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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 157EMERGENCY MEDICAL CARE
SUBCHAPTER CEMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL
RULE §157.32Emergency Medical Services Education Program and Course Approval

  (8) If a program’s national accreditation lapses or is withdrawn, the program shall meet all requirements of this subsection or subsection (g) or (h) of this section within a reasonable period of time as determined by the department.

(o) Denial of program approval. A program may be denied approval, provisional approval, or re-approval for, but not limited to, the following reasons:

  (1) failure to meet the requirements established in subsection (g), (h) or (m) of this section;

  (2) failure, or previous failure, to meet program responsibilities as defined in subsection (p) of the this section;

  (3) conduct, or previous conduct, that is grounds for suspension or revocation of program approval as defined in subsection (u) of this section;

  (4) falsifying any information, record, or document required for program approval, provisional approval, or re-approval;

  (5) misrepresenting any requirements for program approval, provisional approval, or re-approval;

  (6) failing or refusing to submit a self-study or a required report of progress toward remediation of a documented program weakness or areas of non-compliance within a reasonable period of time as determined by the department;

  (7) failing or refusing to accept an on-site program review by a reasonably scheduled date as determined by the department;

  (8) issuing a check to the department which is returned unpaid;

  (9) being charged with criminal activity while approved to provide EMS training;

  (10) having disciplinary action imposed by the department on the provider license, personnel certification or licensure, or program for violation of any provision of Health and Safety Code, Chapter 773 or 25 Texas Administrative Code, Chapter 157; or

  (11) failure of a paramedic program to become accredited or maintain their accreditation by CAAHEP/CoAEMSP or another national accrediting organization recognized by the department.

(p) Responsibilities. A program shall be responsible to:

  (1) plan for and evaluate the overall operation of the program;

  (2) provide supervision and oversight of all courses for which the program is responsible;

  (3) act as liaison between students, the sponsoring organization and the department;

  (4) submit course notifications and approval applications, along with nonrefundable fees if applicable, to the department;

  (5) assure availability of classroom(s) and other facilities necessary to provide for instruction and convenience of the students enrolled in courses for which the program is responsible;

  (6) screen student applications, verify prerequisite certification if applicable and select students;

  (7) schedule classes and assign course coordinators and/or instructors;

  (8) verify the certification, license, or other proper credentials of all personnel who instruct in the program’s courses;

  (9) maintain an adequate inventory of training equipment, supplies and audio- visual resources based on the National EMS Education Standards, and course medical director;

  (10) assure that training equipment and supplies are available and operational for each laboratory session;

  (11) secure and maintain affiliations with clinical, and field internship facilities necessary to meet the instructional objectives of all courses for which the program is responsible;

  (12) develop field internship and clinical objectives for all courses for which the program is responsible;

  (13) train and evaluate internship preceptors;

  (14) obtain written acknowledgement from the field internship EMS provider medical director, if students will be conducting advanced-level skills as part of their field internship with that EMS provider;

  (15) maintain all course records for a minimum of 5 years;

  (16) along with the course coordinator develop and use valid and reliable written examinations, skills proficiency verifications, and other student evaluations;

  (17) along with the course coordinator and medical director, supervise and evaluate the effectiveness of personnel who instruct in the program’s courses;

  (18) along with the course coordinator and medical director, supervise and evaluate the effectiveness of the clinical and EMS field internship training;

  (19) along with the course coordinator, attest to the successful course completion of all students who meet the programs requirements for completion;

  (20) provide the department with information and reports necessary for planning, administrative, regulatory, or investigative purposes;

  (21) provide the department with any information that will affect the program’s interaction with the department, including but not limited to changes in:

    (A) program director;

    (B) course coordinators;

    (C) medical director;

    (D) classroom training facilities;

    (E) clinical or field internship facilities; and

    (F) program’s physical and mailing address;

  (22) provide proof of accreditation by CAAHEP/CoAEMSP or another national accrediting organization recognized by the department;

  (23) submit a roster of all enrolled students when requested by the department;

  (24) submit a final student roster when requested by the department; and

  (25) online and or distance learning classes, programs and courses must meet the same standards as outlined in this section.

(q) Program Re-approval.

  (1) Prior to the expiration of a program’s approval period, the department shall send a notice of expiration to the program at the address shown in the current records of the department.

  (2) If a program has not received notice of expiration from the department 45 days prior to the expiration, it is the program’s duty to notify the department and request an application for re-approval. Failure to apply for re-approval shall result in expiration of approval.

  (3) Programs that have obtained approval as of the effective date of this rule shall be considered to have met the requirements of subsection (g) or (h) of this section appropriate to their current level of approval.

  (4) To be eligible for re-approval, the program shall meet all the requirements in subsections (g), (h) or (m) of this section as appropriate to the level of approval requested; and

    (A) prepare an update to the program’s self-study that addresses significant changes in the program’s personnel, structure, curriculum, resources, policies, or procedures;

    (B) document progress toward correction of any deficiencies identified by the program or the department through the self-study and on-site review process;

    (C) host an on-site review if one is deemed necessary by the department or requested by the program; and

    (D) a paramedic program must provide documentation of current accreditation from CoAEMSP or another national accrediting organization recognized by the department.

(r) Fees.

  (1) The following nonrefundable fees shall apply:

    (A) $30 for review of a basic self-study, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training;

    (B) $90 for conducting a basic site visit;

    (C) $60 for review of an advanced self-study, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training;

    (D) $250 for conducting an advanced site visit;

    (E) $30 for processing a basic course notification or approval application, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training; and

    (F) $60 for processing an advanced course notification or approval application, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training.

  (2) Program approvals shall be issued only after all required nonrefundable fees have been paid.

(s) Course Notification and Approval.

  (1) Each course conducted by an approved program shall be approved by notice from the department and the issuance of an assigned course number. A program shall not start a course, advertise a course, or collect tuition and/or fees from prospective students until the course is approved by the department and the assigned course number issued.

Cont'd...

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