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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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