reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.20 - Responsibility For Patient

Current through Register Vol. 42, No. 9, June 28, 2024
(1) In no
			 event shall an emergency medical provider service responding to the scene of an
			 emergency fail to treat a patient because of the patient's inability to pay or
			 perceived inability to pay for services. Provided, that nothing in the
			 subsection shall be construed to prohibit any emergency medical provider
			 service from collecting or attempting to collect a fee by any lawful means.
			 Provided further, no emergency medical provider service shall threaten to
			 withhold emergency treatment as a method for the collection of fees.
(2) The highest level EMSP shall provide
			 patient care when treating and transporting any unstable patient and shall have
			 the responsibility to provide care until relieved by appropriate medical
			 personnel.
(3) The transport of a
			 stable patient that does not require more advanced procedures may be attended
			 by a lower level EMSP at the discretion of the highest level EMSP as long as
			 the following conditions exist:
(a) The
			 supervising level EMSP understands that he or she is responsible for the
			 decision to transfer care to the lower level EMSP.
(b) Prehospital administered medications or
			 procedures would not exceed the lower level EMSP's scope of practice.
(c) The lower level EMSP, upon assuming
			 secondary patient care from a higher level EMSP, understands that a higher
			 level of care may be needed if the patient becomes unstable or critical in
			 nature and will, without delay, coordinate the transfer of care back to a
			 higher level EMSP.
(d) At no time
			 will the above-mentioned transfers of care delay patient care, continuity of
			 care, or the transport or transfer of the patient to definitive care.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.21 - Patient Care Reporting

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The EMSP providing patient care is responsible for the completion and
			 submission of an electronic Patient Care Report(e-PCR) to the emergency medical
			 provider service within 24 hours.
(2) Each emergency medical provider service
			 shall ensure that an accurate and complete e-PCR is completed and submitted to
			 the OEMS within the required time frames, and use software approved by the
			 OEMS' Director.
(3) Each provider
			 service shall provide a copy of the patient care report to the receiving
			 facility as soon as reasonably possible. In no instance should the delivery of
			 the report exceed 24 hours.
(4)
			 Records and data collected or otherwise captured by the Board, its agents, or
			 designees shall be deemed to be confidential medical records and shall be
			 released only in the following circumstances:
(a) Upon a patient's presentation of a duly
			 signed release.
(b) Records and
			 data may be used by Department staff and staff of other designated agencies in
			 the performance of regulatory duties and in the investigation of disciplinary
			 matters provided that individual patient records used in the course of public
			 hearings shall be handled in a manner reasonably calculated to protect the
			 privacy of individual patients.
(c)
			 Records and data may be used by Department staff and staff of other designated
			 agencies in the performance of authorized quality assurance and improvement
			 activities.
(d) Existing records,
			 data, and reports may be released in any format in which they appear in the
			 Department's database in response to a valid subpoena or order from a court of
			 competent jurisdiction.
(e) Data
			 may be compiled into reports by an emergency medical provider service from the
			 respective emergency medical provider service's collected records.
(f) Aggregate patient care report data may be
			 released to the public in a format reasonably calculated to not disclose the
			 identity of individual patients or proprietary information such as the volume
			 of non-emergency calls undertaken by an individual provider service or
			 insurance and other reimbursement related-information related to an individual
			 provider service.
(g) Records and
			 data shall be disclosed as required by federal and state law.
(h) Any individual or entity designated by
			 the OEMS as having authority to collect or handle data that withholds or
			 releases data or information collected in a manner not pursuant to these rules
			 shall be subject to disciplinary action.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.22 - Provider Service Record Keeping

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each emergency medical provider service
			 shall be responsible for supervising, preparing, filing, and maintaining
			 records and for submitting reports to the Board as requested. All records shall
			 be handled in a manner as to ensure reasonable safety from water and fire
			 damage and shall be safeguarded from unauthorized use. Any records maintained
			 by a provider service as required by these rules shall be accessible to
			 authorized representatives of the Board and shall be retained for a period of
			 at least 5 years except as otherwise specified in these rules. Each provider
			 service shall maintain the following administrative records:
(a) A current license certificate issued by
			 the OEMS which is publicly displayed at the provider service's location. Any
			 provider service changing ownership, ceasing operations, or surrendering its
			 license shall return its license certificate within 5 working days to the
			 OEMS.
(b) A copy of past inspection
			 reports.
(c) Personnel records for
			 each employee that shall include protocols and continuing education, a current
			 approved CPR card, and a copy of current license. If applicable, a copy of
			 driver's certification requirements.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.23 - Controlled Substance Plan

