By July 1, 2012, and thereafter, each primary PSAP, regional PSAP, RECC, and wireless state police PSAP that provides EMD through certified emergency medical dispatchers and each certified EMD resource shall establish a continuous quality assurance, improvement, and management program that shall include, at a minimum, the following:

1. (a) documentation of the quality assurance case review process utilized to identify EMD compliance with the EMDPRS;
2. (b) written approval of the EMD medical director;
3. (c) ongoing random case review in accordance with the guidelines of the EMDPRS; and
4. (d) regular feedback of performance results to emergency medical dispatchers.