reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22210 - Medical control authority; life support agencies and personnel; compliance with protocols

Current through Vol. 24-12, July 15, 2024
Rule 210.
(1) A
				  medical control authority shall establish written protocols for the process,
				  actions, and sanctions a medical control authority may use in holding a life
				  support agency or personnel accountable. These protocols must include
				  disciplinary action against a life support agency or emergency medical services
				  personnel to ensure compliance with all protocols or to protect the public
				  health, safety, or welfare.
(2) A
				  medical control authority may exercise disciplinary action against a life
				  support agency and its emergency medical services personnel that may result in
				  the life support agency, or its personnel not being allowed to provide
				  emergency medical services. The basis for these actions must be for
				  noncompliance with policies, procedures, or protocols established by the
				  medical control authority. The disciplinary action may include the suspension,
				  limitation, or removal of a life support agency or its personnel to provide
				  emergency medical services within the medical control authority area.
(3) If disciplinary action against an agency
				  or individual results in the suspension, limitation, or removal of medical
				  control, the medical control authority shall advise the department, in writing,
				  of the action within 1 business day.
(4) If a suspension or removal of medical
				  control to a life support agency or individual occurs by the medical control
				  authority, the life support agency or individual may not operate or practice in
				  that medical control authority region until medical control is restored by the
				  medical control authority.
(5) If a
				  suspension or removal of medical control to a life support agency or individual
				  occurs by the medical control authority, the life support agency or individual
				  shall not operate or practice in that medical control authority area until
				  medical control is restored by the medical control authority.
(6) In cases of malfeasance, misfeasance, or
				  nonfeasance on the part of the medical control authority, the department shall
				  take action to preserve medical control in a medical control authority
				  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. 325.22211 - Medical control authority; quality improvement

Current through Vol. 24-12, July 15, 2024
Rule 211.
(1) A
				  medical control authority shall establish a quality improvement protocol to
				  ensure a quality improvement program is in place and functional.
(2) Data submitted by the life support
				  agencies within the medical control authority area must be reviewed by the
				  medical control authority professional standards review organization for the
				  purpose of improving the quality of medical care within the 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. 325.22212 - Medical control authority; appeals

Current through Vol. 24-12, July 15, 2024
Rule 212.
(1) A
				  medical control authority shall incorporate procedures for the appeal of
				  decisions made by the authority against a life support agency and emergency
				  medical services personnel. Once appeals to the medical control authority have
				  been exhausted, the decision made by the medical control authority may be
				  appealed to the statewide emergency medical services coordination committee. An
				  appeal to the emergency medical services coordination committee must be filed
				  with the department in writing not more than 30 calendar days following
				  notification to the agency or individual of the final determination of the
				  medical control authority. The emergency medical services coordination
				  committee shall issue an opinion on whether the actions or decisions of the
				  medical control authority comply with the department-approved protocols of the
				  medical control authority and the code.
(2) If a decision of the medical control
				  authority is appealed to the emergency medical services coordination committee,
				  the medical control authority shall document their decision to the statewide
				  emergency medical services coordination committee for their review.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22213 - Medical control authority; data collection; data confidentiality

Current through Vol. 24-12, July 15, 2024
Rule 213.
(1) A
				  medical control authority shall collect data under the department-approved
				  quality improvement protocol from each life support agency within the medical
				  control authority area. Data collected must be reviewed by the medical control
				  authority professional standards review organization to improve the quality of
				  medical care within the medical control authority area and comply with section
				  20919(1)(g) of
				  the code, MCL
				  333.20919. All data collected
				  under section
				  20919(1)(g) of
				  the code, MCL
				  333.20919, are confidential, not
				  public record, not discoverable, and shall not be used as evidence in a civil
				  action or administrative proceeding.
(2) A medical control authority shall submit
				  data to the department as prescribed by the department and approved by the
				  emergency medical services coordination committee.
(3) Medical control authorities shall have
				  access to quality data residing within the Michigan Emergency Medical System
				  Information System for incidents that occur within the medical control
				  authority's geographic 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. 325.22214 - Medical control authority; special studies

