Last updated 10.2001

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TITLE: Emergency Medical Services System Coordinator NUMBER: 600.1

SECTION: Resource/Associate Hospital

EFFECTIVE DATE: 9/1/99 REVISED/REVIEWED 10/01/06

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PURPOSE: To identify the responsibilities of the Loyola Emergency Medical Services System Coordinator.

RESPONSIBILITIES:

The Loyola Emergency Medical Services System Coordinator is responsible for planning, managing and evaluating the prehospital care provided by EMS personnel functioning in the Loyola Emergency Medical Services System, as well as their educational process for competency and licensure. These responsibilities are discharged in collaboration with the EMS Medical Director. The EMS System Coordinator is responsible for coordinating the education, training and continuous quality improvement of all the EMS System participants.

1. Monitors pre-hospital providers on municipal and private provider departments regarding medical performance within the Loyola Emergency Medical Services System.

2. Responsible for the overall functioning of the Loyola Emergency Medical Services System.

3. Responsible for the maintenance of Continuing Education in the Loyola Emergency Medical Services System.

4. Assures the monitoring of quality control within the system.

5. Coordinates the data collection in the Loyola Emergency Medical Services System.

6. Functions as liaison between Resource/Associate Hospitals.

7. Makes recommendations to the State for licensure, relicensure and suspension of the license of pre-hospital providers in collaboration with the EMS Medical Director.

8. Coordinates the development and implementation of written and practical examinations for pre-hospital providers.

9. Assists EMS Medical Director with resident physician education relative to EMS and prehospital care.

10. Assembles System Review Board as deemed necessary in compliance with the Illinois Department of Public Health Rules and Regulations.

11. Develops and maintains EMS budget

12. Represents the Resource Hospital in programs concerning the EMS System as necessary to public and other outside agencies.

13. Attends local, state and federal meetings regarding guidelines, grants, or any other decision-making areas that affect the functioning of the Loyola Emergency Medical Services System.

14. Assists the EMS Medical Director in upholding and administering Loyola Emergency Medical Services System Policies within the Loyola Emergency Medical Services System.

15. Promotes Loyola's mission and values.

16. Assists in Disaster Planning and Management.

17. Assures the administration of the Loyola EMT-P and Basic Programs.

TITLE: Emergency Medical Services System Administration NUMBER: 600.1a

SECTION: Resource/Associate Hospital

EFFECTIVE DATE: 1/03/01 REVISED/REVIEWED 10/1/06

PURPOSE: To notify the Illinois Department of Health of potential conflicts of interest involving EMS System administrative personnel.

POLICY: The EMS Medical Director, EMS System Coordinator and EMS Administrative Director shall notify the Illinois Department of Health in writing of any association with an ambulance service through employment, contract, ownership or otherwise. It must be specified how he or she is answerable to or directed by such ambulance service provider concerning any matter falling within the scope of the EMS Act or Section 515.320(i) of the EMS Act.

SECTION: Resource/Associate Hospital Personnel

EFFECTIVE DATE: 9/1/99REVISED/REVIEWED: 10/1/06

PURPOSE: To provide a liaison to the Resource hospital and the EMS System at the Associate Hospital level.

POLICY: The Associate Emergency Medical Services Coordinator will be a Registered Nurse or EMT-P in the State of Illinois employed by the Associate Hospital. This individual must demonstrate a high degree of competence in critical and emergency care.

RESPONSIBILITIES:

1. Administration

A. Act as liaison for the Associate Hospital to all EMS System participants.

B. Reports any suspicious criminal activity or medical/legal activities involving Loyola System Providers to Loyola's EMS Coordinator and EMS Medical Director as soon as possible.

C. Implements and monitors a system to maintain and control replacement of supplies used by provider agencies.

D. Works closely with all prehospital providers who participate in the EMS System to meet their needs for medical control and evaluation.

E. Provides feedback and follow-up on patients to the prehospital providers within the limits of patient confidentiality.

