reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.02 - Jurisdictional EMS Operational Programs › Section 30.03.02.02 - Criteria for Approval as a Jurisdictional EMS Operational Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. To be eligible for approval an applicant:
(1) May not be subject to licensure as a commercial service under Education Article, §
										13-515, Annotated Code of Maryland;
(2) Shall retain an EMS operational program medical director whose qualifications and duties are consistent with the requirements of COMAR 30.03.03;
(3) Shall have a written agreement with the EMS operational program medical director addressing:
(a) The medical director's:
(i) Duties,
(ii) Authority, and
(iii) Responsibilities; and
(b) The jurisdictional EMS operational program's:
(i) Duties,
(ii) Authority, and
(iii) Responsibilities; and
(c) Other terms as the parties may agree upon;
(4) Shall maintain a comprehensive quality assurance program consistent with the requirements of COMAR 30.03.04;
(5) Shall meet the requirements of the Maryland Ambulance Information System under Public Safety Article, §
										8-103(b)(7), Annotated Code of Maryland, and COMAR 30.03.04.04;
(6) Shall provide remedial education as necessary for affiliated EMS providers;
(7) If also seeking approval as an emergency medical dispatch program shall utilize:
(a) EMDs to provide medical:
(i) Interrogation,
(ii) Prioritization,
(iii) Resource allocation,
(iv) Resource management, and
(v) Prearrival instructions; and
(b) An emergency medical dispatch priority reference system approved by MIEMSS;
(8) If also seeking approval as a specialty care transport program, meet the requirements of COMAR 30.09.14; and
(9) Designate an EMS operational program quality assurance officer whose qualifications and duties are consistent with the requirements of COMAR 30.03.04.08.
(10) Shall have an Infection Control Program consistent with the requirements of COMAR 30.03.09.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.02 - Jurisdictional EMS Operational Programs › Section 30.03.02.03 - Approval Process

Current through Register Vol. 51, No. 14, July 12, 2024
A. An institution, government agency, corporation, or other entity responsible for EMS oversight may continue to function as a jurisdictional EMS operational program and shall be considered approved as of January 1, 1999, without submitting an application if it:
(1) Was recognized by MIEMSS as a jurisdictional EMS operational program for purposes of EMS provider affiliation on December 31, 1998; and
(2) Meets the requirements of this chapter for a jurisdictional EMS operational program on the effective date of this regulation.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.02 - Jurisdictional EMS Operational Programs › Section 30.03.02.04 - Provisional Approval

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant granted provisional approval may file an appeal with the EMS Board under Regulation .08 of this chapter.
B. The EMS Board may require that a provisional jurisdictional EMS operational program:
(1) Have a written work plan to rectify deficiencies; and
(2) Demonstrate progress on the work plan throughout the provisional period.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.02 - Jurisdictional EMS Operational Programs › Section 30.03.02.05 - Denial of Application for Approval

Current through Register Vol. 51, No. 14, July 12, 2024
A. The EMS Board may deny an application for approval if it finds that the applicant is unable to meet the requirements of this chapter.
B. Notice of Denial.
(1) The EMS Board shall issue a written notice of denial to an applicant that shall include the reasons for denial.
(2) The notice of denial shall conform to the requirements of State Government Article, §
										10-207, Annotated Code of Maryland.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.02 - Jurisdictional EMS Operational Programs › Section 30.03.02.06 - Verification of Approval

Current through Register Vol. 51, No. 14, July 12, 2024
MIEMSS shall verify that each jurisdictional EMS operational program approved under this chapter is in compliance with this chapter at 5-year intervals from the date of program approval.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.02 - Jurisdictional EMS Operational Programs › Section 30.03.02.07 - Compliance