Current through Vol. 24-12, July 15, 2024
Rule 214.
(1) A
				  medical control authority that intends to establish a protocol involving
				  skills, techniques, procedures, or equipment that is not included in this
				  state's approved curriculum, may need to establish the practice as a special
				  study. Determination that a proposed protocol is acceptable under current
				  practice or requires a special study is decided by the quality assurance task
				  force. A protocol may be approved as a medical control authority protocol under
				  the following conditions:
(a) The medical
				  control authority provides documentation that the skill, technique, procedure,
				  or equipment complies with 1 of the following:
(i) The practice is recognized by a national
				  organization as acceptable.
(ii)
				  The practice has existing precedent in Emergency Medical System outside of this
				  state.
(iii) There are published
				  studies that support the safety and efficacy in its application of the practice
				  within the emergency setting.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22215 - Medical control authority; communication requirements

Current through Vol. 24-12, July 15, 2024
Rule 215.
(1) A
				  medical control authority shall comply with the ambulance-to-hospital radio
				  communications system approval process, as prescribed by the medcom
				  requirements.
(2) Each medical
				  control authority shall designate an individual or organization to be
				  responsible for maintaining records of the telecommunications activities in
				  support of medical control. The records must be in the form of electronic
				  recordings and maintained for 60 days.
(3) The department may add additional
				  frequencies or other methods of communications to the medcom requirements. The
				  department, before implementation, shall approve new requirements and
				  technologies for ambulance-to-hospital communication.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22216 - Medical control authority; interface with public safety agencies; authority for management of patient

Current through Vol. 24-12, July 15, 2024
Rule 216. A medical control authority shall establish
					 protocols that do all the following:
(a) Clarify that the authority for the
				  management of a patient in an emergency is vested in the licensed health
				  professional or licensed emergency medical services personnel at the scene of
				  the emergency who has the most training specific to the provision of emergency
				  medical care.
(b) Identify that
				  when a life support agency is present at the scene of an emergency, authority
				  for the management of an emergency patient in an emergency is vested in the
				  physician responsible for medical control, until that physician relinquishes
				  management of the patient to a licensed physician at the scene of an
				  emergency.
(c) Specify that the
				  appropriate public safety agency shall manage the scene of an
				  emergency.
(d) Specify that if an
				  emergency is declared, the declaration that an emergency no longer exists may
				  be made only by an individual licensed under the code or a health professional
				  licensed under the code who has training specific to the provision of emergency
				  medical services in accordance with department-approved protocols.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22217 - Medical control authority; interfacility transfers

Current through Vol. 24-12, July 15, 2024
Rule 217.
(1) A
				  medical control authority may adopt a protocol that governs the transport of a
				  patient from 1 health facility to another. If a medical control authority has
				  not established department-approved protocols for the interfacility transport
				  of a patient, then patient care must be determined according to written orders
				  of the transferring physician within the scope of practice of the emergency
				  medical services personnel.
(2) A
				  life support agency is accountable to a medical control authority in which it
				  has been approved to operate.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 10 - MEDICAL CONTROL AUTHORITY › Section R. 325.22218 - Medical control authority; stretcher transport of nonemergency patients

Current through Vol. 24-12, July 15, 2024
Rule 218. With department approval, a medical control
					 authority may implement a protocol that governs the treatment and stretcher
					 transport of nonemergency patients.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Rescinded - Cost-Shared Services

Current through Vol. 24-12, July 15, 2024
DEPARTMENT OF HEALTH AND HUMAN SERVICES
POPULATION HEALTH AND COMMUNITY SERVICES
COST-SHARED SERVICES
By authority conferred on the department of health and human
				  services by sections 2226(d), 2233, and 2495 of 368 PA 1978, as amended, MCL
				  333.2226(d), 333.2233, and 333.2495.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.51 - Nurses; classification

