reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 5 - AIRCRAFT TRANSPORT OPERATIONS › Section R. 325.22155 - Aircraft transport operation; issuance of license

Current through Vol. 24-12, July 15, 2024
Rule 155.
(1)
				  Receipt of the completed application by the department serves as attestation to
				  the department that the operation and aircraft transport vehicles being
				  licensed are in compliance with the minimum standards required by the
				  department. Upon approval of the application, the department shall issue a
				  license to the aircraft transport operation. The license shall include the
				  vehicles being licensed. The license may be renewed on an annual
				  basis.
(2) An aircraft transport
				  operation providing fixed wing transport shall comply with
				  R 325.22151 and shall do both of
				  the following:
(a) The aircraft transport
				  vehicle and equipment shall be in compliance with current federal aviation
				  administration regulations for the specific type of aircraft and flying
				  conditions under which the aircraft will operate, as specified by the air taxi
				  certificate of operation of the aircraft transport provider.
(b) Maintain accurate medical flight records
				  concerning the transportation of an emergency patient in intrastate flights or
				  interstate flights originating in this state. The records shall be available to
				  the department and the medical control authority of the originating scene, when
				  requested.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 5 - AIRCRAFT TRANSPORT OPERATIONS › Section R. 325.22156 - Aircraft transport operation; relicensure

Current through Vol. 24-12, July 15, 2024
Rule 156.
(1) An
				  aircraft transport operation shall complete an application for relicensure and
				  return the completed application to the department before the date of license
				  expiration. Failure to receive a notice for relicensure from the department
				  does not relieve the licensee of the responsibility to apply for
				  relicensure.
(2) The license of an
				  aircraft transport operation and its vehicles shall expire on the same
				  date.
(3) An application for
				  licensure renewal received by the department after the license expiration date,
				  but within 60 calendar days after the expiration date of the license, shall
				  require the aircraft transport operation to comply with section 20936 of the
				  code.
(4) An aircraft transport
				  operation may provide emergency medical services during the 60 days following
				  its license expiration date, whether or not the department has received an
				  application.
(5) An application for
				  licensure renewal not received by the department within 60 calendar days
				  following the date of license expiration shall be considered revoked, effective
				  on the sixty-first day.
(6)
				  Reinstatement of the aircraft transport operation and vehicle licenses shall
				  require completion of a new application for licensure, including all fees
				  prescribed in section 20936(1) and (2) of the code.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 6 - MEDICAL FIRST RESPONSE SERVICES › Section R. 325.22161 - Medical first response service; initial application

Current through Vol. 24-12, July 15, 2024
Rule 161. A medical first response service and its vehicles
					 shall be licensed by the department in accordance with section 20941 of the
					 code and its application for initial licensure shall comply with all of the
					 following:
(a) Be on forms provided by
				  the department.
(b) Specify each
				  medical first response vehicle to be operated and include a certificate of
				  insurance for each vehicle as identified in subdivision (f) of this rule. Each
				  vehicle licensed shall meet minimum equipment and staffing
				  requirements.
(c) Provide as part
				  of the application, the name and address of each medical control authority
				  under which the life support agency is operating. The agency shall complete an
				  application for licensure, as prescribed by the department, for each medical
				  control authority in which it operates. Signature on the application of the
				  emergency medical services medical director, from each medical control
				  authority, shall be proof that the medical control authority agrees to provide
				  medical control to the life support agency.
(d) Attest, as evidenced by signing the
				  application, to all of the following:
(i)
				  Radio communications for each vehicle is in compliance with the medcom
				  requirements.
(ii) Each vehicle
				  meets minimum equipment requirements.
(iii) Minimum staff requirements will be met
				  to operate each vehicle on a 24 hour-a-day, 7 day-a-week basis, consistent with
				  section section 20906(10) of the code.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 6 - MEDICAL FIRST RESPONSE SERVICES › Section R. 325.22162 - Medical first response services; operating requirements

