Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 130.000 - Hospital Licensure
Subpart D - SUPPLEMENTARY STANDARDS: PARTICULAR SERVICES
Section 130.1503 - Duties of the Affiliate Hospital Medical Director

Universal Citation: 105 CMR 130.000 MA Code of Regs 130.1503

Current through Register 1531, September 27, 2024

The Affiliate Hospital Medical Director shall:

(A) Provide oversight to and ensure the clinical competency of the EMS personnel employed by the service with which the hospital has an affiliation agreement, including, but not limited to, the following:

(1) Authorization to practice;

(2) Remedial education to those EMS personnel found to be deficient in clinical practice; and

(3) Notification to the Department within 48 hours of any instance in which he or she suspends, revokes, or restricts in any manner the authorization to practice of an affiliate EMS service's EMT or EFR. Such notice shall include the reasons for the suspension or revocation, and the affiliate hospital medical director's remediation plan for the EMT or EFR.

(B) Ensure that all on-line medical direction is in conformance with the Statewide Treatment Protocols;

(C) Provide appropriate orientation to all physicians who provide on-line medical direction pursuant to the affiliation agreement, including but not limited to information regarding local EMS providers and point-of-entry plans;

(D) Coordinate the QA/QI program described in 105 CMR 130.1502(J) with the participation of the hospital's on-line medical direction physicians and the service medical director, if different from the affiliate hospital medical director;

(E) Provide information requested by a Regional Medical Director to enable him or her to monitor the hospital's affiliation agreements; and

(F) Maintain appropriate skills and knowledge through continuing education.

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