Current through Vol. 24-12, July 15, 2024
Rule 51. A district or county health department shall
					 employ nurses according to the following classifications:
(a) Licensed practical nurse.
(b) Registered nurse.
(c) Public health nurse.
(d) Public health nurse supervisor.
(e) Public health nurse consultant.
(f) Public health nurse director.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.53 - Licensed practical nurses; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 53. A licensed practical nurse shall meet the
					 following requirements:
(a) Graduation
				  from a school of practical nursing approved by the state board of nursing at
				  the time of graduation.
(b)
				  Licensure to practice as a licensed practical nurse in Michigan.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.55 - Registered nurses; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 55. A registered nurse shall meet the following
					 requirements:
(a) Graduation from a
				  school of nursing approved by the state board of nursing.
(b) Licensure to practice as a registered
				  nurse in Michigan.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.57 - Public health nurses; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 57. A public health nurse shall meet the following
					 requirements:
(a) Completion of a
				  baccalaureate degree program accredited by the national professional nursing
				  organization for public health nursing preparation, or post-baccalaureate study
				  which includes content approved by the national professional nursing
				  organization for public health nursing preparation.
(b) Licensure to practice as a registered
				  nurse in Michigan.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.59 - Public health nurse supervisors; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 59. A public health nurse supervisor shall qualify as
					 a public health nurse, and in addition shall have:
(a) A master's degree from an institution
				  with a program accredited by the national professional nursing organization or
				  the American public health association which includes preparation in a
				  specialized area of nursing practice, and in supervision or administration or
				  both.
(b) Two years of public
				  health nursing experience.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.61 - Public health nurse consultants; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 61. A public health nurse consultant shall qualify as
					 a public health nurse supervisor, and shall have an additional 2 years of
					 nursing supervisory or teaching experience.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.63 - Public health nurse directors; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 63. A public health nurse director shall qualify as a
					 public health nurse consultant, and shall have an additional 1 year of
					 experience in either nursing supervision, consultation, administration or any
					 combination thereof.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.65 - Environmental health personnel; classification and qualifications

Current through Vol. 24-12, July 15, 2024
Rule 65. A staff, supervisory, or administrative
					 environmental health worker shall be classified, and shall meet the
					 requirements, as specified in the following plan. (See following page.)
**** For Graphic see attached file labeled "Figures"
					 ****
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.67 - Environmental health personnel; substitute qualifications

Current through Vol. 24-12, July 15, 2024
Rule 67.
(1) An
				  environmental health worker with position designation AI may be given credit
				  for 1 year of education for each 5 years of experience.
(2) An environmental health worker with 8 or
				  more years of experience at position designation II or higher may qualify for
				  any position requiring a graduate degree if he meets the professional
				  registration requirements.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › District and County Health Departments › Part 2 - PERSONNEL CLASSIFICATION AND QUALIFICATIONS › Section R. 327.69 - Environmental health personnel; modification of qualifications

Current through Vol. 24-12, July 15, 2024
Rule 69.
(1) If
				  the education or experience requirements of a local civil service system or its
				  equivalent vary from the requirements of the classification plan in
				  R 327.65, the employing agency shall
				  decide which requirements shall prevail.
(2) The classification plan listed in
				  R 327.65 establishes only minimum
				  position designations; higher position designations may be established by the
				  employer.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Transportation and Disposition of Dead Bodies › Section R. 325.1 - Preparation and transportation of bodies dead from certain causes; permission for public funeral

Current through Vol. 24-12, July 15, 2024
Rule 1.
(1) The
				bodies of those who have died of diphtheria, meningococcic infections, plague,
				poliomyelitis, scarlet fever, or smallpox shall not be transported or accepted
				for transportation unless they have been prepared for shipment by being
				thoroughly embalmed and disinfected by arterial and cavity injection with an
				accepted embalming fluid. This preparation must be effected by an embalmer
				licensed with the state of Michigan.
(2) When bodies are transported under this
				rule, notice must be sent by the shipping embalmer to the health officer of the
				jurisdiction where the body is to be received, advising the date and time of
				arrival.
(3) Public funerals may
				be conducted, provided that prior permission is obtained from the local health
				officer. When permission is granted, persons in isolated areas may be released
				for the purpose of accompanying the body to a funeral home, church, or
				cemetery, provided that they:
(a) Use a
				separate car or means of conveyance.
(b) Remain in a separate room or separate
				from the public and avoid proximity to others in attendance.
(c) Return to the area or isolation and
				remain there until premises are released from isolation and
				quarantine.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Transportation and Disposition of Dead Bodies › Section R. 325.2 - Transportation of certain bodies in sound shipping cases; preparation for shipment; burial-transit or disinterment permit