Current through Vol. 24-12, July 15, 2024
Rule 162. In addition to requirements prescribed in the
					 code and these rules, a medical first response service shall do all of the
					 following:
(a) Establish and maintain
				  a written procedure that explains the steps that will be followed when a
				  complaint is received by the operation. This procedure shall be maintained by
				  the operation and shall be available to the department upon request.
(b) Maintain evidence of participation in the
				  county, local, or regional disaster plan and response. Approved protocols may
				  satisfy this requirement. These documents shall be maintained by the service
				  and shall be available to the department upon request.
(c) Comply with medical record keeping
				  requirements in accordance with
				  R
				  325.22117.
(d) Maintain written policies and procedures
				  that address safety and accident reduction and comply with all applicable state
				  and federal health and safety laws as prescribed on the department-approved
				  agency inspection form. These procedures shall be maintained by the service and
				  shall be available to the department upon request.
(e) Require that each individual staffing a
				  medical first response vehicle is in compliance with the code and applicable
				  medical control authority protocols.
(f) Maintain evidence of an orientation
				  process for emergency medical services personnel that familiarizes them with
				  the agency's policies and procedures and trains in the use and application of
				  all equipment carried in the vehicle. At a minimum, this evidence must include
				  a proper introduction to the duties to be performed as well as medical control
				  authority protocols.
(g) Maintain a
				  copy of all applicable protocols for each medical control authority under which
				  the agency operates.
(h)
				  Participate in data collection and quality improvement activities authorized
				  under medical control authority protocols.
(i) Ensure that all vehicles meet state
				  equipment requirements as established by the department and department-approved
				  medical control authority protocols.
(j) Require compliance with medcom
				  requirements.
(k) Not knowingly
				  respond to or advertise its services for prehospital emergency patients from
				  outside its service area as defined in these rules, except for mutual aid
				  requests.
(l) Require that each
				  individual operating a licensed life support vehicle during an emergency
				  response has completed a vehicle operation education and competency
				  assessment.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 6 - MEDICAL FIRST RESPONSE SERVICES › Section R. 325.22163 - Medical first response service; licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 163. A medical first response service shall comply
					 with section 20941 of the code and do all of the following:
(a) Provide, at a minimum, 1 staffed vehicle
				  available for response to requests for emergency assistance, 24-hours-a-day,
				  7-days-a-week.
(b) Respond or
				  ensure a response is provided to each request for emergency assistance
				  originating from within the bounds of its service area.
(c) Ensure compliance with the code and these
				  rules.
(d) Immediately advise the
				  department of any changes that alters the information contained on its
				  licensure application, including all of the following:
(i) Change of ownership.
(ii) Change of facility name.
(iii) Change in vehicle status.
(iv) Circumstances which preclude the medical
				  first response service from complying with subdivision (a) of this rule or
				  equipment requirements.
(v) Change
				  in ability to comply with medcom requirements.
(vi) Change in service area.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 6 - MEDICAL FIRST RESPONSE SERVICES › Section R. 325.22164 - Medical first response service; issuance of license

Current through Vol. 24-12, July 15, 2024
Rule 164. Receipt of the completed application by the
					 department serves as attestation by the service that the service and vehicles
					 being licensed are in compliance with the minimum standards required by the
					 department. Upon approval of the application, the department shall issue a
					 license to the medical first response service.
The license shall include the vehicles being licensed. The
					 license may be renewed on an annual basis.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 6 - MEDICAL FIRST RESPONSE SERVICES › Section R. 325.22165 - Medical first response service; law enforcement; fire suppression agency

Current through Vol. 24-12, July 15, 2024
Rule 165.
(1) A
				  medical first response service means a person licensed by the department to
				  respond under medical control to an emergency scene with a medical first
				  responder and equipment required by the department before the arrival of the
				  ambulance. This includes a fire suppression agency only if it is dispatched for
				  medical first response life support.
(2) A fire suppression agency shall be
				  licensed as a life support agency, in accordance with
				  R 325.22131, and provide life
				  support as described in the code and these rules if it is dispatched to provide
				  any care a medical first responder is qualified to provide under section
				  20906(8) of
				  the code, MCL
				  333.20906.
(3) A law enforcement agency shall be
				  licensed as a life support agency, in accordance with
				  R 325.22131, and provide life
				  support as described in the code and these rules if both of the following
				  conditions are met:
(a) Holds itself out as a
				  medical first response service.
(b)
				  Is dispatched to provide medical first response life support.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 6 - MEDICAL FIRST RESPONSE SERVICES › Section R. 325.22166 - Medical first response service and vehicles; relicensure

