Current through Reg. 49, No. 38; September 20, 2024
(a)
Purpose: Acquiring, issuing, and maintaining an EMS Providers
License.
(b) EMS in Texas is a
delegated practice, as written in Occupations Code, §
157.003.
(c) Application requirements for an Emergency
Medical Services (EMS) Provider License.
(1)
An applicant for an initial EMS provider license shall submit a completed
application to the department on the required official forms, following the
department's written process.
(2)
The nonrefundable application fee of $500 per provider plus $180 for each EMS
vehicle to be operated under the license shall accompany the
application.
(3) The department
will process the EMS provider license application as per §
157.3
of this title (relating to Processing EMS Provider Licenses and Applications
for EMS Personnel Certification and Licensure).
(4) An EMS provider holding a valid license
or authorization from another state; whose service area adjoins the State of
Texas; who has in place a written mutual aid agreement, with a licensed Texas
EMS provider, and who when requested to do so by a licensed Texas EMS provider,
responds into Texas for emergency mutual aid assistance, may be exempt from
holding a Texas EMS provider license, but will be obligated to perform to the
same medical standards of care required of EMS providers licensed by their home
state.
(5) A fixed-wing or
rotor-wing air ambulance provider, appropriately licensed by the state
governments of New Mexico, Oklahoma, Arkansas, Kansas, Colorado or Louisiana
may apply for a reciprocal issuance of a provider license, and the application
would not require staffing by Texas EMS certified or licensed personnel. A
nonrefundable administrative fee of $500 per provider in addition to a
nonrefundable fee of $180 for each EMS aircraft to be operated in Texas under
the reciprocal license shall accompany the application.
(6) An applicant for an EMS provider license
that provides emergency prehospital care is exempt from payment of department
licensing and authorization fees if the firm is staffed with at least 75%
volunteer personnel, has no more than five full-time staff or equivalent, and
the firm is recognized as a §501(c)(3) nonprofit corporation by the
Internal Revenue Service. An EMS provider who compensates a physician to
provide medical supervision may be exempt from the payment of department
licensing and authorization fees if all other requirements for fee exemption
are met.
(7) Required documents
that shall accompany a license application.
(A) Document verifying volunteer status, if
applicable.
(B) Map and description
of service area, a list of counties and cities in which applicant proposes to
provide primary emergency service and a list of all station locations with
address and telephone and facsimile transmission numbers for each
station.
(C) Declaration of
organization type and profit status.
(D) Declaration of Provider Name.
(i) The legal name of the EMS provider cannot
include the name of the city, county or regional advisory council within or in
part, unless written approval is given by the individual city, county or
regional advisory council respectively.
(ii) The EMS provider operational name cannot
include the name of the city, county or regional advisory council within or in
part, unless written approval is given by the individual city, county or
regional advisory council respectively. A proposed provider name is deemed to
be deceptively similar to an established licensed EMS provider if it meets the
conditions listed in the Office of the Secretary of State rule, 1 Texas
Administrative Code, § 79.39(relating to Deceptively Similar
Name).
(E) Declaration of
Ownership.
(F) Declaration of the
address for the main location of the business, normal business hours and
provide proof of ownership or lease of such location.
(i) The normal business hours must be posted
for public viewing.
(ii) A service
area map must be provided.
(iii)
Only one EMS provider license will be issued to each fixed address.
(iv) The applicant shall attest that no other
license EMS provider is at the provided business location or address.
(v) The emergency medical services provider
must remain in the same physical location for the period of licensure, unless
the department approves a change in location.
(G) Declaration of the administrator of
record and any subsequently filed declaration of a new administrator shall
declare the following, if the EMS provider is required to have an administrator
of record as per Health and Safety Code, §
773.0571
or §
773.05712.
(i) The administrator of record is not
employed or otherwise compensated by another private for-profit EMS
provider.
(ii) The administrator of
record meets the qualifications required for an emergency medical technician
certification or other health care professional license with a direct
relationship to EMS and currently holds such certification or license issued by
the State of Texas.
(iii) The
administrator of record has submitted to a criminal history record check at the
applicant's expense as directed in §
157.37
of this title (relating to Certification or Licensure of Persons With Criminal
Backgrounds).
(iv) The
administrator of record has completed an initial education course approved by
the department regarding state and federal laws and rules that affect EMS in
the following areas:
(I) Health and Safety
Code, Chapter 773 and 25 Texas Administrative Code, Chapter 157;
(II) EMS dispatch processes;
(III) EMS billing processes;
(IV) Medical control accountability;
and
(V) Quality improvement
processes for EMS operations.
(v) The applicant will assure that its
administrator of record shall annually complete eight hours of continuing
education related to the Texas and federal laws and rules related to
EMS.
(vi) An EMS provider that is
directly operated by a governmental entity, is exempt from this subparagraph,
except for declaration of administrator of record.
(vii) An EMS provider that held a license on
September 1, 2013, and has an administrator of record who has at least eight
years of experience providing EMS, the administrator of record is exempt from
clauses (ii) and (iv) of this subparagraph.
(H) Copies of Doing Business Under Assumed
Name Certificates (DBA).
(I)
Completed EMS Personnel Form.
(J)
Staffing Plan that describes how the EMS provider provides continuous coverage
for the service area defined in documents submitted with the EMS provider
application. The EMS provider shall have a staffing plan that addresses
coverage of the service area or shall have a formal system to manage
communication when not providing services after normal business
hours.
(K) Completed EMS Vehicle
Form.
(L) Declaration of an
employed medical director and a copy of the signed contract or agreement with a
physician who is currently licensed in the State of Texas, in good standing
with the Texas Medical Board, in compliance with Texas Medical Board rules, 22
Texas Administrative Code, Chapter 197, and in compliance with Title 3 of the
Texas Occupations Code.
(M)
Completed Medical Director Information Form.
(N) Treatment and Transport Protocols and
policies addressing the care to be provided to adult, pediatric, and neonatal
patients, and as stated in Health and Safety Code §
773.112(d),
must be approved and signed by the medical director.
(O) A list of equipment as required on the
EMS Provider initial and renewal application, with identifiable or legible
serial numbers, supplies and medications; approved and signed by the medical
director.
(P) The applicant shall
attest that all required equipment is permitted to be used by the EMS provider
and provide proof of ownership or hold a long-term lease for all equipment
necessary for the safe operation.
(Q) The applicant shall attest that each
authorized vehicle will have its own set of equipment required for each
authorized vehicle to operate at the level of the service for which the
provider is authorized.
