reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.948 - Finding of Responsibility and Suitability of Applicants for Accreditation

Current through Register 1525, July 5, 2024
(A) Upon receipt and review of an application
			 for accreditation, the Department shall make a finding concerning the
			 responsibility and suitability of the applicant training institution. Findings
			 may be based upon information concerning persons with a significant financial
			 or management interest in the training institution. A determination of
			 responsibility and suitability shall be based on factors including, but not
			 limited to, the following:
(1) The
			 applicant's history, if any, of prior compliance with
			 105 CMR
			 170.000,
			 105 CMR
			 171.000:
Massachusetts First Responder
			 Training
, M.G.L. c. 111C, and
			 105 CMR
			 700.000:
Implementation of M.G.L. c.
			 94C
;
(2) The familiarity
			 and experience of the applicant in operating an EMS training program approved
			 under
			 105 CMR
			 170.000, or in operating adult vocational training or
			 higher educational programs;
(3)
			 The applicant's ability to provide and sustain quality EMS training programs to
			 serve the needs of students;
(4)
			 The ability of training institution administrators to operate the program in a
			 manner sufficient to satisfy the requirements of
			 105 CMR
			 170.000 and/or
			 105 CMR
			 171.000:
Massachusetts First Responder
			 Training
, as applicable;
(5) Adequate financial resources of the
			 applicant to provide training sufficient to meet the requirements of
			 105 CMR
			 170.000, as demonstrated by a current financial
			 statement or current budget;
(6)
			 The adequacy of the training institution's legal capacity to operate, as
			 demonstrated by articles of incorporation and corporate bylaws;
(7) The applicant's history, if any, of any
			 of the following:
(a) Any willful or
			 deliberate failure to provide training to a person for reasons of race, color,
			 religion, sex, sexual orientation, age, national origin, ancestry or
			 disability;
(b) Any attempt to
			 impede the work of a duly authorized representative of the Department or the
			 lawful enforcement of any provisions of M.G.L. c. 111C or
			 105 CMR
			 170.000;
(c) Conviction of a criminal offense, such as
			 drug-related offenses, rape, assault or other violent crime against a person,
			 or related to the provision of training subject to the Department's approval;
			 or
(d) Any attempt to obtain
			 accreditation or training program approval by fraud, misrepresentation, or the
			 submission of false information.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.950 - Duties and Responsibilities of Accredited Training Institutions

Current through Register 1525, July 5, 2024
(A) Successfully prepare their students to
			 achieve competency in the cognitive knowledge, psychomotor skills and
			 professional behavior necessary to work effectively, upon Department
			 certification, as EMTs at the level of their training.
(B) Conduct training programs in accordance
			 with M.G.L. c. 111C,
			 105 CMR
			 170.000 and administrative requirements for the
			 following:
(1) Student performance outcome
			 measures;
(2) Academic and clinical
			 staff;
(3) Administrative
			 staff;
(4) Current initial training
			 and continuing education standards including, but not limited to, incorporation
			 of the Statewide Treatment Protocols;
(5) Supervised clinical and field
			 internships;
(6) Ongoing student
			 and instructor evaluation;
(7)
			 Classroom space, psychomotor skills training areas and equipment;
(8) Timely submission of training program
			 documentation to the Department; and
(9) Maintenance of accurate and appropriate
			 records for a minimum of seven years following course completion.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.955 - Grounds for Denial of Accreditation

Current through Register 1525, July 5, 2024
(A) Grounds
			 for denial of accreditation include, but are not limited to, the following:
(1) Failure to meet the requirements for
			 becoming accredited by the Department, in accordance with
			 105
			 CMR 170.946;
(2) Failure to submit an application and fee
			 in accordance with
			 105
			 CMR 170.946(C);
(3) Failure to satisfy the Department as to
			 any of the grounds for determining the responsibility and suitability of the
			 applicant under
			 105
			 CMR 170.948; or
(4) Fraud, deceit or knowing submission of
			 inaccurate or incomplete data to the Department, either orally or in
			 writing.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.957 - Grounds for Suspension, Revocation or Refusal to Renew Accreditation

