Understanding the Protocol Understanding the Protocol ProcessProcess

K Don Edwards DO K Don Edwards DO

FACEP/ FACOEPFACEP/ FACOEP

DevelopmentDevelopment

Public Health Code Act 368Public Health Code Act 368

MCL Section 303.20919 MCL Section 303.20919

Local medical control authority shall establish Local medical control authority shall establish written protocols for the practice of life support written protocols for the practice of life support agencies and licensed emergency services agencies and licensed emergency services personnel within its region.personnel within its region.

Specific ProtocolsSpecific Protocols

Ensure appropriate dispatchingEnsure appropriate dispatching

DNR procedure act complianceDNR procedure act compliance

Defining process that holds life support Defining process that holds life support personnel accountablepersonnel accountable

Immediate medical control removal and a Immediate medical control removal and a hearing within 3 business dayshearing within 3 business days

QI program in place (PSRO)QI program in place (PSRO)

ContinuedContinued

Epi-pens Epi-pens

AED’s for all dispatched vehiclesAED’s for all dispatched vehicles

Due Process/ Appeals ProcessDue Process/ Appeals Process

DevelopmentDevelopment

Different Options AvailableDifferent Options Available1.1. State Model ProtocolsState Model Protocols

2.2. Develop individual protocolsDevelop individual protocols

3.3. Combination State Model and Individual for Combination State Model and Individual for special needs.special needs.

FormatFormat

Procedure for AdoptionProcedure for Adoption

Circulate a written draft 60 days prior to all Circulate a written draft 60 days prior to all significantly affected persons in the MCAsignificantly affected persons in the MCA

Submit protocols to the department.Submit protocols to the department.

Department reviews for consistency with Department reviews for consistency with existing protocols and consider any written existing protocols and consider any written comments received from interested comments received from interested parties.parties.

Adoption (continued)Adoption (continued)

Department (state) provides comments Department (state) provides comments and recommendations to the MCA within and recommendations to the MCA within 60 days of receiving protocols.60 days of receiving protocols.

If the department does not respond within If the department does not respond within 60 days the protocol is considered 60 days the protocol is considered approved by the department.approved by the department.

Medical control may formally adopt the Medical control may formally adopt the protocol.protocol.

Protocol FilletsProtocol Fillets

Emergency protocol to preserve health or Emergency protocol to preserve health or safety to individuals in response to a safety to individuals in response to a present medical emergency or disaster. present medical emergency or disaster. (these are for specified time period)(these are for specified time period)

MCA may require life support agencies to MCA may require life support agencies to have additional requirements than have additional requirements than required by state.required by state.

ComplianceCompliance

Process to ensure protocols are followed.Process to ensure protocols are followed.

Administrative rules require protocols be Administrative rules require protocols be reviewed every 3 years.reviewed every 3 years.

Protocolsubmitted

MDCH

MDCH

EMS QA Task Force

MCA

MCA

approvedMajor changes

State Model ProtocolState Model Protocol

State Model Protocol MDCH

MCA

FormatFormat

Cover letter states MCA is adopting state Cover letter states MCA is adopting state model protocols.model protocols.

Format if not Adopting State ModelFormat if not Adopting State Model

Type the MCA in place of “State Model Type the MCA in place of “State Model Protocol”Protocol”

Identify in cover letter what changes are Identify in cover letter what changes are made to state model protocol.made to state model protocol.

Specify the specific line/ treatment that is Specify the specific line/ treatment that is different.different.

FAQFAQ

Can we add our own protocols to the State Can we add our own protocols to the State Model Protocols?Model Protocols?

YesYes

You must state the changes in the cover You must state the changes in the cover letter.letter.

You must remove “State Model” at the top You must remove “State Model” at the top and place your MCA.and place your MCA.

Realize the protocol may take longer to Realize the protocol may take longer to review.review.

FAQFAQ

If want to adopt the State Model Protocols If want to adopt the State Model Protocols do they have to be reviewed by the entire do they have to be reviewed by the entire EMS QA Task Force?EMS QA Task Force?

No, they are reviewed by the department No, they are reviewed by the department as these are already approved protocols.as these are already approved protocols.

Questions???Questions???

Thank you Thank you