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<chapter num="08" heading="Record-Keeping and Submission Requirements" title_num="30" subtitle_num="09">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter governs the record keeping and submission requirements for commercial ambulance services and commercial ambulances.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="General Record-Keeping Requirements.">
    <text>A commercial ambulance service shall:</text>
    <paragraph num="A.">
      <text>Maintain records in any permanent form including:</text>
      <paragraph num="(1)">
        <text>Paper, or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Magnetic media;</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Organize all records in such a manner as to allow the commercial ambulance service to locate, within a reasonable time, a record, given:</text>
      <paragraph num="(1)">
        <text>A patient's name,</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Date and time of a call, and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Pick up or discharge location; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Retain all records for not less than 5 years and in accordance with:</text>
      <paragraph num="(1)">
        <text>Local law,</text>
      </paragraph>
      <paragraph num="(2)">
        <text>State law, and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Federal law.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Patient Records.">
    <paragraph num="A.">
      <text>A commercial ambulance service shall maintain complete and accurate records regarding the care and transportation of each patient that the commercial ambulance service:</text>
      <paragraph num="(1)">
        <text>Responds to transport;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Agrees to transport; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Transports to, from, or within the State.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A record for each patient referred to in §A of this regulation shall contain the following information:</text>
      <paragraph num="(1)">
        <text>Patient's name;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Patient's residence address;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Date and time of scheduled pickup;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Location of pick up;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Date of service;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Time dispatched;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Commercial ambulance number;</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Time en route to pick up location;</text>
      </paragraph>
      <paragraph num="(9)">
        <text>Time arrived at pick up location;</text>
      </paragraph>
      <paragraph num="(10)">
        <text>Time en route to destination;</text>
      </paragraph>
      <paragraph num="(11)">
        <text>Patient's destination;</text>
      </paragraph>
      <paragraph num="(12)">
        <text>Time arrived at destination;</text>
      </paragraph>
      <paragraph num="(13)">
        <text>Referring physician;</text>
      </paragraph>
      <paragraph num="(14)">
        <text>Receiving physician, if available; and</text>
      </paragraph>
      <paragraph num="(15)">
        <text>Pertinent remarks.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>A commercial ambulance service shall use the standard Maryland Ambulance Information System runsheet and additional narrative supplied at cost by SOCALR.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Personnel Records.">
    <text>A commercial ambulance service shall maintain:</text>
    <paragraph num="A.">
      <text>A complete and current personnel list which includes:</text>
      <paragraph num="(1)">
        <text>EMS providers;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Ambulance drivers;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Registered nurses; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Any other medical personnel employed;</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Personnel lists which include each employee's:</text>
      <paragraph num="(1)">
        <text>Full name; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Health care certification or license:</text>
        <paragraph num="(a)">
          <text>Number,</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Level,</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Date of issuance, and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Date of expiration;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Accurate and completed employee training records for:</text>
      <paragraph num="(1)">
        <text>New employee orientation;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Continuing education; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>All training required for compliance with this subtitle;</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Training records that document:</text>
      <paragraph num="(1)">
        <text>Date training provided;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Course outline;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Employee attendance;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Instructor name; and</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Instructor's qualifications; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Accurate records of employee:</text>
      <paragraph num="(1)">
        <text>Communicable disease exposure histories;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Immunization records; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Yearly TB screening.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Vehicle Records.">
    <text>A commercial ambulance service shall:</text>
    <paragraph num="A.">
      <text>Complete dated inventory sheets daily to ensure each ambulance is:</text>
      <paragraph num="(1)">
        <text>Clean,</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Has adequate supplies, and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Is in compliance with COMAR 11.14; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Maintain a written policy detailing the procedures to be followed if a mechanical failure occurs with the ambulance when responding to or transporting a patient.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Submission of Reports.">
    <text>A commercial ambulance service shall:</text>
    <paragraph num="A.">
      <text>Upon reasonable request from SOCALR, submit within a reasonable time:</text>
      <paragraph num="(1)">
        <text>Reports;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Surveys;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Complaint investigation findings;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Patient care records;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Personnel records;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Training records; and</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Vehicle records;</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Notify SOCALR orally within 72 hours, and in writing within 5 calendar days, of all:</text>
      <paragraph num="(1)">
        <text>New names registered with the Maryland Department of Assessments and Taxation for the purpose of doing business;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Additions, or deletions, to the physical locations of operation;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Changes in:</text>
        <paragraph num="(a)">
          <text>Medical direction,</text>
        </paragraph>
        <paragraph num="(b)">
          <text>ALS coordinator,</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Information included on an application, and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Operation of the ambulance service;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>Reports submitted to the deputy State health officer in accordance with COMAR 10.06.01;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Reports submitted in accordance with COMAR 30.03.04;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Violations of this subtitle by:</text>
        <paragraph num="(a)">
          <text>A commercial ambulance service employee, or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Anyone acting as an agent for a commercial ambulance service;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(7)">
        <text>Events involving the commercial ambulance service which results in:</text>
        <paragraph num="(a)">
          <text>Bodily injury, or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Death;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Submit every proposed change to ambulance markings for review and approval before making any changes to ambulance markings, including but not limited to:</text>
      <paragraph num="(1)">
        <text>Numbering;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Lettering; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Symbols;</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Submit by the 15th of each month for the preceding month a complete and accurate MAIS report for each patient that the commercial ambulance service:</text>
      <paragraph num="(1)">
        <text>Responds to transport;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Agrees to transport; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Transports to, from, or within the State;</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Submit a current personnel list quarterly, before the 15th of January, April, July, and October; and</text>
    </paragraph>
    <paragraph num="F.">
      <text>Submit by the 15th of each month for the preceding month a summary report listing the number of calls for the month that were:</text>
      <paragraph num="(1)">
        <text>BLS;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>ALS;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Neonatal;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>SCT;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Accompanied by a physician, nurse, or other health care provider;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Referred to 911; or</text>
      </paragraph>
      <paragraph num="(7)">
        <text>BLS calls in which the AED was used.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Education Article, §13-515, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: October 12, 1992 (19:20 Md. R. 1816)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 14.22.08 to COMAR 30.09.08, August, 1997</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.02, Record Keeping and Reporting, repealed effective January 10, 2000 (26:27 Md. R. 2017)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.06, Record Keeping and Submission Requirements, adopted effective January 10, 2000 (26:27 Md. R. 2017)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .06F amended effective January 15, 2005 (31:26 Md. R. 1866)</annotation>
  </annotations>
</chapter>