Ohio Ambulance and Medical Transportation Association June 23, 2017 - PowerPoint Presentation

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Ohio Ambulance and Medical Transportation Association June 23, 2017Melvin House, Executive Director Div. of EMS David Fiffick, Chief of Medical Transportation

Ohio Department of Public Safety, Division of Emergency Medical ServicesSlide2

Upcoming ChangesMedical TransportationSlide3

OAC 4766-2 AmbulanceEffective June 15, 2017OAC 4766-3 AmbuletteOAC 4766-4 MoICUEffective August 1, 2017Medical TransportationSlide4

Medical TransportationOhio Administrative Code 4766-2 Ambulance4766-2-10 Equipment requirements

To Be Rescinded4766-2-11

Use of lights and other warning devices.4766-2-12 Temporary and disaster operations.4766-2-13 Staffing compliance.4766-2-14

Regulations for out of state providers.

4766-2-15

Changes to be reported to the board.

4766-2-16

Investigations

4766-2-17

Disciplinary grounds

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4766-2-18 Incorporated by Reference

4766-2-01

Definitions

4766-2-02

Application for initial or renewal licensure.

4766-2-03

Fees

4766-2-04

Physical facilities.

4766-2-05

Transportation records

Record keeping requirements

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4766-2-06

Communication requirements.

4766-2-07

Health and safety requirements.

4766-2-08

Vehicle inspections

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equipment requirements

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4766-2-09

Maintenance documentation.

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Medical Transportation4766-2-01 Definitions 1. Aligned definitions with 4765Slide6

4766-2-02 Application for initial or renewal licensure. 1. Application must be complete 2. Include tax ID or EIN 3. Medical Director in compliance with 4765-3-05 4. Trip Report / Color Photo 5. Certificate of Insurance: must include vehicles 6. Payment

Medical TransportationSlide7

4765-3-05 Medical Director QualificationsMedical directors must meet all of the following qualifications: (1) Possession of a valid Ohio medical license; (2) Active involvement in the provision of emergency care to patients; (3) Active participation with one or more EMS organizations, including but not limited to: (a) Conducting performance improvement programs; (b) Conducting education programs; (c) Conducting protocol updates.Medical TransportationSlide8

4765-3-05 Medical Director QualificationsMedical director possess one of the following: (4) Board certification by the "American Board of Emergency Medicine" or the "American Osteopathic Board of Emergency Medicine";(5) Board eligibility by completion of an emergency medicine residency program recognized by the "American Board of Medical Specialties" or the "American Osteopathic Association";(6) Board certification by a medical specialty board recognized by the "American Board of Medical Specialties" or the "American Osteopathic Association," followed by successful completion of an emergency medical services fellowship;(7) Board certification by the "American Board of Pediatrics" or the "American Osteopathic Board of Pediatrics," followed by successful completion of a pediatric emergency medicine fellowship program accredited by the "Accreditation Council for Graduate Medical Education" or the "American Osteopathic Association Program and Trainee Review Council";(8) Subspecialty board certification by the "American Board of Emergency Medicine" in emergency medical services.

Medical TransportationSlide9

4766-2-03 Fees 1. Fees submitted with the application 2. Fees nonrefundable 3. $5.00 decal reprint fee Medical TransportationSlide10

4766-2-04 Physical Facilities 1. Headquarters and Satellite locations must be inspected prior to start of operations 2. Headquarters and Satellite locations must comply with state and local fire and building codes Medical TransportationSlide11

4766-2-05 Record Keeping Requirements 1. Certificate of Insurance: Vehicles must be included 2. Vehicle Maintenance Records: Periodic Mechanical Safety Inspection Form Medical TransportationSlide12

4766-2-06 Communication Requirements 1. Dispatch must have a base station device to maintain two-way voice communications with the ambulance and non transport vehicles. 2. Vehicles must be equipped with two-way communication device in order to communicate to dispatch and medical control while the vehicle is in use.

Medical TransportationSlide13

4766-2-07 Health and Safety Requirements 1. No changes Medical TransportationSlide14

4766-2-08 Vehicle Inspection and Equipment Requirements 1. Combined sections -2-08 and -2-10 updated wording Must have current expiration dates Disposable equipment is acceptable Equipment must be securely stored in the vehicle Signage on vehicle: Owned and operated by: Operated by: Owned by:

Medical TransportationSlide15

-Continued-4766-2-08 Vehicle Inspection and Equipment Requirements 2. Vehicle violations: Vehicle out of service until Re-inspected 72 hour – Corrected and documentation sent to Division of EMS 3. Ambulances / non-transport vehicles: “Ambulance” / “Non-Transport Veh” license plates

Medical TransportationSlide16

4766-2-09 Maintenance Documentation Periodic Mechanical Safety Inspection Form 1. All ambulances and non-transport vehicles: a. Prior to vehicle being put into service (GT 12,000 miles) b. Annually thereafter (6 months prior to expiration date) c. For vehicles with 150,000 miles of more (every 25,000 miles)