Current through Vol. 24-12, July 15, 2024
Rule 2.
Bodies dead from a cause not named in R 325.1 which shall
				  reach their destination within 48 hours from the time of death, or are
				  addressed to the demonstrator of anatomy of a medical college or for other
				  demonstration purposes, may be received for transportation when encased in a
				  sound shipping case. If the body is not so addressed or cannot reach its
				  destination within 48 hours it must be prepared for shipment as described in R
				  325.1. When dead bodies are shipped by common carrier, a burial-transit or
				  disinterment permit shall be securely fastened upon the outside box, and a
				  duplicate of such permit shall be supplied by the funeral director to the
				  person escorting the body, or, if there is no escort, a duplicate of the permit
				  shall be mailed to the receiving funeral director.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Transportation and Disposition of Dead Bodies › Section R. 325.3 - Burial-transit permit

Current through Vol. 24-12, July 15, 2024
Rule 3.
Permission is given by the Michigan department of health and
				  human services to registrars, mortuary science, and funeral director licensees
				  to have full authority to make out and sign a new burial-transit permit where a
				  dead human body is transferred beyond the destination point as given on the
				  burial-transit permit which accompanies the body. The same applies to cases
				  where bodies are placed in a cemetery vault and transferred at some later date.
				  The original burial-transit permit which accompanies the body must be given to
				  the registrar, mortuary science, or funeral director licensee before a new
				  burial-transit permit is made by the person authorizing the transfer. The
				  person issuing the new permit must indicate the point of destination on the
				  original burial-transit permit. When a mortuary science or funeral director
				  licensee issues a new burial-transit permit, the original burial-transit permit
				  must be filed within 72 hours with the registrar in whose jurisdiction the
				  transfer was made.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Transportation and Disposition of Dead Bodies › Section R. 325.4 - Removal of body from incorporated or unincorporated area; death or stillbirth certificate; burial-transit permit; duty of county clerk

