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	Southern Tier Regional Emergency Medical Services Council

SUMMARY OF LEGISLATION:

1. Article 30, Section 3006:
   Establishes that every ambulance service and advanced life support first response service shall:
1. establish and participate in a quality improvement program, which shall be an ongoing system to monitor and evaluate the quality and appropriateness of medical care provided by the ambulance service or advanced life support first response service
2. pursue opportunities to improve patient care and resolve identified problems.
2. Part 800.29
   The EMS service shall implement and maintain a quality improvement program on its own in conjunction with other organization(s). It shall include a planned and systemic process for monitoring and enhancing the quality and appropriateness of patient care, clinical performance, and administrative coordination support activities of the service on an ongoing basis and seek to solve causes of identified deficiencies.
3. 405.19 Regulations:
1. require a review of emergency services at least four times a year as part of a hospital's overall QI program (Article 28).
2. require review of Medical Control and Medical Oversight of the system for prehospital emergency medical services.
3. require review of on-scene triage procedures and protocols for those patients in need of specialized care at designated hospitals (i.e., trauma center, burn center, etc.).
4. require review of protocols and emergency care provided for patients. This must include prehospital care providers, emergency services personnel, and appropriate physicians.
4. Part 80 - Rules and Regulations on Controlled Substances: Federal Regulations
   Documents administrative rules and regulations pertinent to the handling of controlled substances. Also requires a Quality assurance plan and lists pertinent responsibilities of the Medical Director.
5. Federal Regulations:
   Consolidated Omnibus Budget Reconciliation Act (COBRA): Mandates requirements for interfacility transfers, and holds the individual practitioner liable for violations.