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Ohio Department of Public Safety, Division of Emergency Medical Services

Ohio Ambulance and Medical Transportation Association June 23, 2017 Melvin House, Executive Director Div. of EMS David Fiffick, Chief of Medical Transportation. Ohio Department of Public Safety, Division of Emergency Medical Services. Medical Transportation. Upcoming Changes.

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Ohio Department of Public Safety, Division of Emergency Medical Services

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  1. 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 Services

  2. Medical Transportation Upcoming Changes

  3. Medical Transportation OAC 4766-2 Ambulance Effective June 15, 2017 OAC 4766-3 Ambulette OAC 4766-4 MoICU Effective August 1, 2017

  4. Medical Transportation Ohio Administrative Code 4766-2 Ambulance 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 recordsRecord keeping requirements. 4766-2-06Communication requirements. 4766-2-07 Health and safety requirements. 4766-2-08 Vehicle inspections /equipment requirements. 4766-2-09 Maintenance documentation. 4766-2-10Equipment requirementsTo Be Rescinded 4766-2-11 Use of lights and other warning devices. 4766-2-12 Temporary and disaster operations. 4766-2-13 Staffing compliance. 4766-2-14 Regulations for out of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. 4766-2-18 Incorporatedby Reference

  5. Medical Transportation • 4766-2-01 Definitions 1. Aligned definitions with 4765

  6. Medical Transportation 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

  7. Medical Transportation 4765-3-05 Medical Director Qualifications Medical 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.

  8. Medical Transportation 4765-3-05 Medical Director Qualifications Medical 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.

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

  10. Medical Transportation 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

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

  12. Medical Transportation 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.

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

  14. Medical Transportation 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:

  15. Medical Transportation -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

  16. Medical Transportation 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)

  17. Medical Transportation 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

  18. Medical Transportation 4766-2-10 Rule Rescinded

  19. Medical Transportation 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 plates

  20. Medical Transportation 4766-2-12 Temporary and Disaster Operations 4766-2-13 Staffing Compliance 1. No changes

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

  22. Medical Transportation 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

  23. Medical Transportation 4766-2-16 Investigations 4766-2-17 Disciplinary Grounds 1. Current language rescinded and replaced

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

  25. Medical Transportation Questions ?

  26. Medical Transportation Ambulance MoICU Ambulette Similar changes: Definitions Application process Vehicles on Cert. of Ins. Vehicle inspection process Maintenance documentation License plate requirement Investigations Disciplinary grounds Incorporated by reference

  27. Medical Transportation Ambulette Additional changes: Application: drivers name and DOH

  28. Medical Transportation Ambulette Additional changes: Application: include drivers and DOH Daily inspection of ambulettes

  29. Medical Transportation • The 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.

  30. Medical Transportation Ambulette Additional changes: Application: include drivers and DOH Daily inspection of ambulettes CPR / First Aid American Red Cross / American Heart / ASHIMust have hands on component

  31. Medical Transportation Ambulette 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

  32. Medical Transportation Ambulette Additional changes: Criminal Background Check BCI / FBI

  33. Medical Transportation Ambulette Additional changes: Criminal Background Check BCI / FBI Physician Certification

  34. Medical Transportation Ambulette 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: __________________________________________________

  35. Medical Transportation Ambulette Additional changes: Criminal Background Check BCI / FBI Physician Certification Drug / Alcohol Testing Amphetamines, Cannabinoids (THC), Cocaine, Opiates, and Phencyclidines (PCP).

  36. Medical Transportation Ambulette Additional changes: Criminal Background Check BCI / FBI Physician Certification Drug / Alcohol Testing Amphetamines, Cannabinoids (THC), Cocaine, Opiates, and Phencyclidines (PCP). Ambulette Employee File Form

  37. Medical Transportation Ambulette Employee File Form New Requirement: 14 Days60 Days Driver’s License CPR / First Aid Driver Abstract (BMV) Passenger Assistance Training Physician Statement Criminal Background Check Drug / Alcohol Test Driver ID

  38. Questions? David Fiffick Connie White 614.644.6387 614.752.0654 dbfiffick@dps.ohio.govCwhite@dps.ohio.gov

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