Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22207 - Medical control authority; protocol development; promulgation of protocols; emergency protocol

Current through Vol. 24-12, July 15, 2024
Rule 207.
(1) Each
				  medical control authority shall establish protocols, as that term is defined in
				  section
				  20919 of the code, MCL
				  333.20919, which must include,
				  but are not limited to all the following:
(a)
				  The acts, tasks, or functions that may be performed by each level of emergency
				  medical services personnel licensed under this part. Emergency medical services
				  personnel shall not provide life support at a level that exceeds the life
				  support agency license and approved medical control authority
				  protocols.
(b) Procedures to ensure
				  that life support agencies are providing clinical competency assessments to
				  emergency medical services personnel before the individual provides emergency
				  medical services within the medical control authority area.
(c) Medical protocols to require the
				  appropriate dispatching of a life support agency based upon medical need and
				  the capability of the emergency medical services system.
(d) A do-not-resuscitate protocol consistent
				  with section
				  20919(1)(c) of
				  the code, MCL
				  333.20919.
(e) A protocol consistent with part 56B of
				  the code, MCL
				  333.5671 to
				  333.5685.
(f) Protocols defining the process, actions,
				  and sanctions a medical control authority may use in holding life support
				  agency or personnel accountable. This must include disciplinary action against
				  a life support agency or emergency medical services personnel.
(g) Protocols defining the process to
				  immediately remove medical control if the medical control authority determines
				  that an immediate threat to the public health, safety, or welfare exists. These
				  protocols must specify that a medical control authority has 3 business days to
				  hold a hearing and make a determination.
(h) Protocols establishing that if medical
				  control has been removed or suspended from a participant, that the participant
				  shall not provide prehospital services in that until medical control is
				  reinstated. If medical control is removed or suspended from a participant in
				  the medical control authority, then the department and life support agency
				  shall be notified within 1 business day of the removal. Medical control shall
				  inform the department when medical control is reinstated.
(i) Protocols that ensure a quality
				  improvement program as follows:
(i) The
				  quality improvement program must include a requirement that each life support
				  agency collects and submits data to the medical control authority.
(ii) Data must be reviewed by the medical
				  control authority professional standards review organization.
(iii) Data must be protected in accordance
				  with section
				  20919(1)(g) of
				  the code, MCL
				  333.20919.
(j) Protocols that ensure an appeals process
				  of a medical control decision is in effect.
(k) Protocols that specify that if life
				  support agencies transport prehospital patients to hospitals outside of their
				  originating medical control authority area, they will comply with their own
				  medical control authority protocols.