Current through September 21, 2024
(a) EMS Agencies
may apply for approval to provide services at one of the following levels:
(i) Community EMS Technician (CET) Agency.
The activities of these agencies are directed towards reducing the burden of
patients accessing the larger health care system through the emergency medical
system. Community EMS Technician Agencies may utilize either Community EMS
Technicians or Community EMS Clinicians to perform the following activities:
(A) Appropriately treating and releasing
patients, rather than providing transport to a hospital or emergency
department;
(B) Treating and
transporting patients to appropriate destinations other than a hospital or an
emergency department if the Community EMS Technician Agency is operated under a
valid Ambulance Business License;
(C) Treatment and referral to a primary care
or urgent care facility;
(D)
Assessment of the patient and reporting to a primary care provider to determine
an appropriate course of action.
(ii) Community EMS Clinician (CEC) Agency.
The activities of these programs are directed toward the integration of EMS
personnel in addressing specific gaps in a community's primary and public
health care systems, and may incorporate the activities of a Community EMS
Technician program. Community EMS Clinician Agencies may utilize Community EMS
Clinicians for the purpose of integrating EMS personnel in addressing specific
gaps in a community's primary and public health care systems. Community EMS
Clinician Agencies may also utilize either Community EMS Technicians or
Clinicians for activities listed in Section
4(c).
(b) Prior to initiation of operations as a
Community EMS Agency, proposals for programs shall be submitted to the Division
for approval. Proposals shall contain and describe:
(i) The area and population to be
served;
(ii) The conclusions or
recommendations of a healthcare gap assessment in the area and
population;
(iii) The healthcare
goals and objectives;
(iv) The
benchmarks and performance measures that will be utilized to measure the
efficacy of the program;
(v) The
treatment protocols intended to meet the healthcare goals and
objectives;
(vi) The name and
contact information of the Physician Medical Director providing clinical
oversight to the program;
(vii) The
name and contact information of the person serving as the administrator of the
program; and
(A) A Memorandum of Agreement
with the local ambulance service or services operating in the same area if the
Community EMS Agency is not the ambulance service typically providing
transport. Memoranda of Agreement must address:
(B) An acknowledgement by the local ambulance
service or services that a Community EMS Agency is operating in the same
service area;
(C) Coordination for
the transport of a patient seen by the Community EMS Agency in the event of a
real or perceived emergency;
(D)
Coordination for the continuance of care in the event that a patient of the
Community EMS Agency requires transport. If the Community EMS Technician or
Clinician is licensed at the same level or lower than the EMT of the ambulance
service, the ambulance service Agency shall assume control of the patient for
transport. If the Community EMS Technician or Clinician is licensed at a level
higher than that of the attending EMT of the ambulance service, the Community
EMS Technician or Clinician may continue as the primary caregiver, assuming
that the ambulance service has agreed to relinquish care in the Memorandum of
Agreement; and
(E) Memoranda of
Agreement must contain the signatures of the Ambulance Service Administrator,
the Community EMS Agency Director or administrator, and the Physician Medical
Directors of both the ambulance service and the Community EMS Agency.
(c) If a patient has a
care plan, then the Community EMS Technician or Clinician may provide services
of the care plan only if the plan has been developed by the patient's primary
care provider and there is no duplication of services to the patient from
another provider.
(d) The Community
EMS Technician or Clinician shall provide only those services listed in a care
plan that are within the scope of services and practice of the Community EMS
Agency, and that are approved in protocols or standing orders by the medical
director of the Community EMS Agency.
(e) The Division may approve the Community
EMS Agency proposal when the Division is satisfied that the proposal adequately
addresses the requirements of this section. The Division may request
supplemental information or clarification of any information contained in the
proposal prior to approval.
(f)
Approval as a Community EMS Agency shall remain valid for a period of five (5)
years from the date of approval.
(g) No later than one hundred and twenty
(120) days prior to the expiration of the current approval, the Community EMS
Agency must submit a request for continuation as a Community EMS Agency
utilizing the requirements specified under paragraph (b) of this section.
Requests for continued approval must include an evaluation of the efficacy of
the Community EMS Agency in meeting its stated goals and objectives, supported
by valid clinical and financial data.
(h) An approved Community EMS Agency may
request an amendment to its proposal and functions at any time by a submitting
the requested amendment in writing to the Division.
(i) The Division may revoke a Community EMS
Agency's approval for:
(i) Failure to operate
the Community EMS Agency in accordance with the approved proposal;
(ii) Failure to utilize EMTs endorsed at the
appropriate level for the Community EMS Agency; or
(iii) Failure to maintain compliance with any
of these rules or the Wyoming Emergency Medical Services Act of 1977.
