1. A. The hospital of which the base station is a unit, or the free standing emergency center if the base station is within a free standing emergency center, shall:

   1. (1) Monitor and participate in MEMRAD;
   2. (2) Monitor their utilization of CHATS alerts; and
   3. (3) Participate in mitigation strategies to improve systems efficiencies and patient safety.

2. B. The base station director and base station coordinator shall:

   1. (1) Assure that online medical direction and consultation provided by the base station is:

      1. (a) Timely;
      2. (b) Appropriate; and
      3. (c) Otherwise consistent with Maryland Medical Protocols for Emergency Medical Services Providers;
   2. (2) Assure the MIEMSS approved Prehospital Consultation/Interventions Radio Report Forms are complete, signed and linked to the patient record through a patient identifier;

   3. (3) Develop and implement a process which facilitates monthly quality assurance/quality improvement review of EMS consults which:

      1. (a) Reviews all priority one/critical patient consults and select lower priority consults for a minimum of 30 consults per month;
      2. (b) Allows for ongoing documentation of tracking, trending, loop closure and retention of Quality Assurance/Quality Improvement review findings for 5 years;
      3. (c) Notifies EMS operational programs upon discovery of patient care, quality or protocol variance issues involving EMS providers or the EMS system;
      4. (d) Notifies EMS operational programs and MIEMSS Office of the State Medical Director upon discovery of conduct that is specifically prohibited under the requirements of COMAR 30.02.04.01;
      5. (e) Monitors hospital’s response rates to MEMRAD notifications and alerts;
      6. (f) Participates in local, regional, and State EMS quality improvement activities;

      7. (g) Provides patient follow-up data as required by MIEMSS for public health oversight purposes to determine the appropriateness and outcome of EMS care for:

         1. (i) Inpatients; and
         2. (ii) Outpatients; and
         3. (iii) Reports as required by MIEMSS for quality assurance and performance improvement purposes.

3. C. The State EMS Medical Director through the MIEMSS regional medical directors shall:

   1. (1) Coordinate online medical direction functions; and
   2. (2) Regularly review the quality improvement activities of approved base stations.

Authority: Education Article, §§13-509, 13-510, and 13-516, Annotated Code of Maryland

Effective date: December 15, 1999 (26:24 Md. R. 1859)

Regulation .02A amended effective July 1, 2002 (29:12 Md. R. 931)

Regulation .03A amended effective December 19, 2005 (32:25 Md. R. 1946)

Regulation .05 amended effective July 1, 2002 (29:12 Md. R. 931)

Regulation .07B amended effective December 19, 2005 (32:25 Md. R. 1946)

Regulation .08 amended effective July 1, 2002 (29:12 Md. R. 931)

Regulation .09A amended effective July 1, 2002 (29:12 Md. R. 931)

Chapter revised effective October 10, 2016 (43:20 Md. R. 1110)

Regulation .01B amended effective March 8, 2021 (48:5 Md. R. 218)

Regulation .02E amended effective March 8, 2021 (48:5 Md. R. 218)

Regulation .02E-1 adopted effective March 8, 2021 (48:5 Md. R. 218)

Regulation 04-1 adopted effective February 5, 2024 (51:2 Md. R. 77)