Current through Register Vol. 51, No. 14, July 12, 2024
A. The EMS Board may initiate an investigation of a jurisdictional EMS operational program upon information that the program has failed to comply with this chapter.
B. The EMS Board shall give written notice of the investigation to the jurisdictional EMS operational program.
C. The EMS Board may direct MIEMSS to make such on-site review as necessary as a part of its investigation.
D. If the EMS Board finds that a jurisdictional EMS operational program has materially failed to comply with this chapter, the EMS Board may:
(1) Require corrective action;
(2) Restrict available EMS Board funding for the jurisdictional EMS operational program; or
(3) If the EMS Board finds that the jurisdictional EMS operational program is unable or unwilling to take the required corrective action within a reasonable time set by the EMS Board, take further action as necessary to ensure proper medical direction and oversight of EMS providers, including, but not limited to, revoking approval of the jurisdictional EMS operational program.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.02 - Jurisdictional EMS Operational Programs › Section 30.03.02.08 - Procedures for Appeals

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant or jurisdictional EMS operational program may appeal a disputed final decision by filing a notice of appeal to the EMS Board with the Executive Director of MIEMSS not later than 20 days from receipt of the EMS Board's decision.
B. The appeal shall state with specificity the reasons why the EMS Board should reconsider its decision.
C. An applicant or jurisdictional EMS operational program that files an appeal shall be granted a hearing before the EMS Board or, if the Board so elects and notifies the applicant or jurisdictional EMS operational program, the Office of Administrative Hearings.
D. An appeal hearing is governed by COMAR 28.02.01.
E. If the hearing is conducted by the Office of Administrative Hearings, COMAR 30.02.06.22B and .23 also apply.
F. An applicant or jurisdictional EMS operational program which has participated in a hearing under this regulation may seek judicial review of the EMS Board's final action under State Government Article, §
									10-222, Annotated Code of Maryland. The EMS Board shall be party to the proceeding.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.03 - Medical Directions › Section 30.03.03.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter governs the requirements for medical direction of EMS providers.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.03 - Medical Directions › Section 30.03.03.02 - Maryland Medical Protocols for Emergency Medical Services Providers

Current through Register Vol. 51, No. 14, July 12, 2024
All medical direction shall be in accordance with the "Maryland Medical Protocols for Emergency Medical Services Providers".
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.03 - Medical Directions › Section 30.03.03.03 - EMS Operational Program Medical Directors

Current through Register Vol. 51, No. 14, July 12, 2024
A. An EMS operational program shall have an EMS operational program medical director appointed by the EMS operational program.
B. Qualifications of an EMS Operational Program Medical Director. An EMS operational program medical director shall:
(1) Be licensed to practice medicine in Maryland;
(2) Be familiar with the design and operation of EMS operational programs and systems including medical dispatch and communications;
(3) Have experience in and current knowledge of emergency care of patients who are acutely ill or injured; and
(4) Possess current knowledge of the Maryland EMS System including:
(a) Applicable laws and regulations,
(b) The Maryland Medical Protocols for Emergency Medical Services Providers,
(c) Applicable EMD protocols,
(d) Disaster and mass casualty plans,
(e) Organization and structure, and
(f) Medical quality assurance process.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.03 - Medical Directions › Section 30.03.03.04 - Regional Medical Directors

Current through Register Vol. 51, No. 14, July 12, 2024
A. Appointment of a Regional Medical Director. Each EMS region shall have a regional medical director:
(1) Recommended by the EMS regional council; and
(2) Appointed by the State EMS Medical Director.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.03 - Medical Directions › Section 30.03.03.05 - Associate Regional Pediatric Medical Directors

Current through Register Vol. 51, No. 14, July 12, 2024
A. Appointment of Associate Regional Pediatric Medical Directors. Each EMS region shall have an associate regional pediatric medical director:
(1) Nominated by the EMS regional council;
(2) Approved by the State EMS Medical Director; and
(3) Appointed by the Associate State EMS Medical Director for Pediatrics.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.03 - Medical Directions › Section 30.03.03.06 - Credentialing of EMS Providers