Current through Vol. 24-12, July 15, 2024
Rule 4.
(1) When a
				mortuary science or funeral director licensee is called upon to remove a body
				from an incorporated or unincorporated area, the mortuary science or funeral
				director licensee may remove the body for the purpose of caring for it but is
				required to file a completed death or stillbirth certificate and secure a
				burial-transit permit within 72 hours from the local registrar of the
				incorporated or unincorporated area in which the death occurred.
(2) If a death occurs in an unincorporated
				area, when a Sunday or a holiday or both, or when an immediate internment,
				cremation, or shipment makes it impossible to obtain a burial-transit permit by
				mail, a mortuary science or funeral director licensee may issue a
				burial-transit permit to him or herself, provided that the envelope in which
				the completed death or stillbirth certificate is mailed to the county clerk in
				whose jurisdiction the death occurred is postmarked within the 72 hours after
				the death occurred.
(3) If for any
				other reason a burial-transit permit has not been received by mail in time for
				the interment, cremation, or shipment, the mortuary science or funeral director
				licensee may issues a burial-transit permit to him or herself, provided that
				the envelope is which the completed death or stillbirth certificate was mailed
				to the county clerk in whose jurisdiction the death occurred is postmarked
				within the 72 hours after the death occurred.
(4) When a county clerk receives a death or
				stillbirth certificate from his or her primary registration district by mail,
				he or she shall enter on the certificate, as the date of filing, the date on
				which the certificate or certificates were received and shall also enter
				beneath the date of filing the postdate appearing on the envelope in which the
				certificate or certificates arrived.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.71 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1.
(1) As used
				in these rules:
(a) "Chemical" means any
				substance or mixture of substances composed of chemical elements or obtained by
				a chemical process.
(b) "Chemical
				poison" means a substance which, when ingested, inhaled or absorbed, injected
				into, or developed within the body, causes damage to structure or disturbance
				of function in the body. "Chemical poison" includes asphyxiant gases.
(c) "Chemical poisoning report form" means
				the form used to report the required reportable information for individuals
				with a chemical poisoning.
(d)
				"Department" means the Michigan department of community health.
(e) "Health facility" means any facility or
				agency licensed under article 17 of the public health code, MCL 333.20101 to
				333.22260 that provides health care services. "Health facility" includes a
				hospital, clinical laboratory, surgical outpatient facility, health maintenance
				organization, nursing home, home for the aged, county medical care facility,
				ambulance operation, and hospice.
(f) "Local health department" means a public
				health department established under the provisions of article 24 of the public
				health code, MCL 333.2401 to 333.2498, to protect the public health and prevent
				disease within a specific geographic area.
(g) "Non-medicinal" means substances that are
				not classified as drugs, medicines, or biologicals.
(h) "Non-suicidal" means not associated with
				an intention to commit self-harm, including suicide.
(i) "Health professional" means a person
				licensed under article 15 of the public health code, MCL 333.16101 to
				333.18838, in medicine, osteopathic medicine, as a physician's assistant, or
				nurse practitioner.
(j) "Poisoning"
				means a morbid condition, including death, produced by a poison.
(k) "Protected health information" means any
				individually identified health information, whether oral or recorded in any
				form or medium that is created or received by a health care provider, health
				plan, public health authority, employer, life insurer, school or university, or
				health care clearinghouse; and, relates to the past, present, or future
				physical or mental health or condition of an individual; the provision of
				health care to an individual; or the past, present, or future payment for the
				provision of health care to an individual.
(l) "Public health investigation" means the
				collection of medical, epidemiologic, exposure, and other information to
				determine the magnitude and cause of illness or injury, which is used to
				determine appropriate actions to prevent or mitigate additional illness or
				injury.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.72 - Reportable information

Current through Vol. 24-12, July 15, 2024
Rule 2.
(1)
				Reportable information is specifically related to patients with known or
				suspected non-suicidal, non-medicinal chemical poisonings.
(2) Clinical laboratory evidence of
				overexposure to a chemical poison, defined as a laboratory test result outside
				of that laboratory's reference range, shall be considered evidence of known or
				suspected chemical poisoning.
(3)
				The health professional or health facility shall submit its report a format
				that ensures the inclusion of the information listed under subdivisions (a) to
				(e) of this subrule as applicable.
(a) All of
				the following information, with respect to the patient, shall be provided:
(i) Last and first name and middle
				initial.
(ii) Sex.
(iii) Race, if available.
(iv) Ethnic group, if available.
(v) Birth date or age.
(vi) Residential address.
(vii) Telephone number.
(viii) If the individual is a minor, the name
				of a parent or guardian.
(ix) If
				the individual is an adult, the name and address of his or her employer, if
				available.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.73 - Reporting responsibilities

Current through Vol. 24-12, July 15, 2024
Rule 3.
(1) When
				requested by the department or local health department, health professionals
				and health facilities shall provide reports. The department or local health
				department shall notify health professionals and health facilities when reports
				of 1 or more types of chemical poisonings shall be submitted. Both of the
				following apply:
(i) Reports shall be made
				within 5 working days following request by the department or local health
				department.
(ii) Reports shall be
				provided to the agency (department and/or local health department) that makes
				the request.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.74 - Investigation and quality assurance

