
				"Emergency Medical Services (EMS) -- Agency Licensing Requirements," including:
				(3-17-22)
a. Failure to obtain an initial
				license; (3-17-22)
b. Failure to
				obtain a license upon change in ownership; or (3-17-22)
c. Failure to renew a license and continues
				to operate as an EMS agency. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › DISCIPLINARY AND CORRECTIVE ACTIONS › Section 16.01.12.341 - FINES IMPOSED ON EMS AGENCY

Current through August 31, 2023
In addition to administrative license action allowed by
				  statute and rule, a fine may be imposed by the EMS Bureau upon the
				  recommendation of a peer review team. Fines are imposed on licensed EMS agency
				  as a consequence of agency licensure violations. (3-17-22)
01.
Maximum Amount of a Fine
. A
				fine may not exceed one thousand dollars ($1000) for each specified violation.
				(3-17-22)
02.
Fines Levied
				After Peer Review
. The EMS Bureau may levy a fine against an EMS agency
				following a peer review that has a majority decision on finding and outcomes,
				and includes a fine be imposed as part of the recommended action.
				(3-17-22)
03.
Table for
				Maximum Fine Amount
. The maximum amount of a fine that may be imposed on
				an EMS agency for certain violations listed in Section
				330 of these rules are provided in
				the table below:
EMS AGENCY FINE AMOUNT FOR
								VIOLATIONS
Section
								341.03
Rule Violation
								Subsection
TYPE OF
								VIOLATION
Maximum Fine (each
								violation)
340.01.
Operating an Unlicensed EMS
								Agency.
a.
Failure to obtain an initial
								license:
$1000
b.
Failure to obtain a license upon
								change of ownership:
$500
c.
Failure to successfully renew a
								license:
$500
340.02.
Unlicensed EMS Personnel Providing Patient
								Care.
$500
340.03.
Failure to Respond.
$750
340.04.
Unauthorized Response by EMS
								Agency.
Licensed EMS agency responds to a request for
								service which deviates from or exceeds those authorized by the EMS agency
								license.
$500
340.05.
Failure to Allow an Inspection of an EMS
								Agency.
$500
340.06.
Failure to Correct Unacceptable
								Conditions.
a.
Failure to maintain an EMS vehicle
								in a safe and sanitary condition:
$250
b.
Failure to have available minimum
								EMS equipment:
$250
c.
Failure to correct patient or
								personnel safety hazards:
$250
d.
Failure to retain an EMS agency
								medical director:
$500
340.07.
Failure to Report Patient Care
								Data.
$500
(3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › DISCIPLINARY AND CORRECTIVE ACTIONS › Section 16.01.12.342 - COLLECTED FINES

Current through August 31, 2023
Money collected from EMS agency fines will be deposited into
				  the Emergency Medical Services Fund III provided for in Section
				  56-1018B, Idaho Code, a dedicated
				  fund account for the purpose of providing grants to acquire vehicles and
				  equipment for use by emergency medical services personnel in the performance of
				  their duties. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.01.12 - EMERGENCY MEDICAL SERVICES (EMS) - COMPLAINTS, INVESTIGATIONS, AND DISCIPLINARY ACTIONS › DISCIPLINARY AND CORRECTIVE ACTIONS › Section 16.01.12.350 - REINSTATEMENT FOLLOWING REVOCATION

Current through August 31, 2023
An application of any revoked license, certificate, or
				  educational program approval, may be filed with the EMS Bureau no earlier than
				  one (1) year from the date of the revocation. (3-17-22)
01.
Peer Review for
				Reinstatement
. The EMS Bureau will conduct a peer review to consider the
				reinstatement application. (3-17-22)
02.
Recommendation of Peer Review
				Team
. The peer review team will make a recommendation to the EMS Bureau
				to accept or reject the application for reinstatement. (3-17-22)
03.
Reinstatement Determination
.
				The EMS Bureau will accept or reject the reinstatement application based on the
				peer review team recommendation and other extenuating circumstances. (3-17-22)
a. Reinstatement of a revoked EMS personnel
				license is subject to the lapsed license reinstatement requirements in IDAPA
				16.01.07, "Emergency Medical Services (EMS) -- Personnel Licensing
				Requirements." (3-17-22)
b.
				Reinstatement of a revoked EMS agency license will be subject to an initial
				agency application requirements in IDAPA 16.01.03, "Emergency Medical Services
				(EMS) -- Agency Licensing Requirements." (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.000 - LEGAL AUTHORITY