Current through Register Vol. 51, No. 14, July 12, 2024
A. The EMS operational program medical director and EMS operational program shall determine, through clinical evaluation and other means as necessary, the capabilities and skills level of each affiliated EMS provider including the ability of the provider to function independently within that EMS operational program.
B. The EMS operational program medical director and the EMS operational program are responsible for monitoring all EMS providers through a comprehensive quality assurance program under COMAR 30.03.04.
C. The medical director of a specialty care transport program may delegate aspects of credentialing to an associate medical director or Maryland licensed critical care transport nurse.
D. In association with or through the granted authority of an EMS operational program, an EMS operational program medical director may suspend or limit the privileges of an EMS provider within that EMS operational program if, in the opinion of the EMS operational program medical director, the EMS provider poses an imminent threat to the health or well-being of patients.
E. If the EMS operational program medical director suspends or limits the privileges of an EMS provider under §C of this regulation, the EMS operational program medical director and the EMS operational program shall immediately notify the State EMS Medical Director of:
(1) The circumstances and grounds for the action;
(2) Specific plans for remedial education; and
(3) The process, including reevaluation, by which the EMS provider may be able to regain privileges.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.03 - Medical Directions › Section 30.03.03.07 - Online Medical Direction

Current through Register Vol. 51, No. 14, July 12, 2024
A. An EMS provider shall utilize online medical direction as required in the Maryland Medical Protocols for Emergency Medical Services Providers from:
(1) An approved base station; or
(2) A system medical director.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.04 - Quality Assurance › Section 30.03.04.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter governs the requirements for quality assurance in an EMS operational program.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.04 - Quality Assurance › Section 30.03.04.02 - Quality Assurance Plan

Current through Register Vol. 51, No. 14, July 12, 2024
A. Every EMS operational program shall have a written quality assurance plan approved by its medical director.
B. The quality assurance plan shall include provisions for:
(1) Reviewing data concerning patient care rendered by EMS providers affiliated with the EMS operational program;
(2) Identifying and analyzing trends in EMS care rendered by EMS providers affiliated with the EMS operational program;
(3) Annually reporting to MIEMSS on quality assurance issues on a form required by MIEMSS;
(4) Providing remedial action to resolve any patient care issues involving EMS providers or the EMS system which should be addressed at the jurisdictional level;
(5) Identifying violations of the Maryland Medical Protocols for Emergency Medical Services Providers;
(6) Notifying MIEMSS within 30 days of discovery of any incidents, protocol variations, or trends which in the opinion of the medical director:
(a) May have resulted in harm to a patient,
(b) May require disciplinary action by MIEMSS, or
(c) Suggest the need for changes to the Statewide EMS system by MIEMSS; and
(7) Reviewing oral or written allegations that:
(a) An EMS provider failed to act in accordance with applicable law or protocols, or
(b) Prehospital patient care was below the applicable standard of care.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.04 - Quality Assurance › Section 30.03.04.03 - Medical Review Committee

Current through Register Vol. 51, No. 14, July 12, 2024
A. Every EMS operational program shall have a medical review committee.
B. The EMS operational program in conjunction with the EMS operational program medical director shall select the medical review committee.
C. The medical review committee shall be a committee established in MIEMSS subject to the confidentiality and immunity provisions of Health Occupations Article, §
									1-401, Annotated Code of Maryland, as well as the other provisions of that statute.
D. Each attendee at any meeting of a medical review committee shall be advised in writing of the confidential nature of committee proceedings.
E. It shall be the duty of the quality assurance officer to carry out the quality assurance plan with the participation of the EMS operational program medical director and the Medical Review Committee.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.04 - Quality Assurance › Section 30.03.04.04 - Maryland Ambulance Information System

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each EMS operational program shall, within 24 hours of a call's dispatch, ensure the completion of an EMS patient care report for each unit:
(1) That responds to a call within the State;
(2) That responds to a call from within the State;
(3) That provides EMS care;
(4) That provides EMS transport; or
(5) That applies the Maryland Medical Protocols for Emergency Medical Services Providers.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.04 - Quality Assurance › Section 30.03.04.05 - Direct Treatment Quality Assessment and Quality Improvement

Current through Register Vol. 51, No. 14, July 12, 2024
A. For the purpose of quality assessment and quality improvement, an EMS provider licensed or certified by the EMS Board under Education Article §
									13-516, Annotated Code of Maryland, who has or has had a direct treatment relationship with a patient, may request and receive follow-up data or information on that patient pertinent to the treatment relationship from the facility to which the patient is transported by the EMS provider.
B. A request for data or information under this regulation is a request for data or information from a person acting under the authority of MIEMSS.
C. A person receiving data or information under this regulation may not disclose the data or information to any person other than a medical review committee under Health Occupations Article, §
									1-401, Annotated Code of Maryland.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.04 - Quality Assurance › Section 30.03.04.06 - Occupational Exposure Reporting

