Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
Subpart C - EMS SYSTEMS
Section 515.320 - Scope of EMS Service
Current through Register Vol. 48, No. 12, March 22, 2024
a) All BLS, ILS, and ALS services, and CCT, as defined in the Act, shall be provided through EMS Systems. An individual System shall operate at one or more of those levels of service, as specified in its Program Plan and the Department's letter of approval, using vehicles licensed by the Department pursuant to the Act and this Part.
b) All pre-hospital, inter-hospital and non-emergency medical care, as defined in the Act, shall be provided through EMS Systems, using the levels of Department licensed or approved personnel required by the Act and this Part.
c) An EMS System shall designate a Resource Hospital, which shall have the authority and responsibility for the System, through the EMS MD, as described in the Act, this Part and the System Program Plan.
d) All other hospitals that are located within the geographic boundaries of a System and that have standby, basic or comprehensive level emergency departments must function in that System as either an Associate Hospital or Participating Hospital and follow all System policies specified in the System Program Plan, including, but not limited to, the replacement of drugs and equipment used by providers who have delivered patients to their emergency departments. (Section 3.20(b) of the Act)
e) The Resource Hospital shall appoint an EMS MD. The EMS MD foran ILS or ALS or CCT level EMSSystem shall be a physician licensed to practice medicine in all of its branches in Illinois, and shall be certified by the American Board of Emergency Medicine or the American Osteopathic Board of Emergency Medicine, and, for a BLS level EMS System, the EMS MD shall be a physician licensed to practice medicine in all of its branches in Illinois, with regular and frequent involvement in pre-hospital emergency medical services. In addition, all EMS MDs shall:
f) The EMS MD shall appoint an alternate EMS MD and establish a written protocol addressing the functions to be carried out in his or her absence. (Section 3.35(b) of the Act)
g) An EMS System utilizing SEMSVs shall appoint and approve SEMSV Medical Directors to manage and direct the use of SEMSVs and their personnel within the System. He or she shall be a physician who has met at least the following qualifications:
h) The Resource Hospital shall appoint a full-time EMS System Coordinator, who shall be responsible for coordinating the educational and functional aspects of the System, as described in the Program Plan. He or she shall be an RN or Paramedic licensed in the State of Illinois, and meet at least the following qualifications:
i) The Resource Hospital shall appoint an EMS Administrative Director, who shall be responsible for administrative leadership of the System as described in the Program Plan.
j) To avoid any conflict of interest, the EMS MD, EMS System Coordinator and EMS Administrative Director shall notify the Department in writing of any association with an ambulance service provider through employment, contract, ownership, or otherwise specifying how he or she is answerable to or directed by the ambulance service provider concerning any matter falling within the scope of the Act or this Part. The Department shall review and address potential or actual conflicts of interest on a case-by-case basis.
k) The Resource Hospital must identify the EMS System in the facility's budget, with sufficient funds to support the EMS MD, EMS Administrative Director, EMS System Coordinator, and support staff and to provide for the operation of the EMS System.
l) All EMS Resource Hospitals shall obtain recognition as an SEDP, EDAP or PCCC. All Illinois hospitals are encouraged to obtain and maintain SEDP or EDAP status.