(R)
Description of how the EMS provider will conduct quality assurance in
coordination with the EMS provider medical director.
(S) The applicant shall provide an
attestation or provide documentation that it and/or its management staff will
or continues to participate in the local regional advisory council.
(T) Plan for how the provider will respond to
disaster incidents including mass casualty situations in coordination with
local and regional plans.
(U)
Copies of written Mutual Aid and/or Inter-local Agreements with EMS
providers.
(V) Documentation as
required for subscription or membership program, if applicable.
(W) Certificate of Insurance, provided by the
insurer, identifying the department as the certificate holder and indicating at
least minimum motor vehicle liability coverage for each vehicle to be operated
and professional liability coverage. If applicant is a government subdivision,
submit evidence of financial responsibility by self-insuring to the limit
imposed by the tort claims provisions of the Texas Civil Practice and Remedies
Code.
(i) The applicant shall maintain motor
vehicle liability insurance as required under the Texas Transportation
Code.
(ii) The applicant shall
maintain professional liability insurance coverage in the minimum amount of
$500,000 per occurrence, or as necessary per state law, with a company licensed
or deemed eligible by the Texas Department of Insurance to do business in Texas
or acceptable proof of self-insurance or captive insurance in order to secure
payment for any loss or damage resulting from any occurrence arising out of, or
caused by the care, or lack of care, of a patient.
(X) The applicant shall provide copies of
vehicle titles, vehicle lease agreements, copies of exempt registrations if
applicant is a government subdivision, or an affidavit identifying applicant as
the owner, lessee, or authorized operator for each vehicle to be operated under
the license.
(Y) The applicant
shall provide documentation of the following, showing that the applicant,
including its management staff possesses sufficient professional experience and
qualifications related to EMS:
(i) an
attestation that its management staff have read the Texas Emergency Healthcare
Act and the department's EMS rules in this chapter;
(ii) proof of one year experience or
education provided by a nationally recognized organization on emergency medical
dispatch processes;
(iii) proof of
one year experience or education provided by a nationally recognized
organization concerning EMS billing processes;
(iv) proof of one year experience or
education provided by a nationally recognized organization on medical control
accountability; and
(v) proof of
one year experience or education provided by a nationally recognized
organization on quality improvement processes for EMS operations.
(Z) A copy of a letter of credit
for the obtaining or renewing of an EMS Providers license, issued by a
federally insured bank or savings institution:
(i) in the amount of $100,000 for the initial
license and for renewal of the license on the second anniversary of the date
the initial license is issued;
(ii)
in the amount of $75,000 for renewal of the license on the fourth anniversary
of the date the initial license is issued;
(iii) in the amount of $50,000 for renewal of
the license on the sixth anniversary of the date the initial license is
issued;
(iv) in the amount of
$25,000 for renewal of the license on the eighth anniversary of the date the
initial license is issued;
(v) that
shall include the names of all of the parties involved in the
transaction;
(vi) that shall
include the names of the persons or entity, who owns the EMS provider operation
and to whom the bank is issuing the letter of credit;
(vii) that shall include the name of the
person or entity, receiving the letter of credit; and
(viii) an EMS provider that is directly
operated by a governmental entity is exempt from this subsection.
(AA) A copy of the surety bond in
the amount of $50,000 issued to and provided to the Health and Human Services
Commission by the applicant, participating in the medical assistance program
operated under Human Resources Code, Chapter 32, the Medicaid managed care
program operated under Government Code, Chapter 533, or the child health plan
program operated under Health and Safety Code, Chapter 62. An EMS provider that
is directly operated by a governmental entity is exempt from this
subparagraph.
(BB) Documentation
evidencing applicant or management team has not been excluded from
participation in the state Medicaid program.
(CC) A copy of a governmental entity letter
of approval that shall:
(i) be from the
governing body of the municipality in which the applicant is located and is
applying to provide EMS;
(ii) be
from the commissioner's court of the county in which the applicant is located
and is applying to provide EMS, if the applicant is not located in a
municipality;
(iii) include the
attestation that the addition of another licensed EMS provider will not
interfere with or adversely affect the provision of EMS by the licensed EMS
providers operating in the municipality or county;
(iv) include the attestation that the
addition of another licensed EMS provider will remedy an existing provider
shortage that cannot be resolved through the use of the licensed EMS providers
operating in the municipality or county; and
(v) include the attestation that the addition
of another licensed EMS provider will not cause an oversupply of licensed EMS
providers in the municipality or county.
(8) Paragraph (7)(CC) of this subsection does
not apply to renewal of an EMS provider license or a municipality, county,
emergency services district, hospital, or EMS volunteer provider organization
in this state that applies for an EMS provider license.
(9) An EMS provider is prohibited from
expanding operations to or stationing any EMS vehicles in a municipality or
county other than the municipality or county from which the provider obtained
the letter of approval under this subsection until after the second anniversary
of the date the provider's initial license was issued, unless the expansion or
stationing occurs in connection with:
(A) a
contract awarded by another municipality or county for the provision of
EMS;
(B) an emergency response made
in connection with an existing mutual aid agreement; or
(C) an activation of a statewide emergency or
disaster response by the department.
(10) Paragraph (9) of this subsection does
not apply to renewal of an EMS provider license or a municipality, county,
emergency services district, hospital, or EMS volunteer provider organization
in this state that applies for an EMS provider license.
(11) Paragraph (9) of this subsection does
not apply to fixed or rotor wing EMS providers.
(d) EMS Provider License.
(1) License.
(A) Applicants who have submitted all
required documents and who have met all the criteria for licensure will be
issued a provider license to be effective for a period of two years from the
date of issuance.
(B) Licenses
shall be issued in the name of the applicant.
(C) License expiration dates may be adjusted
by the department to create licensing periods less than two years for
administrative purposes.
(D) An
application for an initial license or for the renewal of a license may be
denied to a person or legal entity who owns or who has owned any portion of an
EMS provider service or who operates/manages or who/which has operated/managed
any portion of an EMS provider service which has been sanctioned by or which
has a proposed disciplinary action/sanction pending against it by the
department or any other local, state or federal agency.
(E) The license will be issued in the form of
a certificate which shall be prominently displayed in a public area of the
provider's primary place of business.
(F) An EMS Provider License issued by the
department shall not be transferable to another person or entity.
(2) Vehicle Authorization.
(A) The department will issue an
authorization for each vehicle to be operated by the applicant which meets all
criteria for approval as defined in subsection (d) of this section.