Current through Register Vol. 51, No. 14, July 12, 2024
Each EMS operational program shall deliver monthly to MIEMSS a report of occupational exposures to blood in a form acceptable to MIEMSS.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.04 - Quality Assurance › Section 30.03.04.08 - Quality Assurance Officer

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each EMS operational program shall designate a Quality Assurance (QA) Officer in concurrence with the EMS operational program medical director.
B. Qualifications of an EMS Operational Program Quality Assurance Officer. An EMS operational program Quality Assurance Officer shall:
(1) Be certified or licensed as an emergency medical technician, CRT, or paramedic in Maryland;
(2) Either:
(a) Successfully complete a QA officer course as defined by MIEMSS within six months of designation; or
(b) Have been serving as a Quality Assurance Officer for an EMS operational program for a period of at least 5 years; and
(3) Successfully complete a Quality Assurance Officer continuing education course annually.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.05 - Protocol Development › Section 30.03.05.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter governs the development of the Maryland Medical Protocols for Emergency Medical Services Providers.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.05 - Protocol Development › Section 30.03.05.02 - Protocol Development

Current through Register Vol. 51, No. 14, July 12, 2024
A. The EMS Board shall approve and issue the Maryland Medical Protocols for Emergency Medical Services Providers and any protocol revisions or supplemental protocols.
B. MIEMSS shall develop the Maryland Medical Protocols for Emergency Medical Services Providers and any protocol revisions or supplemental protocols with the advice of a protocol review committee.
C. Any individual may recommend a protocol, protocol revision or supplemental protocol to the protocol review committee by forwarding the recommendation to the protocol review committee and the office of the State EMS Medical Director at MIEMSS.
D. MIEMSS shall appoint the protocol review committee which shall be composed of:
(1) One representative from each of the following groups:
(a) The EMS Board;
(b) The State Board of Physicians;
(c) The Statewide Emergency Medical Services Advisory Council;
(d) The Pediatric Emergency Medical Advisory Committee;
(e) The Jurisdictional Advisory Committee;
(f) The Commercial Ambulance Service Advisory Committee;
(g) The EMS operational program medical directors;
(h) Volunteer EMS BLS Providers;
(i) Volunteer EMS ALS Providers;
(j) Career EMS BLS Providers;
(k) Career EMS ALS Providers;
(l) Commercial EMS BLS Providers;
(m) Commercial EMS ALS Providers;
(n) The Maryland Chapter of ACEP;
(o) the State Board of Nursing; and
(p) Trauma Net; and
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.05 - Protocol Development › Section 30.03.05.03 - Pilot Supplemental Protocol

Current through Register Vol. 51, No. 14, July 12, 2024
A. The EMS Board may grant a pilot supplemental protocol for the benefit of optimal patient care upon:
(1) The recommendation of the Executive Director of MIEMSS; and
(2) A determination that the pilot supplemental protocol has the potential to become a Statewide protocol or an optional supplemental protocol.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.05 - Protocol Development › Section 30.03.05.04 - Research Supplemental Protocol

Current through Register Vol. 51, No. 14, July 12, 2024
A. The EMS Board may approve a research supplemental protocol upon the recommendation of the Executive Director of MIEMSS with the approval of the:
(1) EMS operational medical director and EMS operational program where the research will be conducted; and
(2) MIEMSS Institutional Review Board.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.05 - Protocol Development › Section 30.03.05.05 - Optional Supplemental Protocol

Current through Register Vol. 51, No. 14, July 12, 2024
A. The EMS Board may establish minimum training requirements and standards for the implementation of optional supplemental protocols by EMS operational programs.
B. An EMS operational program may approve an optional supplemental protocol as authorized under the Maryland Medical Protocols for Emergency Medical Services Providers if the EMS operational program meets the minimum training requirements and standards for implementation of the optional supplemental protocol as established by the EMS Board.
C. The EMS Board shall suspend or terminate an optional supplemental protocol for an EMS operational program if the EMS operational program fails to comply with the minimum training requirements and standards for the implementation.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.05 - Protocol Development › Section 30.03.05.06 - Appeals