Current through Register 1525, July 5, 2024
(A) Grounds for suspension or revocation of
			 accreditation include, but are not limited to, the following:
(1) Documented record of failure of
			 accredited training institution's students to achieve acceptable performance
			 outcome measures, in accordance with
			 105
			 CMR 170.950 and administrative requirements
			 of the Department;
(2) Failure to
			 meet the duties and responsibilities for accredited training institutions under
			 105
			 CMR 170.950;
(3) With respect to accreditation at the
			 paramedic level, failure to maintain current CAAHEP accreditation in good
			 standing;
(4) Failure to allow the
			 Department or its agents to observe or evaluate programs, or to provide the
			 Department upon its request, timely and appropriate documentation or
			 information about the accredited training institution's EMS training program,
			 as requested including, but not limited to, training program records,
			 personnel, facilities, classes, clinical practice sessions and field
			 internships;
(5) Violation of a
			 correction order;
(6) Failure to
			 submit an acceptable plan of correction as required under
			 105
			 CMR 170.710;
(7) Failure to comply with a plan of
			 correction;
(8) Failure to pay a
			 deficiency levied in accordance with
			 105
			 CMR 170.730;
(9) Engaging in, or aiding, abetting, causing
			 or permitting any act prohibited by M.G.L. c. 111C,
			 105 CMR
			 170.000 and administrative requirements of the
			 Department;
(10) Any actions that
			 endanger the public health and safety;
(11) Commission of gross misconduct
			 including, but not limited to, committing an act of violence, a violation of
			 professional boundaries with a patient, student, or candidate, or a
			 drug-related offense;
(12)
			 Conviction of a criminal offense including, but not limited to, a drug-related
			 offense, any crime that endangers the public health and safety, or any crime
			 related to the provision of training subject to Department approval;
			 or
(13) Any attempt to maintain
			 accreditation by fraud, misrepresentation or by omitting material facts or
			 submitting false information to the Department, either orally or in
			 writing.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.960 - Approval of Training Programs by Nonaccredited Training Providers

Current through Register 1525, July 5, 2024
(A) Each training program offered by a
			 nonaccredited training provider must be individually approved by the
			 Department. Nonaccredited training providers may provide only continuing
			 education programs.
(B) Any
			 nonaccredited training provider seeking training program approval shall submit
			 a complete application on a form provided by the Department, to the Department
			 or the appropriate Regional EMS Council(s), as an agent of the Department, in
			 compliance with Department administrative requirements.
(C) Separate program approval is required for
			 each offering of continuing education training program, even if the same
			 training program was previously approved and/or offered. Blanket approval may
			 be obtained for multiple offerings of the same training program in a single
			 recertification year.
(D)
			 Applicants denied approval may re-apply for approval, but not more than once in
			 the 12 months following denial.
(E)
			 Any publications or advertisements concerning the program shall accurately
			 reflect the education and training being offered.
(F) Prior to receipt of Department approval
			 for a training program pursuant to
			 105
			 CMR 170.960(A), no
			 nonaccredited training provider shall:
(1)
			 Advertise such a training program as approved by the Department;
(2) Accept applications from prospective
			 students; or
(3) Conduct any
			 classes for such a training program.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.964 - Standards for Training Programs by Nonaccredited Training Providers

Current through Register 1525, July 5, 2024
Nonaccredited training providers seeking Department approval
				for training programs, pursuant to
				105
				CMR 170.960, shall meet the following
				requirements:
(A) Training program
			 subject matter must be relevant to the role and responsibilities of the EMT and
			 conform to standards of practice in the Statewide Treatment
			 Protocols.
(B) All training program
			 instructors must have education and experience appropriate to the subject
			 matter and to adult instruction. The nonaccredited training provider shall
			 establish and maintain an effective quality assurance/quality improvement
			 system for oversight and evaluation of instructors' performance, in accordance
			 with administrative requirements of the Department.
(C) All training programs shall be conducted
			 in appropriate classroom space with appropriate educational aids and equipment,
			 in accordance with administrative requirements of the Department. Nonaccredited
			 training providers that offer training programs requiring practice of skills
			 must also provide an appropriate laboratory setting and appropriate equipment
			 for performing such skills, in accordance with the Department's administrative
			 requirements.
(D) Each training
			 program presented for approval must contain appropriate objectives, content
			 outline, teaching method and instructional media, and measurement/evaluation
			 method, in accordance with administrative requirements of the
			 Department.
(E) The training
			 provided shall be consistent with the approved application.
(F) The nonaccredited training provider shall
			 maintain original attendance rosters or other attendance documentation, in
			 accordance with administrative requirements of the Department for each session
			 of the training program, for seven years.
(G) The nonaccredited training provider shall
			 make available to agents of the Department upon request all records relating to
			 the provision of EMS training programs;
(H) The nonaccredited training provider shall
			 issue course completion documentation to those who have successfully completed
			 the training program, in accordance with administrative requirements of the
			 Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.970 - Request for Subsequent Approval of Training Programs by Nonaccredited Training Providers

