Medical Control Authorities

A Medical Control Authority (MCA) is an organization designated by the department for the purpose of supervising and coordinating an emergency medical services (EMS) system, as prescribed, adopted, and enforced through department-approved protocols for a particular geographic region.

On this page:

MCA Responsibilities

  • 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

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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:

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)

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.

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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 and every 3 years thereafter, 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 the appropriate forms, and submitting requests to the department for review and approval.

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. Please note the protocols may take several minutes to download due to large file sizes. 


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Michigan Emergency Protocols

Administrative 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.

MCAs should submit emergency protocols as soon as possible, either by fax 517-335-9434 or send electronically to to implement.  Emergency protocols are in effect for 60 days, unless otherwise approved by the Department.

Naloxone Emergency Protocol

Medical Control Adoption of Emergency Naloxone Protocol

Recommendations for Opiod Overdoses


MCA Directory

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MCA Events

2016 Medical Control Seminar

  • October 3, 2016 - MCA
    Grand Traverse Resort
    100 Grand Traverse Resort Blvd
    Acme, MI 49610

MCA Conference Registration Brochure

  • October 4, 2016 - Trauma
    Grand Traverse Resort
    100 Grand Traverse Resort Blvd
    Acme, MI 49610

Trauma Conference Registration Brochure

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Forms & Publications 

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