reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Subchapter 12 - Occupation and Competency of Critical Care Paramedic › Rule 15-12-31-10.12.15

Current through June 25, 2024
Perform escharotomy/fasciotomy (with direct verbal order
						from medical control);
Miss. Code
						Ann.§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Subchapter 12 - Occupation and Competency of Critical Care Paramedic › Rule 15-12-31-10.12.16

Current through June 25, 2024
Monitor and manage intracranial monitoring
						devices/drainage devices.
Miss. Code
						Ann.§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Subchapter 13 - Standards for the Critical Care Paramedic › Rule 15-12-31-10.13.1

Current through June 25, 2024
The Critical Care Paramedic who functions within the
						State of Mississippi must be able to demonstrate the skills and understand the
						elements of total emergency care to the satisfaction of the local Critical Care
						Paramedic Program Coordinator.
Miss. Code
						Ann.§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Appendix 15-12-31-10-3 - EMS DRIVER TRANING PROGRAMS

Current through June 25, 2024
State Approval Process
Each EMS Driver Training Program must be formally approved
					 by the Mississippi State Board of Health. The Mississippi EMS Advisory Council
					 and the BEMS jointly reviews all proposals for BEMS training. Affirmative
					 reviews are submitted as recommendations to the Board for adoption (state
					 approval). All inquiries relative to EMS Driver Training and/or requests for
					 state approval for the establishment of EMS Driver Training programs should be
					 submitted in triplicate as follows:
Address
Mississippi State Department of Health
Bureau of Emergency Medical Services
P.O. Box 1700
Jackson, Mississippi 39215-1700
Format (application content)
As governed by state regulations, all applications for the
					 establishment of Emergency Medical Services Driver Training Programs must
					 demonstrate adherence to the Department of Transportation's Training Program
					 for Operation of Emergency Vehicles as a minimum. The skid pad requirement is
					 not required. The proposal for training must include as a minimum the following
					 requirements:
Faculty profile - Provide names and resumes of all faculty
					 (include instructor training obtained); indicate whether faculty are full-time,
					 part-time, or consultants; and indicate those that are classroom vs. field
					 preceptors.
Entry requirements - Taking all applicable state
					 requirements into consideration, list all additional student selection
					 criteria.
Class size - Indicate minimum and maximum numbers of
					 students per class.
Facilities - Name and describe all facilities used for
					 classroom and field training.
Course Implementation - Provide copies of all instructor
					 lesson plans; provide testing and evaluation of student competencies and
					 skills.
Budget - List sources of funds supporting the training
					 program.
Equipment - Identify equipment and training materials
					 available.
Miss. Code
					 Ann.§
											41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Appendix 15-12-31-10-4 - EMERGENCY TRANSPORT TO MEDICAL FACILITIES

Current through June 25, 2024
Emergency Ambulance Transport To Medical
					 Facilities
Patients who are transported under the direction of an
					 emergency medical service system should be taken whenever possible to an in
					 hospital facility that meets the Emergency Care Guidelines of the American
					 College of Emergency Physicians.
The EMS Medical Control Authority should have the
					 discretion to authorize transport to non-in hospital medical facilities that
					 meet the Emergency Care Guidelines under that extraordinary circumstance when
					 lack of timely availability of such an in hospital facility necessitates
					 earlier patient stabilization.
If an area does not have a facility that meets the
					 Emergency Care Guidelines, it may be necessary for the responsible EMS Medical
					 Control Authority to designate some medical facility to receive patients by
					 ambulance. The American College of Emergency Physicians strongly encourages the
					 modification of such facilities to meet the Emergency Care Guidelines of the
					 College, so that every area has a facility capable of providing emergency
					 care.
Miss. Code
					 Ann.§
											41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Appendix 15-12-31-10-8 - DEATHS - PRONOUNCEMENTS/REPORTING/MOVING BODIES/PENALTIES FOR VIOLATIONS

