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Ohio Laws and Rules
As used in this chapter:
(A) “Region” means each geographic area designated as a health service area by the director of health under section 3702.58 of the Revised Code.
(B) “RPAB” means regional physician advisory board as defined in section 4765.05 of the Revised Code and this chapter.
R.C. 119.032 review dates: 01/12/2004 and 01/12/2009
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.05
Prior Effective Dates: 1/1/96, 4/28/02
(A) For each prehospital emergency medical services region designated by the board pursuant to section 4765.05 of the Revised Code, the board may appoint a regional physician advisory board (RPAB), rather than a regional director, to oversee the delivery of prehospital emergency medical services in that region.
(B) Each RPAB shall be composed of not fewer than three and not more than nine physicians who meet both of the following criteria:
(1) Possess knowledge and experience in or related to emergency medical services;
(2) Work or reside in the region to be served by the RPAB.
(C) Appointments to each RPAB shall be made from among those physicians who have expressed an interest in serving and have provided the board with a completed application including a curriculum vitae verifying that they meet the qualifications established by this chapter.
(D) Each term of appointment to an RPAB shall be for a period of three years and shall commence on the first day of January following appointment by the board.
(E) The board may take into account the following factors when considering appointments to each RPAB:
(1) Whether the physician has experience with emergency medicine in a prehospital setting;
(2) Whether all geographic areas of a region would be adequately represented;
(3) Whether a physician’s medical specialty or area of concentration will broaden the range and scope of knowledge of an RPAB;
(4) Personal references or letters of recommendation.
(F) Upon the recommendation of the state medical director, the board may remove or replace any member of an RPAB for any of the following reasons:
(1) Failure to maintain the qualifications necessary for appointment to an RPAB;
(2) Failure to satisfy responsibilities as a member of an RPAB;
(3) Suspension or revocation of a certificate to practice medicine and surgery, or osteopathic medicine and surgery, under Chapter 4731. of the Revised Code;
(4) Such other reason that the state medical director determines would preclude a member from serving as an effective member of the RPAB.
(G) The board may fill any vacancies that occur prior to the expiration of a term in accordance with this chapter. Any member appointed to fill a vacancy occurring prior to the expiration of the term for which the member’s predecessor was appointed shall serve for the remainder of the unexpired term.
R.C. 119.032 review dates: 01/12/2004 and 01/12/2009
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.05
Prior Effective Dates: 1/1/96, 4/28/02
(A) Each RPAB shall annually appoint a chairman and a vice chairman from among its members. Notice of such appointment shall be provided to the state medical director no later than February fifteenth.
(B) Each RPAB shall meet as often as necessary to carry out its duties but no less often than four times annually.
(C) The chairman of each RPAB shall meet at least four times annually with he state medical director. In addition, the state medical director shall be advised of all scheduled meetings of each RPAB.
(D) To assist it in carrying out its duties and responsibilities under section 4765.05 of the Revised Code and this chapter, each RPAB shall hold a minimum of two public forums annually on the subject of delivery of prehospital emergency medical care in the region. The date, time, and location of each public forum shall be publicized in advance in a manner determined appropriate by the RPAB.
(E) Prior to the last day of February of each year, each RPAB shall submit to the state medical director and all EMS organizations in its region, a report that documents activities, improvements, accomplishments, and problem areas in the previous calendar year. Such report shall be presented in a format specified by the state medical director.
R.C. 119.032 review dates: 01/12/2004 and 01/12/2009
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.05
Prior Effective Dates: 1/1/96, 2/22/99
(A) Each RPAB shall develop and recommend written medical protocols for EMS providers, organizations, and personnel operating in the area served by the RPAB.
(B) In order to assist in developing and maintaining appropriate emergency medical services in its region, each RPAB shall provide the following services:
(1) Assist in developing EMS continuing education programs within its region;
(2) Assist in the organization, evaluation, and procurement of equipment for EMS organizations in its region;
(3) Maintain information regarding all EMS providers and organizations in the region including the name of the medical director or physician advisory board members for each;
(4) Maintain a listing of all EMS equipment owned by or available to each EMS provider in the region;
(5) Maintain a listing of all EMS training and continuing education programs in the region;
(6) Identify problems with the provision of emergency medical services in the region and develop strategies to address such problems;
(7) Facilitate agreements for mutual aid and assistance between EMS organizations in the region;
(8) Review any experimental procedures proposed to be included in EMS medical protocols within its region.
(C) Each RPAB shall assist all EMS organizations in its region in procuring the services of a medical director or physician advisory board as required by section 4765.42 or the Revised Code. If an EMS organization is unable to locate any qualified physicians who are willing to act in this capacity, the RPAB shall serve as the physician advisory board for that EMS organization until such time as the services of a medical director or physician advisory board can be procured.
R.C. 119.032 review dates: 01/12/2004 and 01/12/2009
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.05
Prior Effective Dates: 1/1/96, 2/22/99
(A) Each medical director shall meet the following minimum qualifications:
(1) Possession of a valid Ohio medical license;
(2) Active in emergency care of patients;
(3) Active participation with one or more EMS organizations, including but not limited to:
(a) Conducting performance improvement programs;
(b) Conducting education programs;
(c) Conducting protocol updates.
(4) Evidence of high ethical standards and no conflicts of interest;
(5) Evidence that medical director will receive aggregate data from the state EMS office to benchmark at the local level.
(B) Existing medical directors who meet all the qualifications listed in paragraph (A) of this rule are not required to obtain additional training for a period of three years after the effective date of this rule. After three years, such medical directors shall:
(1) Complete the national association of emergency medical service providers (NAEMSP) medical director course, the Ohio American college of emergency physicians (ACEP) medical director course, or other equivalent course approved by the board; or
(2) Complete a board eligible/board certified residency program in emergency medicine; or
(3) Submit verification of EMS medical director experience and verification of performance improvement programs or training to the board.
(C) New medical directors, and existing medical directors who do not meet the qualifications listed in paragraph (A) of this rule, shall complete the NAEMSP or Ohio ACEP medical director course, or complete a board eligible/board certified residency program in emergency medicine.
(D) Each medical director is required to participate in peer review and quality improvement programs, as provided in section 4765.12 of the Revised Code.
(E) Each medical director shall register with the board on an annual basis in order to demonstrate that such medical director continues to meet the minimum qualifications listed in paragraph (A) of this rule.
R.C. 119.032 review dates: 01/12/2004 and 01/12/2009
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.11
Prior Effective Dates: 8/25/02