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Each emergency medical provider service carrying controlled substances shall
			 submit a Controlled Substance Plan (CSP) to the OEMS at the time of licensure
			 and renewal. If a provider service does not plan to carry controlled
			 substances, this shall be noted in the service's I.V. Fluid and Drug Plan. Any
			 modification to the plan shall be submitted to the OEMS for approval.
(2) Each CSP shall include the following
			 items: a method of ownership, security, how initial stock is obtained,
			 restocking procedures, internal orientation for new employees, on-going
			 internal training for employees, drug testing for employees, quality assurance
			 and quality improvement program, tables to be used for accounting logs, and
			 original signatures from the service medical control physician, the pharmacist
			 from the medical direction hospital, and the Controlled Substance Oversight
			 Coordinator (CSOC).
(3) All
			 controlled substances shall be secured behind no less than two locks upon
			 initial receipt. If a provider service stores a controlled substance at a
			 central location, it shall be placed in a separate container with a lock, and
			 inside a safe, cabinet, file cabinet, or similar device, which is secured to
			 the wall and floor of the building. Controlled substances may be placed in a
			 medication container, but shall be placed in a separate, locked container.
			 Building or vehicle doors are not considered to be separate, locked containers.
			 The only time it is permissible for an employee to maintain a personal key to a
			 service provider's controlled substances containers is if that key is for a
			 container specifically for that individual. Otherwise, controlled substance
			 keys shall be exchanged at shift change.
(4) Prior to obtaining any controlled
			 substances, all employees shall be given an in-service by the provider
			 service's CSOC on the protocols for handling/securing controlled substances
			 based on the CSP approved for the service by the OEMS.
(5) All ALS I and ALS I Critical Care
			 emergency medical provider services shall have the option to stock controlled
			 substances.
(6) Each licensed
			 provider service shall immediately notify the OEMS upon identification of
			 missing or suspected diversion of a controlled substance.
Rule
				  420-2-1-.10 was renumbered
				  420-2-1-.23 as per certification Filed February 20, 2019; effective April 7,
				  2019.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-18-1 et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.25 - Out-Of-State Ambulance Contracts For Disaster Assistance

Current through Register Vol. 42, No. 9, June 28, 2024
An emergency medical provider service (ground or air) shall
				contact the OEMS prior to deploying or sending any Alabama permitted ambulances
				to another state(s) to fulfill obligations of a state, federal, or private
				contract or agreement for a disaster
.
Rule
				  420-2-1-.17 was repealed as per
				  certification Filed March 20, 2001; effective April 24, 2001. As a result of
				  this Rule
				  420-2-1-.18 was renumbered to
				  420-2-1-.17. Rule
				  420-2-1-.17 was renumbered
				  420-2-1-.25 as per certification Filed February 20, 2019; effective April 7,
				  2019.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-18-1, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.26 - Exemptions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) These rules
			 shall not apply to the transport ambulance services referred to in §
								22-18-2,
Code of Ala.
			 1975
, and listed below, except when the services listed in (a) or
			 (e) are offering or proposing to offer ALS services, as defined in these rules,
			 to the public. All transport ambulance services offering or proposing to offer
			 ALS services to the public shall become licensed as emergency medical provider
			 service operators under these rules.
(a)
			 Volunteer rescue squads that are members of the Alabama Association of Rescue
			 Squads, Inc., that are not offering ALS services and that are not voluntarily
			 licensed as a BLS transport service.
(b) Ambulances operated by a federal agency
			 of the United States.
(c) Out of
			 state services and Alabama licensed ambulances (ground or air) that are
			 rendering assistance in the case of a major catastrophe, emergency, or natural
			 disaster in which the active licensed EMS personnel and emergency medical
			 provider services of Alabama are determined insufficient. All out of state
			 services and Alabama licensed services shall notify the OEMS of their
			 deployment to and departure from an emergency area. The OEMS may grant
			 temporary approval for such ambulances and services until the incident can be
			 managed by local Alabama licensed personnel and services.
(d) Out of state ambulances that either pick
			 up patients in Alabama and transport to facilities outside Alabama or pick up
			 patients outside Alabama and deliver to facilities in Alabama.
(e) BLS ambulances operated by a private
			 business or industry exclusively as a free service to employees of such
			 business or industry.
(f) Specialty
			 care ambulances that are utilized for interfacility transfers only and that are
			 verified and approved by the OEMS prior to operation.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.27 - Variances