Current through June 25, 2024
When to resuscitate
The statute in no way attempts to define when resuscitation
					 should be initiated or withheld. This always has been and still is a medical
					 and not a legal decision. The American Heart Association has established
					 guidelines on decision-making and CPR, and the National Registry of Emergency
					 Medical Technicians recognizes these as acceptable standards. They are as
					 follows:
Few reliable criteria exist by which death can be defined
					 immediately.
Decapitation, rigor mortis, and evidence of tissue
					 decomposition and dependent lividity are reliable criteria. In the absence of
					 such findings, CPR generally should be initiated immediately unless there is an
					 acceptable reason to withhold it. If the decision not to initiate CPR is made
					 by medical professional functioning in his professional capacity, the basis of
					 the decision should not be arbitrary. The reason to withhold CPR should be
					 sufficiently firm so that, should it later be subject to question, a decision
					 can be effectively supported. Contact Medical Control in any questionable
					 decision.
Laws As They Relate To Emergency Medical
					 Services
The source of the laws which pertain to death is the
					 Medical Examiners Act of 1986 and its revisions. For the purpose of this
					 appendix only the portions of the laws that directly effect EMS will be
					 quoted.
It should be pointed out that in any case and under any
					 circumstances, if it is felt by EMS personnel that the patient is resuscitable,
					 neither the Medical Examiner nor Law Enforcement personnel can force the
					 withholding of treatment.
Miss. Code
					 Ann.§
											41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Appendix 15-12-31-10-10 - Consolidated Trauma Activation Criteria and Destination Guidelines

Current through June 25, 2024
Click
					 Here To View Image
Miss. Code
					 Ann.§
											41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 11 - AUTOMATED EXTERNAL DEFIBRILLATOR GRANT PROGRAM › Subchapter 1 - Eligibility › Rule 15-12-31-11.1.1

Current through June 25, 2024
Only Department of Education approved public and charter schools may apply for the Automated External Defibrillator (AED) Grant Program.
Miss. Code Ann.
						§
												41-60-34
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 11 - AUTOMATED EXTERNAL DEFIBRILLATOR GRANT PROGRAM › Subchapter 2 - Application Process › Rule 15-12-31-11.2.1

Current through June 25, 2024
Applicants may access the application for the AED Grant Program online via the Department website or by contacting the Bureau of EMS. Applications must be submitted prior to December 15th by 5 p.m. Applications received after this date will not be processed as part of the current fiscal year.
Miss. Code Ann.
						§
												41-60-34
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 11 - AUTOMATED EXTERNAL DEFIBRILLATOR GRANT PROGRAM › Subchapter 2 - Application Process › Rule 15-12-31-11.2.2

Current through June 25, 2024
Applications must be signed by the superintendent, principal, or headmaster
Miss. Code Ann.
						§
												41-60-34
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 11 - AUTOMATED EXTERNAL DEFIBRILLATOR GRANT PROGRAM › Subchapter 3 - Eligible Uses of Grant Funds › Rule 15-12-31-11.3.1

Current through June 25, 2024
AED Program Grant funds must be deposited into the school treasury account.
Items purchased with grant funds must be purchased in the name of the school. The school must follow state procurement law and policies for the purchasing, inventory, and disposal of AEDs. A sticker which states "this equipment purchased by the citizens of the State of Mississippi" shall identify AEDs purchased with grant funds.
Miss. Code Ann.
						§
												41-60-34
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 11 - AUTOMATED EXTERNAL DEFIBRILLATOR GRANT PROGRAM › Subchapter 4 - Reports and Audits › Rule 15-12-31-11.4.1

Current through June 25, 2024
Funds must be expended by the end of the state fiscal year in which the funds are disbursed. A detailed justification for all grant expenditures must be submitted to the Bureau of EMS by December 15th by 5 p.m. of the following fiscal year.
Miss. Code Ann.
						§
												41-60-34
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 11 - AUTOMATED EXTERNAL DEFIBRILLATOR GRANT PROGRAM › Subchapter 4 - Reports and Audits › Rule 15-12-31-11.4.2

