A licensed ambulance service provider or non-transporting emergency medical service provider shall obtain department approval before providing emergency medical services for special events outside its primary service area or that will require the provider to exceed its normal staffing and equipment levels within its primary service area. Events that occur on a regular basis may be included in the service operational plan and an update submitted in lieu of a complete plan. To obtain department approval, the ambulance service provider or emergency medical service provider shall submit all of the following to the department not less than 10 business days before the event:
(1) Name of the ambulance service provider or non-transporting emergency medical service provider requesting approval.(2) Contact information for the event manager, including how to contact the ambulance service provider during the event.(3) Locations, dates, and times of the event.(4) Name, address, phone numbers, and e-mail addresses for each service medical director who will oversee the medical services at the event.(5) Name and contact information for the medical control facility.(6) The types of EMS services that will be provided.(7) The level of EMS service that will be provided.(8) The number of ambulances dedicated to the event including ambulance staffing configurations and types.(9) Whether the service will be "dedicated services" or "as available" based on resources.(9m) Whether the special event coverage is for participants, spectators, or both.(10) Description of on-site communications between the event manager, event staff, dispatch, and 9-1-1 dispatch.(11) Explanation of how medical consultation will be contacted or if on-site medical consultation will be used.(12) Any special patient care protocols for use at the event.(13) Explanation of how EMS professionals will be notified and requested during the event.(14) Explanation of how the ambulance service provider will integrate with the 9-1-1 system.(15) Explanation of how a 9-1-1 request that is generated within the event by a participant or spectator will be handled.(16) Identification of the service provider that will respond to a 9-1-1 call initiated from within the event.(17) If the event occurs outside the primary service area of the ambulance service provider or non-transporting emergency medical service, documentation that the ambulance service provider for the primary service area in which the event is located has been notified at least 10 business days prior to the event or documentation that the ambulance service provider for the primary service area in which the event is located has approved the ambulance service provider or non-transporting emergency medical service requesting special event approval to provide event coverage within its primary service area.(18) Written assurance that adequate resources will be available.(19) Written acknowledgement that the ambulance service provider requesting special event approval assumes all liability for ambulance coverage and response during the event.(20) Copies of any agreement or contract for providing emergency medical services for the event. Note: When submitting copies of the contracts or agreements the service may redact any compensation information.
(20g) Written acknowledgement that the special event coverage will not interfere with its responsibility to provide 9-1-1 emergency response within its primary service area, if the ambulance service provider or non-transporting emergency medical service provider is also licensed as a 9-1-1 provider.(20r) If the special event coverage is for spectators and participants or both and more than 5000 people total are anticipated to be in attendance, a mass casualty plan including all of the following:(a) Name and contact information of the ambulance service provider or public safety agency that shall be the lead agency in the event of a mass casualty incident.(b) A copy of the triage protocol to be used in the mass casualty incident.(c) A copy of the destination determination policy to be used in a mass casualty incident.(d) A list of destination hospitals including contact information.(e) Copies of any mutual aid agreements specific to the event.(f) A list of any specialty resources prepositioned for the event.(g) Patient tracking method to be used.(h) Written acknowledgement that the ambulance service has identified potential staging areas and landing zones near the event.(i) Written acknowledgement that the ambulance service provider or non-transporting emergency medical service provider has notified area hospitals of the date of the event.(21) Other information as determined by the department.Wis. Admin. Code Department of Health Services DHS 110.44
CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.Amended by, CR 20-028: am. (intro.), (1), (8), cr. (9m), am. (11), (13), r. and recr. (17), cr. (20g), (20r) Register September 2021 No. 789, eff. 10/1/2021