(B) A vehicle authorization shall be issued
for the following levels of service, and a provider may operate at a higher
level of service based on appropriate staffing, equipment and medical direction
for that level. A vehicle authorization will include a level of care
designation at one of the following levels:
(i) Basic Life Support (BLS);
(ii) BLS with Advanced Life Support (ALS)
capability;
(iii) BLS with Mobile
Intensive Care Unit (MICU) capability;
(iv) Advanced Life Support (ALS);
(v) ALS with MICU capability;
(vi) Mobile Intensive Care Unit
(MICU);
(vii) Air Medical:
(I) Rotor wing; or
(II) Fixed wing; and
(viii) Specialized.
(C) Change of Vehicle Authorization. To
change an authorization to a different level the provider shall submit a
request with appropriate documentation to the department verifying the
provider's ability to perform at the requested level. A fee of $30 shall be
required for each new authorization requested. The provider shall allow
sufficient time for the department to verify the documentation and conduct
necessary inspections before implementing service at the requested
authorization level.
(D) Vehicle
Authorizations are not required to be specific to particular vehicles and may
be interchangeably placed in other vehicles as necessary. The original Vehicle
Authorization for the appropriate level of service shall be prominently
displayed in the patient compartment of each vehicle:
(E) Vehicle Authorizations are not
transferable between providers.
(F)
A replacement of a lost or damaged license or authorization may be issued if
requested with a nonrefundable fee of $10.
(3) Declaration of Business Operational Name
and Administration.
(A) The applicant shall
submit a list of all business operational names under which the service is
operated. If the applicant intends to operate the service under a name or names
different from the name for which the license is issued, the applicant shall
submit certified copies of assumed name certificates.
(B) A change in the operational name which
the service is operated will require a new application and a prorated fee as
determined by the department. A new provider number will be issued.
(C) Name of Administrator of Record must be
declared. The applicant shall submit a notarized document declaring the full
name of the chief administrator, his/her mailing address and telephone number
to whom the department shall address all official communications in regard to
the license.
(e) Vehicles.
(1) All EMS vehicles must be adequately
constructed, equipped, maintained and operated to render patient care, comfort
and transportation of adult, pediatric, and neonatal patients safely and
efficiently. A pediatric and neonatal equipment list should be based on
endorsed pediatric equipment national standards within the approved equipment
list required by the medical director.
(2) EMS vehicles must allow the proper and
safe storage and use of all required equipment, supplies and medications and
must allow all required procedures to be carried out in a safe and effective
manner.
(3) As approved by the
department, EMS vehicles must meet a practical efficient minimum national
ambulance vehicle body type, dimension and safety criteria standards.
(4) All vehicles shall have an environmental
system capable of heating or cooling the patient(s) and staff, in accordance
with the manufacturer specifications, within the patient compartment at all
times when in service and which allows for protection of medication, according
to manufacturer specifications, from extreme temperatures if it becomes
environmentally necessary. The provider shall provide evidence of an
operational policy which shall list the parenteral pharmaceuticals authorized
by the medical director and which shall define the storage and/or FDA
recommendations. Compliance with the policy shall be incorporated into the
provider's Quality Assurance process and shall be documented on unit readiness
reports.
(5) EMS vehicles shall
have operational two-way communication capable of contacting appropriate
medical resources and as outlined in the current Texas interoperability plan
unless the vehicle is designated as being out of service using the form
provided by the department.
(6) EMS
vehicles shall be in compliance with all applicable federal, state and local
requirements unless the vehicle is designated out of service with the form
provided by the department.
(7) All
EMS vehicles shall have the name of the provider and a current department
issued EMS provider license number prominently displayed on both sides of the
vehicle in at least 2 inch lettering and in contrasting color. The license
number shall have the letters TX prior to the license number. This requirement
does not apply to fixed or rotor wing aircraft.
(f) Substitution, replacement and additional
EMS vehicles.
(1) The EMS provider shall
notify the department within five business days if the EMS provider substitutes
or replaces a vehicle. No fee is required for a vehicle substitution or
replacement.
(2) The EMS provider
shall notify the department if the EMS provider adds a vehicle to the
provider's operational fleet prior to making the vehicle response-ready. A
vehicle authorization request shall be submitted with a nonrefundable vehicle
fee prior to the vehicle being placed into service.
(g) Staffing Plan Required.
(1) The applicant shall submit a completed
EMS Personnel Form listing each response person assigned to staff EMS vehicles
by name, certification level, and department issued certification/license
identification number.
(2) An EMS
provider responsible for an emergency response area that is unable to provide
continuous coverage within the declared service areas shall publish public
notices in local media of its inability to provide continuous response
capability and shall include the days and hours of its operation. The EMS
provider shall notify all the public safety-answering points and all dispatch
centers of the days and hours when unable to provide coverage. The EMS provider
shall submit evidence that reasonable attempts to secure coverage from other
EMS providers have been made.
(3)
The applicant must provide proof at initial and renewal of license that all
licensed or certified personnel have completed a jurisprudence examination
approved by the department on state and federal laws and rules that affect
EMS.
(h) Minimum Staffing
Required.
(1) BLS--When response-ready or
in-service, authorized EMS vehicles operating at the BLS level shall be staffed
at a minimum with two emergency care attendants (ECAs).
(2) BLS with ALS capability--When
response-ready or in-service below ALS two ECAs. Full ALS status becomes active
when staffed by at least an emergency medical technician (EMT)-Intermediate or
AEMT and at least an EMT.
(3) BLS
with MICU capability--When response-ready or in-service below MICU two ECAs.
Full MICU status becomes active when staffed by at least a certified or
licensed paramedic and at least an EMT.
(4) ALS--When response-ready or in-service,
authorized EMS vehicles operating at the ALS level shall be staffed at a
minimum with one EMT Basic and one AEMT or EMT-Intermediate.
(5) ALS with MICU capability--When
response-ready or in-service below MICU shall require one EMT-Intermediate or
AEMT and one EMT. Full MICU status becomes active when staffed by at least a
certified or licensed paramedic and at least an EMT.
(6) MICU--When response-ready or in-service,
authorized EMS vehicles operating at the MICU level shall be staffed at a
minimum with one EMT Basic and one certified or licensed
EMT-Paramedic.
(7)
Specialized--When response-ready or in-service, EMS vehicles authorized to
operate for a specialized purpose shall be staffed with a minimum of two
personnel appropriately licensed and/or certified as determined by the type and
application of the specialized purpose and as approved by the medical director
and the department.
(8) For air
ambulance staffing requirements refer to §
157.12(f)
of this title (relating to Rotor-wing Air Ambulance Operations) or §
157.13(g)
of this title (relating to Fixed-wing Air Ambulance Operations).