Current through Vol. 24-12, July 15, 2024
Rule 166.
(1) A
				  medical first response service shall complete an application for relicensure
				  and shall return the completed application to the department before the date of
				  license expiration. Failure to receive a notice for relicensure from the
				  department does not relieve the licensee of the responsibility to apply for
				  relicensure.
(2) The license of a
				  medical first response service and its vehicles shall expire on the same
				  date.
(3) An application for
				  licensure renewal received by the department after the license expiration date,
				  but within 60 calendar days after the expiration date of the license, shall
				  require the medical first response service to comply with section 20936 of the
				  code.
(4) A medical first response
				  service may provide emergency medical services during the 60 days following its
				  license expiration date, whether or not the department has received an
				  application.
(5) An application for
				  licensure renewal not received by the department within 60 calendar days
				  following the date of license expiration shall be considered revoked, effective
				  on the sixty-first day.
(6)
				  Reinstatement of the medical first response service and vehicle licenses shall
				  require completion of a new application for licensure.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 7 - AMBULANCE OPERATION UPGRADE LICENSE › Section R. 325.22172 - Ambulance operation upgrade license; limited advanced life support; advanced life support; security, control, and exchange of pharmaceuticals

Current through Vol. 24-12, July 15, 2024
Rule 172. An ambulance operation upgrade licensed at the
					 limited advanced or advanced life support level shall do all of the
					 following:
(a) Comply with the
				  procedures of drug acquisition, storage, security, dispensing, and
				  accountability in accordance with the criteria established by the medical
				  control authority, in compliance with federal and state law and approved by the
				  department and
				  R 325.22207(1)(k)
				  and 325.22207(3).
(b) Comply with
				  the acquisition, storage, security, dispensing and accountability procedures
				  for intravenous solutions, tubing, and related apparatus in accordance with
				  medical control authority protocols and federal and state law.
(c) Ensure storage areas are locked and
				  secured as required by federal and state law.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 7 - AMBULANCE OPERATION UPGRADE LICENSE › Section R. 325.22173 - Ambulance operation upgrade license; review process and licensure

Current through Vol. 24-12, July 15, 2024
Rule 173. An application submitted under
					 R 325.22171 shall be reviewed by
					 the emergency medical services coordination committee. The emergency medical
					 services coordination committee shall make a recommendation to the department
					 if an ambulance operation upgrade license should be granted to the
					 applicant.
(a) If the emergency
				  medical services coordination committee recommend a license upgrade, then the
				  department shall conduct a communication and equipment inspection at the
				  upgrade level before issuing a license
(b) If the emergency medical services
				  coordination committee does not recommend a license upgrade, then the
				  department shall send a communication to the ambulance operation upgrade
				  applicant identifying concerns and advising the operation of non-approval of
				  licensure.
(c) A license issued
				  under R 325.22173(1) shall be valid for 2 years from date of issuance by the
				  department.
(d) The medical control
				  authority under which the ambulance operation operates shall submit to the
				  emergency medical services coordination committee an annual written progress
				  report on the ambulance operation upgrade plan of action. The progress report
				  shall include, but is not limited to, information on training, equipment, and
				  personnel. The report shall demonstrate progress being made by the ambulance
				  operation to achieve licensure and the higher level and comply with the
				  24-hour-a-day, 7-day-a-week requirements of the code.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 7 - AMBULANCE OPERATION UPGRADE LICENSE › Section R. 325.22174 - Ambulance operation upgrade license; renewal process

Current through Vol. 24-12, July 15, 2024
Rule 174. An ambulance operation upgrade license is
					 renewable for 1 additional 2-year period provided the following requirements
					 are met:
(a) The medical control
				  authority has complied with
				  R
				  325.22173(4).
(b) The ambulance operation has renewed and
				  is currently licensed at the basic transporting life support or limited
				  advanced transporting life support level.
(c) The ambulance operation meets the renewal
				  upgrade licensure application requirements prescribed by the department,
				  including the $100.00 fee.
(d) The
				  ambulance operation submits, with the renewal upgrade licensure application, a
				  progress report on the initial plan of action.
(e) Provides a description of the staffing
				  for each vehicle under the upgrade license.
(f) Provides an updated 2-year plan of action
				  to upgrade, on a full-time basis, to the higher level. A letter of commitment
				  by the local unit of government supporting this plan of action shall be part of
				  the plan.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 7 - AMBULANCE OPERATION UPGRADE LICENSE › Section R. 325.22175 - Ambulance operation upgrade license; revocation or denial of renewal

