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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

  (10) provide a name and contact information for the designated infection control officer and document education for the designated infection control officer based on U.S. Code, Title 42, Chapter 6A, Subchapter XXIV, Part G, §300ff-136.

(i) Self-study requirements.

  (1) A self-study is a self-evaluation and compilation of documents that describes the proposed or existing program’s overall process. It shall explain and/or document the program’s organizational structure, resources, facilities, record keeping, personnel and their qualifications, policies and procedures, text books, course delivery methods used, clinical and field affiliations, student to patient contact matrix, psychomotor competency evaluations, a copy of all advertisements, documents provided to students and describe what is necessary for students to complete the program.

  (2) All proposed and/or existing programs must provide a self-study at the basic (ECA and EMT) and/or advanced (AEMT and Paramedic) level. Programs that offer paramedic education may submit a copy of a self-study submitted to national accrediting organizations to meet this requirement. However, they must submit supplemental documentation to demonstrate substantial compliance with the EMS education standards of this section.

    (A) Each applicant for an EMS Program must submit a self-study that contains the following items:

      (i) an organizational chart;

      (ii) a description of the ownership and sponsorship of the proposed or existing program;

      (iii) a description of financial resources;

      (iv) a description of the record keeping process for maintaining program, course, and student records;

      (v) a description of the facilities;

      (vi) a description of learning resources;

      (vii) a description of equipment and supplies;

      (viii) a description of personnel (faculty and staff) and qualifications;

      (ix) a description of the instructor /faculty credentialing, evaluation and continuing education process.

      (x) a description of the clinical and field internship affiliations;

      (xi) a description of the student to patient contact ratio and how it will be tracked and monitored. If an existing program at renewal, include a student patient contact ratio report;

      (xii) a description of the text books and curriculum;

      (xiii) a description of the psychomotor competency evaluation process;

      (xiv) a copy of any policies and procedures used for faculty, staff and students, that address the following:

        (I) attendance, tardiness, and participation;

        (II) program medical director change;

        (III) cheating;

        (IV) clinical and field internship;

        (V) complaint resolution;

        (VI) conduct, safety and health;

        (VII) counseling and coaching of students;

        (VIII) dress and hygiene requirements;

        (IX) grading;

        (X) grievance and appeals;

        (XI) immunizations;

        (XII) policies for the prevention of sexual harassment;

        (XIII) policies for the prevention of discrimination based on race, sex, creed, national origin, sexual preference, age, handicap or medical problems;

        (XIV) psychomotor competency evaluation;

        (XV) record keeping and access to records;

        (XVI) student faculty relationships;

        (XVII) student screening and enrollment;

        (XVIII) test review and makeup; and

        (XIX) tuition and/or fee reimbursement.

        (XX) Provide a name and contact information for the designated infection control officer, and document education for the designated infection control officer based on U.S. Code, Title 42, Chapter 6A, Subchapter XXIV, Part G, §300ff-136.

      (xv) a sample of all advertisements and any documents given to potential students, students and exiting students; and

      (xvi) a description of any and all requirements for a student to complete a course.

(j) Provisional approval. If following the department’s review of the self-study, the applicant is found to be in substantial compliance with established national EMS education standards, the department shall issue a provisional approval.

(k) Lack of substantial compliance. If following the department’s review of the self-study, the applicant is not found in substantial compliance with EMS education standards, the program director and sponsor shall receive a written report detailing:

  (1) any deficiencies; and

  (2) specific recommendations for improvement that will be necessary before provisional approval may be granted.

(l) On-site review. After the completion of a provisionally-approved program’s first course, an on-site review shall be conducted. The on-site review process is the department inspector’s review of a proposed and/or existing program’s records plan, self-study, equipment, facilities and clinical and field internship facilities, and student-to-patient contact ratios.

  (1) If the program is found to be in substantial compliance with established EMS education standards and all fees and expenses associated with the self-study and on-site review have been paid, the department shall approve the program for a period of four years and issue an approval number. The program director and sponsor shall receive a written report of the site-review team’s findings, including areas of exceptional strength, areas of weakness and recommendations for improvement.

  (2) If the program is not in substantial compliance with established EMS education standards, the program director and sponsor shall receive a written report detailing deficiencies and specific requirements for improvement. Depending on the nature and severity of the identified deficiencies within the program, the program may or may not be allowed to continue training activities. In all cases, the department in consultation with program officials shall devise a remedial plan for the deficiencies.

  (3) Upon completion of a remedial plan a program shall be approved for a period of four years.

(m) Exception to sponsorship requirements for advanced programs.