Current through August 31, 2023
Section
				56-1028, Idaho Code, authorizes
				the Idaho Time Sensitive Emergency System Council (TSE) to promulgate rules to
				establish standards and administer a voluntary TSE system. Sections
				56-1024 through
				56-1030, Idaho Code, provide
				requirements for the TSE Council, its membership, duties, regional TSE
				committees, standards criteria, and the designation of centers. Section
				56-1007, Idaho Code, authorizes
				the Department to charge and collect fees and Section
				57-2003, Idaho Code, authorizes
				the Department to establish the Idaho (TSE) Registry. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.001 - SCOPE AND INTENT

Current through August 31, 2023
01.
Scope
. These rules provide for the administration and establishment of
			 standards for a voluntary statewide TSE system of care that includes procedures
			 and requirements for designation of trauma, stroke, and heart attack centers
			 including data reporting, fees, appeal process and enforcement procedures,
			 determination of regions to provide an effective access to the TSE System
			 within the state, and operational procedures for regional TSE committees.
			 (3-28-23)
02.
Intent
.
			 With the maturation of the TSE system, the intent is for the state to have the
			 ability to designate TSE centers without reliance on national accreditation
			 bodies. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.004 - INCORPORATION BY REFERENCE

Current through August 31, 2023
The Time Sensitive Emergency Standards Manual, Edition 2023-1,
				hereafter referred to as the TSE Standards Manual, is incorporated by reference
				in this chapter of rules. Copies of the manual may be obtained online at
https://tse.idaho.gov/
.
				(3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.010 - DEFINITIONS

Current through August 31, 2023
01.
Department.
The Idaho
			 Department of Health and Welfare. (3-28-23)
02.
EMS Agency
. Any organization
			 licensed by the Department under Sections
			 56-1011 through
			 56-1023, Idaho Code, and IDAPA
			 16.01.03, "Emergency Medical Services (EMS) - Agency Licensing Requirements,"
			 that operates an air medical service, ambulance service, or non-transport
			 service. (3-28-23)
03.
Facility
. A health care organization that is voluntarily seeking
			 designation from the Idaho TSE Council. A facility may be any of the following:
			 (3-28-23)
a. Center as designated by the
			 Idaho TSE Council. (3-28-23)
b.
			 Freestanding emergency department: (3-28-23)
i. Owned by a hospital with a dedicated
			 emergency department; (3-28-23)
ii.
			 Located within thirty-five (35) miles of the hospital that owns or controls it;
			 (3-28-23)
iii. Provides emergency
			 services twenty-four (24) hours per day, seven (7) days per week on an
			 outpatient basis; (3-28-23)
iv.
			 Physically separate from a hospital; and (3-28-23)
v. Meets the staffing and service
			 requirements in IDAPA 16.03.14, "Hospitals." (3-28-23)
c. Hospital as defined in Section
			 39-1301, Idaho Code.
			 (3-28-23)
d. A health care clinic
			 in a rural area that is located more than thirty-five (35) miles from a
			 hospital via maintained roads and can provide emergency care to patients.
			 (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.075 - TSE COUNCIL

Current through August 31, 2023
Under Section
				56-1027, Idaho Code, the TSE
				Council will consist of members appointed by the Governor of Idaho and the
				chair of each regional TSE committee and is responsible for duties described
				under Section
				56-1028, Idaho Code.
				(3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.080 - TSE REGIONS

Current through August 31, 2023
Under Section
				56-1028, Idaho Code, the TSE
				Council is required to establish TSE regions that provide more effective access
				to the Idaho TSE system through education, but not for the purpose of promoting
				competition, restricting, or directing patient referrals within the region. The
				TSE Council has established six (6) regions in Idaho described in the TSE
				Standards Manual. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.081 - REALIGNMENT OF TSE REGION

Current through August 31, 2023
The TSE Council may realign a region by initiation of the TSE
				Council, or at the request of a regional TSE committee, a county or local
				government entity within the region, a TSE-designated center, or a licensed EMS
				agency within the region. (3-28-23)
01.
Requesting Entity
. The
			 requesting entity must forward correspondence to the TSE Council specifying the
			 reason for the realignment request that includes: (3-28-23)
a. Existing patient routing patterns used by
			 both EMS agencies and health care centers; (3-28-23)
b. Distances and transport times involved in
			 patient routing patterns; (3-28-23)
c. A list of all entities affected by the
			 request; (3-28-23)
d. A list of all
			 other licensed health care facilities and licensed EMS agencies in the county;
			 and (3-28-23)
e. Documentation that
			 all affected regional TSE committees are agreeable to the realignment.
			 (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.082 - REGIONAL TSE COMMITTEES