Current through Vol. 24-12, July 15, 2024
Rule 175. The department may revoke or fail to renew an
					 ambulance operation upgrade license for a violation of the code or rules or for
					 failure to comply with the plan of action filed with the department. The
					 ambulance operation's regular license is not affected if the ambulance
					 operation upgrade license is revoked or not renewed.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 7 - AMBULANCE OPERATION UPGRADE LICENSE › Section R. 325.22176 - Ambulance operation upgrade license; nonrenewal

Current through Vol. 24-12, July 15, 2024
Rule 176. An ambulance operation upgrade license that is
					 not renewed or failure of the operation to achieve the higher level after the
					 second 2-year period shall not provide life support at the higher level
					 effective the day after the ambulance operation upgrade license expiration
					 date.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 7 - AMBULANCE OPERATION UPGRADE LICENSE › Section R. 325.22177 - Ambulance operation upgrade license; advertisement

Current through Vol. 24-12, July 15, 2024
Rule 177.
(1) An
				  ambulance operation licensed under
				  R 325.22173(1)
				  shall not advertise or hold itself out as a full-time transporting
				  limited-advanced or transporting advanced life support service unless the
				  ambulance operation actually provides those services on a 24-hour-a-day,
				  7-days-a-week basis.
(2) An
				  ambulance operation licensed under this rule that is providing services at the
				  limited advanced or advanced life support level on a 24-hour-a-day,
				  7-day-a-week basis and is advertising these services, shall not qualify for
				  licensure under this rule. The ambulance operation shall make application to
				  the department to upgrade its regular ambulance operation license to the level
				  of licensure being provided.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22181 - Ground ambulance; requirements

Current through Vol. 24-12, July 15, 2024
Rule 181.
(1) An
				  ambulance operation shall maintain the manufacturer's certificate of compliance
				  on file at the time of application to the department for licensure of each
				  ground ambulance. The certificate of compliance must be executed by the final
				  manufacturer of each ground ambulance and be on a form prescribed by the
				  department.
(2) The manufacturer of
				  a ground ambulance executing a certificate of compliance shall comply with the
				  ambulance structural and mechanical specifications with 1 of the following
				  standards that was in effect at the time of manufacture:
(a) Federal KKK-A-1822 standards, excluding
				  the paint scheme.
(b) The
				  Commission on Accreditation of Ambulance Services (CAAS) Ground Vehicle
				  Standard for Ambulances (GVSA) in its entirety.
(c) The National Fire Protection Association
				  (NFPA) 1917 Standard for Automotive Ambulances in its entirety.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22182 - Non-qualifying vehicles for licensure

Current through Vol. 24-12, July 15, 2024
Rule 182.
(1) A
				  ground ambulance that was originally manufactured before January 1, 1982, may
				  not qualify for licensure by the department and must not be sold or donated in
				  this state for use as a ground ambulance. This subrule does not apply to a
				  ground ambulance that is currently licensed by the department and has been in
				  continuous service before January 1, 1982.
(2) A ground ambulance manufactured after
				  January 1, 1982, whose age from the date of manufacture exceeds 2 years, must
				  have a safety inspection by a certified mechanic being sold to provide ground
				  ambulance services. The inspection must be documented on a form developed by
				  the department and include a notarized statement by the previous owner
				  attesting that the ground ambulance has not been involved in a vehicular
				  accident altering its safety. The documents required by this subrule must be
				  submitted to the department by the purchaser as part of the application for
				  licensure by the new owner.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22183 - Life support vehicle sanitation

Current through Vol. 24-12, July 15, 2024
Rule 183. A life support agency shall require that
					 equipment, linen, and supplies be cleaned or exchanged following each patient
					 care use.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22184 - Life support vehicles; displaying of name