Current through June 25, 2024
AED Grant Program awards will be audited according to Department policies and procedures to ensure grantee compliance and confirm eligibility for future program awards.
Miss. Code Ann.
						§
												41-60-34
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 11 - AUTOMATED EXTERNAL DEFIBRILLATOR GRANT PROGRAM › Subchapter 5 - Appeal Process › Rule 15-12-31-11.5.1

Current through June 25, 2024
Any school district whose application for AED Grant Program funding has been rejected shall have the right to appeal such decision, within thirty (30) days after receipt of said decision, to the Bureau of EMS, who may refer the matter to a hearing officer, and/or make a final recommendation to the State Health Officer.
Miss. Code Ann.
						§
												41-60-34
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-12-32-1.1.1 - Legal Authority

Current through June 25, 2024
The Mississippi State Department of Health (the
						Department) is assigned the responsibility for creating, implementing and
						managing the statewide trauma care system. The Department shall be designated
						as the lead agency for trauma care system development. The Department shall
						develop and administer trauma regulations that include, but are not limited to,
						the Mississippi Trauma Care System Plan, trauma system standards, trauma center
						designations, field triage, inter-facility trauma transfer, pediatric trauma
						care, burn care, trauma data collection, trauma care system evaluation and
						management of state trauma system funding. The Department shall promulgate
						regulations specifying the methods and procedures by which Mississippi-licensed
						acute care facilities shall participate in the statewide trauma system. Those
						regulations shall include mechanisms for determining the appropriate level of
						participation for each facility or class of facilities. The Department shall
						also adopt a schedule of fees to be assessed for facilities that choose not to
						participate in the statewide trauma care system, or which participate at a
						level lower than the level at which they are capable of participating. The
						Department shall take the necessary steps to develop, adopt and implement the
						Mississippi Trauma Care System Plan and all associated trauma care system
						regulations necessary to implement the Mississippi trauma care system. The
						Department shall cause the implementation of both professional and lay trauma
						education programs. These trauma educational programs shall include both
						clinical trauma education and injury prevention. As it is recognized that
						rehabilitation services are essential for traumatized individuals to be
						returned to active, productive lives, the Department shall coordinate the
						development of the inclusive trauma system with the Mississippi Department of
						Rehabilitation Services and all other appropriate rehabilitation
						systems.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-12-32-1.1.2 - Mississippi Trauma Advisory Committee

Current through June 25, 2024
The (MTAC) is created as a committee of the Emergency
						Medical Services Advisory Council. The membership of the MTAC is comprised of
						the members of the Emergency Medical Services Advisory Council (EMSAC); the
						members of which are appointed by the Governor. The Chairman of EMSAC, the
						State Health Officer, shall appoint EMSAC members to the MTAC. This committee
						shall act as the advisory body for trauma care system development, and provide
						technical support to the department in all areas of trauma care system design,
						trauma standards, data collection and evaluation, continuous quality
						improvement, trauma care system funding, and evaluation of the trauma care
						system and trauma care programs.
Miss. Code Ann.
						§
												41-59-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-12-32-1.1.3 - Mississippi Trauma Advisory Committee Meetings

Current through June 25, 2024
The Mississippi Trauma Advisory Committee (MTAC) shall
						meet at least quarterly and report to the State Board of Health at its
						regularly scheduled meetings on the performance of Trauma System. For
						attendance at such meetings, the members of the MTAC shall be reimbursed for
						their actual and necessary expenses including food, lodging and mileage as
						authorized by law, and they shall be paid per diem compensation. Source: Miss.
						Code Ann. §
											41-59-7; Miss.
						Code Ann. §
											25-3-41;
						and Miss. Code Ann. §
											25-3-69.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.1 - Application for Trauma Center Designation

