Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 51 Pa.B. 3586 (June 26, 2021).

28 Pa. Code § 1023.3. Medical command facility medical director.

§ 1023.3. Medical command facility medical director.

 (a)  Roles and responsibilities. A medical command facility medical director is responsible for the following for the medical command facility:

   (1)  Medical command.

   (2)  Quality improvement.

   (3)  Liaison with regional EMS medical director.

   (4)  Participation in prehospital training activities.

   (5)  Clinical and continuing education training of EMS providers.

   (6)  Verifying to the Department that an applicant for medical command physician certification has an arrangement to serve as a medical command physician for the medical command facility under the direction of the medical command facility medical director and meets all medical command physician certification requirements.

   (7)  Monitoring the operation of the medical command facility and the performance of its medical command physicians to ensure that they are satisfying all statutory and regulatory requirements.

   (8)  Reviewing a departure from the Statewide EMS protocols of one of the facility’s medical command physicians when requested by the Department and apprising the Department whether the medical command facility medical director believes there is good cause for the departure.

 (b)  Minimum qualifications. To qualify and continue to function as a medical command facility medical director, an individual shall be serving as a medical command facility medical director immediately prior to February 16, 2010, or:

   (1)  Complete an application for medical command facility medical director certification on a form or through an electronic application process, as prescribed by the Department.

   (2)  Currently serve as a medical command physician.

   (3)  Satisfy one of the following:

     (i)   Have completed a residency program in emergency medicine accredited by a residency program accrediting body recognized by the State Board of Medicine or the State Board of Osteopathic Medicine.

     (ii)   Have completed a residency program in surgery, internal medicine, family medicine, pediatrics or anesthesiology accredited by a residency program accrediting body recognized by the State Board of Medicine or the State Board of Osteopathic Medicine and completed or taught the ACLS course within the preceding 2 years, the ATLS course and either an APLS or PALS course or other program determined by the Department to meet or exceed the standards of these programs.

   (4)  Have experience in prehospital and emergency department care of the acutely ill or injured patient.

   (5)  Have experience in providing medical command direction to EMS providers.

   (6)  Have experience in the training of EMS providers above and below the AEMT level.

   (7)  Have experience in the medical audit, review and critique of EMS providers above and below the AEMT level.

   (8)  Have an arrangement with a medical command facility to serve as its medical director after receiving certification as a medical command facility medical director.

 (c)  Triennial registration. A medical command facility medical director’s certification is deemed registered for 3 years. Thereafter, a medical command facility medical director shall triennially register the certification on a form or through an electronic process, as prescribed by the Department. The Department will issue a new registration within 30 days after the application for registration is filed if the application demonstrates that the medical command facility medical director shall be:

   (1)  Serving as a medical command physician and a medical command facility medical director for a medical command facility.

   (2)  Providing prehospital and emergency department care of acutely ill or injured patients.

   (3)  Performing medical audit, review and critique of EMS providers above and below the AEMT level.

Cross References

   This section cited in 28 Pa. Code §  1031.8 (relating to discipline of medical command physicians and medical command facility medical directors).



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