Current through Vol. 24-12, July 15, 2024
Rule 184.
(1) A
				  life support agency name shall be prominently displayed on the left and right
				  side of all licensed life support vehicles.
(2) If the life support agency is operated by
				  or advertised with a name different than the life support agency name, then the
				  name may be displayed on the left and right side of the life support vehicle
				  below the name of the life support agency. The advertised name shall be smaller
				  than the life support agency name.
(3) A life support agency that identifies a
				  level of licensure in its name or brand that is higher than the level of life
				  support provided by a specific licensed vehicle, shall prominently display the
				  actual level of licensure of the vehicle on the sides of the vehicle.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22185 - Life support vehicles; equipment requirements

Current through Vol. 24-12, July 15, 2024
Rule 185.
(1) A
				  ground ambulance, rotary ambulance, and aircraft transport vehicle shall be
				  equipped with equipment and patient care supplies as prescribed by the
				  department including temperature control in the patient compartment. The agency
				  shall require that equipment is available and in working order on each
				  vehicle.
(2) A nontransport and
				  medical first response vehicle shall be equipped with patient care equipment
				  and patient care supplies as prescribed by the department. The agency shall
				  require that equipment is available and in working order on each
				  vehicle.
(3) Each life support
				  vehicle shall be equipped with communication capability in accordance with the
				  medcom requirements.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22186 - Life support vehicles; patient care and safety equipment; review

Current through Vol. 24-12, July 15, 2024
Rule 186. The department shall, with the advice of the
					 emergency medical services coordination committee, annually review and modify,
					 as necessary, the minimum equipment standards for life support
					 vehicles.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22187 - Rotary ambulance; requirements

Current through Vol. 24-12, July 15, 2024
Rule 187. A rotary ambulance must meet all the following
					 standards:
(a) Be capable of on-scene
				  response and transportation of emergency patients.
(b) Be staffed in accordance with section
				  20921(3), (4),
				  and (5) of the code, MCL
				  333.20921.
(c) Allow for patient access and treatment to
				  the patient by the rotary ambulance personnel.
(d) Possess access that allows for safe
				  loading and unloading of a patient without excessive maneuvering of the
				  patient.
(e) Be temperature
				  controlled for the comfort of the patient.
(f) Have adequate lighting for patient care
				  and observation.
(g) Be equipped
				  with communication capability with hospitals, life support vehicles, and
				  medical control in accordance with the medcom requirements.
(h) Be capable of carrying a minimum of 1
				  patient in a horizontal position.
(i) Securely store equipment and make the
				  equipment readily accessible.
(j)
				  Operate under the medical control authority.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22188 - Rotary ambulance sanitation

Current through Vol. 24-12, July 15, 2024
Rule 188. A rotary ambulance operation shall require that
					 any equipment, linen, and supplies be cleaned or exchanged following each
					 patient care use.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22189 - Aircraft transport vehicle; requirements

Current through Vol. 24-12, July 15, 2024
Rule 189. An aircraft transport vehicle must comply with
					 all the following:
(a) Be authorized as
				  part of a licensed aircraft transport operation.
(b) Be capable of carrying a minimum of 1
				  patient in a horizontal position.
(c) Provide a means of securing the litter
				  while supporting a patient to the floor, walls, seats, specific litter rack, or
				  any combination thereof.
(d) Ensure
				  that the patient compartment has adequate lighting available for patient
				  observation.
(e) Require that
				  equipment is secured to the aircraft, readily accessible, and when not in use,
				  securely stored.
(f) Ensure that
				  the interior of each vehicle affords an adequate patient care and treatment
				  area.
(g) Ensure that each vehicle
				  is equipped with a cargo door or other entry that allows for loading and
				  unloading of the patient without excessive maneuvering of the
				  patient.
(h) Ensure that the
				  interior of each vehicle is equipped with temperature control for the comfort
				  of the patient.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22190 - Life support vehicles; licensure and relicensure inspections; new and replacement vehicles; licensure at higher level of care