Current through Register Vol. 51, No. 14, July 12, 2024
A. A person may appeal a disputed final decision of the EMS Board regarding protocols by filing a notice of appeal to the EMS Board with the Executive Director of MIEMSS within 20 days from receipt of the EMS Board's decision or 45 days from the date of the decision, whichever occurs first.
B. The appeal shall state with specificity the reasons why the EMS Board should reconsider its decision.
C. A person who files an appeal will be granted a hearing before the EMS Board or, if the Board so elects and notifies the appealing party, the Office of Administrative Hearings.
D. An appeal hearing is governed by COMAR 28.02.01.
E. If the hearing is conducted by the Office of Administrative Hearings, COMAR 30.02.06.22B and .23 shall also apply.
F. A person who is party to a hearing under this regulation may seek judicial review of the EMS Board's final action under State Government Article, §
									10-222, Annotated Code of Maryland. The EMS Board shall be party to the proceeding.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.01 - Scope and Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter governs the approval and operation of EMS base stations as part of the Maryland Emergency Medical Services Plan.
B. Definitions.
(1) In this chapter, the following terms have the meanings indicated.
(2) Terms Defined.
(a) "Digital Emergency Medical Services Telephone System (DEMSTEL) Telephone" means the telephone system by which hospitals and public safety agencies Statewide can maintain communications in emergency situations when the Public Switched Telephone Network may not be available.
(b) "Emergency Medical Resource Center (EMRC) Communications" means the medical channel radio communications system that links EMS providers in the field with hospital-based medical consultation. The EMRC operator receives calls from EMS providers in the field, directs the provider to the appropriate med-channel, and establishes a patch to the appropriate medical facility. Consultation facilities and multiple hospitals can be patched into a single consultation. The EMRC plays a critical role that aids in ensuring a coordinated response to major incidents and catastrophic events. The EMRC can also be accessed by local and 800-service dial telephone.
(c) "Hospital Dashboard/Hub " means the application that allows hospital personnel/users to access a Prehospital Care Report (PCR) produced by the EMS personnel.
(d) Maryland Emergency Medical Resource Alert Database (MEMRAD).
(i) "Maryland Emergency Medical Resource Alert Database (MEMRAD) " means the internet-based program that alerts all components of the Maryland Emergency Medical Services (EMS) System of an emergency medical situation.
(ii) "MEMRAD" includes the County Hospital Alert Tracking System (CHATS) which shows health care providers the status of hospitals throughout Maryland and in surrounding jurisdictions.
(iii) "MEMRAD" includes the Facility Resource Emergency Database (FRED) which alerts all health care response partners of an incident and allows them to indicate what resources they have to lend to the response.
(iv) "MEMRAD" includes the Maryland patient and resource tracking system.
(e) "State-Designated Health Information Exchange " means the State-Designated Health Information Exchange described in Health-General Article, § 19-143, Annotated Code of Maryland.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.02 - Base Stations in General

Current through Register Vol. 51, No. 14, July 12, 2024
An EMS base station designated by MIEMSS shall:
A Be a unit of a licensed hospital;
B Operate 24 hours a day;
C Have communications equipment as required by MIEMSS to provide necessary communications with ambulances and MIEMSS;
D. In collaboration with MIEMSS, maintain all MIEMSS required communications equipment in working order, including:
(1) EMRC Radio with voice recorder; and
(2) Demstel Telephone, where deployed;
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.03 - Personnel

Current through Register Vol. 51, No. 14, July 12, 2024
A. Base Station Medical Director. The Base Station Medical Director shall be a licensed Maryland physician authorized to provide online medical direction who has been appointed by the hospital pursuant to a written job description.
B. Base Station Coordinator. The Base Station Coordinator shall be a licensed Maryland registered nurse authorized to participate in online medical direction who has been appointed by the hospital pursuant to a written job description.
C. Physician Authorized to Provide Online Medical Direction. A physician authorized to provide online medical direction shall:
(1) Be licensed or otherwise authorized to practice medicine in Maryland;
(2) Be Board certified or Board eligible in a specialty approved by the American Board of Medical Specialties appropriate for a base station;
(3) Have successfully completed a MTEMSS-approved base station course with a minimum score of 80 percent; and
(4) Annually complete a Maryland Medical Protocols for Emergency Medical Services Providers update by July 1 of each year.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.04 - Online Medical Direction

