105 CMR 130.1501
Definitions Applicable to 105 CMR 130.1501 through 130.1504
The following definitions apply in 105 CMR 130.1500 through 130.1504:
Affiliate Hospital. A hospital that is licensed by the department to provide a medical control
service and agrees to provide medical control to a licensed service pursuant to an affiliation
agreement.
Affiliation Agreement. An agreement between the hospital and a service that meets the
requirements of 105 CMR 170.300: Affiliation Agreements.
Authorization to Practice. Approval granted to EMS personnel as defined in 105 CMR
170.020: Definitions.
CMED. The medical communications subsystem within the statewide EMS communications
system.
EFR Service. An EMS First Response Service designated as a service zone provider pursuant
to a Department-approved service zone plan for the purpose of providing rapid response and
EMS in accordance with 105 CMR 170.000: Emergency Medical Services System.
Emergency Medical Services (EMS). The pre-hospital assessment, treatment and other services
utilized in responding to an emergency or provided during the emergency or inter-facility
transport of patients to appropriate health care facilities.
EMS System. All the EMS providers and equipment; communications systems linking them to
each other; training and education programs; the Regional EMS Councils and all of their
operations; EMS plans, protocols, statutes, regulations, administrative requirements and
guidelines; and all other components of such system, and their interaction with each other and
with patients, providing equally for all patients quality care, operating under the leadership and
direction of the Department.
Emergency Medical Technician (EMT). A person certified by the Department to provide
emergency medical services pursuant to 105 CMR 170.000: Emergency Medical Services
System.
Medical Control. The clinical oversight by a qualified physician to all components of the EMS
system including, without limitation, Statewide Treatment Protocols, medical direction, training
of and authorization to practice for EMS personnel, quality assurance and continuous quality
improvement.
Medical Direction. The authorization for treatment established in the Statewide Treatment
Protocols provided by a qualified medical control physician to EMS personnel, whether on-line,
via direct communication or telecommunication, or off-line, via standing orders.
On-line Medical Direction. The authorization for treatment established in the Statewide
Treatment Protocols provided by a qualified medical control physician to EMS personnel via
direct communication or telecommunication.
Qualified Medical Control Physician. A physician who meets the requirements of 105 CMR
130.1504.
Regional EMS Council. An entity created pursuant to M.G.L. c. 111C, § 4 and designated by
the Department to assist the Department in establishing, coordinating, maintaining and
improving the EMS system in a region.
Service.
A licensed ambulance service or EFR service as defined in 105 CMR
170.020: Definitions.
Statewide Treatment Protocols. The Emergency Medical Services Pre-hospital Treatment
Protocols approved by the Department for application statewide.