Current through August 31, 2023
The regional TSE committees' organization and responsibilities
				are described under Section
				56-1030, Idaho Code.
				(3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.100 - DESIGNATION OF TSE CENTERS - CRITERIA

Current through August 31, 2023
Under Section
				56-1029, Idaho Code, the TSE
				Council will designate a hospital as a trauma, stroke, or STEMI center when
				such hospital, upon proper application and verification, is found by the TSE
				Council to meet an applicable designation level for trauma, stroke, or STEMI
				designation criteria established in the TSE Standards Manual. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.105 - TRAUMA DESIGNATION CENTERS

Current through August 31, 2023
To be a TSE-designated Level I, II, III, IV, V, or a Pediatric
				Level I or Level II Trauma Center, a facility must meet or exceed required
				standards published for state designation in the TSE Standards Manual.
				(3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.110 - STROKE DESIGNATION CENTERS

Current through August 31, 2023
To be a TSE-designated Level I, II, II+ (Thrombectomy), or III
				Stroke Center, a facility must meet or exceed required standards published for
				state designation in the TSE Standards Manual. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.115 - STEMI DESIGNATION CENTERS

Current through August 31, 2023
To be a TSE-designated Level I+ (Cardiogenic Shock), or II
				STEMI Center, a facility must meet or exceed required standards published for
				state designation in the TSE Standards Manual. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.120 - DESIGNATION OF CENTERS - GENERAL REQUIREMENTS

Current through August 31, 2023
01.
Application
. A facility applying for initial TSE designation must
			 apply along with applicable fees for each designation it is requesting.
			 Application process and requirements are provided in the TSE Standards Manual.
			 (3-28-23)
02.
Initial
			 Designation
. Initial designation requires completion of appropriate
			 application, submission of appropriate fees, and completion of an appropriate
			 site survey based on the TSE Standards Manual. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.190 - TSE DESIGNATION - LENGTH OF DESIGNATION

Current through August 31, 2023
A TSE center will be designated for a period of three (3)
				years, unless the designation is rescinded by the TSE Council for noncompliance
				with the designation standards of these rules or adjusted to coincide with
				applicable external verification timetables. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.191 - RENEWAL OF TSE DESIGNATION

Current through August 31, 2023
A TSE center must submit its renewal application and applicable
				fees no later than three (3) months prior to the center's designation
				expiration date. Designation will not lapse due to a delay in scheduling the
				site survey, if the delay is through no fault of renewing center.
				(3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.195 - NOTIFICATION OF LOSS OF CERTIFICATION OR LICENSURE

Current through August 31, 2023
Any TSE-designated center that has a loss of certification or
				licensure must immediately notify the TSE Council. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.250 - TSE SITE SURVEY

Current through August 31, 2023
The TSE Council will conduct a site survey of each
				TSE-designated center at least once every three (3) years, unless the center
				has been verified by a national accrediting body to meet or exceed the
				standards set in these rules. The TSE Council will schedule the site survey
				with the designated center in a timely manner. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.251 - TSE SITE SURVEY - GENERAL REQUIREMENTS

Current through August 31, 2023
The TSE site survey will consist of and consider each
				facility's application and compliance with the TSE Standards Manual for the
				specific type of designation being requested. The general requirements in
				Subsections 251.01 through
				251.06 of this rule apply:
				(3-28-23)
01.
Survey Team Member
			 Requirements
. Survey team members will meet the following inclusion
			 criteria: (3-28-23)
a. A physician surveyor
			 must: (3-28-23)
i. Be certified by the
			 American Board of Medical Specialties or the American Board of Osteopathic
			 Medicine; (3-28-23)
ii. Be
			 board-certified in the specialty area being represented on the review team;
			 (3-28-23)
iii. Be currently active,
			 or active in the last twelve (12) months, in trauma, stroke, or emergency
			 cardiac care at a center that is at or above the level being reviewed;
			 (3-28-23)
iv. Have no conflict of
			 interest with the facility under review; and (3-28-23)
v. Be from outside the region of the center
			 being verified. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.252 - SITE SURVEY - SURVEY TEAM COMPOSITION