Medical TransportationSlide17

4766-2-09 Maintenance Documentation Periodic Mechanical Safety Inspection Form 2. Certified Mechanic must complete form: a. Factory Trained b. Emergency Vehicle Technician c. Automotive Service Excellence (ASE) 3. Bio-Medical Equipment / Patient Care Equipment a. Dates of inspection or repair b. Description of maintenance or repair c. Documentation of who made the repairs

Medical TransportationSlide18

4766-2-10 Rule Rescinded Medical TransportationSlide19

4766-2-11 Use of Lights and Other Warning Devices 1. Permitted ambulance(s) and non-transport vehicle(s) shall bear license plates issued under section 4503.49 of the Revised Code. 2. Out of State Services 3. Government license platesMedical TransportationSlide20

4766-2-12 Temporary and Disaster Operations4766-2-13 Staffing Compliance 1. No changes Medical TransportationSlide21

4766-2-14 Regulation for Out of State Providers 1. Out of state services can: Transport into Ohio Transport out of Ohio Medical TransportationSlide22

4766-2-15 Changes to be Reported to the Board 1. Agency contact information 2. Primary contact person and e-mail address 3. Medical Director information 4. Tax ID or EIN 5. Headquarters / Satellite change of address Medical TransportationSlide23

4766-2-16 Investigations4766-2-17 Disciplinary Grounds 1. Current language rescinded and replaced Medical TransportationSlide24

4766-2-18 Incorporated by Reference 1. Web page 2. Forms 3. OSHA Medical TransportationSlide25

Questions ? Medical TransportationSlide26

Medical TransportationAmbulance MoICU AmbuletteSimilar changes: Definitions Application process Vehicles on Cert. of Ins. Vehicle inspection process Maintenance documentation License plate requirement Investigations

Disciplinary grounds Incorporated by referenceSlide27

Medical TransportationAmbulette Additional changes: Application: drivers name and DOH Slide28

Medical TransportationAmbulette Additional changes: Application: include drivers and DOH Daily inspection of ambulettes Slide29

Medical TransportationThe following items shall be checked daily and the “Daily Inspection Log” completed prior to the vehicle being placed into service Ramp/lift clean and free of debris. Ramp/lift properly secured to the vehicle no excess movement. Ramp/lift tested and operating properly. 

Vehicle floors clean and free of debris. Floor or wall wheelchair locking mechanism in proper working order.  Floor rails or fasteners are clean and in proper working order.  

4 point tie down straps, hooks and locks for securing wheelchair are clean and in proper working order. ( A set of 4 point tie down straps, hooks and locks must be available for each wheelchair). Passenger restraint belt(s) in proper working order. Properly functioning heat / air conditioning. Slide30

Medical TransportationAmbulette Additional changes: Application: include drivers and DOH Daily inspection of ambulettes CPR / First Aid American Red Cross / American Heart / ASHI

Must have hands on component Slide31

Medical TransportationAmbulette Additional changes: Application: include drivers and DOH Daily inspection of ambulettes CPR / First Aid American Red Cross / American Heart / ASHI

Must have hands on component Passenger Assistance Training (DRIVE / PASS) Board approved training only

Must document hands on component Slide32

Medical TransportationAmbulette Additional changes: Criminal Background Check BCI / FBI Slide33

Medical TransportationAmbulette Additional changes: Criminal Background Check BCI / FBI Physician Certification

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Medical TransportationAmbulette Employee Physician Statement Service Name: __________________________________________________Employee Name: __________________________________________________Employee Date of Hire: ________________  Physician Statement:I certify that I have examined and reviewed the medical history of ______________________

on _ / _ /___ and find he / she does not have a medical condition, physical condition, including vision impairment (not corrected), which could interfere with safe driving, passenger assistance, the provision of emergency treatment activity, or could jeopardize the health and welfare of client and/or general public. ________________________________ Signature MD / DO / CNP / PA  

Physician Name: (print) __________________________________________________ Physician Address: __________________________________________________Phone Number: __________________________________________________ Slide35

Medical TransportationAmbulette Additional changes: Criminal Background Check BCI / FBI Physician Certification Drug / Alcohol Testing

Amphetamines, Cannabinoids (THC), Cocaine,

Opiates, and Phencyclidines (PCP). Slide36

Medical TransportationAmbulette Additional changes: Criminal Background Check BCI / FBI Physician Certification Drug / Alcohol Testing

Amphetamines, Cannabinoids (THC), Cocaine,

Opiates, and Phencyclidines (PCP). Ambulette Employee File Form Slide37

Medical TransportationAmbulette Employee File Form New Requirement: 14 Days 60 Days Driver’s License CPR / First Aid

Driver Abstract (BMV) Passenger Assistance Training Physician Statement Criminal Background Check Drug / Alcohol Test Driver ID

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Questions?David Fiffick Connie White614.644.6387 614.752.0654dbfiffick@dps.ohio.gov Cwhite@dps.ohio.gov