Current through Register 1525, July 5, 2024
In addition to the provisions set forth in
				105
				CMR 170.960 through
				170.964, when a nonaccredited
				training provider that had previously received Department approval for an EMT
				training program requests approval for a subsequent training program, the
				Department shall evaluate the request in the light of its conduct of past
				training programs. This includes, but is not limited to, consideration of the
				following:
(A) The nonaccredited
			 training provider's history of compliance with
			 105 CMR
			 170.000 including, but not limited to, submission of
			 complete and timely applications for approval, issuance of course completion
			 documentation to those students who have successfully completed programs and
			 other documentation as requested by the Department; and
(B) The nonaccredited training provider's
			 cooperation with inquiries and site visits by representatives of the
			 Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.976 - Grounds for Denial, Suspension, or Revocation of Approval of Training Programs by Nonaccredited Providers

Current through Register 1525, July 5, 2024
The following reasons constitute grounds for denial,
				suspension, or revocation of program approval:
(A) Failure, at any time, to allow the
			 Department to inspect, observe, or evaluate a training program, including the
			 training program's personnel, facilities, classes, and practical skills
			 sessions associated with such program;
(B) Use of training or administrative
			 personnel not competent for the type of training offered;
(C) Failure to meet any of the requirements
			 for approval and conduct of training programs as set forth in
			 105
			 CMR 170.960 through
			 170.970 and in administrative
			 requirements of the Department;
(D)
			 Conviction of a criminal offense related to the provision of training that
			 requires Department approval;
(E)
			 Failure to observe recognized professional standards in the course content and
			 operation of the training program;
(F) Any attempt to obtain or maintain
			 training program approval by fraud, misrepresentation or by omitting material
			 facts or submitting false information to the Department, either orally or in
			 writing;
(G) Failure to keep
			 accurate and adequate records, in accordance with
			 105
			 CMR 170.964(F);
(H) Any actions that endanger the public
			 health and safety;
(I) Commission
			 of gross misconduct including, but not limited to, committing an act of
			 violence, a violation of professional boundaries with a student, patient or
			 candidate, or a drug-related offense;
(J) Failure to submit an application in
			 accordance with the requirements of
			 105 CMR
			 170.000 or the Department's application
			 procedures;
(K) Failure to offer
			 training that is consistent with the approved application; or
(L) Engaging in, or aiding, abetting, causing
			 or permitting any act prohibited by M.G.L. c. 111C,
			 105 CMR
			 170.000 or administrative requirements of the
			 Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.977 - Instructor/Coordinators: Duties and Requirements for Approval

Current through Register 1525, July 5, 2024
The Department shall approve personnel as
				Instructor/Coordinators (I/Cs), who shall be the sole persons authorized to
				teach an initial training program at the EMT-basic and Advanced EMT levels. An
				applicant shall specifically seek, and the Department shall grant qualified
				persons approval, as Instructor/Coordinator, at the EMT-Basic or EMT-Basic and
				Advanced EMT level(s) of training
(A)
			 The duties and responsibilities of an Instructor/Coordinator include, but are
			 not limited to, the following, at the level at which they have been approved by
			 the Department:
(1) Planning, developing,
			 instructing and coordinating the EMT-Basic and Advanced EMT classes in
			 accordance with
			 105
			 CMR 170.810 and the administrative
			 requirements of the Department;
(2)
			 Managing and ensuring quality of the delivery of EMT-Basic and Advanced EMT
			 classes, whether delivered by personal lecture or practical demonstration, or
			 by specialty and guest lecturers. Such quality assurance shall include, at a
			 minimum, a system that incorporates collection of data and adequate
			 documentation to evaluate the EMT-Basic and Advanced EMT classes and assess
			 their effectiveness in achieving educational goals and objectives, in
			 accordance with the administrative requirements of the Department;
(3) Remaining current and knowledgeable with
			 regard to all EMT-Basic and Advanced EMT procedures, equipment, initial
			 training standards, the Statewide Treatment Protocols,
			 105 CMR
			 170.000 and M.G.L. c. 111C pertaining to the provision
			 of prehospital care and the role and responsibilities of the EMT-Basic and
			 Advanced EMT; and
(4) Making
			 available to agents of the Department upon request all records relating to the
			 provision of EMS training.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.978 - Renewal of Approval as an Instructor/Coordinator