Current through June 25, 2024
All Mississippi licensed hospitals with a functioning
						emergency department must apply for trauma center designation. Hospitals that
						potentially may be Level IV Trauma Centers may elect not to participate in the
						system, however, state funding for trauma care is available only to designated
						hospitals which are actively participating in the Trauma Care System. To
						receive designation as a Trauma Center, an applicant hospital shall forward a
						letter of intent to the Department, accompanied by a complete original and two
						copies of the Department's "Application for Trauma Center Designation". Within
						30 days of receipt of the application, the Department shall provide written
						notification to the applicant hospital that the application has been received
						by the Department; whether the Department accepts or rejects the application;
						if accepted, the date scheduled for a consultative visit or a hospital
						inspection; if rejected, the reasons for rejection and a deadline for
						submission of the corrected "Application for Trauma Center Designation" to the
						Department.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.2 - Trauma Center Consultative Visit

Current through June 25, 2024
:
1. An
					 applicant hospital may request a Consultative Visit of its facilities. This
					 visit is used to assist the applicant hospital in preparation for a Trauma
					 Center inspection. Results of Trauma Center Consultative Visits will be
					 provided by the Department in writing to the applicant hospital. These results
					 will be held in confidence by the Department. The Department will work with,
					 and provide assistance to, the applicant hospital to correct any deficiencies
					 noted during the Consultative Review.
2. If an applicant hospital requests a Trauma
					 Center inspection without having first received a Consultative Visit and the
					 hospital fails to meet designation criteria, the inspection shall be deemed a
					 Consultative Visit. Any subsequent inspection for designation as a Trauma
					 Center will be at the hospital's expense.
3. A Consultative Visit, regardless of
					 outcome, confers no designation status upon the applicant hospital. A hospital,
					 having completed a Consultative Visit, may apply for a Trauma Center inspection
					 at any time after receiving the report from the Consultative Review.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.3 - Trauma Center Inspections

Current through June 25, 2024
1. The Department
					 shall provide for the inspection of the applicant hospital, provided that its
					 application has been formally approved by the Department, on the date scheduled
					 and indicated in the Department's acceptance letter to the applicant hospital,
					 unless the Department provides written notification with justification of
					 change to the applicant hospital no later than 14 days prior to the inspection
					 date; or the applicant hospital provides written request with justification for
					 a change in the inspection date to the Department no later than 30 days prior
					 to the inspection date.
2. Results
					 of Trauma Center inspections will be provided by the Department in writing to
					 each applicant hospital. Details related to hospital's inspection will be
					 considered confidential and will not be released.
3. No inspection or designation process
					 provided by any other agency, organization, or group maybe substituted for a
					 Department inspection.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.4 - Level I, II, and III Trauma Center Inspections

Current through June 25, 2024
1. The
					 Department shall provide multidisciplinary teams for all on-site Trauma Center
					 inspections.
2. Trauma Center
					 Inspection Teams shall consist of disciplines as follows:
a. Level I and II Trauma Centers: As a
					 minimum, teams shall consist of the following representative disciplines:
					 trauma surgeon, emergency physician, and trauma nurse. The Department may add
					 additional team members as necessary. All members of teams for Level I and II
					 Trauma Center inspections shall reside and practice outside the State of
					 Mississippi.
b. Level III Trauma
					 Centers: As a minimum, teams shall consist of the following representative
					 disciplines: trauma surgeon and trauma nurse. One member of each Level III team
					 must reside and practice out of the State of Mississippi. The remaining
					 member(s) may reside and practice in Mississippi; however, they may not
					 practice in any hospital or reside in any area of the trauma care region in
					 which the applicant hospital is located.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.5 - Level IV Trauma Center Inspections