Current through Register Vol. 42, No. 9, June 28, 2024
The State Health Officer may approve a variance to any
				provision of these rules, except for any provision that restates a statutory
				requirement or that defines any term, in accordance with Rule
				420-1-2-.09,
Ala.
				Admin. Code
.
Rule
				  420-2-1-.17 was repealed as per
				  certification Filed March 20, 2001; effective April 24, 2001. As a result of
				  this Rule
				  420-2-1-.28 was renumbered to
				  420-2-1-.27. Rule 420-2-1-.27 was renumbered
				  420-2-1-.26 as per certification
				  filed December 17, 2007; effective January 21, 2008. Rule was .26 and
				  renumbered to .04 as per certification filed April 20, 2011; effective May 25,
				  2011. Rule
				  420-2-1-.04 was renumbered
				  420-2-1-.27 as per certification Filed February 20, 2019; effective April 7,
				  2019.
Authors:
William Crawford, M.D., Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-18-1, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.28 - Compliance And Enforcement For Licensed Provider Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The OEMS shall
			 have the right to inspect all licensed emergency medical provider service
			 premises, facilities, vehicles, and aircraft at any time. A representative of
			 the OEMS shall properly identify himself or herself prior to
			 inspection.
(2) The provider
			 service and vehicle/aircraft inspection standards are available from the OEMS
			 and are posted at
http://www.alabamapublichealth.gov/ems
.
(3) The inspection frequency shall be
			 determined by the OEMS. Nothing in this rule precludes the OEMS from issuing an
			 immediate Notice of Intent to Suspend/Revoke order or issuing an emergency
			 order to immediately cease operation or cease using a particular vehicle or
			 aircraft, if necessary, in order to protect public health.
(4) A routine inspection shall be conducted:
(a) Prior to licensure, the OEMS will inspect
			 the proposed emergency medical provider service's premises, facilities, and
			 vehicles or aircraft to determine compliance with the requirements of these
			 rules.
(b) Each provider service's
			 premises, facilities, and permitted vehicles or aircraft will be inspected
			 minimally every year. The OEMS may alter the frequency and the number of
			 vehicles inspected for providers that maintain a national
			 accreditation.
(c) A licensed
			 provider service shall not operate a vehicle or aircraft until the OEMS has
			 inspected the vehicle and issued a current permit decal. If an immediate
			 inspection cannot be performed, the OEMS may issue temporary approval to allow
			 a vehicle or aircraft to be placed in service if the vehicle meets all other
			 requirements of these rules. All pertinent information regarding the vehicle or
			 aircraft in question shall be documented and provided to the OEMS prior to
			 temporary approval.
(d) A provider
			 service's license may be suspended or revoked if the provider service's
			 facilities do not provide reasonably safe conditions for the provider service's
			 personnel.
(e) A deficiency noted
			 during an inspection shall be corrected and the correction reported in writing
			 within 10 working days of the inspection. A failure to comply may result in the
			 suspension or revocation of the provider service's license.
(f) A vehicle or aircraft may be temporarily
			 or permanently removed from operation if it fails to meet minimum requirements
			 for its safe operation, if it poses a threat to the public or staff, if it does
			 not carry the appropriate equipment, or if it does not have adequate
			 staffing.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.30 - Impaired EMSP

