A. a licensee shall ensure that:
1. The air ambulance service has an
administrative medical director who:
a. Meets
the qualifications in subsection (B);
b. Supervises and evaluates the quality of
medical care provided by medical team members;
c. Ensures the competency and current
qualifications of all medical team members;
d. Ensures that each EMCT medical
team member receives medical direction as required under Article 2 of this
Chapter;
e. Ensures that each non-EMCT
medical team member receives medical guidance through:
i. Written treatment protocols;
and
ii. On-line medical guidance
provided by:
(1) The medical
director;
(2) Another physician designated
by the medical director; or
(3) If the medical guidance needed
exceeds the medical director's area of expertise, a consulting specialty
physician; and
d.
Except as provided in subsections (A)(3) and (4), ensures that:
i. Each EMCT medical team member receives
medical direction as required under Article 2 of this Chapter; and
ii. Each non-EMCT medical team member
receives medical guidance through written treatment protocols and according to
subsection (C); and
f.e. Approves, ensures
implementation of, and annually reviews treatment protocols to be followed by
medical team members;
2. The air ambulance service has a
quality management program through which:
a. Data related to patient care
and transport services provided and patient status upon arrival at destination
are:
i. Collected continuously;
and
ii. Examined regularly, on at
least a quarterly basis; and
b. Appropriate corrective action
is taken when concerns are identified; and
3. The air ambulance service
documents each concern identified through the quality management program and
the corrective action taken to resolve each concern and provides this
information, along with the supporting data, to the Department upon
request.
2. The administrative medical director
reviews data related to patient care and transport services provided,
documentation, and patient status upon arrival at destination that are
collected through the quality management program in
R9-25-705(A)(11);
3. For an interfacility maternal transport
mission, on-line medical direction or on-line medical guidance provided to
medical team member is provided by a physician who meets the qualifications of
subsection (B)(2)(b)(i);
4. For an
interfacility neonatal transport mission, on-line medical direction or on-line
medical guidance provided to medical team member is provided by a physician who
meets the qualifications of subsection (B)(2)(b)(ii);
B. an administrative medical director shall:
1. Be a physician; and
2. Comply with one of the following:
a. If the air ambulance service provides
emergency medical services transports, meet the qualifications of
R9-25-201(A)(1);
or
b. If the air ambulance service
does not provide emergency medical services transports, meet the qualifications
of
R9-25-201(A)(1)
or one of the following:
i. If the air
ambulance service provides interfacility maternal transport missions, have
board certification or have completed an accredited residency program in one of
the following specialty areas:
(1) Obstetrics
and gynecology, with subspecialization in critical care medicine or maternal
and fetal medicine; or
(2)
Pediatrics, with subspecialization in neonatal-perinatal medicine;
ii. If the air ambulance service
provides interfacility neonatal transport missions, have board certification or
have completed an accredited residency program in one of the following
specialty areas:
(1) Obstetrics and
gynecology, with subspecialization in maternal and fetal medicine; or
(2) Pediatrics, with subspecialization in
neonatal-perinatal medicine, neonatology, pediatric critical care medicine, or
pediatric intensive care; or
iii. If neither subsection (B)(2)(b)(i) or
(ii) applies, have board certification or have completed an accredited
residency program in one of the following specialty areas:
(1) Anesthesiology, with subspecialization in
critical care medicine;
(2)
Internal medicine, with subspecialization in critical care medicine;
(3) If the air ambulance service transports
only pediatric patients, pediatrics, with subspecialization in pediatric
critical care medicine or pediatric emergency medicine; or
(4) If the air ambulance service transports
only surgical patients, surgery, with subspecialization in surgical critical
care.
C. An administrative medical director shall
ensure that each non-EMCT medical team member receives on-line medical guidance
provided by:
1. The administrative medical
director;
2. Another physician
designated by the administrative medical director; or
3. If the medical guidance needed exceeds the
administrative medical director's area of expertise, a consulting specialty
physician.
