Each EMS operational program shall designate a Quality Assurance (QA) Officer in concurrence with the EMS operational program medical director. Qualifications of an EMS Operational Program Quality Assurance Officer. An EMS operational program Quality Assurance Officer shall: Be certified or licensed as an emergency medical technician, CRT, or paramedic in Maryland; Either: Successfully complete a QA officer course as defined by MIEMSS within six months of designation; or Have been serving as a Quality Assurance Officer for an EMS operational program for a period of at least 5 years; and Successfully complete a Quality Assurance Officer continuing education course annually. Duties of an EMS Operational Program QA Officer. The EMS operational program QA officer shall be responsible for: Implementing the EMS operational program quality assurance plan under Regulation .02 of this chapter; Serving as a member of the EMS operational program Medical Review Committee; Internal audits of medical records and field evaluations to develop strategies for improvement; Remedial action plans for individual medical practice and system variances as directed by the Medical Review Committee; Tracking and investigating customer complaints and sentinel events; Completing reports to MIEMSS as required under COMAR 30.03.04; and Ensuring that issues regarding Advance Life Support providers are delegated to a member of the Medical Review Committee who is an Advance Life Support provider for review if the QA officer is certified as an emergency medical technician.