Current through Vol. 24-12, July 15, 2024
Rule 190. Life support vehicles must be inspected as
					 follows:
(a) The department may conduct
				  random renewal inspections of life support vehicles, including medical first
				  response vehicles. Inspections are unannounced unless circumstances warrant
				  notifying a life support agency in advance that an inspection of its life
				  support vehicles will be conducted. The department shall determine if prior
				  notification of an inspection is warranted. A vehicle license may be renewed
				  without an inspection.
(b)
				  Submission of a licensure renewal application is considered an attestation by
				  the life support agency that the vehicle meets all licensure
				  requirements.
(c) A life support
				  agency that is adding a new or higher licensure level for a life support
				  vehicle shall submit an application, on forms provided by the department, and
				  include the required fee. New and higher level of care vehicles must be
				  inspected before being placed into service. Upon receipt of the application and
				  required fee, the department shall inspect new or upgrade vehicles within 15
				  days after receipt of the application.
(d) A life support agency that is replacing a
				  life support vehicle shall submit an application, on forms provided by the
				  department, and include the required fee. A replacement vehicle means a life
				  support agency has removed a vehicle from service and has replaced the vehicle
				  with another.
(e) Replacement
				  vehicles may be placed into service upon submission of an application and the
				  required fee to the department. Upon receipt of the application and required
				  fee, the department shall inspect the replacement vehicle within 15 days after
				  receipt of the application.
(f)
				  With written notification in a format specified by the department, a rotary
				  ambulance back-up vehicle may be put into service for 30 days before it must
				  comply with subdivisions (a) to (e) of this rule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 8 - LIFE SUPPORT VEHICLES › Section R. 325.22191 - Life support vehicles inspected; non-compliance; corrective measures

Current through Vol. 24-12, July 15, 2024
Rule 191. If the department determines that a life support
					 vehicle does not comply with the requirements of the code and these rules, then
					 the following applies:
(a) If an agency
				  has a vehicle determined to be noncompliant with minimum equipment items as
				  identified on the inspection form, the agency has 24 hours to bring the vehicle
				  into compliance and notify the department in writing of the corrections made.
				  The vehicle may be returned to service before a reinspection with approval of
				  the department. A reinspection must occur within 15 days after notification by
				  the life support agency.
(b) If an
				  agency fails to bring a vehicle into compliance within 24 hours, the agency
				  shall remove the vehicle from service until the life support agency submits a
				  written explanation of corrective action to the department and the department
				  reinspects the vehicle. A vehicle taken out of service shall not function as an
				  ambulance or life support vehicle until the vehicle passes the department
				  reinspection.
(c) If a vehicle
				  remains out of compliance for more than 15 calendar days from the date of
				  inspection, its license is automatically revoked. Reinstatement of the life
				  support vehicle license requires reapplication for licensure, payment of the
				  licensure fee prescribed in the code, and a reinspection of the
				  vehicle.
(d)The department may
				  immediately order a life support vehicle out of service if it determines that
				  the health and welfare of a patient may be in jeopardy due to noncompliance
				  with minimum equipment standards or defective and nonfunctional critical
				  minimum equipment. A notice of that action be immediately provided to the life
				  support agency by the department based upon the deficiencies found.
(e) A life support agency that takes
				  corrective measures to bring a life support vehicle into compliance during the
				  time of a department inspection will not receive notice of noncompliance. The
				  inspection report must reflect that the corrective action and compliance have
				  been met.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 9 - COMMUNICATIONS REQUIREMENTS › Section R. 325.22192 - Communications requirements; life support agencies

Current through Vol. 24-12, July 15, 2024
Rule 192. A life support agency providing emergency medical
					 services shall use applicable communication systems consistent with its level
					 of licensure in compliance with the code, these rules, and the medcom
					 requirements as prescribed by the department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 9 - COMMUNICATIONS REQUIREMENTS › Section R. 325.22193 - Medcom requirements

Current through Vol. 24-12, July 15, 2024
Rule 193. Medcom requirements must be reviewed annually and
					 updated, if necessary, with the advice and recommendations of the emergency
					 medical services coordination committee.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 9 - COMMUNICATIONS REQUIREMENTS › Section R. 325.22194 - Illegal interception of radio communications

