The hospital of which the base station is a unit, or the free standing emergency center if the base station is within a free standing emergency center, shall: Monitor and participate in MEMRAD; Monitor their utilization of CHATS alerts; and Participate in mitigation strategies to improve systems efficiencies and patient safety. The base station director and base station coordinator shall: Assure that online medical direction and consultation provided by the base station is: Timely; Appropriate; and Otherwise consistent with Maryland Medical Protocols for Emergency Medical Services Providers; Assure the MIEMSS approved Prehospital Consultation/Interventions Radio Report Forms are complete, signed and linked to the patient record through a patient identifier; Develop and implement a process which facilitates monthly quality assurance/quality improvement review of EMS consults which: Reviews all priority one/critical patient consults and select lower priority consults for a minimum of 30 consults per month; Allows for ongoing documentation of tracking, trending, loop closure and retention of Quality Assurance/Quality Improvement review findings for 5 years; Notifies EMS operational programs upon discovery of patient care, quality or protocol variance issues involving EMS providers or the EMS system; Notifies EMS operational programs and MIEMSS Office of the State Medical Director upon discovery of conduct that is specifically prohibited under the requirements of COMAR 30.02.04.01; Monitors hospital’s response rates to MEMRAD notifications and alerts; Participates in local, regional, and State EMS quality improvement activities; Provides patient follow-up data as required by MIEMSS for public health oversight purposes to determine the appropriateness and outcome of EMS care for: Inpatients; and Outpatients; and Reports as required by MIEMSS for quality assurance and performance improvement purposes. The State EMS Medical Director through the MIEMSS regional medical directors shall: Coordinate online medical direction functions; and Regularly review the quality improvement activities of approved base stations.