6 CCR 1015-4-405 - RETAC Emergency Medical and Trauma System Biennial Plan Requirements
1. On July 1 of every odd numbered year, each
RETAC, with the approval from the governing bodies for the RETAC, must prepare
a Regional Emergency Medical and Trauma Services System Plan to create and
maintain coordinated, integrated emergency medical and trauma system services
throughout the region. The Department shall provide technical assistance to any
RETAC for preparation, implementation, and modification of the plan. The plan
shall be submitted to SEMTAC for evaluation. Once SEMTAC has determined the
plan is adequate, it will make a recommendation to the Department for approval.
The plan shall be submitted in the form and manner required by the Department,
based on the advice from SEMTAC. If the RETAC fails to submit a plan, does not
include a county and/or city and county within their region in the plan, or the
plan is not approved through the evaluation process established by SEMTAC, the
Department shall design a plan for the RETAC.
2. In developing the biennial plan, the RETAC
shall review data collected from sources such as, but not limited to, county
plans, SEMTAC plans, organizational profiles, financial reports, and strategic
planning documents.
3. The biennial
plan shall be comprised of two sections: system components and statutory
requirements.
A. One section of every
biennial plan shall include the system components listed below. Each plan
component, at a minimum, shall address the current level of activity within
that component:
(1) Integration of health
services - Activities to improve patient care through collaborative efforts
among health related agencies, facilities, and organizations within the region.
The desired outcome of this component is to improve the system by encouraging
groups involved in EMTS to work with other entities (e.g., health related,
state, local, and private agencies and institutions); share expertise; evaluate
and make recommendations; and mutually address and solve problems within the
region.
(2) EMTS research -
Determines the effectiveness and efficiency of the EMTS system through
scientific investigation. A continuous and comprehensive effort to validate
current EMTS system practices in an effort to improve patient care, determine
the appropriate allocation of resources, and prevent injury and illness and
ultimately death and disability.
(3) Legislation and regulation - Issues
related to legislation, regulation, and policy that affect all components of
the EMTS system. This component defines the level of authority and
responsibility for system planning, implementation, and evaluation.
(4) System finance - Defines the financial
resources necessary to develop and maintain a quality EMTS system.
(5) Human resource - The acquisition of
knowledge and skills, recruitment, and retention of providers are priorities
for a quality EMTS system.
(6)
Education systems - Includes the education and training of all providers within
the EMTS system and includes efforts to coordinate and evaluate programs to
ensure they meet the needs of the EMTS system.
(7) Public access - Includes all means by
which users can access the 911 system. This component also includes the
provisions of pre-arrival instructions provided by emergency medical
dispatchers.
(8) Evaluation - A
process of assessing the attributes (system integration and components) of the
EMTS system to ensure that continual improvement can be designed and
implemented.
(9) Communications
system - The efficient transfer of information by voice and data occurring
between dispatch centers, EMTS providers, physicians, facilities, public safety
agencies, and patients seeking care through emergency medical dispatch.
Includes EMTS system communications interoperability within and outside the
region for multicasualty incidents.
(10) Medical direction - Supervision and
direction of patient care within the EMTS system by qualified and authorized
physicians, including the medical communities' involvement in maintaining
quality of care through accepted standards of medical practice through
innovation.
(11) Clinical care -
Clinical methods, technologies, and delivery systems utilized in providing
emergency medical and trauma services in and out of the hospital that includes:
emerging community health services, rescue services, and mass casualty
management.
(12) Mass casualty -
Defines the responsibility and authority for planning, coordination, and
infrastructure for all medical care during incidents where the normal capacity
to respond is exceeded.
(13) Public
education - Includes the public's involvement in learning experiences to
promote and encourage good health and reduce morbidity and mortality.
(14) Prevention - Solutions designed through
data collection and analysis, education, and intervention strategies to reduce
morbidity and mortality related to intentional and unintentional injury and
illness.
(15) Information systems -
The collection of data and analysis as a tool to monitor and evaluate the EMTS
system. Information systems are key to providing a means of improving the
effectiveness and integration of healthcare delivery.
B. The other section of every biennial plan
shall address the following issues, as required by statute.
(1) Those regional factors that impact the
provision of minimum services and care to sick and injured patients at the most
appropriate facility. Such factors include, but are not limited to, the
following:
a. Interfacility transfer
agreements and protocols used by facilities to move patients to higher levels
of care.
b. Facility-defined triage
and transport plans to be developed by all facilities within the
RETAC.
c. Geographical barriers to
the transportation of patients.
d.
Population density challenges to providing care.
e. Out-of-hospital resources within the
region for the treatment and transportation of sick and injured
persons.
f. Accessibility to
designated trauma facilities within and outside the region.
(2) The level of commitment of
each of the member counties and/or city and counties. Commitment includes, but
may not be limited to, the following:
a.
Cooperation among county and local organizations in the development and
implementation of the statewide emergency medical and trauma care
system.
b. Participation and
representation within the RETAC(s).
c. Dedicated financial and in-kind resources
for regional systems development.
d. Cooperation among county and local
organizations in the development and implementation of a coordinated statewide
communications system.
(3) Methods for ensuring facility, agency,
and county, and/or city and county adherence to the RETAC emergency medical and
trauma services system plan. Methods shall include, but not be limited to, the
following:
a. A compliance reporting process
as defined by SEMTAC and the Department.
b. A continuing quality improvement system as
defined by SEMTAC and the Department.
(4) Description of public information,
education, and prevention programs used within the region to reduce illness and
injury.
(5) Any function of the
RETAC accomplished through contracted services.
(6) Identification of regional emergency
medical and trauma system needs through the use of a needs assessment
instrument developed by the Department; except that the use of such instrument
shall be subject to approval by the counties and/or city and counties included
in a RETAC. Approval by the counties and/or city and counties shall not be
unreasonably withheld.
(7) A
description of the following communications system issues:
a. Communication method in place to ensure
citizen access to emergency and medical trauma services through the 911
telephone system or its local equivalent.
b. Primary communication method for dispatch
of personnel who respond to provide prehospital care.
c. Communication methods used between
ambulances and other responders and between ambulances and designated and
nondesignated facilities.
d.
Communication methods used among trauma facilities and between facilities and
other medical care facilities.
e.
Communication methods used among service agencies to coordinate prehospital and
day-to-day requests for service during multicasualty (disaster)
activities.
f. Communication
methods used among counties and RETACS to coordinate prehospital and day-to-day
requests for service and during multicasualty (disaster) activities.
(8) Each biennial plan shall
identify the key resource facilities for the region.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.