Current through Register 1525, July 5, 2024
The Department may renew approval of an Instructor/Coordinator.
				An Instructor/ Coordinator must apply for renewal of approval on a form
				provided by the Department, no later than 60 calendar days prior to the
				expiration of the current approval. A person with an expired approval as an
				Instructor/Coordinator may not teach initial training programs at the EMT-Basic
				or Advanced EMT level.
(A) To be
			 eligible for renewal of approval, an Instructor/Coordinator must:
(1) Continue to meet the requirements of
			 105
			 CMR 170.977 and administrative requirements
			 of the Department with respect to Instructor/Coordinators; provided, that an
			 Instructor/Coordinator approved prior to January 6, 2023, shall have five years
			 to come into compliance with the requirement of
			 105
			 CMR 170.977(B)(3);
(2) Submit documentation evidencing, at the
			 level of Instructor/Coordinator being renewed:
(a) having actively been teaching;
			 and
(b) being responsible for
			 managing and ensuring the quality Department-accredited initial EMT training
			 program or approved continuing education courses, in accordance with
			 administrative requirements issued by the Department; and
(3) Successfully complete
			 Instructor/Coordinator training updates as required by the
			 Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.979 - Grounds for Denial, Suspension, and Revocation of Instructor/Coordinator Approval or Reapproval

Current through Register 1525, July 5, 2024
Approval or reapproval as an Instructor/Coordinator may be
				denied, suspended, or revoked by the Department on any of the following
				grounds:
(A) Failure to meet the
			 requirements of
			 105
			 CMR 170.977 or
			 170.978;
(B) Failure to conduct and/or administer
			 Department-approved training in accordance with Department administrative
			 requirements;
(C) Interfering with
			 the examination and/or certification process so as to improperly influence or
			 attempt to influence the outcome of the examination;
(D) Failure to provide evidence of
			 documentation of the requirements of
			 105
			 CMR 170.977 to the Department upon
			 request;
(E) Failure to exercise
			 reasonable care, judgment, knowledge, or ability in the performance of duties
			 as an EMT or as an Instructor/Coordinator when conducting any program regulated
			 by the Department, or to perform those duties within the scope of his or her
			 training and certification and/or approval;
(F) Gross misconduct in the exercise of
			 duties as an Instructor/Coordinator, an EMT, a Chief Examiner or an Examiner
			 including, but not limited to, committing an act of violence, a violation of
			 professional boundaries with a student, patient or candidate, or a drug-related
			 offense;
(G) Conviction of any
			 criminal offense relating to the performance of duties as an
			 Instructor/Coordinator, an EMT, a Chief Examiner or an Examiner including, but
			 not limited to, any conviction for a drug related offense, or any crime that
			 endangers the public health and safety, or is related to the provision of
			 training subject to Department approval;
(H) Any condition or action that endangers
			 the health or safety of the public; or
(I) Any violation of M.G.L. c. 111C or
			 105 CMR
			 170.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.1000 - Severability

Current through Register 1525, July 5, 2024
If any rule contained in
				105 CMR
				170.000 is found to be unconstitutional or invalid by
				a Court of competent jurisdiction, the validity of the remaining rules will not
				be so affected.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.010 - Purpose

Current through Register 1525, July 5, 2024
105 CMR
				171.000 is set forth for the purpose of interpreting
				and implementing M.G.L. c. 111, § 201, which confers on the Department of
				Public Health the responsibility for establishing training standards in first
				aid, including cardiopulmonary resuscitation, for certain police officers, fire
				fighters and lifeguards, hereinafter referred to as 'first
				responders'.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.040 - Scope and Application

Current through Register 1525, July 5, 2024
105 CMR
				171.000 applies to first responders, who are required
				to be trained to administer first aid under M.G.L. c. 111, § 201 and are
				not certified and working as EMS first responders (EFRs). The training,
				certification and scope of practice of EFRs, and the licensure and
				responsibilities of the EMS first response (EFR) services with whom they work,
				are governed by
				105 CMR
				170.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.100 - Initial Training Deadlines

Current through Register 1525, July 5, 2024
Each first responder shall satisfactorily complete initial
				training in first aid, including cardiopulmonary resuscitation, as soon as
				practical, but in no event more than one year after the date on which he or she
				became first responder; except that lifeguards shall satisfactorily complete
				initial training in first aid, including cardiopulmonary resuscitation, within
				15 days after the lifeguard's first day of employment.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.120 - Refresher Training Deadlines

Current through Register 1525, July 5, 2024
(A) Each first
			 responder shall satisfactorily complete a refresher course in first aid, other
			 than cardiopulmonary resuscitation, every three years after initial training in
			 first aid.
(B) Each first responder
			 shall satisfactorily complete a refresher course in cardiopulmonary
			 resuscitation every two years after initial cardiopulmonary resuscitation
			 training.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.130 - Initial and Refresher Training in First Aid