(9) When response-ready or in-service,
authorized EMS vehicles may operate at a lower level than licensed by the
department. When operating at the BLS level with an ALS/MICU ambulance, the EMS
provider must have an approved security plan for the ALS/MICU medication as
approved by the EMS provider medical director's protocol and/or
policy.
(10) As justified by
patient needs, providers may utilize appropriately certified and/or licensed
medical personnel in addition to those which are required by their designation
levels. In addition to the care rendered by the required staff, the provider
shall be accountable for care rendered by any additional personnel.
(i) Treatment and Transport
Protocols Required.
(1) The applicant shall
submit written delegated standing orders for patient treatment and transport
protocols and policies related to patient care which have been approved and
signed by the provider's medical director.
(2) The protocols shall have an effective
date.
(3) The protocols shall
address the use of non-EMS certified or licensed medical personnel who, in
addition to the EMS staff, may provide patient care on behalf of the provider
and/or in the provider's EMS vehicles.
(4) The protocols shall address the use of
all required, additional, and/or specialized medical equipment, supplies, and
pharmaceuticals carried on each EMS vehicle in the provider's fleet.
(5) The protocols shall identify delegated
procedures for each EMS Certification or license level utilized by the
provider.
(6) The protocols shall
indicate specific applications, including geographical area and duty status of
personnel.
(j) EMS
Equipment, supplies, medical devices, parenteral solutions and pharmaceuticals.
(1) The EMS provider shall submit a list,
approved and signed by the medical director and fully supportive of and
consistent with the protocols, of all medical equipment, supplies, medical
devices, parenteral solutions and pharmaceuticals to be carried. The list shall
specify the quantities of each item to be carried and shall specify the sizes
and types of each item necessary to provide appropriate care for all age ranges
appropriate to the needs of their patients. The quantities listed shall be
appropriate to the provider's call volume, transport times and restocking
capabilities.
(2) All patient care
equipment, and medical devices must be operational, appropriately secured in
the vehicle at the time of providing patient care and response ready, and
supplies shall be clean and fully operational. All patient care powered
equipment shall have manual mechanical, spare batteries or an alternative power
source, if applicable.
(3) All
solutions and pharmaceuticals shall be up to date and shall be stored and
maintained in accordance with the manufacturer's and/or U.S. Federal Drug
Administration (FDA) recommendations.
(4) The requirements for air ambulance
equipment and supplies are listed in 157.12(h) of this title or §
157.13(h)
of this title.
(k) The
following equipment shall be present on each EMS in-service vehicle and on, or
immediately available for, each response-ready vehicle as specified in the
equipment list as required by the medical director's approved equipment list to
include all state required equipment. The equipment list shall include
equipment required for treatment and transport of adult, pediatric, and
neonatal patients.
(1) Basic Life Support
(BLS):
(A) Equipment required to administer
the BLS scope of practice and incorporates the knowledge, competencies and
basic skills of an EMT/ECA and additional skills as authorized by the EMS
provider medical director. All BLS ambulances shall be able to perform
treatment and transport patients receiving the following skills:
(i) airway/ventilation/oxygenation;
(ii) cardiovascular circulation;
(iii) immobilization;
(iv) medication administration - routes;
and
(v) single and multi-system
trauma patients.
(B)
oropharyngeal airways;
(C) portable
and vehicle mounted suction;
(D)
bag valve mask units, oxygen capable;
(E) portable and vehicle mounted
oxygen;
(F) oxygen delivery
devices;
(G) dressing and bandaging
materials;
(H) commercial
tourniquet;
(I) rigid cervical
immobilization devices;
(J) spinal
immobilization devices;
(K)
extremity splints;
(L) equipment to
meet special patient needs;
(M)
equipment for determining and monitoring patient vital signs, condition or
response to treatment;
(N)
pharmaceuticals, as required by the medical director's protocols;
(O) an external cardiac defibrillator
appropriate to the staffing level with two sets of adult and two sets of
pediatric pads;
(P) a
patient-transport device capable of being secured to the vehicle, and the
patient must be fully restrained per manufacturer recommendations;
and
(Q) an epinephrine auto
injector or similar device capable of treating anaphylaxis.
(2) Advanced Life Support (ALS):
(A) equipment required to administer the ALS
scope of practice and incorporates the knowledge, competencies and basic and
advanced skills of an AEMT and additional skills as authorized by the EMS
provider medical director. All ALS ambulances shall be able to perform
treatment and transport patients receiving the following skills, including all
required BLS equipment to perform treatment and transport patients receiving
the following skills:
(i)
airway/ventilation/oxygenation;
(ii) cardiovascular circulation;
(iii) immobilization;
(iv) medication administration - routes;
and
(v) intravenous (IV)
initiation/maintenance fluids.
(B) all required BLS equipment;
(C) advanced airway equipment;
(D) IV equipment and supplies;
(E) pharmaceuticals as required by medical
director protocols; and
(F) wave
form capnography or state approved carbon dioxide detection equipment must be
used after January 1, 2018, when performing or monitoring endotracheal
intubation.
(3) MICU:
(A) equipment required to administer the
knowledge, competencies and advanced skills of a paramedic, and additional
skills as authorized by the EMS provider medical director. All MICU ambulances
shall be able to perform treatment and transport patients receiving the
following skills:
(i)
airway/ventilation/oxygenation;
(ii) cardiovascular circulation;
(iii) immobilization;
(iv) medication administration - routes;
and
(v) intravenous (IV)
initiation/maintenance fluids.
(B) all required BLS and ALS
equipment;
(C) with transmitting
12-lead capability cardiac monitor/defibrillator by January 1, 2020;
and
(D) pharmaceuticals as required
by medical director protocols.
(4) BLS with ALS Capability:
(A) all required BLS equipment, even when in
service or response ready at the ALS level; and
(B) all required ALS equipment, when in
service or response ready at the ALS level.
(5) BLS with MICU Capability:
(A) all required BLS equipment, even when in
service or response ready at the MICU level; and
(B) all required MICU equipment, when in
service or response ready at the MICU level.
(6) ALS with MICU Capability:
(A) all required ALS equipment, even when in
service or response ready at the MICU level; and
(B) all MICU equipment, when in service or
response ready at the MICU level.
