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Marquette County EMS Medical Control Authority History

The Michigan Department of Consumer and Industry Services (MDCIS), Division of Emergency Medical Services (EMS) is responsible for designating a medical control authority as the medical control for emergency medical services for a particular geographic region. This comes from Section 20910(g) of Michigan Public Act 179 of 1990. This requirement was met in the early 1980’s with written protocols in place, and an excellent EMS educational program that was

The Marquette County EMS Medical Control Authority (MCMCA) was approved by the Michigan Department of Public Health (later realigned to the MDCIS) as the organization of Medical Authority for prehospital care on October 19, 1989. The Medical Control Authority, at that time, was administered by the Marquette County Sheriff’s Department Emergency Services Division. All original patient care and administrative protocols were submitted for approval, and implemented as well on October 19, 1989.

The MCMCA established their By-Laws and selected a format, which included representation from all EMS patient care and support agencies in the county. This remains true today.

The By-Laws of the group were revised in 1998, and again in the year 2000, as they were reorganized and the MCA began to be administered by the two contributing hospitals, Bell Memorial Hospital and the Marquette General Health System due to restructuring of the Marquette County Sheriff’s Department and the Emergency Services Division.

The MCMCA is currently operated by the Board of Directors, made up of representation from each EMS patient care and support agency in the county, which has an Executive Committee elected on an annual basis from the appointed members of the Board. Board members are appointed by their city or township officials, or MGHS and Bell CEO’s.

The MCMCA is also made up of six subcommittees, which address all concerns in a specific subject area brought forth to the Board, and provide their recommendations to the full Board for action.

The MCMCA is served by an EMS Medical Director, Richard L. Tomacari, D.O., and an Assistant EMS Medical Director, Michael L. Mlsna, M.D. These physicians provide all medical guidance and recommendations to the Board prior to the implementation of any protocols or procedures.

The MCMCA provides the Marquette County Medical Control Plan, to which all EMS agencies in the area are held accountable. It is the EMS agency’s responsibility to assure that all providers on the service are familiar with the local protocols, and ongoing review is maintained for competency.



 

 

   
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