Current through August 31, 2023
The TSE Council will select a site survey team based on the
				applicant's designation application and specifications provided in these rules
				and the standards published in the TSE Standards Manual. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.253 - SITE SURVEY - ADDITIONAL SURVEYS

Current through August 31, 2023
The TSE Council may conduct additional, announced or
				unannounced, site reviews of TSE-designated centers or applicants when there is
				reason to believe that the center is not in compliance with the designation
				criteria standards of these rules. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.260 - DESIGNATION DECISION

Current through August 31, 2023
01.
Summary
			 Report
. The survey team will present a verbal summary of the survey
			 results to the applicant. The survey team will submit in writing to the TSE
			 Council its recommendation on the center's designation upon completion of the
			 site survey. (3-28-23)
02.
Written Report
. The TSE Council will consider all evidence and notify
			 the applicant in writing of its decision within thirty (30) calendar days of
			 receiving the survey team's recommendation. (3-28-23)
03.
Final Determination
. The TSE
			 Council's final determination regarding each application will be based upon
			 consideration of: (3-28-23)
a. The
			 application; (3-28-23)
b. The
			 evaluation and recommendations of the site survey team; (3-28-23)
c. The best interests of patients; and
			 (3-28-23)
d. Any unique attributes
			 or circumstances that make the facility capable of meeting special community
			 needs. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.270 - WAIVERS

Current through August 31, 2023
01.
Granting a Waiver
. The TSE
			 Council may grant a waiver from one (1) or more designation criteria for a
			 center applying for TSE designation. (3-28-23)
02.
Waiver Application
. A center
			 requesting a waiver must submit a completed TSE Waiver Application Form. The
			 TSE Council may require the applicant to provide additional information, and
			 the application will not be considered complete until all required information
			 is provided. (3-28-23)
03.
Post Notice
. A center requesting a waiver must post a notice of
			 the waiver application at all public entrances to the center and in at least
			 one (1) area that is commonly used by the patients. The notice must: (3-28-23)
a. Include a meaningful description of the
			 reason for the waiver; (3-28-23)
b.
			 Be posted on the date the waiver application is submitted; (3-28-23)
c. Remain posted for a minimum of thirty (30)
			 calendar days; and (3-28-23)
d.
			 Describe where and to whom comments may be submitted during the thirty (30)
			 calendar days. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.280 - DENIAL AND MODIFICATION

Current through August 31, 2023
01.
Denial
. The TSE Council may deny an initial or renewal application for a
			 center's designation when a center: (3-28-23)
a. Does not meet the criteria for designation
			 required in these rules; (3-28-23)
b. Application or accompanying documents
			 contain false statements of material facts; (3-28-23)
c. Refuses to allow any part of a site
			 survey; (3-28-23)
d. Fails to
			 comply with or to successfully complete a plan of correction, or
			 (3-28-23)
e. Is substantially
			 noncompliant with any TSE rules. (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.285 - REVOCATION AND SUSPENSION

Current through August 31, 2023
01.
Revocation
. The TSE Council may revoke the designation of a center or a
			 waiver when an owner, officer, director, manager, or other employee: (3-28-23)
a. Fails or refuses to comply with the
			 provisions of these rules; (3-28-23)
b. Fails to make annual designation fee
			 payment for those facilities paying yearly; (3-28-23)
c. Makes a false statement of material fact
			 about the center's capabilities or other pertinent circumstances under
			 investigation for any purposes connected with these rules; (3-28-23)
d. Prevents, interferes with, or attempts to
			 impede in any way, the work of a TSE Council representative in implementing or
			 enforcing these rules; (3-28-23)
e.
			 Falsely advertises, or in any way misrepresents the facility's ability to care
			 for patients based on its designation status; (3-28-23)
f. Is substantially noncompliant with these
			 rules and has not rectified such noncompliance; (3-28-23)
g. Fails to provide reports required by the
			 Idaho TSE Registry or the Department in a timely and complete fashion; or
			 (3-28-23)
h. Fails to comply with
			 or complete a plan of correction in the time or manner specified.
			 (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.01 - IDAHO TIME SENSITIVE EMERGENCY SYSTEM COUNCIL › Section 16.02.01.290 - DESIGNATION AT A LESSER LEVEL