(7) In addition to medical supplies and
equipment as defined in subsection (k) of this section, EMS vehicles must also
have:
(A) a complete and current copy of
written or electronic formatted protocols approved and signed by the medical
director; with a current and complete equipment, supply, and medication list
available to the crew;
(B) operable
emergency warning devices;
(C)
personal protective equipment for the EMS vehicle staff, including at least:
(i) protective, non-porous gloves;
(ii) medical eye protection;
(iii) medical respiratory protection must be
available per crew member, meeting National Institute for Occupational Safety
and Health (NIOSH) approved N95 or greater standards;
(iv) medical protective gowns or equivalent;
and
(v) personal cleansing
supplies;
(D) sharps
container;
(E) biohazard
bags;
(F) portable, battery-powered
flashlight (not a pen-light);
(G) a
mounted, currently inspected, 5 pound ABC fire extinguisher (not applicable to
air ambulances);
(H) "No Smoking"
signs posted in the patient compartment and cab of vehicle;
(I) a current emergency response guide book,
or an electronic version that is available to the crew (for hazardous
materials); and
(J) each vehicle
will carry 25 triage tags in coordination with the Regional Advisory Council
(RAC).
(8) As justified
by specific patient needs, and when qualified personnel are available, EMS
providers may appropriately utilize equipment in addition to that which is
required by their authorization levels. Such equipment must be consistent with
protocols and/or patient- specific orders and must correspond to personnel
qualifications.
(l)
National accreditation. If a provider has been accredited through a national
accrediting organization approved by the department and adheres to Texas
staffing level requirements, the department may exempt the provider from
portions of the license process. In addition to other licensing requirements,
accredited providers shall submit:
(1) an
accreditation self-study;
(2) a
copy of the formal accreditation certificate; and
(3) any correspondence or updates to or from
the accrediting organization which impact the provider's status.
(m) Subscription or Membership
Services. An EMS provider that operates or intends to operate a subscription or
membership program for the provision of EMS within the provider's service area
shall meet all the requirements for an EMS provider license as established by
the Health and Safety Code, Chapter 773, and the rules adopted thereunder, and
shall obtain department approval prior to soliciting, advertising or collecting
subscription or membership fees. To obtain department approval for a
subscription or membership program, the EMS provider shall:
(1) Obtain written authorization from the
highest elected official (County Judge or Mayor) of the political
subdivision(s) where subscriptions will be sold. Written authorization must be
obtained from each County Judge if subscriptions are to be sold in multiple
counties.
(A) The County Judge must provide
written authorizations, if subscriptions are to be sold throughout a
county.
(B) The Mayor may provide
written authorization if subscriptions are sold exclusively within the
boundaries of an incorporated town or city.
(C) If an EMS provider is not the primary
emergency provider in any area where they are going to sell a subscription
plan, written notification must be provided to the participants receiving
subscription plan stating that the EMS Provider is not the primary emergency
provider in this area. A copy of this documentation should be provided to the
primary emergency provider and the department within 30 days before the
beginning of any enrollment period.
(2) Submit a copy of the contract used to
enroll participants.
(3) The EMS
provider shall maintain a current file of all advertising for the service.
Submit a copy of all advertising used to promote the subscription service
within 30 days before the beginning of any enrollment period.
(4) Comply with all state and federal
regulations regarding billing and reimbursement for participants in the
subscription service.
(5) Provide
evidence of financial responsibility by:
(A)
obtaining a surety bond payable to the department in an amount equal to the
funds to be subscribed. The surety bond must be on a department bond form and
be issued by a company licensed by or eligible to do business in the State of
Texas; or
(B) submitting
satisfactory evidence of self-insurance an amount equal to the funds to be
subscribed if the provider is a function of a governmental entity.
(6) Not deny emergency medical
services to non-subscribers or subscribers of non-current status.
(7) Be reviewed at least every year; and the
subscription program may be reviewed by the department at any time.
(8) Furnish a list after each enrollment
period with the names, addresses, dates of enrollment of each subscriber, and
subscription fee paid by each subscriber.
(9) Furnish the department beginning and
ending dates of enrollment period(s). Subscription service period shall not
exceed one year. Subscribers shall not be charged more than a prorated fee for
the remaining subscription service period that they subscribe for.
(10) Furnish the department with the total
amount of funds collected each year.
(11) Not offer membership nor accept members
into the program who are Medicaid clients.
(n) Responsibilities of the EMS provider.
During the license period, the EMS provider's responsibilities shall include:
(1) assuring that all response-ready and
in-service vehicles are available 24 hours a day and seven days a week,
maintained, operated, equipped and staffed in accordance with the requirements
of the provider's license, to include staffing, equipment, supplies, required
insurance and additional requirements per the current EMS provider's medical
director approved protocols and policies;
(2) each EMS provider shall develop,
implement, maintain, and evaluate an effective, ongoing, system-wide,
data-driven, interdisciplinary quality assessment and performance improvement
program. The program shall be individualized to the provider and shall, at a
minimum, include:
(A) the standard of patient
care as directed by the medical director's protocols and medical director input
into the provider's policies and standard operating procedures;
(B) a complaint management system;
(C) monitoring the quality of patient care
provided by the personnel and taking appropriate and immediate corrective
action to insure that quality of care is maintained in accordance with the
existing standards of care and the provider medical director's signed, approved
protocols;
(D) the program shall
include, but not be limited to, an ongoing program that achieves measurable
improvement in patient care outcomes and reduction of medical errors;
(3) provide an attestation or
provide documentation that its management staff will or continue to participate
in the local regional advisory council;
(4) when an air ambulance is initiated
through any other method than the local 911 system the air service providing
the air ambulance is required to notify the local 911 center or the appropriate
local response system for the location of the response at time of launch. This
would not include interfacility transports or schedule transports;
(5) ensuring that all personnel are currently
certified or licensed by the department;
(6) assuring that all personnel, when on an
in-service vehicle or when on the scene of an emergency, are prominently
identified by, at least, the last name and the first initial of the first name,
the certification or license level and the EMS provider's name. A provider may
utilize an alternative identification system in incident specific situations
that pose a potential for danger if the individuals are identified by
name;
(7) assuring the
confidentiality of all patient information is in compliance with all federal
and state laws;
(8) assuring that
Informed Treatment/Transport Refusal forms are signed by all persons refusing
service, or documenting incidents when a signed Informed Treatment/Transport
Refusal form cannot be obtained;
(9) assuring that patient care reports are
completed accurately for all patients and meet standards as outlined in 25
Texas Administrative Code, Chapter 103;
(10) assuring that patient care reports are
provided to facilities receiving the patient:
(A) whenever operationally feasible, the
report shall be provided to the receiving facility at the time the patient is
delivered or a full written or computer generated report shall be delivered to
the facility within 24 hours of the delivery of the patient,
(B) if in a response-pending status, an
abbreviated documented report shall be provided at the time the patient is
delivered and a completed written or computer generated report shall be
delivered to the facility within 24 hours of the delivery of the
patient;
(C) the abbreviated report
shall document, at a minimum, the patient's name, patient's condition upon
arrival at the scene; the prehospital care provided; the patient's condition
during transport, including signs, symptoms, and responses to treatment during
the transport; the call initiation time; dispatch time; scene arrival time;
scene departure time; hospital arrival time; and, the identification of the
ambulance staff; and
(D) in lieu of
subparagraph (C) of this paragraph, personnel may follow the Regional Advisory
Council's process for providing abbreviated documentation to the receiving
facility.
