Section 100181 - Definitions(a) "Alternate destination facility" means a treatment location that is an authorized mental health facility, as defined in Section 1812 of the Health and Safety Code or an authorized sobering center as defined in Section 1813 of the Health and Safety Code.(b) "Authorized mental health facility" means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subsection (a) or (b) of Section 1250 of the Health and Safety Code, by the State Department of Public Health, and may include, but is not limited to, a licensed psychiatric hospital, or licensed health facility, or certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.(c) "Authorized sobering center" a non-correctional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, that is identified as an alternate destination in a plan developed pursuant to Section 1843 of the Health and Safety Code, and that meets any of the following requirements: (1) The facility is a federally qualified health center, including a clinic described in subsection (b) of Section 1206 of the Health and Safety Code.(2) The facility is certified by the State Department of Health Care Services, Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.(3) The facility has been accredited as a sobering center under the standards developed by the National Sobering Collaborative. Facilities granted approval for operation by Office of Statewide Health Planning and Development (OSHPD) before November 28, 2017, under the Health Workforce Pilot Project No. 173, may continue operation until one year after the National Sobering Collaborative accreditation becomes available.(d) "Community paramedic" means a paramedic licensed under Division 2.5 of the Health and Safety Code who has completed the curriculum for community paramedic training, has received certification in one or more of the community paramedicine program specialties described in Section 1815 of the Health and Safety Code, and is accredited to provide community paramedic services by a local EMS agency (LEMSA) as part of an approved community paramedicine program.(e) "Community paramedic training program" means a training program approved by the LEMSA to provide certification of completion of didactic education and clinical experience in this area.(f) "Community paramedicine program" means a program developed by a LEMSA and approved by the Emergency Medical Services Authority (the Authority or EMSA) to provide community paramedicine services consisting of one or more of the program specialties described in Section 1815 of the Health and Safety Code under medical protocols developed by the LEMSA that are consistent with the minimum medical protocols established by the Authority. Community paramedicine program specialties include: (1) Providing directly observed therapy (DOT) to persons with tuberculosis in collaboration with a public health agency to ensure effective treatment of the tuberculosis and to prevent spread of the disease.(2) Providing case management services to frequent emergency medical services users in collaboration with, and by providing referral to, existing appropriate community resources.(g) "Community paramedicine provider" means an advanced life support (ALS) provider authorized by a LEMSA to provide ALS services who has entered into a contract to deliver community paramedicine services as described in Section 1815 of the Health and Safety Code as part of an approved community paramedicine program developed by a LEMSA and approved by the Authority.(h) "Public agency" means a city, county, city and county, special district, or other political subdivision of the state that proves first response services, including emergency medical care.(i) "Triage paramedic" means a paramedic licensed under this Division who has completed the curriculum for triage paramedic services adopted pursuant to paragraph (2) of subsection (d) of Section 1830 of the Health and Safety Code and has been accredited by a LEMSA in one or more of the triage paramedic specialties described in Section 1819 of the Health and Safety Code as part of an approved triage to alternate destination program.(j) "Triage paramedic training program" means a training program approved by LEMSA to provide certification of completion of didactic and clinical experience and that includes a final comprehensive competency-based exam to test the knowledge and skills specified in this Chapter to provide triage paramedic services.(k) "Triage to alternate destination program" means a program developed by a LEMSA and approved by the Authority to provide triage paramedic assessments under triage and assessment protocols developed by the LEMSA that are consistent with the minimum triage and assessment protocols established by the Authority in one or more specialties including:(1) Providing care and comfort services to hospice patients in their homes in response to 911 calls by providing for the patient's and the family's immediate care needs, including grief support in collaboration with the patient's hospice agency until the hospice nurse arrives to treat the patient.(2) Providing patient with ALS triage and assessment by a triage paramedic and transportation to an alternate destination facility, as defined in Section 1811 of the Health and Safety Code.(3) Providing transport services for patients who identify as veterans and desire to transport to a local veteran's administration emergency department for treatment, when appropriate.(l) "Triage to alternate destination provider" means an advanced life support provider authorized by a LEMSA to provide ALS triage paramedic assessments as part of an approved triage to alternate destination program specialty as described in Section 1819 of the Health and Safety Code.Cal. Code Regs. Tit. 22, § 100181
1. New chapter 5 (sections 100181-100193) and section filed 10-31-2022; operative 11-1-2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 44). For prior history of chapter 5, section 100190, see Register 2020, No. 51. Note: Authority cited: Sections 1797.107 and 1830, Health and Safety Code. Reference: Sections 1811, 1812, 1813, 1814, 1815, 1816, 1817, 1818, 1819 and 1820, Health and Safety Code.
1. New chapter 5 (sections 100181-100193) and section filed 10-31-2022; operative 11/1/2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 44). For prior history of chapter 5, section 100190, see Register 2020, No. 51.