F. Provides feedback and follow-up to prehospital providers regarding regulations and System guidelines.

G. Represents Associate Hospital at System meetings:

1. System Provider Coordinator

2. EMS Hospital Coordinator

3. System Chief / CEO

4. Associate Hospital

5. Special functions as needed.

H. Assists in special projects as deemed appropriate.

I. Works closely with Resource EMSS Coordinator or designates in all areas of the Loyola Emergency Medical Services System.

2. Quality Assurance

A. Assists in the evaluation of emergency medical services rendered to maintain the prescribed system standards for patient care as provided by their associate hospital staff.

B. Reviews and critiques ALS and BLS calls and refers to EMS Medical Director or EMS System Coordinator as needed and appropriate.

C. Assists in compilation of EMS System monthly data for evaluation of the EMS System and other reports as required by the Illinois Department of Public Health (annual report).

3. Education

A. Prehospital Provider

1. Assists in organization and instruction of primary and continuing education programs for EMS System participants.

2. Administers modular exams to assigned providers.

3. Maintains appropriate records and provides Resource Hospital with information as requested.

4. In conjunction with the Resource hospital, arranges for back up coverage of these duties when necessary (i.e., illness).

5. Serves as preceptor at clinical sites for paramedics and EMT-Basic students.

B. ECRN

1. Assists in organization and instruction of continuing education programs for EMS System participants.

2. Assists Resource Hospital EMS department in conducting the Emergency Communications Registered Nurse course.

3. Administers retests for ECRN class, oversees ECRN preceptorship and ambulance ride time.

4. Oversees the Associate Hospital's ECRN recertification process, forwards information and updates EMS System Office as needed.

5. Administers ECRN modular exams.

6. Presents telemetry reviews for ECRNs on a periodic basis based on educational needs documented through CQI programs.

7. Maintains all ECRN files for ED personnel.

8. In conjunction with the Resource hospital, arranges for backup coverage of these duties when necessary (i.e., illness).

SECTION: Resource/Associate Hospital Personnel

EFFECTIVE DATE: 9/1/99 REVISED/REVIEWED 10/1/06

PURPOSE: To provide a physician liaison from the Associate Hospital level to assist in the medical management of the Loyola Emergency Medical Services System.

POLICY:

Each Associate Hospital will designate an Associate Hospital EMS Medical Director

1. Responsibilities of the Associate Hospital EMS Medical Director.

A. Assists in developing System policies, procedures, and Standard Operating Procedures.

B. Attends Associate Hospital and other System meetings as needed.

C. Assists with clinical rotations.

D. Assists with continuing education: EMT-P, EMT-B, physician, & ECRN.

E. Attends special functions as deemed appropriate by EMS System.

F. Monitors continuous quality improvement at Associate Hospital level.

G. Monitors internal education of ED staff physicians at Associate Hospital level.

H. Participates in ECRN development.

I. Evaluates the performance of paramedic students and EMT-P System applicants.

J. Participates in a Physician Base Station Course as required.

K. Assists in the procurement of educational experiences and clinical sites for licensed and student pre-hospital providers.

L. Assures compliance to Loyola EMS policies and procedures by Associate hospital personnel.

SECTION: ResourcelAssociate Hospital Personnel

EFFECTIVE DATE: 9/1/99 REVISED/REVIEWED: 10/1/06

PURPOSE: To ensure qualified personnel in the medical control management of prehospital patient care in the Loyola Emergency Medical Services System.

POLICY:

The physicians in the Loyola Emergency Medical Services System maintain medical control over the treatment rendered to the patients in the field.

The hospital base station physician must:

1. Be licensed to practice as a physician in the State of Illinois.

2. Be familiar with the Standard Operating Procedures, System Disaster Protocols, Policies and Procedures, and equipment of the Loyola Emergency Medical Services System.

3. Be familiar with the hospital's communication system and radio.