Current through June 25, 2024
The Level IV trauma center inspection process shall
						consist of a review of the completed trauma center application, compliance with
						all of the "Essential" elements listed in the Mississippi Trauma Care
						Regulations Essential and Desirables Chart, and satisfactory review of specific
						trauma registry data reports as identified in the trauma center application.
						These documents shall be reviewed off-site by the Department's Division of
						Trauma staff. If the information contained in the completed application and the
						trauma registry data reports do not demonstrate compliance with the Mississippi
						Trauma Care Regulations, there will be a request for additional information and
						an opportunity to supply supplementary data/information for review. If this
						additional information does not demonstrate compliance with the Mississippi
						Trauma Care Regulations, an on-site survey inspection may be scheduled. At a
						minimum, the on-site team shall consist of one member of the Division of Trauma
						and one of the following representative disciplines: a physician specializing
						in trauma/emergency medicine or a trauma nurse. The member of the inspection
						team that is not a Division of Trauma staff member may reside and practice in
						Mississippi, however; they may not practice in any hospital or reside in any
						area of the trauma care region in which the applicant hospital is
						located.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.6 - Categories of Trauma Center Designations

Current through June 25, 2024
1. Complete
					 Designation: The hospital has completed all of the requirements for designation
					 at their application level.
2.
					 Complete Designation with Conditions: The hospital has completed all of the
					 requirements for Complete Designation at their application level with the
					 exception of minor (no patient or operational impact)
					 condition(s)
.
This designation category may be used for
					 initial designations or an interim change in status from Complete Designation
					 due to a temporary loss of a capacity or capability.
3. Any hospital receiving written
					 notification of Complete Designation with Conditions must immediately notify
					 the Trauma Care Region and submit to the Department within thirty (30) days
					 from the receipt of notification a written Corrective Action Plan (CAP)
					 including time lines for completion. The Department, upon receipt, shall either
					 approve or disapprove the plan within thirty (30) days. The Department may
					 require a "Focused Survey" with an inspection team to review the hospitals' CAP
					 for complete implementation. If the Focused Survey team deems the CAP fully
					 implemented, the hospital will receive Complete Designation.
4. No Designation: The hospital has failed to
					 meet the requirements for Complete Designation with Conditions at their
					 application level. Any hospital receiving notice of failure of their Trauma
					 Center inspection shall immediately notify the Trauma Care Region and all
					 pre-hospital providers who routinely transport trauma patients to the hospital
					 of the lack of a Trauma Center designation. Any hospital receiving a No
					 Designation notice shall no longer be permitted to act as, nor be permitted to
					 advertise itself as, a Trauma Center.
5. The hospital shall, within ten (10)
					 working days of notification of No Designation, submit a written CAP, including
					 correction time lines to the Department. Upon receipt of the plan, the
					 Department shall either approve or disapprove the plan within ten (10) working
					 days.
6. Upon completion of the
					 CAP, the hospital shall notify the Department and request a verification visit.
					 The Department shall conduct a focused survey of the hospital to verify
					 completion of the CAP and compliance with regulations. The Department may,
					 subsequently, reinstate the hospital to its original Trauma Center status (if
					 any) or designate the hospital as a Trauma Center (Complete or Complete with
					 Conditions). In addition, the appropriate fee associated with the unmet
					 capability commensurate with the facilities annual assessment shall be made to
					 the Trauma Care Trust Fund (TCTF).
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.7 - Appeal Process for Failing a Trauma Center Inspection

Current through June 25, 2024
If a hospital fails a trauma center inspection, the
						hospital shall have 30 days from the date of notification of the failure to
						appeal the decision in writing to the Department. The Department shall make a
						determination within three months of receipt of the appeal. The Department will
						provide the hospital with a written report of its decision. If the decision of
						the Department is unfavorable to the hospital, the hospital may request to be
						inspected for trauma center designation at another level, but must pay all
						costs associated with the inspection. In addition, the appropriate fee
						associated with the unmet capability commensurate with the facilities annual
						assessment shall be made to the Trauma Care Trust Fund
						(TCTF).
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.8 - Term of Trauma Center Designations

Current through June 25, 2024
The department shall designate Trauma Centers for a
						period not to exceed three (3) years. Designations shall remain active for
						three years provided no substantive changes or variances have occurred. The
						Department (and Trauma Care Regions for Level IV Trauma Centers only) may
						perform periodic trauma center audit/reviews at each designated Trauma Center.
						The State Health Officer (SHO) may extend Trauma Center designations for one
						(1) year.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.9 - Trauma Center Designation Renewal