Current through Vol. 24-12, July 15, 2024
Rule 194. A person that receives any radio communication
					 not intended for the general public may not use the contents of the
					 communication for initiating an emergency medical service response as described
					 in section
					 20963(2) of
					 the code, MCL
					 333.20963.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 9 - COMMUNICATIONS REQUIREMENTS › Section R. 325.22195 - Communications system application process; life support agencies; medical control authorities

Current through Vol. 24-12, July 15, 2024
Rule 195.
(1) A
				  life support agency shall comply with the ambulance-to-hospital radio
				  communications system consistent with the medcom requirements in the medical
				  control authorities in which they operate.
(2) A medical control authority shall comply
				  with the ambulance-to-hospital radio communications system approval process, as
				  prescribed by the medcom requirements, under any of the following conditions:
(a) A medical control authority upgrades to
				  provide limited advanced or advanced life support oversight.
(b) An existing medical control authority
				  changes the infrastructure of its communication system affecting
				  ambulance-to-hospital communications.
(c) A change is made in an existing
				  communications system that results in an inability of an agency or hospital to
				  communicate with each other.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22201 - Medical control authorities; designation

Current through Vol. 24-12, July 15, 2024
Rule 201.
(1) The
				  department shall designate a medical control authority to provide medical
				  control for emergency medical services for a particular geographic area. The
				  medical control authority shall operate in accordance with the code.
(2) A medical control authority shall be
				  administered by the following:
(a) Each
				  hospital licensed under part 215 of the code, MCL
				  333.21501 to
				  333.21571, that operates a
				  service for treating emergency patients 24-hours-a-day, 7-days-a-week, may
				  participate and serve on the medical control authority board in the ongoing
				  planning and development activities of the medical control authority designated
				  by the department.
(b) Each
				  freestanding surgical outpatient facility licensed under part 208 of the code,
				  MCL 333.20801 to
				  333.20821, that operates a
				  service for treating emergency patients 24-hours-a-day, 7-days-a-week and meets
				  standards established by the medical control authority may participate and
				  serve on the medical control authority board in the ongoing planning and
				  development activities of the medical control authority designated by the
				  department. If a freestanding surgical outpatient facility participates in the
				  medical control authority as described in this rule, the facility shall meet
				  all applicable standards established by the medical control
				  authority.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22202 - Medical control authorities; authority board; advisory body; medical director; responsibilities; approval

Current through Vol. 24-12, July 15, 2024
Rule 202.
(1) A
				  medical control authority shall be approved by the department, and do all the
				  following:
(a) Develop bylaws that define the
				  medical control authority organizational structure.
(b) Appoint a medical control authority board
				  to administer the medical control authority. The majority of the board shall be
				  comprised, at a minimum, of members of the hospitals and, when applicable,
				  freestanding surgical outpatient facilities and off-campus emergency department
				  with provider-based status, as described in
				  R 325.22112(1)(c).
				  The board may include other entities as determined by the medical control
				  authority bylaws.
(c) If the board
				  also functions as the advisory body to the medical control authority as
				  described in this rule, then the board shall include a representative of each
				  type of life support agency and emergency medical services personnel
				  functioning within the medical control authority's region.
(d) Appoint an advisory body, as that term is
				  defined in section
				  20918(2) and
				  (4) of the code, MCL
				  333.20918. The advisory body
				  shall meet at least quarterly.
(e)
				  Appoint a medical director, with the advice of the advisory body, in accordance
				  with section
				  20918(3) of
				  the code, MCL
				  333.20918. The medical director
				  is responsible for medical control for the emergency medical services system
				  served by the medical control authority. The medical control authority, with
				  the advice of the advisory body, may appoint more than 1 physician to serve as
				  medical director provided the individual meets all applicable criteria, or is
				  approved by the department.
(f)
				  Appoint a professional standards review organization to monitor and improve the
				  quality of medical care.
(g) Hold
				  each licensed life support agency and individual accountable to the medical
				  control authority in the provision of emergency medical services, as that term
				  is defined in department-approved protocols.
(h) Provide protocols for the practice of
				  life support agencies and emergency medical services personnel as prescribed or
				  approved by the department.
(i)
				  Collect data as necessary to assess the quality and needs of emergency medical
				  services throughout its medical control authority area.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22203 - Medical control authority; denial, revocation, or suspension of designation