Current through Register Vol. 51, No. 14, July 12, 2024
A. Online medical direction as required in the Maryland Medical Protocols for Emergency Medical Services Provider shall be:
(1) Given directly by a physician authorized to provide medical direction; or
(2) Given directly by a resident or fellow under the direct supervision of a physician authorized to provide medical direction; or
(3) Relayed from a physician authorized to provide medical direction through a registered nurse, a physician assistant or a nurse practitioner authorized to participate in medical direction.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.04-1 - Limited-Scope Medical Direction

Current through Register Vol. 51, No. 14, July 12, 2024
A. Scope.
(1) This regulation applies to an EMS operational program that seeks to facilitate telemedicine appointments between certain low-acuity patients and independent physicians that are not affiliated with a base station or system medical director, nor under the direct supervision of the EMS operational program or its medical director.
(2) This regulation does not limit the use or scope of medical direction offered through a base station in accordance with the Maryland Medical Protocols for Emergency Medical Services.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.05 - Quality Improvement

Current through Register Vol. 51, No. 14, July 12, 2024
A. The hospital of which the base station is a unit, or the free standing emergency center if the base station is within a free standing emergency center, shall:
(1) Monitor and participate in MEMRAD;
(2) Monitor their utilization of CHATS alerts; and
(3) Participate in mitigation strategies to improve systems efficiencies and patient safety.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.06 - Base Station Approval and Renewal

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant for designation or redesignation as a base station shall apply by filing an approved application with MIEMSS.
B. Upon receipt of a completed application, MIEMSS shall:
(1) Visit the applicant;
(2) Interview the physician designated as base station director;
(3) Interview the licensed registered nurse designated as the base station coordinator;
(4) Consult the EMS regional councils most likely to use the applicant for online medical direction to verify the applicant satisfies the requirements of Regulations .02 and .04 of this chapter; and:
(5) Consult the EMS medical directors of EMS operational jurisdictions most likely to use the applicant for online medical direction to verify the applicant satisfies the requirements of Regulations .02 and .04 of this chapter.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.07 - Appeal Process

Current through Register Vol. 51, No. 14, July 12, 2024
A. A base station may appeal a designation decision by MIEMSS to the EMS Board by filing a notice of appeal with the Executive Director of MIEMSS within 15 days after receipt of the decision.
B. A base station that files an appeal will be granted a hearing before the EMS Board or, if the Board so elects and notifies the applicant, the Office of Administrative Hearings.
C. An appeal hearing is governed by COMAR 28.02.01.
D. If the hearing is conducted by the Office of Administrative Hearings, COMAR 30.02.06.22B and .23 also apply.
E. A base station may seek judicial review of the EMS Board's final action under State Government Article, §
									10-222, Annotated Code of Maryland. The EMS Board shall be party to the proceeding.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.08 - Specialty Base Stations and Consultation Centers

Current through Register Vol. 51, No. 14, July 12, 2024
A. MIEMSS may designate base stations as specialty base stations consistent with the particular base station's affiliation with a Maryland designated trauma or specialty center.
B. MIEMSS may designate base stations as specialty consultation centers for pediatrics, hazardous materials, and other specialties as necessary.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.06 - Base Stations › Section 30.03.06.09 - Out-of-State Trauma and Specialty Consultation Centers