Current through June 25, 2024
Trauma Centers desiring renewal of their designation must
						submit a new application (downloaded from the Department's Trauma website) no
						later than 90 days prior to expiration of designation. The original signed
						application and two copies must be submitted to the appropriate Trauma Care
						Region. The region will review the application and forward the original
						application and one copy to the Department, along with any comments the region
						may have regarding the application. The application must be received at the
						Department no later than 60 days prior to expiration of designation. The
						Department will acknowledge receipt of the application within 30 days to the
						applicant hospital and begin the designation process as provided by this
						regulation.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.10 - Loss of Required Trauma Care Capability

Current through June 25, 2024
Any Trauma Center that loses, either permanently or
						temporarily, physician, nursing, or other patient care specialties required by
						this regulation, shall report that loss to the Department utilizing the State
						Medical Asset Resource Tracking Tool (SMARTT) or other designated automated
						reported system. If the loss will result in diminished capability for a period
						longer than 30 days, the facility must also submit a Corrective Action Plan
						(CAP) that addresses how the facility will become compliant.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.11 - Suspension of Trauma Center Designation

Current through June 25, 2024
The State Health Officer may suspend the Trauma Center
						designation of any hospital for:
1.
					 Documented conditions of serious threat or jeopardy to patients' health or
					 welfare;
2. Failure to comply with
					 laws or regulations;
3. Failure to
					 satisfactorily complete the reinstatement process for hospitals failing a
					 Trauma Center designation inspection or losing Trauma Care
					 capabilities.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.12

Current through June 25, 2024
Hospitals having their Trauma Center Designation status
						suspended may reapply for Trauma Center designation after resolution of all
						issues related to the suspension, and completion of a new Trauma Center
						application and designation inspection. Should a trauma center's status be
						suspended, the hospital is responsible for paying the pro-rata fees as set
						forth in the "Play or Pay" section of these regulations.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.13 - Non-Designated Trauma Centers

Current through June 25, 2024
Any hospital that has not previously been designated as a
						Trauma Center or whose designation has expired, has submitted a Trauma Center
						application, and is actively pursuing a Trauma Center designation, including
						participation in Trauma Region activities and submission of Trauma Registry
						data, is considered a Non-designated Trauma Center.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.14 - Non-Participant Hospitals

Current through June 25, 2024
Any hospital that has not completed the Trauma Center
						designation, or has had its Trauma Center designation suspended by the
						Department, will be considered a Non-Participant hospital. Such facilities
						shall not advertise itself as a Trauma Center and are not eligible for any
						funding from the Trauma Care Trust Fund or Burn Fund, as
						appropriate.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.15 - Change of Trauma Center Designation

Current through June 25, 2024
Trauma Centers will be permitted to change their
						designation if the following conditions are met in their entirety:
1. The Trauma Center has been inspected and
					 designated by the Department, the designation is current, and the Trauma Center
					 is in full compliance with Department and Region rules, regulations, policies,
					 procedures, and protocols;
2. The
					 request to change designation has been approved by the applicable Trauma Care
					 Region;
3. The Department's Trauma
					 Consultant has reviewed the request and determines that there is no adverse
					 impact to the Region or Trauma Care System;
4. The Mississippi Trauma Advisory Council
					 (MTAC) has recommended approval of the request.
5. The Department Trauma System Administrator
					 (TSA) concurs with the request;
6.
					 The State Health Officer (SHO) or designee issues the new
					 designation.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.16

