Wis. Admin. Code DHS § DHS 110.34

Current through October 28, 2024
Section DHS 110.34 - Responsibilities

An emergency medical service provider shall do all of the following and document these activities through their operational plan submitted to the department:

(1) Comply with the requirements of this chapter and ch. 256, Stats.
(2) Advertise and provide only those services it is authorized to provide under this subchapter and ch. 256, Stats.
(3) Identify on-line medical direction that will provide day-to-day medical consultation.
(4) Designate the primary service area in which it will operate.
(5) Assure response to 9-1-1 emergency response requests 24 hours-a-day, 7 days-a-week, in its primary service area unless it is not licensed to do so. Emergency medical responder services are exempt from this requirement but should assure every effort is made to respond to 9-1-1 requests.
(6) Meet the staffing requirements identified in s. 256.15(4), Stats., and s. DHS 110.50.
(7) If the emergency medical services provider is an ambulance service provider, submit a written report to the receiving healthcare facility upon delivering a patient and a complete patient care report within 24 hours of patient delivery. A written report may be a complete patient care report or other documentation approved by the department and accepted by the receiving hospital. A non-transporting emergency medical service provider or emergency medical responder service provider shall provide a written or electronic report to the ambulance service provider at the time of the patient care transfer.
(8) If the emergency medical service provider is an ambulance service provider or non-transporting emergency medical service provider, submit patient care report data electronically to the department through Wisconsin Ambulance Run Data System (WARDS) using direct web-based input to WARDS or uploading patient care report data to WARDS within 7 days of the patient transport. If the emergency medical service provider is an emergency medical responder service provider, submit a patient care report to WARDS only if advanced skills are used in caring for the patient.

Note: An abbreviated emergency medical responder report is available in WARDS to eliminate duplicate entry and facilitate quick entry of this information. The WARDS system can be accessed via the internet at www.emswards.org/elite/Organizationwisconsin.

(9) Comply with the data system guidelines published by the department. The emergency medical service provider shall only utilize third party software that is approved by and compliant with NEMSIS for the current standard specified by the department when submitting/uploading a patient care report to WARDS.
(9m) If the emergency medical service provider crosses state boundaries during an emergency response or patient transport, the emergency medical service provider shall submit patient care report data to WARDS if any two of the following apply:
(a) The emergency medical provider responds from this state.
(b) The patient is picked up from a location in this state.
(c) The patient is transported to a hospital or health care facility within this state.
(10) Maintain written mutual aid and coverage agreements with ambulance service providers operating within or adjacent to its primary service area.
(11) Designate and maintain affiliation with a regional trauma advisory council.
(12) Maintain a communication system that allows communication between medical control and EMS professionals and complies with the Wisconsin Emergency Medical Services Plan.
(13) Designate and maintain affiliation with a training center to provide required training.
(14) Maintain a quality assurance program that provides continuing education and assures continuing competency of EMS professionals.
(15) If the emergency medical services provider is an ambulance service provider, maintain at least one ambulance vehicle in good operating condition as required under ch. Trans 309.
(16) Refuse to respond to an interfacility transport request by a hospital for an emergency transfer that is dispatched through a 9-1-1 center, if not licensed to provide interfacility transports.

Wis. Admin. Code Department of Health Services DHS 110.34

CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
Amended by, CR 20-028: am. (intro.), (2), (3), (5), (7) to (9), cr. (9m), am. (12), (14) Register September 2021 No. 789, eff. 10/1/2021

Data system guidelines can be found on the department's website at www.dhs.wisconsin.gov/ems.