• The supervision and coordination of the EMS system;
• Adopting an organizational structure of their choice, but must have an advisory body;
• Appointing a medical director who is board certified in emergency medicine or who practices emergency medicine and is current in Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS);
• Establishing written protocols for the practice of life support agencies and EMS personnel;
• Circulating draft protocols to all significantly affected persons for review and submitting to the department for approval;
• Ensuring physicians, hospital staff, and providers are educated on protocols;
• Adhering to protocols

MCA Role in the MI-EMSIS

The Office of Legal Affairs within the Michigan Department of Community Health has developed the following document to provide clarification with respect to confidentiality/privacy issues as it pertains to the data collection/retention process:

MDCH Authorities and Obligations (9/2009)

To assist in addressing the confidentiality/privacy issues that have been raised, the EMS and Trauma Systems Section is requiring that each MCA develop and submit a protocol, for approval, on how data will be used, maintained, and how the data will remain confidential.  The Department has developed a state protocol (Patient Care Record, Electronic Documentation, and EMS Information System) to fulfill this need and has added it to the "System Protocols" section of the State Protocols.  The MCA must adopt this protocol at a minimum.  If you choose to add additional language, a deviation form must be completed along with the protocol, for review and approval.

As the EMS and Trauma Systems Section is very committed to ensuring data confidentiality, access by the Medical Control Authorities to their Life Support Agency data has been removed effective IMMEDIATELY.  To have access restored, the Medical Control Authority must complete the following:

*Submit, at a minimum, the state protocol for "Patient Care Record, Electronic Documentation, and EMS Information System" (located under System Protocols);

*Submit a signed Data Use and Non-Disclosure Agreement;

*Submit a signed User Agreement for each individual who is given access to the Michigan EMS Information System (MI-EMSIS)

November 2009 Memo to MCA's regarding MI-EMSIS

If your MCA has not yet been set up for MI-EMSIS, or if you have any questions regarding MI-EMSIS, please contact Kevin Putman, EMS State Data Manager at:

Kevin Putman
MSU/KCMS
1000 Oakland Drive
Kalamazoo, MI 49009
Putman@kcms.msu.edu
(269) 337-4422

Michigan Protocols

Each MCA is required to establish written protocols as defined in Section 20919 of the Public Health Code.  Protocols adopted by the MCA and approved by the department have the force and effect of law.  Licensed life support agencies and individuals are accountable to the MCA in the provision of emergency medical services as defined in protocols.  Each participating and non-participating hospital within a MCA region shall follow all standards, policies, procedures, and protocols established by the MCA as approved by the Department.  Each MCA shall submit to the department current protocols for department review and approval.  Department approval shall be on a 3 year cycle as defined by the department.

The department has updated the State Protocols by developing the following:

• Medical First Responder Adult and Pediatric Treatment Protocols;
• Emergency Medical Technician & Specialist Adult and Pediatric Treatment Protocols;
• Paramedic Adult and Pediatric Treatment Protocols

Medical Control Authorities are required to submit new protocols by June 1, 2010 that at a minimum meet the state protocols.  If they want to make an addendum to the state protocols, the MCA's must follow the process of completing appropriate forms, and submitting requests to the department for review and approval.

Michigan Protocols (Revised: 3/2011)

To preview and download the Michigan Protocols, you will need Adobe Acrobat Reader.  If you do not have this program, it can be downloaded from the Adobe website at:

http://www.adobe.com/products/acrobat/readermain.html

Note: This document may take several minutes to download as it is a very large file. 

MCA Request for Addendum to Michigan Protocols Form  (Word Format) (Revised: 4/2010)
Instructions for Submitting Protocols for Review  (Revised: 4/2010) 
Required Drug List  (Revised: 4/2010)
Michigan Protocol Summary of Changes  (Revised: 4/2010)
10/8/09 Memo to MCA's regarding Updated Michigan Protocols
10/23/09 Memo to MCA's regarding New H1N1 and Immunization Protocols
4/16/10 Memo to MCA's regarding Revised Michigan Protocols
3/23/11 Memo to MCA's regarding new Cardiac Protocols meeting 2010 AHA Guidelines

Michigan Emergency Protocols

Administrative Rule 325.22206, Rule 207(5) allows for a Medical Control Authority to establish an emergency protocol necessary to preserve the health or safety of individuals within its region in response to a present medical emergency or disaster in accordance with section 20919 (3)(e) of the code.

Due to the current medication shortages we are experiencing we have developed an emergency protocol for all MCAs to adopt.  This protocol allows for MCAs to amend the medication selections in their protocols that are affected by the shortages.  MCAs should submit this protocol as soon as possible, either by fax (517) 241-9458 or send electronically to Linda Nesbitt at NesbittL@michigan.gov to implement.   Emergency protocols are in effect for 60 days, unless otherwise approved by the Department.

Medication Shortage - 10/31/11

MCA Events:

*2011 MCA Seminar Brochure 10/23-10/24/11

Highlights from 2011 Medical Control Seminar (Adobe PDF)
*Statewide Trauma System - Part 1 (Michelle Mora)
*Statewide Trauma System - Part 2 (Michelle Mora)
*Regionalization of Emergency Care (Robin Shivley)
*Pediatric Study - Prehospital Medication Errors (Dr. Hoyle)
*MCA Evaluation Tool - Presentation / Tool (Robin Shivley)
*Disaster Preparedness Update (Dr. Edwards)
*EMS & Trauma Systems Section Update (Robin Shivley) 

Highlights from 2010 Medical Control Seminar (Adobe PDF)
*Medical Director Course - Introduction (Dr. Fales, Dr. Edwards, & Robin Shivley)
*Medical Director Course - Module 1: EMS Overview
*Medical Director Course - Module 2: EMS Systems
*Medical Director Course - Module 3: Roles & Responsibilities

*The Expanding Role of Medical Control Directors (Dr. Edwards, Dr. Domeier, & Michelle Mora)
*The Expanded Roles of EMS & Medical Oversight

*Changes in EMS Communications (Brent Williams)
*Why Data & CQI are so Important (Dr. Lammers)
*Quality Improvement (Dr. Fales & Kevin Putman)
*EMS Issues that Impact MCA's (Robin Shivley)

Highlights from 2009 Medical Control Seminar (Adobe PDF)
* MCA Roles & Responsibilities
* Michigan EMS System Overview (Part 1)
* Michigan EMS System Overview (Part 2)
* Understanding the Protocol Process

Forms & Publications

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