Mont. Admin. R. 24.156.2732 - MEDICAL DIRECTION
(1) Within 60
days of taking on the responsibilities of providing medical oversight as a
medical director to an individual or group of ECPs, a physician or physician
assistant shall:
(a) notify the board they
are providing medical direction to ECPs on a form provided by the board ; and
(b) provide proof of completion of
a board -approved medical director training program or a board -approved
exemption from the training on a form provided by the board .
(2) The medical director shall be
responsible for the overall medical care provided by the ECPs for whom the
director agrees to provide medical oversight.
(3) The medical director overseeing an ECP
may grant or restrict the ECP 's practice or utilization of any endorsement.
(4) The medical director must
maintain and have access to records of all ECPs for whom the director provides
medical oversight. These records must document:
(a) the name, address, and current Montana
licensure of the ECP , including any endorsements;
(b) date when medical oversight began and at
what level the ECP is authorized to practice; and
(c) any changes to limit or approve the ECP 's
authorization to function at the ECP 's current licensure level including
endorsement(s).
(5) The
medical director must develop a process to continuously meet the applicable
standard of medical practice and patient care. This process may include regular
review of patient care reports (PCR), direct observation of care, skills
demonstrations, and ongoing involvement in ECP education. Documentation of
these activities must be maintained by the medical director.
(6) The medical director is responsible for
assessing competency of skills required for endorsements held by ECPs under the
medical director 's supervision and shall sign an affidavit stating such
competence as required under ARM
24.156.2718.
(7) A medical director may assign duties
where appropriate, but retains the responsibility for all assigned duties. This
includes delegation of:
(a) local offline
medical direction responsibilities to another unrestricted Montana licensed
physician or physician assistant; and
(b) maintenance of records required under
(4).
(8) The medical
director will approve and review the offering of online medical control which
must be provided by any unrestricted Montana licensed physician or physician
assistant who has been contacted for this purpose.
(9) A medical director shall provide written
notice to the ECP and the board upon discontinuing medical oversight.
(10) The medical director shall be
responsible for and approve a system to assure the inventory, storage, and
security of all the medications utilized by the ECPs to whom the medical
director provides medical oversight. The medical director may delegate the
day-to-day duties where appropriate but retains overall responsibility.
(11) A medical director may not
unilaterally alter a patient care plan developed by a physician, PA, or APRN
for care provided by an ECP with a CIHC endorsement.
Notes
AUTH: 37-3-203, 50-6-203, MCA IMP: 37-3-102, 37-3-203, 50-6-101, 50-6-105, 50-6-201, 50-6-202, 50-6-203, 50-6-301, 50-6-302, MCA
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