Current through August 31, 2023
01.
Inability to Meet Criteria
. The TSE Council may opt to redesignate a
			 center at a lesser level due to the center's inability to meet current
			 designation criteria, without regard to any waiver previously granted.
			 (3-28-23)
02.
Notification
			 and Appeal
. When the TSE Council decides to redesignate a center, it
			 must provide the center with a written notification of the action and the basis
			 for the action. The notice will inform the center of the right to appeal and
			 the appeal procedure under IDAPA 16.05.03, "Contested Case Proceedings and
			 Declaratory Rulings." (3-28-23)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.000 - LEGAL AUTHORITY

Current through August 31, 2023
Under Sections
				56-1013A and
				56-1023, Idaho Code, the Idaho
				Emergency Medical Services (EMS) Physician Commission is authorized to
				promulgate these rules for the purpose of establishing standards for scope of
				practice and medical supervision for licensed personnel, air medical, ambulance
				services, and nontransport agencies licensed by the Department of Health and
				Welfare. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.001 - TITLE AND SCOPE

Current through August 31, 2023
01.
Title
. The title of these rules is IDAPA 16.02.02, "Idaho Emergency
			 Medical Services (EMS) Physician Commission." (3-17-22)
02.
Scope
. The scope of these
			 rules is to define the allowable scope of practice, acts, and duties that can
			 be performed by persons licensed as emergency medical services personnel by the
			 Department of Health and Welfare Bureau of Emergency Medical Services and
			 Preparedness and to define the required level of supervision by a physician.
			 (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.002 - INVESTIGATIONS

Current through August 31, 2023
01.
Physician Professional Disciplinary
			 Enforcement Investigations
. The provisions of Section
			 54-1806A, Idaho Code, govern
			 investigation of complaints regarding physicians. (3-17-22)
02.
EMS Personnel and EMS Agency
			 Complaint Investigations
. The provisions of IDAPA 16.01.12, "Emergency
			 Medical Services (EMS) -- Complaints, Investigations, and Disciplinary
			 Actions," govern investigation of complaints regarding licensed EMS personnel
			 and EMS Agencies. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.003 - INCORPORATION BY REFERENCE

Current through August 31, 2023
The Idaho Emergency Medical Services (EMS) Physician Commission
				has adopted the Idaho Emergency Medical Services (EMS) Physician Commission
				Standards Manual, edition 2020-1, and hereby incorporates this Standards Manual
				by reference. Copies of the manual may be obtained on the Internet at
https://healthandwelfare.idaho.gov/about-dhw/boards-councils-committees/ems-physician-commission
or from the Bureau of Emergency Medical Services and Preparedness located at
				2224 East Old Penitentiary Road, Boise, ID, 83712-8249, whose mailing address
				is P.O. 83720, Boise, Idaho 83720-0036. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.004 - EMS COMPLAINTS

Current through August 31, 2023
The provisions of IDAPA 16.01.12, "Emergency Medical Services
				(EMS) -- Complaints, Investigations, and Disciplinary Actions," govern the
				confidentiality of the investigation of complaints regarding licensed EMS
				personnel. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.010 - DEFINITIONS

Current through August 31, 2023
In addition to the applicable definitions in Section
				56-1012, Idaho Code, and IDAPA
				16.01.02, "Emergency Medical Services (EMS) -- Rule Definitions," the following
				terms are used in this chapter as defined below: (3-17-22)
01.
Credentialed EMS Personnel
.
			 Individuals who are authorized to provide medical care by the EMS medical
			 director, hospital supervising physician, or medical clinic supervising
			 physician. (3-17-22)
02.
Credentialing
. The local process by which licensed EMS personnel
			 are authorized to provide medical care in the out-of-hospital, hospital, and
			 medical clinic setting, including the determination of a local scope of
			 practice. (3-17-22)
03.
Designated Clinician
. A licensed Physician Assistant (PA) or Nurse
			 Practitioner designated by the EMS medical director, hospital supervising
			 physician, or medical clinic supervising physician who is responsible for
			 direct (on-line) medical supervision of licensed EMS personnel in the temporary
			 absence of the EMS medical director. (3-17-22)
04.
Direct (On-Line)
			 Supervision
. Contemporaneous instructions and directives about a
			 specific patient encounter provided by a physician or designated clinician to
			 licensed EMS personnel who are providing medical care. (3-17-22)
05.
Emergency Medical Services
			 (EMS)
. Under Section
			 56-1012(12),
			 Idaho Code, emergency medical services or EMS is aid rendered by an individual
			 or group of individuals who do the following: (3-17-22)
a. Respond to a perceived need for medical
			 care in order to prevent loss of life, aggravation of physiological or
			 psychological illness, or injury; (3-17-22)
b. Are prepared to provide interventions that
			 are within the scope of practice as defined by the Idaho Emergency Medical
			 Services Physician Commission (EMSPC), under IDAPA 16.02.02, "Idaho Emergency
			 Medical Services (EMS) Physician Commission"; (3-17-22)
c. Use an alerting mechanism to initiate a
			 response to requests for medical care; and (3-17-22)
d. Offer, advertise, or attempt to respond as
			 described in Section
			 56-1012(12), (a) through
			 (c), Idaho Code. (3-17-22)
e. Aid rendered by a ski patroller, as
			 described in Section
			 54-1804(1)(h),
			 Idaho Code, is not EMS. (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.095 - GENERAL PROVISIONS

