19 CSR 30-40.800 - EMT-Community Paramedic, Community Paramedic Program, and Medical Director for EMT-Community Paramedic Program

Current through Register Vol. 47, No. 7, April 1, 2022

PURPOSE: This rule establishes the requirements for certification and recertification as an EMT-Community Paramedic, the scope of practice and authority to practice for an EMT-Community Paramedic, requirements for a medical director of an ambulance service which utilizes EMT-Community Paramedics and implements a community paramedic program, and requirements for a community paramedic program.

PUBLISHER'S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome and expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here.

(1) Application Requirements for Emergency Medical Technician Community Paramedic (EMT-CP) Certification.
(A) Each applicant for certification as an EMT-CP shall be currently licensed with the Emergency Medical Services (EMS) Bureau as an EMT-Paramedic in the state of Missouri. If the application is approved, the applicant's length of certification as an EMT-CP will begin on the issuance date of the certification as an EMT-CP by the department and end on the applicant's Missouri EMT-Paramedic license expiration date.
(B) Each applicant for certification as an EMT-CP shall submit an application approved by the EMS Bureau which is included herein. This application shall be submitted to the EMS Bureau either via mail to the Department of Health and Senior Services, Emergency Medical Services (EMS) Bureau, PO Box 570, Jefferson City, MO 65102-0570 or online at www.health.mo.gov.
1. Each applicant shall attach to the application a certified copy of his/her community paramedic certification program transcript.
2. Each applicant shall provide the necessary information on his/her application so the EMS Bureau can perform criminal history checks to determine the recency and relatedness of any criminal convictions prior to the certification of the applicant.
3. Each applicant shall truthfully and accurately provide all information and certification required on the EMS Bureau application for community paramedic certification. Incomplete or inaccurate information on an application shall be cause to deny a certification or take action upon a certification.
4. If, after submitting an application, the applicant identifies an error or if any contact information changes after the applicant is certified as an EMT-CP, then the applicant shall submit the correction in writing to the EMS Bureau at the Department of Health and Senior Services, EMS Bureau, PO Box 570, Jefferson City, MO 65102-0570.
(2) EMT-Community Paramedic (EMT-CP) Certification Requirements.
(A) The applicant for EMT-CP certification shall have successfully completed a community paramedic certification program from a college, university, or educational institution that meets the following requirements:
1. Is accredited by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP) or prior to January 1, 2016, conducted a pilot program meeting or exceeding the requirements in paragraphs (2)(A)2. and (2)(A)3. below;
2. Provides a minimum of sixty (60) hours of didactic training and practical and lab skills covering at a minimum the following subjects:
A. The Community Paramedic's Role in the Health Care System which includes training on mental health illnesses and Alzheimer's disease;
B. The Social Determinants of Health Model;
C. The Role of the Community Paramedic in the Community;
D. Developing Cultural Competency; and
E. Personal Safety and Wellness of the Community Paramedic; and
3. Includes at least forty (40) hours of clinical experience in a clinical setting.
(3) EMT-Community Paramedic (EMT-CP) Recertification Requirements.
(A) An applicant for recertification as an EMT-CP shall be currently licensed with the EMS Bureau as an EMT-Paramedic in the state of Missouri.
(B) The applicant for recertification as an EMT-CP shall certify to the EMS Bureau that the applicant has successfully completed four (4) hours of continuing education annually which relate to the community paramedic topics outlined in subparagraphs (2)(A)2.A.-E. above. These annual four (4) hours will be in addition to the one-hundred forty-four (144) hours of continuing education required for relicensure as an EMT-Paramedic pursuant to 19 CSR 30-40.342(3)(B) 2.A.
(C) The applicant for recertification as an EMT-CP shall list the following information about his/her continuing education on the applicant's application:
1. Name or type of course;
2. The division or module;
3. The number of hours of the course;
4. The training entity accreditation number, EMS Bureau approval number, or other accrediting agency which taught the course; and
5. The date the applicant completed the course.
(D) The applicant shall be able to produce documentation of the required continuing education and shall make all records available to the EMS Bureau upon request. EMT-CPs shall maintain such records for a period of five (5) years after the date of recertification. Failure to obtain and retain complete and accurate documentation shall be cause for taking action against an EMT-CP's certification.
(E) An application for recertification as an EMT-CP, which is included herein, shall be submitted with the application for relicensure as an EMT-Paramedic. This application shall be submitted to the EMS Bureau either via mail to the Department of Health and Senior Services, Emergency Medical Services (EMS) Bureau, PO Box 570, Jefferson City, MO 65102-0570 or online at www.health.mo.gov. This application for recertification as an EMT-CP shall be submitted to the EMS Bureau no less than thirty (30) days and no more than one hundred twenty (120) days prior to the expiration date of the applicant's certification as an EMT-CP which corresponds with the expiration of the applicant's EMT-Paramedic license.
(4) EMT-Community Paramedic (EMT-CP) Scope of Practice and Authority to Practice.
(A) An EMT-CP shall perform only those skills consistent with section 190.142.4, RSMo, and 19 CSR 30-40.342(3).
(5) Medical Director for Community Paramedic Programs.
(A) In addition to the medical director duties set forth in 19 CSR 30-40.303, the medical director of an ambulance service which utilizes EMT-CPs shall approve the implementation of the community paramedic program for that ambulance service by following the requirements set forth in 19 CSR 30-40.303. The medical director of an ambulance service which utilizes EMT-CPs shall develop, implement, and annually review the community paramedic protocols. The medical director of the ambulance service may seek input from medical providers with knowledge of the ambulance service's community paramedic program in developing, implementing, and annually reviewing the community paramedic protocols.
(B) With guidance and approval from the medical director and the administrator of the ambulance service which utilizes EMT-CPs, an ambulance service which utilizes EMT-CPs shall assess the needs of the community to implement an evaluation component to the community paramedic program which shall improve patient outcomes, ensure patient satisfaction, and decrease adverse outcomes.
(6) Community Paramedic Program.
(A) The community paramedic program shall include a method for the EMT-CP to follow-up with the patient's medical provider who is identified in the health care plan to ensure the transition of care. When no health care plan has been established, the EMT-CP shall follow-up with the patient's medical provider designated by the patient to ensure the transition of care. This follow-up may include, at a minimum, patient assessment, patient treatment, and/or rendered services.

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Notes

19 CSR 30-40.800
Adopted by Missouri Register November 1, 2016/Volume 41, Number 21, effective 12/31/2016

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