Current through Register Vol. 42, No. 9, June 28, 2024
(1) When the
			 OEMS receives evidence of the possible impairment of a licensed EMSP, it will
			 initiate an investigation. The OEMS will consider the facts and circumstances
			 of each case, and may recommend disciplinary action, or may offer entry into a
			 drug, alcohol, or psychiatric rehabilitation program approved by the
			 OEMS.
(2) An individual may be
			 offered entry into a drug, alcohol, or psychiatric rehabilitation program if
			 they meet the following criteria:
(a) The
			 individual has not been found guilty of any crime related to drug or alcohol
			 abuse associated with the incident. Guilty means the individual was found
			 guilty following a trial, or entered a plea of guilty or no contest accompanied
			 by a court's finding of guilt.
(b)
			 The appropriate medical authority has determined that the individual does not
			 present a danger to him or herself, to those around them, or to
			 patients.
(c) The individual has
			 not previously been entered into an approved drug/alcohol, or psychiatric
			 rehabilitation program by the OEMS.
(d) The individual consents to suspend his or
			 her license during the evaluation process and subsequent treatment, if
			 recommended.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.31 - Complaint/Disciplinary Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 Board may investigate any complaint at the discretion of the State EMS
			 Director, State EMS Medical Director, or their authorized
			 representative.
(2) If the Board
			 receives a verbal complaint of any matter relating to the regulation of
			 provider services, EMSP, EMS education programs, or students, the complainant
			 is deemed to have filed an informal complaint. Should the Board determine that
			 a complaint is valid, the complaint then becomes formal and may warrant action
			 pursuant to this chapter. The provider services, EMSP, EMS education programs,
			 or students shall comply with any request for records from the OEMS within 3
			 business days from the date of request.
(3) If the Board receives a written and
			 signed statement of any matter relating to the regulation of provider services,
			 EMSP, EMS education programs, or students, the complainant is deemed to have
			 filed a formal complaint. Within 10 days of receipt of the complaint, a
			 designated representative of the Board shall inform the provider services,
			 EMSP, EMS education programs, or students that a formal complaint has been
			 filed. The personnel or organization shall be informed of the nature of the
			 allegations made and the potential rule violation. The provider services, EMSP,
			 EMS education programs, or students shall comply with any request for records
			 from the OEMS within business days from the date of request.
(4) After the Board investigates a formal
			 complaint, the Board shall render a written decision to all parties involved of
			 its findings.
(5) The Board may
			 issue a request for an interview with the provider services, EMSP, EMS
			 education programs, or students if evidence indicates that grounds for action
			 exist. The request shall state the date and time for the interview.
(6) If the Board determines that evidence
			 warrants action or if the provider services, EMSP, EMS education programs, or
			 students refuse to attend the interview, the OEMS Director shall institute
			 formal proceedings and hold a hearing pursuant to §
								22-18-6,
Code of Ala.
			 1975
.
(7) If the Board
			 determines disciplinary action is appropriate, the Board may take action up to
			 and including license revocation.
(8) Complaints against EMSP, applicants, or
			 students, may be submitted if they:
(a) Do
			 not meet or no longer meet the qualifications for licensure.
(b) Are guilty of misconduct as defined by
			 these rules or have otherwise committed a serious and material violation of
			 these rules.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.33 - Continuing Education

Current through Register Vol. 42, No. 9, June 28, 2024
(1) All
			 continuing education submitted in support of license renewal shall meet the
			 requirements set forth by the OEMS and the NREMT.
(2) The Alabama EMS Patient Care Protocols
			 include all adult and pediatric protocols and are available from the OEMS or
			 can be found posted at
http://www.alabamapublichealth.gov/ems
.
			 It is the emergency medical provider service's responsibility to ensure that
			 the most current protocols are being utilized.
(3) All licensed provider services shall
			 ensure that protocol training is provided for all EMSP employed by their
			 service. Evaluation and training records shall be kept on file and shall be
			 available for review by the OEMS.
(4) The provider service's medical director
			 and management staff are responsible for appointing an individual to be the
			 provider service's protocol trainer and continuing education
			 coordinator.
(5) All continuing
			 education must be state approved, Commission on Accreditation for Prehospital
			 Continuing Education (CAPCE) approved, or an approved nationally recognized
			 course. Continuing education coordinators or instructors shall provide all
			 students with a certificate of course completion that documents the dates of
			 the course, the instructor's signature, the title of the course, state approval
			 number, the student's full name, and EMSP license number (if applicable)
(6) Falsification of continuing
			 education documents is a violation of state law. Any provider service,
			 continuing education coordinator, or EMSP found guilty of such activity will be
			 subject to disciplinary action.
Rule
				  420-2-1-.26 was renumbered
				  420-2-1-.33 as per certification Filed February 20, 2019; effective April 7,
				  2019.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-18-1, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.34 - Tactical Paramedic

Current through Register Vol. 42, No. 9, June 28, 2024
(1) To
			 obtain a Tactical endorsement, a paramedic must:
(a) Present a Board approved application and
			 proof of the IBSC Tactical Paramedic certification.
(b) Have 3 years licensed at the paramedic
			 level.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.35 - Community Paramedic

Current through Register Vol. 42, No. 9, June 28, 2024
(1) To
			 obtain a Community Paramedic license, an actively licensed paramedic must:
(a) Present a Board approved application and
			 proof of the IBSC Community Paramedic certification.
(b) Be licensed and have 2 years of
			 experience working at the paramedic level.
(c) Successfully complete a community
			 paramedic training program from an accredited college or university approved by
			 the board.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Appendix A - Alabama Emergency Medical Services (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Appendix C was repealed and Appendix D was changed to
				  Appendix C as per certification filed December 17, 2007; effective January 21,
				  2 008.
Appendix A, Patient Care Report and Appendix C, Alabama EMT
				  License and Relicense Policies and Procedures Manual
were repealed and
				  Appendix B was moved to Appendix A as per certification filed April 20, 2011;
				  effective May 25, 2011.
Author:
Statutory Authority:
Code of Ala.
				  1975
,
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.01 - General

