Prehospital Emergency Medical Services. In accordance with the Rules of the Tennessee Department of Health, Bureau of Health Licensure and Regulations, Emergency Medical Services Division, Chapter 1200-12-1, General Rules for Medical Direction of Prehospital EMS, the MEDICAL DIRECTOR shall be appointed as Emergency Medical Services (“EMS”) Medical Director for the TOWN and shall provide medical supervision of the TOWN’s EMS system and assure the provision of quality emergency medical care throughout the EMS system. The MEDICAL DIRECTOR shall develop and enforce patient care policies and medical procedures and shall modify system design and regularly evaluate operations through an established Continuous Quality Improvement (”CQI”)program to ensure that prehospital providers meet or exceed the standard of care in all patient encounters. The MEDICAL DIRECTOR shall have the power to limit the activities of those under the MEDICAL DIRECTOR’S supervision that deviate from the established clinical standards of care or do not meet training standards pursuant to appropriate rules and regulations established by the MEDICAL DIRECTOR and the CF&R. Additional responsibilities of the MEDICAL DIRECTOR shall include, but not be limited to, involvement with the design, operation, evaluation and ongoing revision of the EMS system including, without limitation, initial patient access, dispatch, prehospital care and delivery to the emergency department. The means utilized by the MEDICAL DIRECTOR to direct prehospital emergency care may include, but are not limited to, off-line and on-line medical direction using prospective, concurrent and/or retrospective methods. Off-Line (Prospective and Retrospective) Medical Direction Off-line medical direction is the administrative promulgation and enforcement of accepted standards of prehospital care. Off-line medical direction can be accomplished through both prospective and retrospective methods. Prospective methods include, but are not limited to, training, testing and certification of providers; protocol development; operational policy and procedures development; and legislative activities. Retrospective activities include, but are not limited to, medical audit and review of care, direction of remedial education, and limitation of patient care functions if needed.
Prehospital Emergency Medical Services. We will pay for prehospital emergency medical services, including prompt evaluation and treatment for an emergency condition and/or nonairborne transportation of you to a hospital. Coverage for such transportation is based on whether a prudent layperson, possessing an average knowledge of medicine and health, could reasonably expect the absence of such transportation to result in: • Placing the health of the person afflicted with such condition in serious jeopardy, or in the case of a behavioral condition placing the health of such person or others in serious jeopardy • Serious impairment to such person’s bodily functions • Serious dysfunction of any bodily organ or part of such person • Serious disfigurement of such person
Prehospital Emergency Medical Services. 4 Chapter 2. Emergency Medical Technician § 100063, § 100068 and § 100074. Additionally, any optional skills approved by the LEMSA as outlined in § 100064.