Current through Register Vol. 51, No. 14, July 12, 2024
A. Out-of-State trauma and specialty hospitals which have entered agreements with MIEMSS under COMAR 30.08.01.03 shall have the equipment necessary to conduct a dual consult between EMS and a Maryland base station for each Maryland patient transported to the out-of-State trauma or specialty center.
B. Physicians not authorized to practice in Maryland must have a dual consult with a Maryland base station in order to have a Maryland licensed physician give the orders to Maryland EMS providers.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.01 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter is intended to make available to hospitals and other receiving facilities that replenish drugs and medical supplies used by ambulance providers or first responders, when transporting patients to the hospitals or receiving facilities, an EMS agency plan that fulfills the requirements of 42 CFR §
										1001.952(v)(3)(i)(B)(1)(ii) of the safe harbor regulations promulgated by the United States Department of Health and Human Services to protect such an arrangement from the anti-kickback provisions of the Social Security Act, 42 U.S.C. §
										1320a- 7b(b)(1)(A).
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.02 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter does not apply to the restocking of ambulances that only provide nonemergency services or to the general stocking of an ambulance provider's inventory.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.03 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Ambulance provider" means the person who owns or operates an ambulance.
(2) "Ambulance transport" means a transport by ambulance, together with attendant medical services, medical supplies, drugs, and linens provided by the ambulance provider.
(3) "Emergency ambulance" means an ambulance used to provide emergency ambulance transport an average of three times per week, as measured over a reasonable period of time.
(4) "Emergency ambulance transport" means an ambulance transport initiated by an emergency call or a call from another acute care facility unable to provide the higher level care required by the patient and available at the receiving facility.
(5) "Emergency call" means a call placed through 9-1-1 or some other emergency access number.
(6) "EMS provider" means an individual licensed or certified by the Maryland State EMS Board under Education Article, §
										13-516, Annotated Code of Maryland.
(7) "Receiving facility" means a hospital or other facility that provides emergency medical services.
(8) "Restock" means the replenishment of drugs, medical supplies, and linens used for a patient prior to delivery of the patient to the hospital and other receiving facility on a one to one basis without charge to an ambulance provider.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.04 - Duties of Hospital and Receiving Facility

Current through Register Vol. 51, No. 14, July 12, 2024
A hospital and other receiving facility that elects to restock ambulances under this chapter shall restock emergency ambulances owned or operated by not-for-profit and State or local government ambulance providers, including, but not limited to, municipal and volunteer ambulance providers, that bring a patient to the hospital and other receiving facility, if one and only one of the following billing conditions applies:
A. The ambulance provider does not bill any insurer or patient for the items restocked; or
B. The hospital and other receiving facility do not bill any insurer or patient for the items restocked.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.05 - Drugs, Medical Supplies, and Linens-User

Current through Register Vol. 51, No. 14, July 12, 2024
Drugs, medical supplies, and linens initially used by an EMS provider that responds to an emergency call and treats the patient, but does not transport the patient to the hospital and other receiving facility, which are replenished at the scene of the illness or injury by an ambulance provider that transports the patient to the hospital and other receiving facility shall be deemed to have been used by the ambulance provider.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.06 - Restocking

Current through Register Vol. 51, No. 14, July 12, 2024
Restocking shall include the following drugs, medical supplies, and linens used in the course of an ambulance transport restocked under this chapter:
A. Drugs listed in the ALS and BLS pharmacology sections of the Maryland Medical Protocols for Emergency Medical Services Providers incorporated by reference under COMAR 30.01.02.01B;
B. Consumable medical supplies ordinarily carried on an ALS or BLS ambulance in accordance with the Maryland Medical Protocols for Emergency Medical Services Providers incorporated by reference under COMAR 30.01.02.01B; and
C. Linens, including sheets, pillow cases, and blankets.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.07 - Documentation of Restocking

Current through Register Vol. 51, No. 14, July 12, 2024
Restocked drugs, medical supplies, and linens shall be documented by recordation on the narrative portion of the Maryland Ambulance Information Runsheet which shall be maintained by the ambulance provider for at least 5 years. A copy of the runsheet shall be supplied to the hospital or other receiving facility as part of the patient's medical record.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.08 - Ambulance Restocking Plan › Section 30.03.08.08 - Compliance with Federal Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
All participants under this chapter that bill federal health care programs for restocked medical supplies, drugs, or linens shall comply with all applicable federal program billing and claims filing rules and regulations.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.09 - Infection Control Program › Section 30.03.09.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter governs the requirements for an infection control program in an EMS operational program.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.09 - Infection Control Program › Section 30.03.09.02 - Infection Control Officer