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Legal Authority
			 for Adoption of Rules. Under and by virtue of authority vested in it by the
			 Legislature of Alabama, Act 299, Regular Session, 2007(§
								22-11D-1,et seq.
Ala. Code
			 1975)
, the State Board of Health does hereby adopt and promulgate the
			 following rules to govern the Alabama Statewide Trauma System.
(2) Definitions.
(a) The Board. The Alabama State Board of
			 Health.
(b) The Council. The
			 Statewide Trauma Advisory Council.
(c) The Department. The Alabama Department of
			 Public Health.
(d) Designated
			 Trauma Center. A hospital that has met all the standards for trauma center
			 designation as set out in these rules and that has been certified by the
			 Department.
(e) Designation. A
			 formal determination by the Department that a hospital is capable of providing
			 designated trauma care.
(f) ED.
			 Emergency Department.
(g) EMT.
			 Emergency Medical Technician.
(h)
			 The Fund. The Statewide Trauma System Fund.
(i) Hospital. A health institution that has
			 been licensed pursuant to the Board's Hospital Rules, Chapter 420-5-7,
Ala. Admin. Code
and that has a functioning ED.
(j) ICU. Intensive Care Unit.
(k) May. This indicates permissive
			 requirements.
(l) Office of EMS and
			 Trauma. The Department's Office of Emergency Medical Services and
			 Trauma.
(m) OR. Operating
			 Room.
(n) QA/QI. Quality
			 Assurance/Quality Improvement.
(o)
			 Regional Councils. The regional trauma advisory councils.
(p) Regions. The trauma care
			 regions.
(q) The Registry. The
			 Statewide Trauma Registry.
(r)
			 These Rules. Rules through
			 420-2-2-.14, Chapter 420-2-2,
			 Alabama Statewide Trauma System,
Ala. Admin. Code.
(s) Shall. This indicates mandatory
			 requirements.
(t) Alabama TCC
			 Operations Director. Trauma Communication Center Director.
(u) Alabama TCC. Alabama Trauma Communication
			 Center.
(v) Pre-hospital Trauma
			 Patient. A pre-hospital patient who meets trauma system entry criteria (see
			 appendix E) and is entered into the trauma system by calling the Alabama Trauma
			 Communications Center and obtaining a unique identification number.
(w) Hospital Trauma Patient. A hospital
			 patient who meets trauma system entry criteria (see appendix F) and is entered
			 into the trauma system by calling the Alabama Trauma Communications Center and
			 obtaining a unique identification number.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.02 - Trauma Center Standards: Verification

Current through Register Vol. 42, No. 9, June 28, 2024
Upon the receipt of advice and approval of the council, the
				board has adopted rules for verification and certification of trauma center
				status as set out in Appendix A.
Authors:
John Campbell, M.D.,; Choona
				  Lang
Statutory Authority:
Alabama Legislature, Act
				  299, Regular Session, 2007
Code of Ala. 1975
, §
										22-11D-1, et seq.)
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.03 - Trauma Center Designation

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Types of Designation.
(a) Regular Designation. A regular
			 designation may be issued by the Board after it has determined that an
			 applicant hospital has met all requirements to be designated as a trauma center
			 at the level applied for and is otherwise in substantial compliance with these
			 rules.
(b) Provisional Designation.
			 At its discretion, the Board may issue a provisional designation to an
			 applicant hospital that has met all requirements to be designated as a trauma
			 center at the level applied for, with exception to minor deviations from those
			 requirements that do not impact patient care or the operation of a trauma
			 region.
1. The provisional designation may be
			 used for an initial designation or for an interim change in designation status
			 to a lower level due to a trauma center's temporary loss of a component
			 necessary to maintain a higher designation level.
2. A trauma center must submit a written
			 corrective plan and interim operation plan for the provisional designation
			 period including a timeline for corrective action to the Office of EMS and
			 Trauma within 30 days of receiving a provisional designation.
3. A provisional designation shall not extend
			 beyond 15 months. After the expiration date of the 15 month provisional
			 designation period, an applicant hospital shall re-apply for regular
			 designation once all the requirements for the level applied for have been
			 met.
4. A trauma center may submit
			 a written request to the Office of EMS and Trauma that a provisional
			 designation be removed once all components of its corrective plan have been
			 achieved. Following its receipt of such a request, the Department will conduct
			 a focused survey on the trauma center. A regular designation shall be granted
			 in the event it is confirmed that all components of the corrective plan have
			 been achieved.
(c)
			 Automotive Designation.
1. Trauma centers
			 designated at Levels I-III by the American College of Surgeons (ACS) will be
			 issued a regular designation by the Board, at that same level, after submitting
			 an application and providing proof that the trauma center can meet ATS
			 anesthesiologist requirements. The ATS will determine if an on-site survey
			 revisit, to confirm resources, will be needed based upon the recommendation of
			 the RTAC and/or the STAC. A final decision as provided in Rule
			 420-2-2-.03(4)
			 (f)2, will not be required.
2. Trauma centers designated as a Level IV by
			 ACS must meet state Level III designation criteria as set out in Appendix A in
			 order to be issued a regular designation by the Board.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.04 - Statewide Trauma And Health Care Center Advisory Council