Current through Register 1525, July 5, 2024
Initial and refresher training in first aid, other than
				cardiopulmonary resuscitation, shall mean satisfactory completion of one of the
				following:
(A) A training course that
			 meets the minimum standards for Department-approved first responder training in
			 first aid, meeting the minimum requirements as specified in administrative
			 requirements established by the Department.
(B) Any course which has received prior
			 approval by the Department as at least equivalent in scope and quality to
			 105
			 CMR 171.130(A), such as:
(1) an emergency medical technician training
			 course approved by the Department pursuant to
			 105 CMR
			 170.000; and
(2) a course meeting the National EMS
			 Education Standards at the emergency medical responder level; or
(3) in the case of lifeguards only, a
			 standard first aid course or an equivalent training course as determined by the
			 Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.150 - Initial and Refresher Training in Cardiopulmonary Resuscitation

Current through Register 1525, July 5, 2024
Initial and refresher training in cardiopulmonary resuscitation
				shall mean, at a minimum, successful completion of a course provided by a
				nationally recognized organization and reflecting current cardiopulmonary
				resuscitation (CPR) and emergency cardiac care resuscitation science and
				treatment recommendations issued by the International Liaison Committee on
				Resuscitation (ILCOR)'s International Consensus on Cardiopulmonary
				Resuscitation and Emergency Cardiovascular Care Science With Treatment
				Recommendations (CoSTR) or successor body, as documented by a current training
				certificate, renewed biennially, in Basic Cardiac Life Support health care
				professional CPR. CPR training must be obtained through an instructor-led
				program or blended learning experience with an in-person hands-on skills
				evaluation, and must include a cognitive examination.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.160 - Refresher Training in Cardiopulmonary Resuscitation

Current through Register 1525, July 5, 2024
Refresher training in cardiopulmonary resuscitation shall mean,
				at a minimum, successful completion of either a basic or a refresher training
				course in cardiopulmonary resuscitation-basic life support, no less than the
				standard established by the Committee on Cardiopulmonary Resuscitation and
				Emergency Cardiac Care of the American Heart Association, which results in
				renewal of the training card.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.165 - Approval of Programs for Training First Responders in Administration of Medications as Approved by the Department

Current through Register 1525, July 5, 2024
The Department shall approve training programs for first
				responders in the administration of medications as approved by the Department
				in accordance with
				105
				CMR 700.003(D), and in
				compliance with the Statewide Treatment Protocols, that meet the following
				requirements:
(A) Such program's
			 medical director has approved the specific training program; and
(B) The training program meets the minimum
			 standards established by the Department as administrative
			 requirements.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.180 - Optional Utilization of Automatic/Semi-automatic Defibrillation

Current through Register 1525, July 5, 2024
A first responder may utilize automatic/semi-automatic
				defibrillation equipment, provided that:
(A) The first responder meets the
			 requirements for training pursuant to
			 105 CMR
			 171.150; and
(B) The utilization is in accordance with the
			 Statewide Treatment Protocols established under
			 105 CMR 170.000;
			 and
(C) The first responder is
			 affiliated with a first responder agency the meets the requirements of
			 105
			 CMR 171.225.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.200 - Maintenance of Records

Current through Register 1525, July 5, 2024
Each first responder agency shall maintain current, accurate
				records, in electronic or print format, documenting first aid training,
				including cardiopulmonary resuscitation training, for each first responder.
				Such records shall be maintained at the main office of the first responder
				agency and shall be available for inspection by the Department. Records shall
				be kept for a period of not less than seven years after completion of the
				training program and shall be stored in such a manner as to ensure reasonable
				safety from water and fire damage and unauthorized use.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.210 - Contents of Records

Current through Register 1525, July 5, 2024
The following records shall be maintained for each first
				responder:
(A) For training that
			 complies with
			 105
			 CMR 171.130(A), an outline
			 of the training program, including course contents, the location, date and name
			 of the course, attendance and examination records, and documentation of the
			 qualifications of the primary instructor, or
(B) For training that complies with
			 105
			 CMR 171.130(A) or (B), a
			 copy of current certification or other documentation of successful completion
			 of training; and
(C) A copy of a
			 current training certificate documenting successful completion of
			 cardiopulmonary resuscitation training, as required by
			 105
			 CMR 171.150.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.220 - Records Issued to the First Responder by the First Responder Agency

Current through Register 1525, July 5, 2024
Each first responder agency shall issue to each first responder
				a, card or other record documenting successful completion of initial and
				refresher training programs. The card or other record shall include the
				location, date and name of the course taken and shall be signed by the primary
				instructor. A current training card documenting successful completion of
				initial or refresher training required by
				105
				CMR 171.130, or, only in the case of
				lifeguards, standard first aid or equivalent first aid training card. or
				current certification as an EMT shall be deemed equivalent and will be
				acceptable under
				105
				CMR 171.220.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.223 - Records Issued to the First Responder by the First Responder Agency