Current through June 25, 2024
A Trauma Center may make a request to change its
						designation by sending a letter of intent to the appropriate Trauma Care
						Region.
1. The Trauma Center will
					 submit an application for the new designation level.
(Note: If the
					 Trauma Center has a current application and inspection report on file with the
					 Department, for a level equal to or higher than the requested level, they will
					 not be required to submit another application.)
2. The Board of Directors of the Trauma Care
					 Region will review the request, and will recommend approval/disapproval to the
					 Department, along with any conditions.
3. The Department will forward the Region's
					 letter, application package, and inspection report (if applicable) to the
					 Trauma Consultant for review. The consultant will prepare a written report
					 which will include any anticipated positive/negative impacts to the Region
					 and/or Trauma Care System as a result of this action. The Trauma Consultant
					 will also determine if a new inspection is required to substantiate this
					 request, or will prepare a report of inspection compliance based on the file
					 inspection report.
4. The TSA will
					 consolidate all documentation and include the request on the agenda for the
					 next MTAC meeting. The TSA will also include the Department's concurrence or
					 non-concurrence with justification. A representative(s) of the Trauma Center
					 and the Region will be invited to present the request to the MTAC. If a
					 representative of the requesting Trauma Center is not present at the MTAC, the
					 request will be tabled to the next meeting. If the Trauma Center representative
					 does not appear at two consecutive MTAC meetings, the request will be dismissed
					 without action.
5. If the MTAC
					 approves the request, the TSA will forward a letter to the SHO requesting
					 designation of the Trauma Center to the new level. If a non-participation fee
					 is required for the new designation, an invoice will be prepared and sent to
					 the Trauma Center. Designation will only occur after receipt of the
					 non-participation fee.
6. If the
					 MTAC does not approve the request, the TSA will return the application package
					 to the Trauma Center and the Region via certified mail. The Trauma Center will
					 have twenty (20) days after receipt of the returned application to file an
					 appeal with the Department.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma Centers › Rule 15-12-32-1.2.17 - Partial Capability

Current through June 25, 2024
Any Trauma Center that chooses to offer patient care
						services that are above the level of their Trauma Center designation, must
						comply with the standards for the higher level of designation, including
						response times for physician specialties, protocols and procedures, performance
						improvement processes, and equipment, training, and personnel as listed on the
						Essentials and Desirables ("E&D") chart of the appropriate Trauma Center
						level. Additionally, the higher patient care must be reviewed by both the
						hospital and regional PI process.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.1 - Trauma Care Trust Fund

Current through June 25, 2024
The (TCTF) shall serve as the financial support mechanism
						for development of the Mississippi Trauma Care System. The Department shall
						contract with designated Trauma Care Regions for trauma systems development and
						regional operations. Contracts with each designated Trauma Care Region include
						financial support for: Administration of regions (including, but not limited
						to, regional medical director, regional administrative support, telephone,
						regional trauma committees, hospital trauma registry staff, and trauma registry
						computer hardware) and funding of documented trauma care (hospitals,
						physicians, and licensed ambulance services) as defined by
						regulation.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.2

Current through June 25, 2024
The TCTF is created from multiple funding sources
						including
1. Assessment on moving
					 traffic violations as noted in Miss. Ann Code §
											41-59-75;
2. Assessment on speeding, reckless and
					 careless driving violations as noted in Miss. Ann Code §
											99-19-73;
3. Assessment on license tags (issuance and
					 renewal) as noted in Miss. Ann Code §
											27-19-43;
4. Point of sale fee on all terrain vehicles,
					 motorcycles, and boats as noted in Miss. Ann Code §
											99-19-73;
					 and
5. Funds appropriated by the
					 Legislature from the Health Care Expendable Fund.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.3 - Trauma Care Trust Fund Eligibility

Current through June 25, 2024
1. Trauma Care
					 Trust Fund (TCTF) distribution shall be provided to designated Level I, II, and
					 III Trauma Centers, designated Burn Centers, eligible physicians and eligible
					 licensed ambulance through the Trauma Care Regions. Designated Level IV Trauma
					 Centers shall not receive reimbursement for trauma care, however, will receive
					 an annual stipend for satisfactory participation in the Mississippi Trauma Care
					 System.
2. Level I Trauma Centers
					 and stand-alone Tertiary Pediatric Trauma Centers located in a state contiguous
					 to the State of Mississippi that participate in the Mississippi Trauma Care
					 System and have been designated by the Department shall be eligible to receive
					 distributions from the TCTF.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.4 - Trauma Care Trust Fund Distribution Formula