Current through Vol. 24-12, July 15, 2024
Rule 4.
(1) The
				department or local health department, upon receiving a report under
				R
				325.73, may investigate to determine the accuracy of
				the report, a patient's source of exposure, and adverse health effects
				resulting from the exposure.
(2)
				The department and local public health departments shall collaborate in the
				development of procedures for processing poisoning reports and conducting
				follow-up investigations to ensure efficient, non-duplicative, and effective
				public health response.
(3)
				Requests for individual medical and epidemiologic information to validate the
				completeness and accuracy of reporting are specifically authorized.
(4) Copies of protected health information
				from reported poisoning cases shall be kept in locked file cabinets when not in
				use. Information stored electronically shall be maintained on a secure server
				accessible only by department or local health department program staff through
				password protected user accounts.
(5) Reports may be released to other state,
				local, or federal agencies for those agencies to administer and enforce
				provisions of laws or rules to protect individuals from exposure to chemical
				poisons. Protected health information may be released to other governmental
				agencies and bona fide agents of the state that comply with the confidentiality
				requirements of
				R
				325.75.
(6) Confidential information obtained during
				the public health investigation may be exchanged between the department and the
				local health department with jurisdiction where the chemical poisoning
				occurred.
(7) Nothing in this rule
				shall be construed to relieve or preempt any other entities from investigating
				hazards associated with chemical poisons under state, federal, or local
				statutes or regulations.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.75 - Confidentiality of reports

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) Reports
				submitted to the department or local health department under
				R
				325.73 are not public records and are exempt from
				disclosure pursuant to the freedom of information act, section 13 of 1976 PA
				442, MCL 15.231.
(2) The department
				and local health departments shall maintain the confidentiality of all reports
				and shall not release reports, including protected health information or any
				information that may be used to directly link the information to a particular
				individual, except as allowed in
				R
				325.74(5), unless the department or
				local health department has received written consent from the individual, or
				from the individual's parent or legal guardian, requesting the release of
				information.
(3) Medical and
				epidemiological information that is released to a legislative body shall not
				contain information that identifies a specific individual. Aggregate
				epidemiological information concerning the public health, which is released to
				the public for informational purposes only, shall not contain information that
				allows individuals to be identified.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.76 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 6. As used in these rules:
(a) "Department" means the department of
				health and human services.
(b)
				"Drug" means any of the following as provided in section 17703 of the public
				health code, 1978 PA 368, MCL 333.17703:
(i) A
				substance recognized or for which the standards or specifications are
				prescribed in the official compendium.
(ii) A substance intended for use in the
				diagnosis, cure, mitigation, treatment, or prevention of disease in human
				beings or other animals.
(iii) A
				substance, other than food, intended to affect the structure or a function of
				the body of human beings or other animals.
(iv) A substance intended for use as a
				component of a substance specified in subdivision (i), (ii), or (iii), but not
				including a device or its components, parts, or accessories.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.77 - Reporting requirement; timeframe; reports provided without request; electronic reporting

Current through Vol. 24-12, July 15, 2024
Rule 7.
(1) Health
				professionals and health facilities shall provide reports when requested by the
				department or local health department for routine public health surveillance
				and/or investigation of specific events. The department or local health
				department shall notify health professionals and health facilities when reports
				of prescription or illicit drug poisonings shall be submitted. Both of the
				following apply:
(a) Reports shall be made
				within 5 working days following request by the department or local health
				department.
(b) Reports shall be
				provided to the department or local health department that makes the
				request.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.78 - Patient information; diagnostic and clinical information to be reported

Current through Vol. 24-12, July 15, 2024
Rule 8.
(1)
				Reportable information is information specifically related to patients with
				known or suspected poisonings due to use of prescription or illicit drugs,
				including fatal and nonfatal overdoses.
(2) International Classification of Disease
				Codes (ICD) for medicinal and illicit drug poisonings and toxicological
				laboratory evidence shall be considered evidence of poisoning.
(3) The health professional or health
				facility shall submit its report in a format that ensures the inclusion of the
				information listed under subdivisions (a) to (e) of this subrule as applicable.
(a) All of the following information with
				respect to the patient shall be provided:
(i)
				Last and first name and middle initial.
(ii) Sex.
(iii) Race, if available.
(iv) Ethnic group, if available.
(v) Birth date or age.
(vi) Residential address.
(vii) Telephone number.
(viii) If the individual is a minor, the name
				of a parent or guardian.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings › Section R. 325.79 - Investigation and collaboration; storage of information; confidentiality

