1. (a) Each hospital must notify the regional emergency medical services system control when treatment services are at maximum capacity and emergency patients should be diverted to another hospital (divert status).

   1. (1) If the hospital is located in an area where no regional emergency medical services system control is active, the hospital must notify each entity providing emergency medical services, such as ambulance services, in their catchment area.
   2. (2) Each hospital must maintain written records that include the date and time of the start and end of each divert status interval.
2. (b) Each hospital must maintain written criteria that describe the conditions under which any one or all of the hospital's emergency services are at maximum capacity.
3. (c) A hospital classified at Level I or Level II for Trauma and Emergency Operative Services or as a Primary Stroke Center must notify the Department in writing or by facsimile or other electronic means 24 hours of the complete loss of verified status as a Level I or Level II trauma center by ACS COT, or as a Primary Stroke Center by the Joint Commission.
4. (d) A hospital must notify the Department in writing or by facsimile or other electronic means within 24 hours if it is unable to provide any classified emergency medical service at the current classified level. If the interruption of service is expected to be brief and the hospital notifies the Department promptly, at the discretion of the Commissioner, it may not be necessary to permanently reclassify the service to a lower Level.
5. (e) To request a permanent change in classification for any classified emergency medical service a hospital must notify the Department in writing and submit a new Emergency Medical Services Classification Report (ODH Form 911) at least 30 days before the effective date of the change.

Added at 17 Ok Reg 2992, eff 7-13-00

Amended at 25 Ok Reg 2785, eff 7-17-08 (emergency)

Amended at 26 Ok Reg 2054, eff 6-25-09

Amended at 39 Ok Reg 1392, eff 9-11-22