Health, Health Systems Improvement, Emergency Medical Services

Rule R426-13

Emergency Medical Services Provider Designations

Notice of Proposed Rule

(Amendment)

DAR File No.: 33025
Filed: 10/05/2009 04:13:08 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this amendment is to remove a redundant reference to the requirement to use a certified Emergency Medical Dispatcher and remove criminal penalties that are no longer authorized by statute.

Summary of the rule or change:

The reference to the Emergency Medical Dispatch Center is removed as redundant in Section R426-13-200. Reference to sufficient staff in Subsection R426-13-500(5) is removed as unclear. Facilities need to have a certified dispatcher at all times under the current rule. Acronym EMD spelled out as Emergency Medical Dispatch or Dispatcher. Reference to obsolete criminal penalties removed.

State statutory or constitutional authorization for this rule:

• Title 26, Chapter 8a

Anticipated cost or savings to:

the state budget:

The proposed changes will not alter the current practice and no cost to the state is expected.

local governments:

The proposed changes will not alter the current practice and no cost to local government is expected.

small businesses:

The proposed changes will not alter the current practice and no cost to business, small or otherwise, is expected.

persons other than small businesses, businesses, or local governmental entities:

The proposed changes will not alter the current practice and no compliance costs for any regulated entity are expected.

Compliance costs for affected persons:

The proposed changes will not alter the current practice and no compliance costs for any regulated entity are expected.

Comments by the department head on the fiscal impact the rule may have on businesses:

Removing obsolete criminal penalties, and emphasizing the need to have a certified Emergency Medical Dispatcher at all times will impose no new fiscal impact and is justified to protect the public.

David N. Sundwall, MD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Health Systems Improvement, Emergency Medical Services
3760 S HIGHLAND DR
SALT LAKE CITY, UT 84106

Direct questions regarding this rule to:

• Guy Dansie at the above address, by phone at 801-273-6671, by FAX at 801-273-4165, or by Internet E-mail at [email protected]

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

12/01/2009

This rule may become effective on:

12/08/2009

Authorized by:

David Sundwall, Executive Director

R426. Health, Health Systems Improvement, Emergency Medical Services.

R426-13. Emergency Medical Services Provider Designations.

R426-13-200. Designation Types.

(1)(a) An entity that provides pre-hospital emergency medical care, but that does not provide ambulance transport or paramedic service, may obtain a designation from the Department as a quick response unit.

(b) An entity that accepts calls for 911 EMS assistance from the public, and dispatches emergency medical vehicles and field EMS personnel must first obtain a designation from the Department as an emergency medical dispatch center.

(2) A hospital that provides on-line medical control for prehospital emergency care must first obtain a designation from the Department as a resource hospital.[

(3) Emergency Medical Dispatch centers that provide pre-arrival medical instructions to a caller may only provide them through a certified EMD.]

 

R426-13-500. Emergency Medical Dispatch Center Minimum Designation Requirements.

An emergency medical dispatch center must:

(1) Have in effect a selective medical dispatch system approved by the off-line medical directors and the Department, which includes:

(a) systemized caller interrogation questions;

(b) systemized pre-arrival instructions; and

(c) protocols matching the dispatcher's evaluation of injury or illness severity with vehicle response mode and configuration;

(2) Have a current updated plan of operations, which shall include:

(a) the number, training, and certification of E mergency M edical D ispatch personnel;

(b) operational procedures; and

(c) a description of how the designee proposes to communicate with EMS agencies;

(3) Have a certified off-line medical director;

([3]4) have an ongoing medical call review quality assurance program; and

([4]5) [sufficient staff to ]provide pre-hospital arrival instructions by a certified E mergency M edical D ispatcher at all times.

 

R426-13-1300. Penalties.

As required by Subsection 63G-3-201(5): Any person that violates any provision of this rule may be assessed a civil money penalty not to exceed the sum of $[5]10,000 [or be punished for violation of a class B misdemeanor for the first violation and for any subsequent similar violation within two years for violation of a class A misdemeanor]for each occurrence as provided in Section 26-23-6.

 

KEY: emergency medical services

Date of Enactment or Last Substantive Amendment: [February 1, 2005]2009

Notice of Continuation: October 1, 2004

Authorizing, and Implemented or Interpreted Law: 26-8a