Current through Vol. 24-12, July 15, 2024
Rule 9.
(1) The
				department or local public health department, upon receiving a report under
				subrule (2) of this rule, may investigate to determine the accuracy of the
				report, a patient's source of drug, and adverse health effects resulting from
				the poisoning due to drugs.
(2) The
				department and local public health departments shall collaborate in the
				development of procedures for processing reports of poisonings and conducting
				follow-up investigations to ensure efficient, non-duplicative, and effective
				public health response.
(3)
				Requests by the department or local public health departments for individual
				medical and epidemiologic information to validate the completeness and accuracy
				of reporting are specifically authorized.
(4) Information from reported cases shall be
				kept in a secure manner when not in use. Information stored electronically
				shall be maintained in a secure manner, accessible only by department or local
				health department program staff through password protected user
				accounts.
(5) Except as provided in
				subrule (6) of this rule, the department and local health departments shall
				maintain the confidentiality of all reports and other information received
				under these rules and shall not release reports or information that may be used
				to directly link the information to a particular individual.
(6) The department and local health
				departments may release reports or information, otherwise protected under
				subrule (5) of this rule, under any of the following conditions:
(a) If the department has received written
				consent from the individual, or from the individuals parent or legal guardian,
				requesting the release of information.
(b) As necessary for the department to carry
				out its duties under the public health code, 1978 PA 368, MCL 333.1101 to
				333.25211.
(c) If necessary for the
				purpose of public health activities designed to prevent poisonings due to use
				of prescription or illicit drugs.
(d) If necessary for the purpose of research
				designed to develop or contribute to generalizable knowledge, with documented
				approval by the departments institutional review board.
(e) If the director of the department
				determines that release of information is crucial to protect the public health
				against an imminent threat or danger.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Lead Hazard Controls › Part 1 - GENERAL PROVISIONS › Section R. 325.99101 - Scope; application; rescission

Current through Vol. 24-12, July 15, 2024
Rule 101.
(1)
				  These rules apply to all activities defined by sections 5451 to 5477 of 1978 PA
				  368, MCL 333.5451 to 333.5477 and referred to in these rules as the
				  "act."
(2) These rules provide
				  specifications applicable to lead-based paint activities for all of the
				  following:
(a) Training program
				  requirements
(b) Certification
				  requirements.
(c) Work practice
				  standards.
(d) Notification
				  requirements.
(e) Enforcement
				  actions.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Lead Hazard Controls › Part 1 - GENERAL PROVISIONS › Section R. 325.99102 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 102.
(1) As
				  used in these rules:
(a) "EBL environmental
				  investigation" means both of the following:
(i) A study for case management purposes of
				  the living environment of 1 or more children 6 years of age or less with an
				  elevated blood lead level performed by an EBL investigator to identify
				  causative lead exposures.
(ii) The
				  provision of a report by the EBL investigator explaining the results of the
				  study and options for remediation of exposures.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Lead Hazard Controls › Part 1 - GENERAL PROVISIONS › Section R. 325.99103 - Recordkeeping

Current through Vol. 24-12, July 15, 2024
Rule 103.
(1) A
				  person who is certified by the department, the act, and these rules shall
				  maintain all records required by the act and these rules for not less than 3
				  years.
(2) A person or individual
				  who prepares a report or plan required by these rules shall maintain the report
				  or plan for not less than 3 years, and shall provide copies of the report or
				  plan not later than 20 business days after completion of the activity for which
				  the report or plan was prepared to both of the following persons:
(a) The building owner.
(b) The person who contracted for the
				  person's or individual's services, if different than the owner.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Lead Hazard Controls › Part 1 - GENERAL PROVISIONS › Section R. 325.99104 - Enforcement actions

Current through Vol. 24-12, July 15, 2024
Rule 104.
(1) Any
				  person who violates the act or these rules or fails to satisfy agreed upon
				  conditions for settlement of a violation shall be subject to 1 or more of the
				  following enforcement actions, as determined by the department:
(a) Notice of noncompliance.
(b) Citation.
(c) Denial of certification or
				  accreditation.
(d) Suspension of
				  certification or accreditation by cease operations order.
(e) Summary suspension of certification or
				  accreditation.
(f) Revocation of
				  certification or accreditation.
(g)
				  Criminal sanction in accordance with section 5477 of the act.
(h) Administrative fines.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Lead Hazard Controls › Part 2 - TRAINING PROGRAMS › Section R. 325.99201 - Training program accreditation; disciplines; training manager; principal instructor

