Mich. Admin. Code R. 325.22202 - Medical control authorities; authority board; advisory body; medical director; responsibilities; approval
Rule 202.
(1) A
medical control authority shall be approved by the department, and do all the
following:
(a) Develop bylaws that define the
medical control authority organizational structure.
(b) Appoint a medical control authority board
to administer the medical control authority. The majority of the board shall be
comprised, at a minimum, of members of the hospitals and, when applicable,
freestanding surgical outpatient facilities and off-campus emergency department
with provider-based status, as described in
R 325.22112(1)(c).
The board may include other entities as determined by the medical control
authority bylaws.
(c) If the board
also functions as the advisory body to the medical control authority as
described in this rule, then the board shall include a representative of each
type of life support agency and emergency medical services personnel
functioning within the medical control authority's region.
(d) Appoint an advisory body, as that term is
defined in section 20918(2) and (4) of the code, MCL
333.20918. The advisory body
shall meet at least quarterly.
(e)
Appoint a medical director, with the advice of the advisory body, in accordance
with section 20918(3) of the code, MCL
333.20918. The medical director
is responsible for medical control for the emergency medical services system
served by the medical control authority. The medical control authority, with
the advice of the advisory body, may appoint more than 1 physician to serve as
medical director provided the individual meets all applicable criteria, or is
approved by the department.
(f)
Appoint a professional standards review organization to monitor and improve the
quality of medical care.
(g) Hold
each licensed life support agency and individual accountable to the medical
control authority in the provision of emergency medical services, as that term
is defined in department-approved protocols.
(h) Provide protocols for the practice of
life support agencies and emergency medical services personnel as prescribed or
approved by the department.
(i)
Collect data as necessary to assess the quality and needs of emergency medical
services throughout its medical control authority area.
(2) Each participating and nonparticipating
hospital, off-campus emergency department with provider-based status, as
described in R
325.22112(1)(c), and freestanding
surgical outpatient facility within a medical control authority region shall
follow all standards, policies, procedures, and protocols established by the
medical control authority as approved by the department.
(3) Each medical control authority shall
submit to the department current protocols for department review and approval.
Department approval shall be on a 3-year cycle, or as defined by the
department.
(4) The medical control
authority shall notify the department if a life support agency is consistently
unable to provide at least 1 life support vehicle 24-hours-a-day,
7-days-a-week.
Notes
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