  (1) If an urgent need for an advanced program or an EMS operator instructor program exists in an area and cannot be met by an entity that meets the sponsorship requirements defined in subsection (d) of this section, a licensed EMS provider may request the department to grant an exception to allow the EMS provider to sponsor an advanced program.

  (2) Such request must be submitted in writing and must include the following:

    (A) documentation of the need for an advanced program and of the urgency of the situation;

    (B) documentation that the EMS provider has successfully operated a basic program;

    (C) documentation of attempts by the EMS provider to affiliate with an entity that meets the requirements of subsection (h)(2) of this section;

    (D) a letter from the EMS provider agreeing to assume all responsibilities of advanced program sponsorship;

    (E) letters of intent from qualified providers of clinical and field internship experience appropriate to the level of training to be offered; and

    (F) a letter of intent from a medical director who will agree to perform the responsibilities listed in subsection (h)(6) of this section.

  (3) In determining whether the request for an exception is to be approved or denied, the department shall consider, but not be limited to, the following issues:

    (A) the quality of the basic program previously operated by the EMS provider;

    (B) evidence that the EMS provider possesses the resources and dedication necessary to operate an advanced program that complies with the EMS education standards;

    (C) the efforts of the EMS provider to affiliate with an entity that meets the requirements of subsection (h)(2) of this section;

    (D) the availability of an approved advanced program within a reasonable distance of the affected area;

    (E) the availability of an approved advanced program that will provide training to the affected area by outreach or distance learning technology;

    (F) the probable impact on existing approved advanced programs if the exception is approved;

    (G) the probable adverse consequences to the public health or safety if the exception is not approved; and

    (H) the written support by the program medical director.

  (4) After evaluation by the department, the EMS provider shall be notified in writing of the approval or denial of the request.

  (5) An exception to the requirements of subsection (h)(2) of this section shall meet all other requirements of subsection (h) of this section, including completion of the self-study and the on-site review process, and shall demonstrate substantial compliance with the EMS education standards before being granted approval by the department.

(n) National accreditation for paramedic education/training programs.

  (1) In addition to the requirements listed in subsection (h) of this section, all EMS education/training programs currently conducting paramedic education and training must meet the following requirements to receive approval as a paramedic education and training program:

    (A) provide proof of accreditation by the CAAHEP/CoAEMSP, or a national accrediting organization recognized by the department; or

    (B) provide documentation from CAAHEP/CoAEMSP or a national accrediting organization recognized by the department stating the education program has submitted the appropriate documentation that indicates it being in pursuit of accreditation as defined by the CAAHEP/CoAEMSP or a national accrediting organization recognized by the department. The education/training program that is deemed as pursuing accreditation may be temporarily approved by the department. In order to receive program approval, the education/training program must be accredited and provide proof of their accreditation by the national accrediting organization to the department.

  (2) If the education/training program is not accredited or has their accreditation revoked by the national accrediting organization the program will not be allowed to conduct a paramedic education or training course until the program becomes accredited or the program is recognized by the national accrediting organization as being in pursuit of accreditation.

  (3) Initial or current education programs that are not accredited and would like to offer paramedic education and training on or after January 1, 2013 must:

    (A) be approved by the department as an EMS basic education program, according to subsection (g) of this section;

    (B) submit the appropriate application and fees to the department;

    (C) meet the accreditation standards set by CAAHEP/CoAEMSP or another department approved national accrediting organization in order for the department to issue the applicant a temporary approval to conduct paramedic education or training courses; and

    (D) provide proof of accreditation by CAAHEP/CoAEMSP or another national accrediting organization recognized by the department. If the training program does not become accredited the program will not be allowed to conduct another paramedic education or training course until the program becomes accredited or the department receives notification from the accrediting organization that the program is recognized as being in pursuit of accreditation as defined by the accrediting organization.

  (4) If a program has been accredited by CAAHEP/CoAEMSP or a national accrediting organization recognized by the department, the department may exempt the program from the program approval or re-approval process.

  (5) Programs accredited by CAAHEP/CoAEMSP or another national accrediting organization recognized by the department shall provide the department with copies of:

    (A) the accreditation self study;

    (B) the accreditation letter or certificate; and

    (C) any correspondence or updates to or from the national accrediting organization that impact the program’s status.

  (6) On request of the department, programs shall permit the department’s representatives to participate in site visits performed by national accrediting organizations.

  (7) If the department takes disciplinary action against a nationally accredited program for violations that could indicate substantial noncompliance with a national accrediting organization’s essentials or standards, the department shall advise the national accrediting organization of the action and the evidence on which the action was based.

Cont'd...

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