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Creation. There
			 is established a Statewide Trauma and Health Care Center Advisory Council. The
			 Council assists in the development of these rules and serves as a consultant to
			 the Board on matters related to the statewide trauma system and other statewide
			 coordinated health care systems that may be implemented.
(2) Subcommittees and workgroups.
(a) The Council may appoint subcommittees and
			 workgroups to serve as consultants to the Council on matters related to the
			 implementation of other statewide coordinated health care systems, such as ST
			 segment elevation myocardial infarction (STEMI) and stroke, and the development
			 of regulations and standards for such systems. When appointed, the Council
			 shall consult with and rely upon the advice of subcommittees and workgroups
			 prior to making decisions or recommendations to the Board.
(b) Subcommittees shall consist of Council
			 members and workgroups may consist of non-Council members.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.05 - Trauma Care Regions

Current through Register Vol. 42, No. 9, June 28, 2024
Trauma Care Regions will be the same as the EMS Regions as have
				been approved by the Board.
Authors:
John Campbell, M.D., and Choona
				  Lang
Statutory Authority:
Alabama Legislature, Act
				  299, Regular Session, 2007
Code of Ala. 1975
, §
										22-11D-1, et. seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.06 - Regional Trauma Advisory Councils

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Creation. Regional councils are
			 established to advise, consult with, and accommodate specific regional needs.
			 Each regional council shall provide data required by the Department or the
			 Council to assess the effectiveness of the statewide trauma system
(2) Membership. Each regional council shall
			 have a minimum of 10 members. The membership of the regional councils shall be
			 appointed in the same manner as the Council is appointed and shall be composed
			 of representatives of the same groups. The chair of each regional council shall
			 be elected by its members to serve for four year term. The members shall
			 represent the demographic composition of the region served and include
			 representation for any out-of-state trauma center participating in the region,
			 as far as practicable. Regional trauma advisory council members shall be
			 entitled to reimbursement for expenses incurred in the performance of their
			 duties as the same rate as state employees.
(3) Responsibilities. The regional trauma
			 council is responsible for direct oversight and management of its specific
			 regional trauma system. The regional council shall review the entire regional
			 trauma program activities for appropriateness, quality, and quantity to include
			 pre-hospital and hospital care. The regional trauma council shall decide the
			 appropriate secondary patient care triage criteria for their specific region to
			 ensure patients are routed to the closest and most appropriate hospital
			 according to their injuries.
In addition, the regional council shall fulfill the
				responsibilities as listed below:
1.
			 Maintain standards;
2. Collect
			 data;
3. Evaluate data-determine
			 audit filters;
4. Re-evaluate to
			 determine effectiveness of corrective action;
5. Participate on Regional Trauma QI
			 Committee;
6. Devise plan of
			 corrective action for QI issues;
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.07 - Patient Entry Criteria For Hospitals

Current through Register Vol. 42, No. 9, June 28, 2024
Patients shall be entered into the Alabama Trauma System
				according to the criteria set out in Appendix F.
Author:
John Campbell, M.D.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11D-1, et. seq., Alabama
				  Legislature, Act 299, Regular Session,
				  2007.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.08 - Patient Entry Criteria For Pre Hospital Providers

Current through Register Vol. 42, No. 9, June 28, 2024
Refer to EMS Alabama Patient Care Protocols 1.16, Appendix
				G.
Authors:
Sarah Nafziger, M.D.; Choona
				  Lang
Statutory Authority:
Alabama Legislature, Act
				  299, Regular Session, 2007
Code of Ala, 1975
, §
										22-11D-1, et. seq.)
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.09 - Statewide Trauma Registry

