State of Illinois
92nd General Assembly
Legislation

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92_HB0279ham004

 










                                           LRB9203773LDpram04

 1                     AMENDMENT TO HOUSE BILL 279

 2        AMENDMENT NO.     .  Amend House Bill 279, AS AMENDED, by
 3    replacing everything  after  the  enacting  clause  with  the
 4    following:

 5        "Section   90.   The  Emergency  Medical  Services  (EMS)
 6    Systems Act is amended by changing Section 3.70 as follows:

 7        (210 ILCS 50/3.70)
 8        Sec. 3.70.  Emergency Medical Dispatcher.
 9        (a)  "Emergency  Medical  Dispatcher"  means a person who
10    has successfully completed a  training  course  in  emergency
11    medical  dispatching course meeting or exceeding the national
12    curriculum of the United States Department of  Transportation
13    in  accordance  with rules adopted by the Department pursuant
14    to this Act, who accepts calls from the public for  emergency
15    medical  services and dispatches designated emergency medical
16    services  personnel  and  vehicles.   The  Emergency  Medical
17    Dispatcher must use the Department-approved emergency medical
18    dispatch priority reference system (EMDPRS) protocol selected
19    for use by  its  agency  and  approved  by  its  EMS  medical
20    director.  This protocol must be used by an emergency medical
21    dispatcher   in  an  emergency  medical  dispatch  agency  to
22    dispatch  aid   to   medical   emergencies   which   includes
 
                            -2-            LRB9203773LDpram04
 1    systematized  caller  interrogation  questions;  systematized
 2    dispatch  life  support instructions; and systematized coding
 3    protocols that  match  the  dispatcher's  evaluation  of  the
 4    injury or illness severity with the vehicle response mode and
 5    vehicle  response  configuration  and includes an appropriate
 6    training curriculum and testing process consistent  with  the
 7    specific  EMDPRS  protocol  used  by  the  emergency  medical
 8    dispatch agency.  Dispatch life support instructions shall be
 9    provided  in a non-discretionary manner and shall be provided
10    in accordance with the EMDPRS established by the EMS  medical
11    director  of the EMS system in which the EMD operates. may or
12    may  not  provide  prearrival  medical  instructions  to  the
13    caller, at the  discretion  of  the  entity  or  agency  that
14    employs   him.   Such   instructions  shall  be  provided  in
15    accordance with protocols  established  by  the  EMS  Medical
16    Director  of the EMS System in which the dispatcher operates.
17    If  the  dispatcher  operates  under  the  authority  of   an
18    Emergency   Telephone  System  Board  established  under  the
19    Emergency  Telephone  System  Act,  the  protocols  shall  be
20    established by  such  Board  in  consultation  with  the  EMS
21    Medical  Director.   Persons  who  have  already  completed a
22    course of instruction in emergency medical dispatch based on,
23    equivalent to or exceeding the  national  curriculum  of  the
24    United  States  Department of Transportation, or as otherwise
25    approved by the Department,  shall  be  considered  Emergency
26    Medical  Dispatchers on the effective date of this amendatory
27    Act.
28        (b)  The  Department  shall  have   the   authority   and
29    responsibility to:
30             (1)  Require  certification and recertification of a
31        person who meets the training and other  requirements  as
32        an emergency medical dispatcher pursuant to this Act.
33             (2)  Require  certification and recertification of a
34        person, organization, or government agency that  operates
 
                            -3-            LRB9203773LDpram04
 1        an  emergency  medical  dispatch  agency  that  meets the
 2        minimum standards prescribed by  the  Department  for  an
 3        emergency medical dispatch agency pursuant to this Act.
 4             (3)  (1)  Prescribe minimum education and continuing
 5        education  requirements   for   the   Emergency   Medical
 6        Dispatcher,  which meet or exceed the national curriculum
 7        of  the  United  States  Department  of   Transportation,
 8        through rules adopted pursuant to this Act.;
 9             (4)  Require  each  EMD  and EMD agency to report to
10        the Department whenever an action has  taken  place  that
11        may require the revocation or suspension of a certificate
12        issued by the Department.
13             (5)  Require  each  EMD  to  provide  dispatch  life
14        support (including prearrival instructions) in compliance
15        with  the  written  text  or  scripts and other processes
16        within the approved EMDPRS, except  that  deviation  from
17        the text or script may occur only for the express purpose
18        of  clarifying  the  meaning  or  intent of a question or
19        facilitating  the  clear  understanding  of  a   required
20        action, instruction, or response from the caller.
21             (2)  Require  the  Emergency  Medical  Dispatcher to
22        notify the Department of the EMS System(s)  in  which  he
23        operates;
24             (3)  Require  the  Emergency  Medical Dispatcher who
25        provides prearrival instructions  to  callers  to  comply
26        with  the  protocols for such instructions established by
27        the  EMS  Medical  Director(s)  and  Emergency  Telephone
28        System Board or Boards, or in the absence of an Emergency
29        Telephone System Board or Boards the governmental  agency
30        performing  the  duties  of an Emergency Telephone System
31        Board or Boards, of the EMS System or Systems in which he
32        operates;
33             (6) (4)  Require the Emergency Medical Dispatcher to
34        keep the Department currently informed as to  the  entity
 
