The ALS/BLS Affiliation Agreement template includes the minimum regulatory elements the Massachusetts Department of Public Health requires for affiliation agreements between hospitals and ambulance services for medical control pursuant to 105 CMR 130.1501-1504 (Hospital Licensure regulations regarding medical control) and 105 CMR 170.300 (EMS System regulations). It also includes an attachment specifying special ALS/BLS skills & medications which require medical director approval.
Region 2 ALS/BLS Affiliation Agreement template
This template is for ALS services wishing to enter into an agreement with a hospital OTHER than their Affiliate Hospital for the purpose of obtaining medications. This document WILL NOT meet the requirements for the ALS Affiliation Agreement. See separate template for that purpose.
As with any contract, all parties should seek the advice of their legal counsel prior to signing.
The position of an emergency medical services (EMS) agency medical director allows the opportunity for a physician to become engaged in the unique and ever-evolving realm of out-of-hospital care, a clinical practice offering a distinct set of challenges, and rewarding impacts in improving a community’s emergency medical care abilities.
For most, the driving force behind the desire to become an EMS agency medical director stems from a deep passion for helping patients in times of marked acute medical need whenever and wherever the need appears. Yet, understanding the nuances involved in the oversight and direction of an EMS agency requires specialized knowledge, skills, and abilities beyond the typical curriculum of emergency medicine or alternative acute care medical practices. It is for this precise reason that EMS has been recently recognized by the American Board of Medical Specialties as a formal physician sub-specialty.
FEMA: Handbook for EMS Medical Directors
The purpose of this guide is to aid the State EMS offices and experienced medical directors with their preparation of a one-day course for potential medical directors.
This guide outlines the major responsibilities of a medical director and instructors may need to prepare audiovisuals, handouts and other support materials to make the class more successful.
Below are samples and other resources for Quality Assurance.
Woods Abmulance
Oxford EMS:
Patriot Ambulance
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