(11) assuring
that all pharmaceuticals are stored according to conditions specified in the
pharmaceutical storage policy approved by the EMS provider's medical
director;
(12) assuring that staff
completes a readiness inspection as written by the EMS provider's
policy;
(13) assuring that there is
a preventive maintenance plan for vehicles and equipment.
(14) assuring that staff has reviewed
policies and procedures as approved by the EMS Provider and the EMS Provider
Medical Director;
(15) Maintenance
of medical reports.
(A) A licensed EMS
provider shall maintain adequate medical reports of a patient for a minimum of
seven years from the anniversary date of the date of last treatment by the EMS
provider.
(B) If a patient was
younger than 18 years of age when last treated by the provider, the medical
reports of the patient shall be maintained by the EMS provider until the
patient reaches age 21 or for seven years from the date of last treatment,
whichever is longer.
(C) An EMS
provider may destroy medical records that relate to any civil, criminal or
administrative proceeding only if the provider knows the proceeding has been
finally resolved.
(D) EMS providers
shall retain medical records for a longer length of time than that imposed
herein when mandated by other federal or state statute or regulation.
(E) EMS providers may transfer ownership of
records to another licensed EMS provider only if the EMS provider, in writing,
assumes ownership of the records and maintains the records consistent with this
chapter.
(F) Destruction of medical
records shall be done in a manner that ensures continued
confidentiality.
(G) At the time of
initial licensing and at each license renewal, the EMS provider and medical
director must attest or provide documentation to the department a plan for the
going out of business, selling, transferring the business to ensure the
maintenance of the medical record as outlined in subparagraph (E) of this
paragraph.
(H) The emergency
medical services provider must maintain all patient care records in the
physical location that is the provider's primary place of business, unless the
department approves an alternate location.
(16) assuring that all requested patient
records are made promptly available to the medical director, hospital or
department when requested;
(17)
assuring that current protocols, equipment, supply and medication lists, and
the correct original Vehicle Authorization at the appropriate level are
maintained on each response-ready vehicle;
(18) monitoring and enforcing compliance with
all policies and protocols;
(19)
assuring provisions for the appropriate disposal of medical and/or biohazardous
waste materials;
(20) assuring
ongoing compliance with the terms of first responder agreements;
(21) assuring that all documents, reports or
information provided to the department and hospital are current, accurate and
complete;
(22) assuring compliance
with all federal and state laws and regulations and all local ordinances,
policies and codes at all times;
(23) assuring that all response data required
by the department is submitted in accordance with §
103.5
of this title (relating to Reporting Requirements for EMS Providers);
(24) assuring that, whenever there is a
change in the EMS provider's name or the service's operational assumed name,
the printed name on the vehicles are changed accordingly within 30 days of the
change;
(25) assuring that the
department is notified within 30 business days whenever:
(A) a vehicle is sold, substituted or
replaced;
(B) there is a change in
the level of service;
(C) there is
a change in the declared service area as written on an initial or renewal
application;
(D) there is a change
in the official business mailing address;
(E) there is a change in the physical
location of the business and/or substations;
(F) there is a change in the physical
location of patient report file storage, to assure that the department has
access to these records at all times; and
(G) there is a change of the administrator of
record.
(26) assuring
that when a change of the medical director has occurred the department is
notified within one business day;
(27) develop, implement and enforce written
operating policies and procedures required under this chapter and/or adopted by
the licensee. Assure that each employee (including volunteers) is provided a
copy upon employment and whenever such policies and/or procedures are changed.
A copy of the written operating policies and procedures shall be made available
to the department on request. Policies at a minimum shall adequately address:
(A) personal protective equipment;
(B) immunizations available to
staff;
(C) infection control
procedures;
(D) management of
possible exposure to communicable disease;
(E) emergency vehicle operation;
(F) contact information for the designated
infection control officer for whom education based on U.S. Code, Title 42,
Chapter 6A, Subchapter XXIV, Part G, §300ff- 136 has been
documented.
(G) credentialing of
new response personnel before being assigned primary care responsibilities. The
credentialing process shall include as a minimum:
(i) a comprehensive orientation session of
the services, policies and procedures, treatment and transport protocols,
safety precautions, and the quality management process; and
(ii) an internship period in which all new
personnel practice under the supervision of, and are evaluated by, another more
experienced person.
(H)
appropriate documentation of patient care; and
(I) vehicle checks, equipment, and readiness
inspections;
(J) the security of
medications, fluids and controlled substances in compliance with local, state
and federal laws or rules.
(28) assuring that manufacturers' operating
instructions for all critical patient care electronic and/or technical
equipment utilized by the provider are available for all response
personnel;
(29) assuring that the
department is notified within five business days of a collision involving an
in-service or response ready EMS vehicle that results in vehicle damage
whenever:
(A) the vehicle is rendered disabled
and inoperable at the scene of the occurrence; or
(B) there is a patient on board.
(30) assuring that the department
is notified within one business day of a collision involving an in-service or
response ready EMS vehicle that results in vehicle damage whenever there is
personal injury or death to any person;
(31) maintaining motor vehicle liability
insurance as required under the Texas Transportation Code;
(32) maintaining professional liability
insurance coverage in the minimum amount of $500,000 per occurrence, with a
company licensed or deemed eligible by the Texas Department of Insurance to do
business in Texas in order to secure payment for any loss or damage resulting
from any occurrence arising out of, or caused by the care, or lack of care, of
a patient;
(33) insuring continuous
coverage for the service area defined in documents submitted with the EMS
provider application;
(34)
responding to requests for assistance from the highest elected official of a
political subdivision or from the department during a declared emergency or
mass casualty situation according to national, state, regional and/or local
plans, when authorized;
(35)
providing written notice to the department, RAC and Emergency Medical Task
Force, if the EMS provider will make staff and equipment available during a
declared emergency or mass casualty situation, for a state or national mission,
when authorized;
(36) assuring all
EMS personnel receive continuing education on the provider's anaphylaxis
treatment protocols. The provider shall maintain education and training records
to include date, time, and location of such education or training for all its
EMS personnel;
(37) immediately
notify the department in writing when operations cease in any service
area;
(38) assure that all patients
transported by stretcher must be in a department authorized EMS vehicle;
and
(39) develop or adopt and then
implement policies, procedures and protocols necessary for its operations as an
EMS provider, and enforce all such policies, procedures and
protocols.