Current through Register 1525, July 5, 2024
For the purpose of receiving notifications and responses from
				health care facilities regarding unprotected exposures to infectious diseases
				dangerous to the public health, as defined in
				105
				CMR 172.001, reporting said exposures to
				first responders, and making requests on behalf of first responders, each first
				responder agency shall appoint one officer of the agency to act as a designated
				infection control officer. Each agency shall ensure that its first responders
				are informed of the requirements relating to the reporting of exposures to the
				infectious diseases set forth in
				105 CMR
				172.000:
Reporting of Unprotected Exposures to
				Infectious Diseases Dangerous to the Public Health
.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.225 - Documentation Required for Use of Automatic/Semi-automatic DefIbrillation

Current through Register 1525, July 5, 2024
First responder agencies shall maintain a memorandum of
				agreement with a hospital or a consortium of hospitals, to provide medical
				control for their first responders. The agreement shall identify a medical
				director to assume responsibility for all aspects of medical control of the
				program. Medial control shall include:
(A) The review of all uses of
			 automatic/semi-automatic defibrillators by first responders;
(B) The maintenance of a system wide database
			 of cardiac arrest patient care reports filed by first responders with
			 participating services, and the submission of summary reports to the Department
			 upon request; and
(C) The
			 establishment of policies:
(1) to ensure that
			 first responders complete the manufacturer's training in use of the
			 automatic/semi-automatic defibrillator;
(2) for proper preventive maintenance
			 schedules of automatic/semi-automatic defibrillator equipment; and
(3) to ensure that patient care reports are
			 submitted to the medical director and hospitals to which patients are
			 transported.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.227 - Documentation Required for Optional Administration of Medications Approved by the Department

Current through Register 1525, July 5, 2024
Any first responder agency that chooses to carry and administer
				medications approved by the Department, in accordance with
				105
				CMR 700.003(D), shall
				maintain a current memorandum of agreement with a hospital or medical director
				to provide medical control for their first responders. The agreement shall
				identify a medical director to assume responsibility for all aspects of the
				medical control of the program. The memorandum of agreement in each case shall
				address acquisition and replacement of the medications, quality assurance,
				Statewide Treatment Protocol compliance, training, record keeping, shelf life
				of the medication and proper storage and disposal conditions.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 171.000 - Massachusetts First Responder Training › Section 171.230 - Severability

Current through Register 1525, July 5, 2024
The provisions of
				105 CMR
				171.000 are severable. If any provision shall be
				determined invalid by any court, such provision shall be null and void and such
				determination shall not affect or impair any of the remaining
				provisions.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 172.000 - Reporting of Unprotected Exposures to Infectious Diseases Dangerous to the Public Health › Section 172.002 - Submission and Maintenance of the Unprotected Exposure Form

Current through Register 1525, July 5, 2024
(A) Immediately upon arrival at a health care
			 facility, the transporting care provider shall provide the admitting agent or
			 appropriate employee of the health care facility with an Unprotected Exposure
			 Form for every patient transported from whom the care provider may have
			 suffered an unprotected exposure.
(B) Other care providers who may have
			 sustained an unprotected exposure shall file at the health care facility to
			 which the patient was transported an Unprotected Exposure Form for every
			 patient from whom he or she may have suffered an unprotected exposure, within
			 24 hours of said exposure.
(C) Each
			 health care facility shall maintain the Unprotected Exposure Form in one safe
			 and centralized location on its premises in accordance with
			 105 CMR
			 172.006. Such forms shall be so maintained
			 for a minimum of seven years and shall be made available promptly to any agent
			 of the Department seeking to determine compliance with
			 105 CMR 172.000. The forms
			 may be released by the health care facility only in accordance with federal or
			 state law or regulation, court order, or subpoena.
(D) In the case of a patient identified on an
			 Unprotected Exposure Form who is transferred to another health care facility
			 before a diagnosis of an infectious disease dangerous to the public health has
			 been made, the transferring facility shall file a copy of the Unprotected
			 Exposure Form(s) with the receiving facility.
(E) Any health care facility receiving an
			 Unprotected Exposure Form pursuant to 105 CMR 172.002(D) shall comply with all
			 applicable requirements of
			 105 CMR 172.000
et
			 seq
.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 172.000 - Reporting of Unprotected Exposures to Infectious Diseases Dangerous to the Public Health › Section 172.004 - Notice to a Patient Diagnosed as Having an Infectious Disease Dangerous to the Public Health