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Creation. There is established a Statewide Trauma Registry to collect data on
			 the incidence, severity, and causes of trauma, including traumatic brain
			 injury. The registry shall be used to improve the availability and delivery of
			 pre-hospital or out-of-hospital care and hospital trauma care
			 services.
(2) Data Elements. Each
			 designated trauma center shall furnish the following data to the registry. See
			 Appendix G for data elements.
(a) Injury Case
			 Criteria for State Trauma Registry.
1. ICD-9
			 diagnosis code 800.00 - 959.9 and
2. Assigned an ATCC number
3. Admitted to hospital for 24 hours or
			 greater or
4. Transferred from one
			 hospital to another hospital or
5.
			 Death resulting from the traumatic injury independent of hospital admission or
			 hospital transfer status
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.10 - Centralized Dispatch And Communications System

Current through Register Vol. 42, No. 9, June 28, 2024
Communications are critical to the function to the Trauma
				System.
(1) The Alabama TCC will be
			 staffed 24-hours-a-day by personnel with specific in-depth knowledge of the
			 Trauma System design, function, and protocols.
(2) It will be primary responsibility of the
			 Alabama TCC to coordinate the Trauma System activities by maintaining,
			 providing information and recommendations whenever needed to the field staff
			 and hospital personnel in providing care to patients meeting the trauma system
			 entry criteria. Oversight of day-to-day operations of the Alabama TCC will be
			 responsibility of the Alabama TCC Operations Director.
Authors:
John Campbell, M.D., and Choona
				  Lang
Statutory Authority:
Alabama Legislature, Act
				  299, Regular Session, 2007
Code of Ala. 1975
, §
										22-11D-1, et.
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.11 - Air Ambulance Activation Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
Refer to Guidelines for Early Activation of Helicopter
				Emergency Medical Services 7.9, Appendix I. Refer to Guidelines for Helicopter
				Transport of Trauma System Patients 7.10, Appendix J.
Authors:
John Campbell, M.D., and Choona
				  Lang
Statutory Authority:
Alabama Legislature, Act
				  299, Regular Session, 2007
Code of Ala. 1975
, §
										22-11D-1, et.
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.12 - Quality Assurance/Quality Improvement

Current through Register Vol. 42, No. 9, June 28, 2024
Quality Assurance and Quality Improvement (QA/QI) activities
				are a vital component of the trauma system. They are used to document and
				foster continuous improvement in performances and the quality of patient care.
				In addition, they will assist the Department in defining standards, evaluating
				methodologies, and utilizing the evaluation results from continued system
				improvement. The Department shall develop guidelines for the state and regional
				level trauma staff in regarding QA/QI activities.
Authors:
John Campbell, M.D., and Choona
				  Lang
Statutory Authority:
Alabama Legislature, Act
				  299, Regular Session, 2007
Code of Ala. 1975
, §
										22-11D-1, et.
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.13 - Confidentiality

Current through Register Vol. 42, No. 9, June 28, 2024
(1) State and
			 Regional Trauma QA/QI members shall be provided access to all information,
			 reports, statements, or memoranda reviewed by or furnished to the State and
			 Regional Trauma QA/QI workgroups members; and any discussion, findings,
			 conclusions or recommendations resulting from the review of the records by the
			 State and Regional Trauma QA/QI workgroups are declared to be privileged and
			 confidential. All information, reports, statements, or memoranda reviewed by or
			 furnished to the State and Regional Trauma QA/QI workgroups shall be used only
			 in the exercise of proper functions and duties of the State and Regional Trauma
			 QA/QI workgroups.
(2) All
			 information furnished to the State and Regional QA/QI workgroups shall include
			 pertinent safety and health information associated with the case summary. All
			 identifying patient information will be removed before preparing case
			 summary.
(3) All information and
			 records acquired or developed by the State and Regional Trauma QA/QI workgroups
			 shall be secured and have restricted access and shall be destroyed when no
			 longer of use.
(4) Statistical
			 information and data may be released by the State and Regional Trauma QA/QI as
			 long as no identifying patient information is provided.
Authors:
John Campbell, M.D., and Choona
				  Lang
Statutory Authority:
Alabama Legislature, Act
				  299, Regular Session, 2007
Code of Ala. 1975
, §
										22-11D-1, et.
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Appendix E - EMS And Trauma Regions

Current through Register Vol. 42, No. 9, June 28, 2024
Click to
				view image
Authors:
John Campbell, M.D., and Choona
				  Lang
Statutory Authority:
A labama Legislature, Act
				  299, Regular Session, 2007 Code of Ala. 1975, §
										22-11D-1, et. seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Appendix G › Attachment to Rule 420-2-2-.08