Current through August 31, 2023
01.
Practice
			 of Medicine
. This chapter does not authorize the practice of medicine or
			 any of its branches by a person not licensed to do so by the Board of Medicine.
			 (3-17-22)
02.
Patient
			 Consent
. The provision or refusal of consent for individuals receiving
			 emergency medical services is governed by Title 39, Chapter 45, Idaho Code.
			 (3-17-22)
03.
System
			 Consistency
. All EMS medical directors, hospital supervising physicians,
			 and medical clinic supervising physicians must collaborate to ensure EMS
			 agencies and licensed EMS personnel have protocols, policies, standards of
			 care, and procedures that are consistent and compatible with one another.
			 (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.100 - GENERAL DUTIES OF EMS PERSONNEL

Current through August 31, 2023
01.
General
			 Duties
. General duties of EMS personnel include the following: (3-17-22)
a. Licensed EMS personnel must possess a
			 valid license issued by the EMS Bureau equivalent to or higher than the scope
			 of practice authorized by the EMS medical director, hospital supervising
			 physician, or medical clinic supervising physician. (3-17-22)
b. Licensed EMS personnel must only provide
			 patient care for which they have been trained, based on curricula or
			 specialized training approved according to IDAPA 16.01.07, "Emergency Medical
			 Services (EMS) -- Personnel Licensing Requirements," or additional training
			 approved by the hospital or medical clinic supervising physician.
			 (3-17-22)
c. Licensed EMS personnel
			 must not perform a task or tasks within their scope of practice that have been
			 specifically prohibited by their EMS medical director, hospital supervising
			 physician, or medical clinic supervising physician. (3-17-22)
d. Licensed EMS personnel that possess a
			 valid credential issued by the EMS medical director, hospital supervising
			 physician, or medical clinic supervising physician are authorized to provide
			 services when representing an Idaho EMS agency, hospital, or medical clinic and
			 under any one (1) of the following conditions: (3-17-22)
i. When part of a documented, planned
			 deployment of personnel resources approved by the EMS medical director,
			 hospital supervising physician, or medical clinic supervising physician; or
			 (3-17-22)
ii. When, in a manner
			 approved by the EMS medical director, hospital supervising physician, or
			 medical clinic supervising physician, administering first aid or emergency
			 medical attention in accordance with Section
			 5-330 or
			 5-331, Idaho Code, without
			 expectation of remuneration; or (3-17-22)
iii. When participating in a training program
			 approved by the EMS Bureau, the EMS medical director, hospital supervising
			 physician, or medical clinic supervising physician.
			 (3-17-22)
Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.02.02 - IDAHO EMERGENCY MEDICAL SERVICES (EMS) PHYSICIAN COMMISSION › Section 16.02.02.200 - EMS MEDICAL DIRECTOR, HOSPITAL SUPERVISING PHYSICIAN, AND MEDICAL CLINIC SUPERVISING PHYSICIAN QUALIFICATIONS

Current through August 31, 2023
The EMS Medical Director, Hospital Supervising Physician, and
				Medical Clinic Supervising Physician must: (3-17-22)
01.
Accept Responsibility
.
			 Accept responsibility for the medical direction and medical supervision of the
			 activities provided by licensed EMS personnel. (3-17-22)
02.
Maintain Knowledge of EMS
			 Systems
. Obtain and maintain knowledge of the contemporary design and
			 operation of EMS systems. (3-17-22)
03.
Maintain Knowledge of Idaho
			 EMS
. Obtain and maintain knowledge of Idaho EMS laws, regulations, and
			 standards manuals. (3-17-22)