Current through Register 1525, July 5, 2024
(A) Any health care
			 facility which notifies a designated infection control officer for a care
			 provider who has sustained an exposure to an infectious disease dangerous to
			 the public health, shall inform the patient diagnosed as having an infectious
			 disease dangerous to the public health, as defined in
			 105 CMR 172.000, or the
			 patient's legal guardian, if known, that a designated infection control officer
			 for the exposed care provider(s) has been notified of an exposure capable of
			 transmitting his/her disease pursuant to
			 105 CMR 172.000.
(B) The health care facility's notice to the
			 patient shall confirm that only the designated infection control officer for
			 the care provider(s) who has sustained the exposure to an infectious disease
			 dangerous to the public health, as defined in
			 105 CMR 172.000, has been
			 notified of such exposure, that the patient's name has been kept confidential,
			 and that the notice of the exposure and recommendations concerning precautions
			 and actions will be given to the exposed care provider(s).
(C) The health care facility shall not delay
			 notice to the designated infection control officer for the care provider as
			 required under
			 105
			 CMR 172.003 in order to first notify a
			 patient under 105 CMR 172.004.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 172.000 - Reporting of Unprotected Exposures to Infectious Diseases Dangerous to the Public Health › Section 172.005 - Record of the Notice

Current through Register 1525, July 5, 2024
The health care facility shall clearly document notice to the
				designated infection control officer for the care providers and patients as
				required by
				105 CMR
				172.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 172.000 - Reporting of Unprotected Exposures to Infectious Diseases Dangerous to the Public Health › Section 172.006 - Policies and Procedures

Current through Register 1525, July 5, 2024
(A) Each health care
			 facility shall develop and implement written policies and procedures for
			 complying with the provisions of M.G.L. c.111, § 111C and
			 105 CMR 172.000.
(B) Such policies and procedures at a minimum
			 shall address the following:
(1)
			 Identification of the person(s) authorized to receive the Unprotected Exposure
			 Form;
(2) Identification of the
			 person(s) qualified to determine whether or not the reported unprotected
			 exposure is capable of transmitting a bloodborne infectious disease dangerous
			 to the public health as defined in
			 105 CMR
			 172.001;
(3) Identification of the authorized
			 person(s) responsible for notifying the designated infection control officer
			 for the care providers who have sustained an exposure that in the opinion of
			 the health care facility is capable of transmitting an infectious disease
			 dangerous to the public health;
(4)
			 Identification of the person(s) qualified to recommend the appropriate
			 precautions, instructions and other advice to be given to the designated
			 infection control officer for the care provider(s) who has sustained an
			 exposure(s) to an infectious disease dangerous to the public health;
(5) Maintenance of the confidentiality of the
			 Unprotected Exposure Form and of the identity of the patients and care
			 providers; and
(6) Procedures to
			 ensure that all reasonable efforts will be made to inform the patient of his or
			 her diagnosis of an infectious disease dangerous to the public health prior to
			 informing, within the time frame set forth in
			 105 CMR 172.000, the
			 designated infection control officer for the care provider who has sustained an
			 exposure to an infectious disease dangerous to the public health.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 172.000 - Reporting of Unprotected Exposures to Infectious Diseases Dangerous to the Public Health › Section 172.007 - Declaring an Infectious Disease Immediately Subject to Notification to Care Providers and Patients Under 105 CMR 172.000

Current through Register 1525, July 5, 2024
In addition to the infectious diseases dangerous to the public
				health as defined in
				105 CMR 172.001, the
				Commissioner, as necessary to reduce morbidity and mortality among care
				providers, may declare, on a time-limited basis, other infectious diseases
				newly recognized or recently identified as infectious diseases dangerous to the
				public health and subject to the provisions of
				105 CMR 172.000. Such
				declarations shall be authorized for a period of time not to exceed 12 months.
				Continued application beyond 12 months of the requirements of
				105 CMR 172.000 to
				infectious diseases so declared by the Commissioner as dangerous to the public
				health shall be pursuant to a revision of
				105 CMR
				172.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 173.000 - Mobile Integrated Health Care and Community Ems Programs › Section 173.010 - Scope and Applicability

Current through Register 1525, July 5, 2024
(A) Unless otherwise
			 expressly permitted by the Department, no person or entity shall establish,
			 maintain, or hold itself out as an MIH or Community EMS Program as defined in
			 105 CMR 173.020 without a valid Certificate of Approval issued by the
			 Department in accordance with 105 CMR 173.000.
(B)105 CMR 173.000 applies to:
(1) Every person who seeks a valid
			 Certificate of Approval from the Department to establish an MIH or Community
			 EMS Program; and
(2) Every person
			 who operates an MIH or Community EMS Program.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 173.000 - Mobile Integrated Health Care and Community Ems Programs › Section 173.030 - Application Process

