105 CMR 130.1503
Duties of the Affiliate Hospital Medical Director
The Affiliate Hospital Medical Director shall:
(A) Provide oversight to and ensure the clinical competency of the EMS personnel employed
by the service with which the hospital has an affiliation agreement, including, but not limited to,
the following:
(1) Authorization to practice;
(2) Remedial education to those EMS personnel found to be deficient in clinical practice;
and
(3) Notification to the Department within 48 hours of any instance in which he or she
suspends, revokes, or restricts in any manner the authorization to practice of an affiliate EMS
service’s EMT or EFR. Such notice shall include the reasons for the suspension or
revocation, and the affiliate hospital medical director’s remediation plan for the EMT or
EFR.
(B) Ensure that all on-line medical direction is in conformance with the Statewide Treatment
Protocols;
(C) Provide appropriate orientation to all physicians who provide on-line medical direction
pursuant to the affiliation agreement, including but not limited to information regarding local
EMS providers and point-of-entry plans;
(D) Coordinate the QA/QI program described in 105 CMR 130.1502(J) with the participation
of the hospital’s on-line medical direction physicians and the service medical director, if different
from the affiliate hospital medical director;
(E) Provide information requested by a Regional Medical Director to enable him or her to
monitor the hospital’s affiliation agreements; and
(F) Maintain appropriate skills and knowledge through continuing education.