190.200. Public information and education.

MISSOURI STATUTES AND CODES

190.200. Public information and education.

Public information and education.

190.200. 1. The department of health and senior services incooperation with local and regional EMS systems and agencies may providepublic and professional information and education programs related toemergency medical services systems including trauma, STEMI, and strokesystems and emergency medical care and treatment. The department of healthand senior services may also provide public information and educationprograms for informing residents of and visitors to the state of theavailability and proper use of emergency medical services, of the value andnature of programs to involve citizens in the administering of prehospitalemergency care, including cardiopulmonary resuscitation, and of theavailability of training programs in emergency care for members of thegeneral public.

2. The department shall, for STEMI care and stroke care respectively:

(1) Compile and assess peer-reviewed and evidence-based clinicalresearch and guidelines that provide or support recommended treatmentstandards;

(2) Assess the capacity of the emergency medical services system andhospitals to deliver recommended treatments in a timely fashion;

(3) Use the research, guidelines, and assessment to promulgate rulesestablishing protocols for transporting STEMI patients to a STEMI center orstroke patients to a stroke center. Such transport protocols shall directpatients to STEMI centers and stroke centers under section 190.243 based onthe centers' capacities to deliver recommended acute care treatments withintime limits suggested by clinical research;

(4) Define regions within the state for purposes of coordinating thedelivery of STEMI care and stroke care, respectively;

(5) Promote the development of regional or community-based plans fortransporting STEMI or stroke patients via ground or air ambulance to STEMIcenters or stroke centers, respectively, in accordance with section190.243; and

(6) Establish procedures for the submission of community-based orregional plans for department approval.

3. A community-based or regional plan shall be submitted to thedepartment for approval. Such plan shall be based on the clinical researchand guidelines and assessment of capacity described in subsection 1 of thissection and shall include a mechanism for evaluating its effect on medicaloutcomes. Upon approval of a plan, the department shall waive therequirements of rules promulgated under sections 190.100 to 190.245 thatare inconsistent with the community-based or regional plan. Acommunity-based or regional plan shall be developed by or in consultationwith the representatives of hospitals, physicians, and emergency medicalservices providers in the community or region.