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each EMS operational program shall designate an Infection Control Officer.
B. Duties of an EMS Operational Program Infection Control Officer. The EMS operational program Infection control officer shall be responsible for:
(1) Implementing the EMS operational program infection control plan under Regulation .03 of this Chapter; and
(2) Reporting occupational exposures to MIEMSS under COMAR 30.03.04.06B.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 03 - EMS OPERATIONAL PROGRAMS › Chapter 30.03.09 - Infection Control Program › Section 30.03.09.03 - Plan

Current through Register Vol. 51, No. 14, July 12, 2024
A. Every EMS operational program shall have a written infection control plan.
B. The infection control plan shall include provisions for:
(1) Ensuring compliance with:
(a)
											29 CFR §
												1910.1030;
(b)
											29 CFR §
												1910.1200;
(c) Labor and Employment Article, §
											5-702, Annotated Code of Maryland;
(d) COMAR 30.03.04.06B; and
(e) All other State and federal regulations as they pertain to infection control;
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 04 - EMERGENCY MEDICAL SERVICES EDUCATION PROGRAMS AND COURSES › Chapter 30.04.01 - Definition › Section 30.04.01.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this subtitle, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Advanced life support (ALS)" means the level of care which may be rendered by an individual licensed under Education Article, §
										13-516, Annotated Code of Maryland, as an:
(a) Emergency medical technician-paramedic; or
(b) Cardiac rescue technician licensed.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 04 - EMERGENCY MEDICAL SERVICES EDUCATION PROGRAMS AND COURSES › Chapter 30.04.02 - Advanced Life Support Education Programs › Section 30.04.02.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter governs ALS education programs approved by the EMS Board.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 04 - EMERGENCY MEDICAL SERVICES EDUCATION PROGRAMS AND COURSES › Chapter 30.04.02 - Advanced Life Support Education Programs › Section 30.04.02.02 - Operational Policies

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each ALS education program shall have written criteria for:
(1) Admission;
(2) Frequent evaluation of each student during the course of study including evaluation of competency in providing patient care;
(3) Student requirements for:
(a) Attendance;
(b) Educational performance including:
(i) Attitudes;
(ii) Knowledge; and
(iii) Skills; and
(c) Behavior;
(4) Student access to program information including:
(a) Fees;
(b) Requirements;
(c) Policies;
(d) Procedures; and
(e) Support services;
(5) Selection of:
(a) A medical director;
(b) A program coordinator;
(c) Faculty; and
(d) Other necessary personnel;
(6) Nondiscrimination and fair practices with regard to students, faculty, and program personnel; and
(7) Review and improvement of the effectiveness of student evaluation techniques.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 04 - EMERGENCY MEDICAL SERVICES EDUCATION PROGRAMS AND COURSES › Chapter 30.04.02 - Advanced Life Support Education Programs › Section 30.04.02.03 - Organizational Chart

Current through Register Vol. 51, No. 14, July 12, 2024
Each ALS education program shall maintain an organizational chart that shows the relationship among students, faculty, medical director, program coordinator, and other personnel for each ALS course.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 04 - EMERGENCY MEDICAL SERVICES EDUCATION PROGRAMS AND COURSES › Chapter 30.04.02 - Advanced Life Support Education Programs › Section 30.04.02.04 - Records and Reports

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each ALS education program shall maintain accurate and appropriate records of:
(1) Students;
(2) Faculty;
(3) Courses including:
(a) Course statistics; and
(b) Demographics of applicants; and
(4) Written agreements with facilities and agencies providing clinical and field experience which include:
(a) Liability policies;
(b) Scope of practice for the student;
(c) Evaluation criteria; and
(d) The responsibility for and level of supervision of students.
Code of Maryland Regulations › Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) › Subtitle 04 - EMERGENCY MEDICAL SERVICES EDUCATION PROGRAMS AND COURSES › Chapter 30.04.02 - Advanced Life Support Education Programs › Section 30.04.02.05 - Content

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each ALS education program shall teach the appropriate ALS curriculum.
B. Each ALS education program shall provide:
(1) Didactic instruction which imparts fundamental knowledge, skills, and attitudes which contribute to the delivery of state-of-the-art prehospital emergency medical care, including:
(a) Assessment of signs and symptoms;
(b) Performance of therapeutic interventions; and
(c) Evaluation of response to interventions;