Section 130.1502 - Standards for Hospitals that Provide a Medical Control ServiceEach hospital that provides a medical control service shall:
(A) Enter into an affiliation agreement that meets the requirements set forth in 105 CMR 170.300: Affiliation Agreements with each service to which it provides medical control;(B) Make on-line medical direction available 24 hours per day, seven days per week to all services with which it has an affiliation agreement;(C) Designate an affiliate hospital medical director;(1) The hospital shall ensure that the affiliate hospital medical director performs the duties specified in 105 CMR 130.1503.(2) The hospital shall ensure that the affiliate hospital medical director meets the requirements set forth in 105 CMR 130.1504.(D) Provide data regarding medical control to the Department upon request;(E) Maintain operational communications equipment and participate in communications plan development, where appropriate, in compliance with the Massachusetts Emergency Medical Services Radio Communications Plan;(F) Ensure that all field communication of emergency on-line medical direction is recorded by CMED, at the hospital, or by other means;(G) Maintain and provide to the Department upon request a list of the physicians that provide on-line medical direction pursuant to the affiliation agreement and the requirements set forth in 105 CMR 130.1504;(H) Ensure that there is a process for skill maintenance and review available to EMS personnel employed by the service with which the hospital has an affiliation agreement;(I) Provide remedial training opportunities in the hospital emergency department and in operating rooms or skill laboratories, for remediation and education of all pertinent EMS skills and practices, including, but not limited to, advanced airway management;(J) Operate an effective quality assurance/quality improvement (QA/QI) program that includes, but is not limited to, regular review of trip records and other statistical data pertinent to the operation of the service with which the hospital has an affiliation agreement, in accordance with the hospital's QA/QI standards and protocols, in those cases in which ALS services were provided or in which ALS established direct patient contact;(K) Make available to the hospital's emergency department physicians and nurses and the EMS personnel employed by the service with which the hospital has an affiliation agreement, morbidity and mortality rounds and chart reviews at a frequency specified in the affiliation agreement;(L) Provide to the Department and the Regional Medical Director upon request a list of ambulance services with which it maintains affiliation agreements; and(M) Establish policies and procedures through which the service may obtain medications from the hospital's pharmacy.Amended by Mass Register Issue 1343, eff. 4/7/2017.Amended by Mass Register Issue 1472, eff. 6/24/2022.