Current through Vol. 24-12, July 15, 2024
Rule 201.
(1) A
				  person may seek accreditation for a training program to offerasd int training
				  courses leading to certication of individuals pursuant to requirements in the
				  act and these rules.
(2) A person
				  seeking accreditation for a training program shall submit a written application
				  to the department containing all of the following:
(a) If the applicant is a sole proprietorship
				  or corporation, its "doing business as" or corporate identification
				  number.
(b) The name of each
				  principal position, partner, shareholder, member, or owner.
(c) The training program's name, address, and
				  telephone number.
(d) A statement
				  signed by the training program manager certifying that the training program
				  meets the requirements established by the act and these rules.
(e) A copy of the quality control plan as
				  defined in
				  R
				  325.99204.
(f) The fee required by the act and these
				  rules.
(g) A sample of the training
				  completion certificate required by
				  R 325.99202.
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Lead Hazard Controls › Part 2 - TRAINING PROGRAMS › Section R. 325.99202 - Training program requirements; facilities; course test; skills assessment; course certificate; audit by the department

Current through Vol. 24-12, July 15, 2024
Rule 202.
(1) A
				  training program accredited under section 5462 of the act shall ensure the
				  availability of, and provide adequate facilities for, the delivery of the
				  lecture, course test, hands-on training and assessment activities including,
				  but not limited to, providing training equipment that reflects current work
				  practices and maintaining or updating the equipment and facilities of the
				  training program, as needed.
(2)
				  For each course offered, except the core lead basics course, the training
				  program shall conduct a course test at the completion of the course and, if
				  applicable, a hands-on skills assessment. Each individual enrolled in the
				  training program shall successfully complete the hands-on skills assessment, if
				  conducted for that course, and receive a passing score on the course test to
				  pass a course.
(3) The training
				  manager shall maintain the validity and integrity of the hands-on skills
				  assessment to ensure that it accurately evaluates the trainees' performance of
				  the work practices and procedures associated with the course topics contained
				  in these rules, and the course test to ensure that it accurately evaluates the
				  trainees' knowledge and retention of the course topics.
(4) The training program's course test shall
				  be developed in accordance with the test blueprint submitted with the training
				  program accreditation application.
(5) The training program shall issue course
				  completion certificates to each individual who passes the training course. The
				  course completion certificate shall include all of the following:
(a) The name and address of the individual,
				  along with a unique identification number.
(b) The name of the particular course that
				  the individual passed.
(c) Dates of
				  course completion and test passage.
(d) Expiration date of course certificate (3
				  years from course completion).
(e)
				  The name, address, and telephone number of the training program.
(f) Expiration date of the individual's
				  eligibility to take the third-party examination (6 months from course
				  completion).
Michigan Administrative Code › Department - Health and Human Services › Bureau of Disease Control, Prevention and Epidemiology › Lead Hazard Controls › Part 2 - TRAINING PROGRAMS › Section R. 325.99203 - Training records

Current through Vol. 24-12, July 15, 2024
Rule 203.
(1) An
				  accredited training program shall maintain, and make available to the
				  department, upon request, all of the following records:
(a) Each document that demonstrates the
				  qualification of a training manager or a principal instructor.
(b) Current curriculum and course materials
				  and documents reflecting changes made to these materials.
(c) The course test blueprints.
(d) Information regarding how the hands-on
				  skills assessment is conducted including, but not limited to, all of the
				  following:
(i) The person conducting the
				  hands-on skills assessment.
(ii)
				  The method of grading the hands-on skills.
(iii) A description of the facilities
				  used.
(iv) The pass/fail
				  determination.
(e) The
				  quality control plan.
(f) Any other
				  material that was submitted to the department as part of the program's
				  application for accreditation.
(g)
				  Notifications of course schedules.
(h) Course participant information.
(i) Examination results.
(j) Copies of the certificates
				  issued.