Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This rule provides the requirement and
standards related to the licensure and relicensure of emergency medical
response agencies.
(1)
Application Requirements for Emergency Medical Response Agency Licensure.
(A) Each applicant for an emergency medical
response agency license or relicense shall submit an application for licensure
to the Bureau of Emergency Medical Services (EMS) no less than thirty (30) days
or no more than one hundred twenty (120) days prior to their desired date of
licensure or relicensure.
(B) An
application shall include the following information: trade name of the
emergency medical response agency; location of vehicles; name, address,
telephone numbers and e-mail address (if applicable) of operator of the
emergency medical response agency; name of manager; name, address, whether a
medical doctor or doctor of osteopathy, telephone numbers, e-mail address (if
applicable), and signature of medical director and date signed; certification
by the medical director that they are aware of the qualification requirements
and the responsibilities of an emergency medical response agency medical
director and agree to serve as medical director; name, address, telephone
numbers and e-mail address (if applicable) of proposed licensee of the
emergency medical response agency; name of licensee's chief executive officer;
all emergency medical response agency licensure and related administrative
licensure actions taken against the emergency medical response agency or owner
by any state agency in any state; and certification by the applicant that the
application contains no misrepresentations or falsifications and that the
information given by them is true and complete to the best of their knowledge,
and that the emergency medical response agency has both the intention and the
ability to comply with the regulations promulgated under the Comprehensive
Emergency Medical Service Systems Act, Chapter 190, RSMo Supp. 1998.
(C) Each emergency medical response agency
that meets the requirements and standards of the statute and regulations shall
be licensed and relicensed for a period of five (5) years.
(D) A political subdivision or corporation
that is licensed as an ambulance service cannot be licensed as an emergency
medical response agency.
(2) Operational Standards.
(A) Emergency medical response agencies shall
ensure prompt response to all requests to that service for emergency care
originating from their service area, in accordance with a memorandum of
understanding with the local ambulance services.
(B) In accordance with the memorandum of
understanding with local ambulance services, emergency medical response
agencies shall provide services, personnel and supplies to meet the emergency
call volume which can be reasonably anticipated.
(C) The emergency medical response agency
shall have a policy and provide for the effective maintenance, storage, usage
and replacement of its medical equipment, devices and medications.
(3) Each emergency medical
response agency shall maintain accurate records and forms that include the
following:
(A) A report to record information
on each emergency medical call;
(B)
Medical director protocol and policy authorization;
(C) Equipment maintenance records;
and
(D) Records required by other
regulatory agencies.
(4)
Each emergency medical response agency shall have a medical control plan that
has been approved by their medical director and agency manager. The medical
control plan is that portion of the medical protocols which specifically
addresses the transfer of patient care between agencies.
(5) Each emergency medical response agency
that provides advanced life support shall have a designated medical director,
working under an agreement, who is trained and meets the requirements for a
medical director in accordance with
19
CSR 30-40.303.
(6) Each emergency medical response agency
shall have the capability to communicate by voice with the agency's own
dispatching agency and when possible, local hospital(s), trauma centers, and
local ambulance services.
(7) Each
emergency medical response agency shall have a memorandum of understanding with
each ambulance service that is a 911 provider or recognized emergency provider
in areas not covered by 911 ambulance services in the agency's jurisdictional
boundaries and will include the following:
(A) Triage protocols;
(B) Do-not-resuscitate requests;
(C) Air utilization requests;
(D) Medical and trauma treatment
protocols;
(E) Quality assurance
and improvement program; and
(F)
Response capabilities of the emergency medical response agency.
(8) There shall be an ongoing
quality improvement program designed to objectively and systematically monitor,
review and evaluate the quality and appropriateness of patient care, pursue
opportunities to improve patient care and resolve identified
problems.
(9) Each emergency
medical response agency shall maintain policies and procedures that include the
following:
(A) Safety program, including
infection control program;
(B)
Communications procedures;
(C)
Standards of clinical care (medical protocols);
(D) Equipment maintenance;
(E) Disaster/multiple casualty protocols;
and
(F) Quality improvement
program.
*Original authority: 190.103 and 190.133, RSMo 1998;
190.160, RSMo 1973, amended 1998; 190.165, RSMo 1973, amended 1978, 1998;
190.175, RSMo 1973, amended 1998, 190.176, RSMo 1998; and 190.185, RSMo 1973,
amended 1989, 1993, 1995, 1998.
