As used in this section, the following words and phrases shall have the meanings respectively ascribed to them as follows:
(a) "Basic Life Support” (BLS) services means any pre-hospital medical intervention requiring an emergency response by personnel certified at the levels of EMT-Basic or EMT-Paramedic employed by the City of Strongsville or another political subdivision responding to a call for emergency medical service in the City of Strongsville. An emergency response is one that, at the time assistance is requested, a response unit is dispatched immediately. Basic Life Support skills, procedures and medical interventions are defined in the scope of practice by The Ohio Department of Public Safety Division of EMS and Chapter 4765 of the Ohio Administrative Code.
(b) “Advanced Life Support Level I" (ALSI) services means any pre-hospital medical intervention requiring an emergency response by personnel certified at the level of EMT-Paramedic employed by the City of Strongsville or another political subdivision responding to a call for emergency medical service in the City of Strongsville. An emergency response is one that, at the time assistance is requested, a response unit is dispatched immediately. The Advanced Life Support (“ALS”) crew, under the direction of a physician, is trained and equipped to perform complex, specialized, and life-sustaining medical interventions. ALS skills, procedures, and medical interventions are defined in the scope of practice by the Ohio Department of Public Safety Division of EMS and Chapter 4765 of the Ohio Administrative Code. ALS service includes the provision of an ALS assessment or at least one ALS intervention. An ALS assessment is an assessment performed by an ALS crew as part of an emergency response that is necessary because the patient’s reported condition at the time of dispatch is such that only an ALS crew is qualified to perform the assessment.
(c) "Advanced Life Support Level II" (ALSII) means service, in addition to meeting the criteria for ALSI, wherein the administration of complex, specialized and life-sustaining interventions take place including:
(1) At least three (3) separate administrations of one or more medications by intravenous administration (excluding crystalloid fluids);
(2) Ground ambulance transportation; and
(3) The provision of at least one of the following procedures:
(i) Manual defibrillation/cardioversion;
(ii) endotrachael intubation;
(iii) central venous line;
(iv) cardiac pacing;
(v) chest decompression;
(vi) surgical airway; and
(vii) intraocceous line.
The monitoring of any medical interventions that were placed prior to the transport also qualifies as an ALSII procedure. ALS skills, procedures and medical interventions are defined in the scope of practice by the Ohio Department of Public Safety Division of EMS and Chapter 4765 of the Ohio Administrative Code.
(d) “Covered Person” means any individual entitled to benefits under a medical insurance policy.
(e) “Transport” means to carry or convey a person by publicly owned or operated motor vehicle being used in response to a call for emergency medical service from one location to another.
(f) “Welfare Check” means any good intent call by interested third parties to ensure the safety and well-being of another person. There is no charge for service as long as there was no medical treatment or transport.
(g) All of the foregoing definitions shall be subject to automatic adjustment by reason of changes in applicable Medicare regulations and definitions and/or other authorities, including but not limited to the Department of Health and Human Services, Centers for Medicare and Medicaid Services CMS Manual System Publication 100-02 Medicare Benefits Policy Chapter 10, Section 30.1.1-Ground Ambulance Services; and Ohio Revised Code Sections 4765.37 and 4765.39 and any applicable provisions of the Ohio Administrative Code, which are incorporated herein by reference.
(Ord. 2019-191. Passed 12-16-19.)