(o) License
renewal process.
(1) It shall be the
responsibility of the provider to request license renewal application
information.
(2) EMS providers
shall submit a completed application, all other required documentation and a
nonrefundable license renewal fee, no later than 90 days prior to the
expiration date of the current license.
(A)
When a complete application is received by the department 90 or more days prior
to the expiration date of the current license that is to be renewed, the
applicant shall submit a nonrefundable application fee of $400 per provider
plus $180 for each EMS vehicle.
(B)
When a complete application is received by the department 60 or more days, but
less than 90 days prior to the expiration date of the current license that is
to be renewed, the applicant shall submit a nonrefundable application fee of
$450 per provider plus $180 for each EMS vehicle.
(C) When a complete application is received
by the department less than 60 days prior to the expiration of the current
license, the applicant shall submit a nonrefundable application fee of $500 per
provider plus $180 for each EMS vehicle.
(D) If the application for renewal is
received by the department after the expiration date of the current license, it
is deemed to be untimely filed and that license expires on its expiration date.
The EMS provider will be required to file a new initial application and follow
the initial application process.
(E) An EMS provider may not operate after its
license has expired.
(p) Provisional License. The department may
issue an EMS provisional license if an urgent need exists in a service area
when the department finds that the applicant is in substantial compliance with
the provisions of this section and if the public interest would be served. A
provisional license shall be effective for no more than 30 days from the date
of issuance.
(1) An EMS provider may apply for
a provisional license by submitting a written request and a nonrefundable fee
of $30.
(2) A provisional license
issued by the department may be revoked at any time by the department, with
written notice to the provider, when the department finds that the provider is
failing to provide appropriate service in accordance with this section or that
the provider is in violation of any of the requirements of this
chapter.
(q)
Advertisements.
(1) Any advertising by an EMS
provider shall not be misleading, false, or deceptive. When an EMS provider
advertises in Texas and/or conducts business in Texas by regularly transporting
patients from, or within Texas, the provider shall be required to have a Texas
EMS Provider License.
(2) An EMS
provider shall not advertise levels of patient care which it cannot provide at
all times. The provider shall not use a name, logo, art work, phrase or
language that could mislead the public to believe a higher level of care is
being provided.
(3) An EMS provider
that has more than five paid staff, but is composed of at least 75% volunteer
EMS personnel may advertise as a volunteer service.
(r) Surveys/Inspections and Investigations.
(1) The department may conduct scheduled or
unannounced on-site inspection or investigation of a provider's vehicles,
office(s), headquarter(s) and/or station(s) (hereinafter operations), at any
reasonable time, including while services are being provided, to ensure
compliance with Health and Safety Code, Chapter 773 and this chapter.
(2) An applicant or licensee, by applying for
or holding a license, consents to entry and inspection or investigation of any
of its operations by the department, as provided for by the Health and Safety
Code, Chapter 773 and this chapter.
(3) Department's inspections or
investigations to evaluate an EMS provider's compliance with the requirements
of the Health and Safety Code, Chapter 773 and this chapter, may include:
(A) initial, prelicensure and change in
status inspections for the issuance of a new license;
(B) routine inspection conducted at the
departments' discretion or prior to renewal;
(C) follow-up on-site inspection, conducted
to evaluate implementation of a plan of correction for deficiencies cited
during a department investigation or inspection;
(D) a complaint investigation, conducted in
response to a report or complaint, as described in subsection (u) of this
section, relating to complaint investigations; and
(E) an inspection to determine if a person,
company, or organization is offering or providing EMS service(s) without a
license, or to determine if EMS vehicles are being staffed by persons who do
not hold Texas EMS certification or license.
(4) The provider and medical director shall
cooperate with any department investigation or inspection, and shall,
consistent with applicable law, permit the department to examine the provider's
grounds, buildings, books, records and other documents and information
maintained by or on behalf of the provider, that are necessary to evaluate
compliance with applicable statutes, rules, plans of correction and orders with
which the EMS provider is required to comply. The EMS provider shall permit the
department, consistent with applicable law, to interview members of the
governing authority, personnel and patients.
(5) The EMS provider shall, consistent with
applicable law, permit the department to copy or reproduce, or shall provide
photocopies to the department of any requested records or documents. If it is
necessary for the department to remove records or other information (other than
photocopies) from the provider's premises, the department will provide the EMS
provider's governing authority or designee with a written statement of this
fact, describing the information being removed and when it is expected to be
returned. The department will make a reasonable effort, consistent with the
circumstances, to return the records the same day.
(6) The department will hold an entrance
conference with the EMS provider, governing authority or designee before
beginning the inspection or investigation, to explain, consistent with
applicable law, the nature, scope and estimated time schedule of the inspection
or investigation.
(7) Except for a
complaint investigation or a follow-up visit, an inspection will include an
evaluation of compliance with the Health and Safety Code, Chapter 773 and the
rules of this chapter. During the inspection, the department representative
will, unless otherwise provided for by law, inform the EMS provider's governing
authority or designee of the preliminary findings and give the provider a
reasonable opportunity to submit additional facts or other information to the
department representative in response to those findings.
(8) When the inspection is complete, the
department will hold an exit conference with the provider, unless otherwise
provided for by law, to inform the provider, to the extent permitted by law, of
any preliminary findings of the inspection or investigation and to give the EMS
provider the opportunity to provide additional information regarding the
deficiencies cited. If no deficiencies are identified at the time of
inspection, a statement indicating this fact may be left with the EMS
provider's governing authority or designee. Such a statement does not
constitute a department finding or certification that the facility is in
compliance.
(9) If deficiencies are
cited:
(A) the department will provide the EMS
provider's administrator of record and medical director with a written
deficiency report no more than 30 calendar days after the exit
conference.
(B) The EMS provider's
governing authority, designee, or person in charge at the time shall sign an
acknowledgement of the inspection and receipt of the written deficiency report
and return it to the department. The signature does not indicate the EMS
provider's agreement with, or admission to the cited deficiencies unless the
agreement or admission is explicitly stated.