Current through June 25, 2024
1.
					 Funds for the administration and development of the Trauma Care System will be
					 budgeted from available funds from the TCTF. Examples of administrative and
					 development costs are, but are not limited to, salaries and benefit costs for
					 personnel (full-time and part-time equivalents) who expend a portion of their
					 time in trauma care administration and/or development, travel and training
					 costs for such personnel, use of trauma care physicians and/or other trauma
					 professionals used in the development and/or maintenance of the trauma care
					 system, development and/or maintenance of accounting and auditing of the use
					 and distribution of the TCTF, administrative costs for designated trauma care
					 regions, and the costs associated with the development and/or implementation of
					 the Trauma Care System (i.e., telecommunication systems, data storage and/or
					 retrieval systems, advertising, equipment, etc.)
2. Eighty-five percent (85%) of the remaining
					 funds from the TCTF are allocated to participating Trauma and Burn Centers
					 which shall further allocate at least thirty percent (30%) of the funds
					 received by Level I, II, and III Trauma Centers and Burn Centers to eligible
					 physicians.
3. Fifteen percent
					 (15%) of the remaining funds from the TCTF are allocated to eligible licensed
					 ambulance services that provide pre-hospital care to trauma victims.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.5 - Trauma Care Trust Fund Distribution Calculation

Current through June 25, 2024
Amounts to be disbursed from the Trauma Care Trust Fund
						(TCTF) shall be calculated as follows:
1. On or about April 1 and October 1 of each
					 year, or at such other times as the State Health Officer may direct, the Trauma
					 System Administrator (TSA) shall obtain a Treasury report showing the fund
					 balance in the TCTF.
2. To obtain
					 the amount to be distributed, the following amounts will be subtracted from the
					 fund balance:
a. One half of an amount to be
					 determined by the Department for administrative expenses of the Department
					 Division of Trauma as of the date of the calculation;
b. One half of an amount not to exceed Ten
					 Thousand Dollars ($10,000) for each Level IV Trauma Center which has completed
					 at least one year of satisfactory participation in the Mississippi Trauma Care
					 System as of the date of the calculation (annual stipend);
c. One half of an amount not to exceed Ten
					 Thousand Dollars ($10,000) for each Level IV Trauma Center which has completed
					 at least one year of satisfactory participation in the Mississippi Trauma Care
					 System as of the date of the calculation (educational grant); and
d. One half of an amount to be determined by
					 the Department, and approved by the MTAC, for administrative expenses for each
					 Trauma Care Region, as of the date of the calculation.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.7 - Trauma Card Trust Fund Hospital Fixed Distribution

Current through June 25, 2024
1. Eighty-five percent (85%) of the amount
					 remaining after administrative expenses shall be distributed to the Trauma
					 Regions for further distribution to participating Trauma Centers.
2. Thirty percent (30%) of the amount
					 reserved for distribution to hospitals shall be distributed according to a
					 "Fixed Distribution," based on the designated level of each eligible Trauma
					 center.
3. For purposes of
					 determining amounts to be distributed to Trauma Centers pursuant to this rule,
					 the following definitions shall apply:
a.
					 Number of Facilities the number of licensed acute care facilities designated as
					 a Level I, Level II or Level III Trauma Centers
b. Relative Weights Level I shall equal 100%;
					 Level II shall equal 87.5%; Level III shall equal 62.5%
c. Calculated Weight Equals the number of
					 facilities designated at a particular level of trauma center multiplied by the
					 relative weight.
d. Total Weight
					 equals the sum of calculated weights
e. Disbursement by Hospital Type equals Total
					 Hospital Fixed Fund / Total Weight X Relative Weight
f. Total Disbursement by Hospital Type equals
					 the sum of Disbursement by Hospital Type