# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 03 — Ems Operational Programs

### Chapter 04 — Quality Assurance

#### Regulation .02 Quality Assurance Plan.

*COMAR 30.03.04.02*

A. Every EMS operational program shall have a written quality assurance plan approved by its medical director.

B. The quality assurance plan shall include provisions for:

  (1) Reviewing data concerning patient care rendered by EMS providers affiliated with the EMS operational program;

  (2) Identifying and analyzing trends in EMS care rendered by EMS providers affiliated with the EMS operational program;

  (3) Annually reporting to MIEMSS on quality assurance issues on a form required by MIEMSS;

  (4) Providing remedial action to resolve any patient care issues involving EMS providers or the EMS system which should be addressed at the jurisdictional level;

  (5) Identifying violations of the Maryland Medical Protocols for Emergency Medical Services Providers;

  (6) Notifying MIEMSS within 30 days of discovery of any incidents, protocol variations, or trends which in the opinion of the medical director:

    (a) May have resulted in harm to a patient,

    (b) May require disciplinary action by MIEMSS, or

    (c) Suggest the need for changes to the Statewide EMS system by MIEMSS; and

  (7) Reviewing oral or written allegations that:

    (a) An EMS provider failed to act in accordance with applicable law or protocols, or

    (b) Prehospital patient care was below the applicable standard of care.