Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart C - EMS SYSTEMS › Section 515.320 - Scope of EMS Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				BLS, ILS, and ALS services, and CCT, as defined in the Act, shall be provided
				through EMS Systems. An individual System shall operate at one or more of those
				levels of service, as specified in its Program Plan and the Department's letter
				of approval, using vehicles licensed by the Department pursuant to the Act and
				this Part.
b) All pre-hospital,
				inter-hospital and non-emergency medical care, as defined in the Act, shall be
				provided through EMS Systems, using the levels of Department licensed or
				approved personnel required by the Act and this Part.
c) An EMS System shall designate a Resource
				Hospital, which shall have the authority and responsibility for the System,
				through the EMS MD, as described in the Act, this Part and the System Program
				Plan.
d)
All other
				hospitals that are located within the geographic boundaries of a System and
				that have standby, basic or comprehensive level emergency departments must
				function in that System as either an Associate Hospital or Participating
				Hospital and follow all System policies specified in the System Program Plan,
				including, but not limited to, the replacement of drugs and equipment used by
				providers who have delivered patients to their emergency departments
.
				(Section
				3.20(b)
				of the Act)
1) All hospitals shall be
				formally affiliated with a System. A hospital may have a secondary affiliation
				with another System or may request a waiver to participate in a System other
				than that in which the hospital is geographically located. (See Section
				515.150(d)(5).)
2) Every System Hospital shall identify the
				level of its emergency department services in its letter of commitment, which
				is part of the EMS System Program Plan to be submitted to the
				Department.
3) An "Associate
				Hospital" shall provide the same clinical and communications services as the
				Resource Hospital, but shall not have the primary responsibility for personnel
				education and System operations. It shall have a basic or comprehensive
				emergency department with 24-hour physician coverage and a functioning
				intensive care and/or cardiac care unit.
4) All "Participating Hospitals" shall
				maintain ambulance to hospital communications capabilities that, at a minimum,
				include MERCI radio and comply with the Resource Hospital's communication
				plan.
5) All System Hospitals shall
				agree to replace medical supplies and provide for equipment exchange for System
				vehicles.
6) All Resource and
				Associate Hospitals monitoring telecommunications from EMS field personnel
				shall provide voice orders by the EMS MD, a physician appointed by the EMS MD,
				or an ECRN.
7) All System Hospitals
				shall allow the Department, EMS MD and EMS System Coordinator access to all
				records, equipment, vehicles and personnel during their activities evaluating
				the Act and this Part.