| (9) Furnish the department beginning and ending dates
of enrollment period(s). Subscription service period shall not exceed
one year. Subscribers shall not be charged more than a prorated fee
for the remaining subscription service period that they subscribe
for.
(10) Furnish the department with the total amount of
funds collected each year.
(11) Not offer membership nor accept members into the
program who are Medicaid clients.
(m) Responsibilities of the EMS provider. During the
license period, the provider's responsibilities shall include:
(1) assuring that all response-ready and in-service
vehicles are maintained, operated, equipped and staffed in accordance
with the requirements of the provider's license;
(2) assuring the existence of and adherence to a quality
assurance plan which shall, at a minimum, include:
(A) the standard of patient care and the medical director's
protocols;
(B) pharmaceutical storage;
(C) readiness inspections;
(D) preventive maintenance;
(E) policies and procedures;
(F) complaint management; and
(G) patient care reporting and documentation.
(3) monitoring the quality of patient care provided
by the service and personnel and taking appropriate and immediate
corrective action to insure that quality of service is maintained
in accordance with the existing standards of care;
(4) ensuring that all personnel are currently certified
or licensed by the department;
(5) assuring that all personnel, when on an in-service
vehicle or when on the scene of an emergency, are prominently identified
by, at least, the last name and the first initial of the first name,
the certification or license level and the provider name. A provider
may utilize an alternative identification system in incident specific
situations that pose a potential for danger if the individuals are
identified by name;
(6) assuring the confidentiality of all patient information
in compliance with all federal and state laws;
(7) assuring that Informed Treatment/Transport Refusal
forms are obtained from all patients refusing service, or documenting
incidents when an Informed Treatment/Transport Refusal form cannot
be obtained;
(8) assuring that patient care reports are completed
accurately on all patients;
(9) assuring that patient care reports are provided
to emergency facilities receiving the patients:
(A) the report shall be accurate, complete and clearly
written or computer generated;
(B) the report shall document, at a minimum, the patient's
name, condition upon arrival at the scene; the prehospital care provided;
the patient's status during transport, including signs, symptoms,
and responses during the transport; the call initiation time; dispatch
time; scene arrival time; scene departure time; hospital arrival time;
and, the identification of the EMS staff;
(C) whenever operationally feasible, the report shall
be provided to the receiving facility at the time the patient is delivered;
and/or
(D) if in a response-pending status, an abbreviated
written report shall be provided at the time the patient is delivered
and a full written or computer generated report shall be delivered
to the facility within one business day of the delivery of the patient.
(10) assuring that all requested patient records are
made promptly available to the medical director or department when
requested;
(11) assuring that current protocols, current equipment,
supply and medication lists, and the correct original Vehicle Authorization
at the appropriate level are maintained on each response-ready and
in-service vehicle;
(12) monitoring and enforcing compliance with all policies;
(13) assuring provisions for the appropriate disposal
of medical and/or biohazardous waste materials;
(14) assuring ongoing compliance with the terms of
first responder agreements;
(15) assuring that all documents, reports or information
provided to the department are current, accurate and complete;
(16) assuring compliance with all federal and state
laws and regulations and all local ordinances, policies and codes
at all times;
(17) assuring that all response data required by the
department is submitted in accordance with the department's requirements;
(18) assuring that, whenever there is a change in the
name of the provider or the service's operational assumed name, the
printed name on the vehicles are changed accordingly within 30 days
of the change;
(19) assuring that the department is notified in five
business days whenever:
(A) a vehicle is substituted or replaced;
(B) there is a change in the level of service;
(C) there is a change in the declared service area;
(D) there is a change in the official business mailing
address;
(E) there is a change in the physical location of the
business;
(F) there is a change in the physical location of patient
report file storage, to assure that the department has access to these
records at all times; and
(G) there is a change of the administrator.
(20) assuring that when a change of the medical director
has occurred the department be notified within one business day;
(21) develop, implement and enforce written operating
policies and procedures required under this chapter and/or adopted
by the licensee. Assure that each employee is provided a copy upon
employment and whenever such policies and/or procedures are changed.
A copy of the written operating policies and procedures shall be made
available to the department on request. Policies at a minimum shall
adequately address:
(A) personal protective equipment;
(B) immunizations available to staff;
(C) infection control procedures;
(D) communicable disease exposure;
(E) emergency vehicle operation;
(F) credentialing of new response personnel before
being assigned primary care responsibilities. The credentialing process
shall include as a minimum:
(i) a comprehensive orientation session of the services
policies and procedures, treatment and transport protocols, safety
precautions, and quality management process; and
(ii) an internship period in which all new personnel
practice under the supervision of, and are evaluated by, another more
experienced person, if operationally feasible.
(G) appropriate documentation of patient care; and
(H) vehicle checks, equipment, and readiness inspections.
(22) assuring that manufacturers' operating instructions
for all critical patient care electronic and/or technical equipment
utilized by the provider are available for all response personnel;
(23) assuring that the department is notified within
five business days of a collision involving an in-service or response
ready EMS vehicle that results in vehicle damage whenever:
(A) the vehicle is rendered disabled and inoperable
at the scene of the occurrence; or
(B) there is a patient on board.
(24) assuring that the department is notified within
1 business day of a collision involving an in-service or response
ready EMS vehicle that results in vehicle damage whenever there is
personal injury or death to any person;
(25) maintaining motor vehicle liability insurance
as required under the Texas Transportation Code;
(26) maintaining professional liability insurance coverage
in the minimum amount of $500,000 per occurrence, with a company licensed
or deem eligible by the Texas Department of Insurance to do business
in Texas in order to secure payment for any loss or damage resulting
from any occurrence arising out of, or caused by the care, or lack
of care, of a patient;
(27) insuring continuous coverage for the service area
defined in documents submitted with the EMS provider application;
(28) responding to requests for assistance from the
highest elected official of a political subdivision or from the department
during a declared emergency or mass casualty situation;
(29) assuring all EMS personnel receive continuing
education training on the provider's anaphylaxis treatment protocols.
The provider shall maintain training records to include date, time,
and location of such training for all it's EMS personnel;
(30) immediately notify the department in writing when
operations cease in any service area;
Cont'd... |