Current through Register Vol. 42, No. 9, June 28, 2024
Click
				  to view image
Click
				  to view image
Click
				  to view image
Authors:
Sarah Nafziger, M.D.; Choona
					 Lang
Statutory Authority:
Alabama Legislature, Act
					 299, Regular Session, 2007 Code of Ala, 1975, §
											22-11D-1, et. seq.).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.02 - Health Care Center Designations For Stroke

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Types of Designation.
(a) Regular Designation. A regular
			 designation may be issued by the Board after it has determined that an
			 applicant hospital has met all requirements to be designated as a stroke center
			 at the level applied for and is otherwise in substantial compliance with these
			 rules.
(b) Provisional Designation.
			 At its discretion, the Board may issue a provisional designation to an
			 applicant hospital that has met all requirements to be designated as a stroke
			 center at the level applied for, except for minor deviations from those
			 requirements that do not impact patient care or the operation of a stroke
			 region.
1. The provisional designation may be
			 used for an initial designation or for an interim change in designation status
			 to a lower level due to a stroke center's temporary loss of a component
			 necessary to maintain a higher designation level.
2. A stroke center must submit a written
			 corrective action plan and interim operation plan for the provisional
			 designation period including a timeline for corrective action to the Department
			 within 30 days of receiving a provisional designation.
3. A provisional designation shall not extend
			 beyond 15 months.
4. A stroke
			 center may submit a written request to the Department that a provisional
			 designation be removed once all components of its corrective plan have been
			 achieved. Following its receipt of such a request, the Department will conduct
			 a focused survey of the stroke center. A regular designation shall be granted
			 in the event it is confirmed that all components of the corrective plan have
			 been achieved.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.03 - Application Process

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Application
			 Provisions. To become a stroke center, a hospital must submit an application
			 which can be downloaded from
www.alabamapublichealth.gov/strokesystem/index.html
and follow the application process provided in paragraph (2) below.
(2) The Application Process. The stroke
			 center application must be submitted to the OEMS. Within 30 days of receipt of
			 the application, the Department shall provide written notification to the
			 applicant hospital of the following:
(a)
			 Application has been received by the Department and whether it accepts or
			 rejects the application.
1. If the
			 application is accepted, the Department will coordinate a date for the
			 inspection. If the application packet is not provided with the application, the
			 Department will contact the hospital. The application packet can be downloaded
			 at
www.alabamapublichealth.gov/strokesystem/index.html
.
			 The required information must be returned to the Department 1 month prior to
			 the scheduled inspection.
2. If
			 rejected, the reason for rejection and a deadline for submission of a corrected
			 application to the Department.
3.
			 The Department accepts certifications (by The Joint Commission or equivalent)
			 for all stroke center levels. The hospital needs only to provide a copy of its
			 current certificate, with an application. The Department may still meet with
			 the hospital, but a site inspection would not be required.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.04 - Inspection Process

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Initial
			 inspection.
(a) Each applicant hospital will
			 have an opportunity to meet face to face with Department staff prior to
			 designation as a stroke center.
(b)
			 Each applicant hospital will be asked to provide information to the Department
			 for inspection to ensure the hospital meets the minimum standards for the
			 desired stroke center designation.
(c) The hospital shall also receive an onsite
			 inspection to ensure the hospital meets the minimum standards for the desired
			 stroke center designation level as required by these rules.
(d) The Department's staff will coordinate
			 the hospital inspection process with the inspection team and schedule a time
			 for the inspection.
(e) The
			 hospital will receive written notification of the onsite inspection results
			 from the Department.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.05 - Statewide Trauma And Health Care Center Advisory Council

Current through Register Vol. 42, No. 9, June 28, 2024
(1) There is
			 established a Statewide Trauma and Health Care Center Advisory Council. The
			 Council assists in the development of these rules and serves as a consultant to
			 the Board on matters related to the statewide trauma system and other statewide
			 coordinated health care systems that may be implemented, such as the statewide
			 stroke system. The Council shall be appointed as provided in Section
			 22-11D-5,
Code of Ala.
			 1975
.
(2)
			 Subcommittees and Workgroups.
(a) The Council
			 may appoint subcommittees and workgroups to serve as consultants to the Council
			 on matters related to the implementation of other statewide coordinated health
			 care systems, such as stroke, and the development of regulations and standards
			 for such systems. When appointed, the Council shall consult with and rely upon
			 the advice of subcommittees and workgroups prior to making decisions or
			 recommendations to the Board.
(b)
			 Subcommittees shall consist of Council members and workgroups may consist of
			 non-Council members.