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. 325.22171 - Ambulance operation upgrade license; application process

Current through Vol. 24-12, July 15, 2024
Rule 171. An ambulance operation described in sections
					 20920(7) to (12) of the code that applies for an ambulance operation upgrade
					 license shall do all of the following:
(a) Have been a licensed ambulance operation
				  at the transporting basic life support or transporting limited advanced life
				  support on or before July 22, 1997.
(b) Have been owned, operated, or under
				  contract to a local unit of government and providing first line emergency
				  medical response to that local unit of government on or before July 22, 1997.
				  Emergency services provided under an upgraded license shall be provided only to
				  the local unit of government and only in response to a 9-1-1 call or other call
				  for emergency transport within jurisdiction of local unit of
				  government.
(c) A transporting
				  basic ambulance operation shall staff and equip 1 or more ambulances for the
				  transport of emergency patients at a life support level higher than basic life
				  support.
(d) A transporting limited
				  advanced ambulance operation shall staff and equip 1 or more ambulances for the
				  transport of emergency patients at the advanced life support level.
(e) Make application for licensure to the
				  department on forms prescribed by the department. Included with the application
				  shall be the required $100.00 fee and identification of the current level of
				  life support of the operation and the higher level of life support being
				  sought. The application shall include verification of all of the following:
(i) The ambulance operation was licensed on,
				  or before, July 22, 1997.
(ii) The
				  ambulance operation was licensed, at a minimum, as a basic transporting
				  ambulance operation on, or before, July 22, 1997.
(iii) The ambulance operation is owned,
				  operated by, or under contract with a local unit of government.
(iv) Services described in the application
				  shall be provided only to the local unit of government and only in response to
				  9-1-1 calls or other calls for emergency transport within the jurisdiction of
				  the local unit of government.
(v)
				  The ambulance operation complies with all patient care and radio equipment
				  requirements for the level of upgrade requested.
(vi) The ambulance operation provides a
				  description of the staffing for each vehicle under the upgrade
				  provision.
(vii) The ambulance
				  operation provides a 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.
(viii) The ambulance operation provides
				  patient care protocols and a formal recommendation from the medical control
				  authority under which the ambulance operation operates.
(ix) Quality monitoring procedures and use
				  and protection of equipment protocols have been developed and approved by the
				  medical control authority. Use and protection equipment protocols shall
				  describe procedures the operation will use to limit access to the limited
				  advanced or advanced, or both, equipment and supplies when not operating at the
				  higher level.