(C) No later than 30 calendar days after the
EMS provider's receipt of the deficiency report, the EMS provider shall return
a written plan of correction to the department for each deficiency, including
time frames for implementation, together with any additional evidence of
compliance the EMS provider may have, regarding any cited deficiency. The
department will determine if the written plan of correction and proposed
timeframes for implementation are acceptable. If the plan is not acceptable,
the department will notify the provider in writing no later than 30 days after
receipt and request a modified plan. The EMS provider shall modify and resubmit
the plan of correction no later than 30 calendar days after the EMS provider's
receipt of the request. The EMS provider shall correct the identified
deficiencies and submit documentation to the department verifying completion of
the corrective action within the timeframes set forth in the plan of correction
accepted by the department, or as otherwise specified by the department. The
provider will be deemed to have received the deficiency report or other
department correspondence mailed under this subparagraph three days after
mailing.
(D) Regardless of the EMS
provider's compliance with this subsection, the department's acceptance of the
provider's plan of correction, or the provider's utilization of an informal
compliance group review under paragraph (10) of this subsection, the department
may, at any time, propose to take action as appropriate under §
157.16
of this title (relating to Emergency Suspension, Suspension, Probation,
Revocation, Denial of a Provider License or Administrative
Penalties).
(10) The
department inspector will inform the provider's chief executive officer,
designee, or person in charge at the time of the inspection, of the provider's
right to an informal compliance group review, when there is disagreement with
deficiencies cited by the inspector or investigator, that the provider was
unable to resolve through submission of information to the inspector or
additional information bearing on the deficiencies cited.
(11) The department shall refer issues and
complaints relating to the conduct or actions by licensed professionals to
their appropriate licensing boards.
(12) All initial applicants and their medical
director shall be required to have an initial compliance survey by the
department that evaluates all aspects of the applicant's proposed operations
including clinical care components and an inspection of all vehicles prior to
the issuance of a license.
(13) At
renewal, randomly, or in response to a complaint, the department may conduct an
unannounced compliance survey that includes inspection of a provider's
vehicles, operations and/or records to ensure compliance with this title at any
time, including nights or weekends.
(14) If a re-survey/inspection to ensure
correction of a deficiency is conducted, the provider shall pay a nonrefundable
fee of $30 per vehicle needing a re-inspection.
(s) Specialty Care Transports. A Specialty
Care Transport is defined as the interfacility transfer by a department
licensed EMS provider of a critically ill or injured patient requiring
specialized interventions, monitoring and/or staffing. To qualify to function
as a Specialty Care Transport the following minimum criteria shall be met:
(1) Qualifying Interventions:
(A) patients with one or more of the
following IV infusions: vasopressors; vasoactive compounds; antiarrhythmics;
fibrinolytics; tocolytics; blood or blood products and/or any other parenteral
pharmaceutical unique to the patient's special health care needs; and
(B) one or more of the following special
monitors or procedures: mechanical ventilation; multiple monitors; cardiac
balloon pump; external cardiac support (ventricular assist devices, etc); any
other specialized device, vehicle or procedure unique to the patient's health
care needs.
(2)
Equipment. All specialized equipment and supplies appropriate to the required
interventions shall be available at the time of the transport.
(3) Minimum Required Staffing. One currently
certified EMT-Basic and one currently certified or licensed paramedic with the
additional training as defined in paragraph (4) of this subsection; or, a
currently certified EMT-Basic and a currently certified or licensed paramedic
accompanied by at least one of the following: a Registered Nurse with special
knowledge of the patient's care needs; a certified Respiratory Therapist; a
licensed physician; or, any other licensed health care professional designated
by the transferring physician.
(4)
Additional Required Education and Training for Certified/Licensed Paramedics:
Evidence of successful completion of post-paramedic education, training and
appropriate periodic skills verification in management of patients on
ventilators, 12 lead EKG and/or other critical care monitoring devices, drug
infusion pumps, and cardiac and/or other critical care medications, or any
other specialized procedures or devices determined at the discretion of the EMS
provider's medical director.
(t) For all initial applications and renewal
applications, the department is authorized to collect subscription and
convenience fees, in amounts determined by the Texas Online Authority, to
recover costs associated with the initial application and renewal application
processing through Texas Online.
(u) Complaint Investigations.
(1) Upon request, all licensed EMS Providers
shall make available for a patient or its legal guardian a written statement
supplied by the department, identifying the department as the responsible
agency for conducting EMS provider and EMS personnel complaint investigations.
The statement shall inform persons that they may direct a complaint to the
Department of State Health Services, EMS Compliance Group, by phone, or by
email. The statement shall provide the most current contact information,
including the appropriate department group, address, local and toll-free
telephone number, and email address for filing a complaint.
(2) The department evaluates all complaints
made against EMS providers and/or EMS personnel. Any complaint submitted to the
department shall be submitted by telephone, electronically, or in writing,
using the department's current contact information for that purpose, as
described in paragraph (1) of this subsection.
(3) The department will document, evaluate
and prioritize complaints and information received, based on the seriousness of
the alleged violation and the level of risk to patients, personnel and/or the
public.
(A) Allegations determined to be
within the department's regulatory jurisdiction relating to emergency medical
services are authorized for investigation under this chapter. Complaints
received that are outside the department's jurisdiction may be referred to
another appropriate agency for response.
(B) The investigation is conducted on-site,
by telephone and/or through written correspondence.
(4) The department conducts a prompt and
thorough investigation of all reports or complaint allegations that may pose a
threat of harm to the health and safety of patients or participants. Reports or
complaints received by the department concerning alleged abuse, neglect and
exploitation will be addressed in accordance with Human Resources Code, Chapter
48 and Family Code, §
261.101(d).
(5) The department evaluates complaint
allegations that do not pose a significant risk of harm to patients. Based on
the nature and severity of the alleged incident, the department determines
whether to investigate the complaint directly or to require the provider to
conduct an internal investigation and submit its findings and supporting
evidence to the department.
(A) The findings
of an EMS provider's internal investigation will be reviewed by the department
and may result in an additional investigation by the department, a request for
a plan of correction to be completed by the provider in accordance with
subsection (q) of this section (relating to inspections and investigations)
and/or a proposal to take action against the provider under §
157.16
of this title.
(B) The EMS provider
under investigation shall provide department staff access to all documents,
evidence and individuals related to the alleged violation, including all
evidence and documentation relating to any internal investigations.
(6) Once an internal EMS provider
investigation and/or department investigation is complete, the department
reviews the evidence from the investigation to evaluate whether the evidence
substantiates the complaint and what corrective action, if any, is
needed.