                            -4-            LRB9203773LDpram04
 1        or agency that employs or supervises his activities as an
 2        Emergency Medical Dispatcher.;
 3             (5)  (Blank).  Establish  a mechanism for phasing in
 4        the Emergency  Medical  Dispatcher  requirements  over  a
 5        five-year period;
 6             (7)  Establish an annual recertification requirement
 7        that    requires   at   least   12   hours   of   medical
 8        dispatch-specific continuing education each year.
 9             (8)  Approve all EMDPRS protocols used by  emergency
10        medical  dispatch  agencies  to  assure  compliance  with
11        national standards.
12             (9)  Require   that   Department-approved  emergency
13        medical  dispatch  training  programs  are  conducted  in
14        accordance  with  national  standards  and  the  National
15        Institutes  of  Health  recommendations   for   emergency
16        medical  dispatcher training, and shall include a written
17        examination approved by the  Department  that  tests  for
18        competency  in the specific EMDPRS taught in the training
19        program.
20             (10)  Require that the  emergency  medical  dispatch
21        agency be operated in accordance with national standards,
22        including but not limited to:
23                  (i)  The  use  on  every  request  for  medical
24             assistance of an emergency medical dispatch priority
25             reference system (EMDPRS); and
26                  (ii)  Under the approval and supervision of the
27             EMS   medical   director,  the  establishment  of  a
28             continuous quality improvement program that measures
29             compliance with protocol through ongoing random case
30             review for each EMD and  provides  feedback  to  the
31             individuals   and   management  of  the  EMS  agency
32             regarding the level of compliance.
33             (11)  Require  that  a  person  may  not   represent
34        himself  or  herself,  nor  may  an  agency  or  business
 
                            -5-            LRB9203773LDpram04
 1        represent   an  agent  or  employee  of  that  agency  or
 2        business,  as  an  emergency  medical  dispatcher  unless
 3        certified by  the  Department  as  an  emergency  medical
 4        dispatcher.
 5             (12)  Require   that   a  person,  organization,  or
 6        government agency not represent itself  as  an  emergency
 7        medical  dispatch agency unless the person, organization,
 8        or government agency is certified by the Department as an
 9        emergency medical dispatch agency.
10             (13)  Require  that  a  person,   organization,   or
11        government  agency  may  not  offer or conduct a training
12        course that is represented as a course for  an  emergency
13        medical  dispatcher  unless  the person, organization, or
14        agency is approved by the Department to offer or  conduct
15        that course.
16             (14)  Require   that  Department-approved  emergency
17        medical dispatcher training  programs  are  conducted  by
18        instructors that:
19                  (i)  are   certified   as   emergency   medical
20             dispatchers;
21                  (ii)  have  completed  a methods of instruction
22             course;
23                  (iii)  have previous experience  in  a  medical
24             dispatch agency; and
25                  (iv)  have  demonstrated  experience  as an EMS
26             instructor.
27             (15) (6)  Establish  criteria   for   modifying   or
28        waiving  Emergency  Medical Dispatcher requirements based
29        on (i) the scope and frequency of dispatch activities and
30        the dispatcher's access to training or (ii)  whether  the
31        previously-attended  dispatcher  training  program merits
32        automatic recertification for the dispatcher.
33        (c)  Notwithstanding any other provision of this Act, the
34    Department shall grant EMD certification  or  recertification
 
                            -6-            LRB9203773LDpram04
 1    without  further  examination  to  any  person with a current
 2    certification from any nationally approved dispatch course.
 3    (Source: P.A. 89-177, eff. 7-19-95.)".

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