SECTION 310:641-15-3. Event standby emergency medical response agency application

(a)   The Department may issue an event standby emergency medical response agency certification to applicants.

(b)   No person, company, governmental entity or trust authority shall operate, advertise, or hold themselves out as providing any type of care or response at or above the Emergency Medical Responder level without first obtaining a certificate from the Department. The Department shall have sole discretion to approve or deny an application for an Event Standby Emergency Medical Response agency certificate based on the ability of the applicant to meet the requirements of this rule.

(c)   Federal agencies that routinely respond off Federal property are required to become certified by the Department unless their responses are specifically part of a Federal mission.

(d)   State agencies that routinely respond off state property are required to become certified. An exception are those state entities that are part of Oklahoma Office of Homeland Security, Oklahoma State Department of Health, or Medical Reserve Corps providing support to established systems of care.

(e)   Persons, companies, and governmental entities which operate on their own premises, and do not provide services to the public are exempt.

(f)   Persons, companies, and governmental entities that limit the activities and interventions of their staff members to that of first aid, CPR, and the use of an AED are not required to become a certified emergency medical response agency.

(g)   An application for the event stand by emergency medical response agency certification shall be submitted on forms prescribed and provided by the Department.

(h)   The application shall be signed under oath by the party or parties seeking to secure the license.

(i)   The party or parties who sign the application shall be considered the owner or agent (licensee) and responsible for compliance to the Act and rules.

(j)   The application shall contain, but not be limited to, the following:

(1)   A statement of ownership shall include the name, address, telephone number, occupation, and/or other business activities of all owners or agents who shall be responsible for the service;

(2)   If the owner is a partnership or corporation, a copy of incorporation documents and the name of all partner(s) or stockholder(s) with an ownership interest of five (5%) percent or more (principal) and the name and addresses of any other ambulance service in which any partner or stockholder holds an interest shall also be included;

(3)   If the owner is an entity of government, governmental trust, trust authority, or non-profit corporation, the name of each board member, chief administrative officer, and/or chief operation officer shall be included;

(4)   If the agency operates vehicles through ownership or contract, then proof of vehicle insurance at least in the amount of one million dollars ($1,000,000.00), or to the amount provided for in "The Governmental Tort Claims Act", Title 51 O.S. Sections 151 et seq. This insurance requirement shall remain in effect at all times while the service is licensed;

(5)   Proof of professional liability insurance at least in the amount of one million dollars ($1,000,000), or to the amount provided for in "The Governmental Tort Claims Act", Title 51 O.S. Sections 151 et seq. .This insurance requirement shall remain in effect at all times while the service is licensed;

(6)   proof of participation in a workers' compensation insurance program for employees who are subject to pertinent labor laws. This insurance requirement shall remain in effect at all times while the service is licensed;

(7)   each certified agency shall have a medical control physician or medical director as prescribed by the Act and this Chapter and submit with the Application:

(A)   letter of agreement from the physician to provide medical direction and establish the protocols and the scope of practice provided at the service,

(B)   physicians primary practice address or home address if the physician does not have a practice and email address,

(C)   an Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD) registrant number,

(D)   current Oklahoma medical license,

(E)   a curriculum vitae,

(8)   copy of any contract(s) for vehicles, medical equipment, and/or personnel;

(9)   a copy of patient care protocols and quality assurance plan detailing the care, interventions and scope of practice at the agency as required by medical control physician and as prescribed by the Act and this Chapter;

(A)   The Department may require quality assurance documentation for review and shall protect the confidentiality of that information.

(B)   The quality assurance documentation shall be maintained by the agency for three (3) years.

(C)   The quality assurance policy shall include, but not be limited to:

(i)   policy to review refusals

(ii)   policy to review air ambulance utilization,

(iii)   policy to review airway management,

(iv)   Policy to review cardiac arrest interventions,

(v)   policy to review time sensitive medical and trauma cases,

(vi)   policy to review other selected patient care reports not specifically included,

(vii)   policy to provide internal and external feedback of findings determined through reviews,

(viii)   documentation of the feedback will be maintained as part of the quality assurance documentation.

(10)   A written communication policy addressing:

(A)   the receiving and dispatching of emergency and non-emergency calls; and

(B)   compliance with State and local EMS communication plans.

(11)   Provide a response plan that includes:

(A)   if and how the applicant enters into an Incident Command System as part of a disaster. If this type of agency is part of a community or disaster plan, then documents from governmental entities and local ambulance services showing support for their activities will be provided.

(B)   providing for and receiving disaster assistance in accordance with local and regional plans and command structures,

(12)   Confidentiality policy ensuring confidentiality of all documents and communications regarding protected patient health information.

(13)   An application for an initial or new certification shall be accompanied by a non-refundable fee of fifty ($50.00) dollars.

(k)   For an event standby emergency response agency applicant:

(1)   if the applicant is providing care to the public on public property, then letters of governmental support and documents verifying coordination with local ambulance services are required for that agency to have the authority to provide care at that setting.

(2)   if the agency is providing care to the public in a business or establishment open to the public on private property, then letters of governmental support are not required.

(l)   At all times, the standby event emergency medical response agency shall coordinate with other licensed and certified EMS agencies responsible for the event location when the event is within a licensed ambulance service area or approved area for prehospital emergency medical response agencies.

(m)   Ambulance Services licensed under Subchapter 3 of this chapter are exempt from the requirements of this subchapter.

[Source: Added at 33 Ok Reg 1529, eff 9-11-16]