Ohio EMS Scope of Practice Guidelines and Regulations
Dive into the legislative framework governing EMS providers in Ohio, exploring the Ohio Revised Code (ORC) 4765 and Ohio Administrative Code (OAC) 4765. Learn about the process of identifying, evaluating, and implementing changes to the EMS scope of practice, highlighting the crucial role of the State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board) in regulatory decision-making.
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Presentation Transcript
Ohio EMS Scope of Practice: Considerations CAROL A. CUNNINGHAM, M.D., FAAEM, FAEMS STATE MEDICAL DIRECTOR OHIO DEPARTMENT OF PUBLIC SAFETY, DIVISION OF EMS
Ohio Revised Code 4765 Ohio Revised Code (ORC) 4765: Legislation (laws) related to EMS providers and EMS medical directors Legislators (state representatives and state senators) have the authority to create, amend, and rescind laws Legislation becomes effective within a designated time period following a signature by the Governor ORC 4765 designates the State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board) as the regulatory body for EMS
Ohio Administrative Code 4765 Ohio Administrative Code (OAC) 4765: Regulations (rules) related to EMS providers and EMS medical directors The State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board) has the legislative authority to create, amend, or rescind the regulations (rules) related to EMS providers and EMS medical directors Joint Committee on Agency Rule Review (JCARR) o Reviews all proposed new, amended, or rescinded rules o Oversees mandatory 5-year review of all regulations
Ohio EMS Scope of Practice Identification of a patient care/EMS system need Step 1 Patient care and/or EMS system need Proposed psychomotor skill and/or service The appropriate EMFTS Board Committee vets the proposal (EMS research literature reviews, presentations, surveys of EMS providers, stakeholders, and laypersons) Step 2 EMFTS Board Committee Assessment of need and impact EMFTS Board Committee provides a recommendation/advisory to the EMFTS Board regarding the proposal Step 3 Public comment is welcomed and encouraged at each EMFTS Board meeting Accepts, amends, or rejects proposal EMFTS Board
Ohio EMS Scope of Practice Regulatory language is drafted by the Division of EMS staff and reviewed and approved by ODPS legal counsel Step 1 Legal Counsel Regulatory language EMFTS Board approve language for filing Common Sense Initiative (CSI): Fiscal, administrative, and operational impacts; avoids duplication of efforts Step 2 Common Sense Initiative Business Impact Analysis EMFTS Board approves proposed regulatory language to proceed to the JCARR Step 3 Approves filing OF draft rule with JCARR EMFTS Board
Ohio EMS Scope of Practice: Statewide Considerations EMS Education Institutions Training Costs Equipment Costs Patient Impact Volunteer and Rural EMS Support Legislative Process State EMS Guidelines
Ohio EMS Scope of Practice Step 1 JCARR reviews all submitted documents and retains the option of requesting amendments from the EMFTS Board JCARR Review process Public hearings are held with the EMFTS Board and the JCARR regarding the proposed regulatory action and/or Step 2 EMFTS Board followed by the JCARR The final language is filed with JCARR and the effective date of the regulation is determined and communicated with the EMS community and the public Public Hearings Step 3 Final filing with JCARR and determination of effective date Final steps
Ohio EMS Scope of Practice: Emergent Amendments The EMFTS Board has the authority to make amendments in the Ohio EMS scope of practice effective immediately prior to the JCARR process This action has been strictly reserved for imminent potential or confirmed life threats to the health of the general public o Administration of nerve agent antidotes for a suspected or confirmed nerve agent exposure at the declaration of an emergency o H1N1 influenza pandemic: Administration of the influenza vaccine by advanced EMTs and Paramedics to the public at the governor s declaration of an emergency that affected public health o Opiate crisis: Administration of naloxone by all Ohio EMS certified providers
To facilitate more seamless transitions, it is the EMFTS Board goal to institute non-emergent amendments to the Ohio EMS scope of practice annually in the future. EMS Education Institutions Training Costs Equipment Costs Ohio EMS Scope of Practice Patient Impact Volunteer and Rural EMS Support Legislative Process Future Goals State EMS Guidelines