Current through Vol. 24-12, July 15, 2024
Rule 203.
(1) The
				  department may deny, revoke, limit, or suspend designation of a medical control
				  authority upon finding that the medical control authority meets 1 or more of
				  the following:
(a) Is guilty of fraud or
				  deceit in securing its medical control designation.
(b) Has failed to perform in accordance with
				  the terms of its designation and its department-approved protocols.
(c) Has not maintained minimum criteria for
				  medical control authorities, as established by the department.
(d) Has failed to develop protocols as
				  identified in the code to protect the public health.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22204 - Medical control authority; advisory body

Current through Vol. 24-12, July 15, 2024
Rule 204. A medical control authority shall appoint an
					 advisory body, as that term is defined in section
					 20918(2) and
					 (4) of the code, MCL
					 333.20918. The advisory body
					 shall, at a minimum, do all the following:
(a) Advise the medical control authority on
				  the appointment of a medical director.
(b) Advise the medical control authority on
				  the development of protocols.
(c)
				  Meet at least quarterly.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22205 - Medical control authority; medical director; responsibilities

Current through Vol. 24-12, July 15, 2024
Rule 205.
(1) The
				  medical director is an agent of the medical control authority and is
				  responsible for medical control for the emergency medical services
				  system.
(2) The medical director
				  shall ensure the provision of medical control. The medical director's signature
				  on a life support agency's application for licensure or relicensure affirms
				  that the medical control authority intends to provide medical control to the
				  life support agency. If the medical director refuses to sign the life support
				  agency application for licensure or relicensure, then the medical director
				  shall notify the department in writing, within 5 business days, providing
				  justification for denial based on a department-approved protocol. Refusal of a
				  medical director to sign a life support agency application will result in
				  denial justification review by the department.
(3) The medical director shall do all the
				  following:
(a) Participate every 2 years in 1
				  department-approved educational program relating to medical control
				  issues.
(b) Be responsible for the
				  supervision, coordination, implementation, and compliance with protocols of the
				  medical control authority.
(c)
				  Receive input from, and be responsive to, the advisory body.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22206 - Medical control authority; region

Current through Vol. 24-12, July 15, 2024
Rule 206.
(1) Not
				  more than 1 medical control authority may be approved in each designated
				  region.
(2) A medical control
				  authority shall obtain approval from the department to change or combine
				  medical control authority areas, or to assume a temporary contractual
				  responsibility for a portion of another medical control authority's
				  region.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22208 - Medical control authority protocols; department review; approval; adoption by medical control authority

Current through Vol. 24-12, July 15, 2024
Rule 208.
(1) A
				  medical control authority shall circulate, not less than 60 days before
				  adoption, a draft of proposed protocols to all affected life support agencies
				  within the emergency medical services system under the medical control
				  authority.
(2) A medical control
				  authority shall submit a written draft of proposed protocols to the department
				  for review by the quality assurance task force no later than the tenth day of
				  any given month. A protocol received not later than the tenth day of a given
				  month must be reviewed that month. A protocol received after the tenth day of a
				  given month must be reviewed the next month following the date of receipt by
				  the department.
(3) The department
				  shall consider any written comments received from persons within the medical
				  control authority when reviewing a protocol.
(4) The department shall provide written
				  recommendations to the medical control authority within 60 days after receipt
				  of a protocol in compliance with this rule, and comments, suggested changes,
				  deletions, denial, or approval on the proposed protocol. Protocols resubmitted
				  with changes or modifications by the medical control authority fall under the
				  60-day response deadline as prescribed in this rule.
(5) Following department approval of a
				  protocol, the medical control authority may formally adopt the
				  protocol.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22209 - Medical control authority; additional standards

Current through Vol. 24-12, July 15, 2024
Rule 209. A medical control authority may adopt protocols
					 that require additional or more stringent standards for life support agencies,
					 equipment, and personnel than those already required by the department to
					 enhance its system. If a life support agency or emergency medical services
					 personnel within the medical control authority disagree with the proposed
					 protocol, the medical control authority shall provide the department with the
					 medical and economic considerations such enhancements may have on the local
					 community. The quality assurance task force shall review and make
					 recommendations to the department before department approval.