Current through Register 1525, July 5, 2024
(A) An applicant
			 shall submit all required documents and non-refundable fees to the Department
			 in a manner and form as determined by the Department. The Department may
			 expedite review of applications with a focus on underserved populations. The
			 Department may request additional documentation and materials as deemed
			 appropriate.
(B) An applicant
			 seeking renewal of a Certificate of Approval shall submit all required
			 documentation and non-refundable fees at least 120 calendar days prior to the
			 expiration of the program's current Certificate of Approval.
(1) If all required documentation and fees
			 are submitted to the Department in a complete and timely fashion, as determined
			 by the Department, the Certificate of Approval shall not expire until the
			 Department has made a determination on the application for renewal.
(2) If the required documentation and fees
			 are not submitted to the Department in a timely fashion, as determined by the
			 Department, the Certificate of Approval shall expire at the direction of the
			 Department, and the MIH or Community EMS Program may not continue to operate
			 without the express written permission of the Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 173.000 - Mobile Integrated Health Care and Community Ems Programs › Section 173.040 - Minimum Requirements for MIH Program Approval

Current through Register 1525, July 5, 2024
(A) A complete application for MIH Program
			 Approval shall, at a minimum:
(1) Identify
			 and validate one or more gaps in service delivery using data and a
			 corresponding community health needs assessment;
(2) Describe how the proposed MIH Program
			 would address identified gaps in service delivery and provide improvements in
			 quality, access, and cost effectiveness, an increase in patient satisfaction,
			 improvement in patients' quality of life, and an increase in interventions that
			 promote health equity, including cultural and linguistic competencies, through
			 one or more of the following:
(a) A decrease
			 in avoidable emergency department visits or hospital readmissions;
(b) A decrease in total medical
			 expenditures;
(c) A decrease in
			 cost to patient;
(d) A decrease in
			 time to appropriate patient care in an appropriate health care
			 setting;
(e) An increase in access
			 to medical or follow-up care under the direction of the patient's Primary Care
			 Provider; or
(f) Improvement in
			 clinical care coordination, including, but not limited to the patient's
			 adherence to medication and other therapies previously prescribed by the
			 patient's Primary Care Provider.
(3) Pursuant to M.G.L. c. 111O, §
			 2(b)(iii), describe any proposed partnerships with existing health care
			 entities; identify all partnerships, contracts, agreements, and affiliation
			 agreements between the applicant and other health care entities; and propose a
			 plan for coordination and use of existing personnel and resources without
			 duplication of services;
(4) For
			 proposed programs with a primary focus on MassHealth beneficiaries with
			 behavioral health needs, identify partnership or coordination with an
			 ESP;
(5) Demonstrate, through such
			 information as financial and legal viability, sustainability and compliance
			 history, sufficient capacity to develop and operate the proposed MIH Program in
			 accordance with 105 CMR 173.000;
(6) Designate a medical director who shall be
			 responsible for meeting the requirements of all clinical aspects of the
			 proposed MIH Program, including, but not limited to, 105 CMR
			 173.100(A)(9);
(7) Provide a
			 complete description of the proposed operational plan for medical control and
			 medical direction including, but not limited to, lines of authority and
			 responsibility, development and review of clinical protocols, training and
			 assessment of skills, communication systems, and continuous quality assurance
			 and improvement; and
(8) Provide a
			 complete description of the proposed coordination and interaction with
			 applicable 911 EMS systems in accordance with the provisions of 105 CMR
			 173.100.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 173.000 - Mobile Integrated Health Care and Community Ems Programs › Section 173.050 - Additional Eligibility and Minimum Requirements for MIH Applicant with ED Avoidance Component

Current through Register 1525, July 5, 2024
(A) An MIH Applicant
			 must include each designated primary ambulance service(s) in the applicable
			 local jurisdiction(s) in order to be eligible to apply for a Certificate of
			 Approval to operate an MIH Program that includes an ED Avoidance
			 component.
(B) A complete
			 application for MIH Program with ED Avoidance Component shall, at a minimum:
(1) Meet the minimum requirements set forth
			 at 105 CMR 173.040(A);
(2) Include
			 appropriate clinical and triage protocols and advanced training for paramedics
			 who will operate under the proposed ED Avoidance programming in accordance with
			 105 CMR 173.050 and protocols established by the Department pursuant to M.G.L.
			 c. 111O; and
(3) Describe the
			 coordination and management of any 911 EMS patient who the responding paramedic
			 finds, after assessment and consultation with online medical direction, may be
			 more appropriately managed as an MIH patient, in accordance with the provisions
			 of 105 CMR 173.100(B) and Department guidelines.