OAR 333-500-0027: Emergency Medical Services Satellites

(1) A facility indorsed as a satellite under a hospital license for the provision of emergency medical services must, in addition to any requirements in OAR 333-500-0025: (a) Operate 24 hours a day, seven days a week, 365 days a year; (b) Comply with the hospital emergency department rule in OAR 333-520-0070; (c) Develop written emergency department policies and procedures for all emergency medical services satellite operations including but not limited to: (A) The type and scope of emergency medical services provided at the satellite; (B) Integration of satellite operations with parent hospital surgical, laboratory, radiology, pharmacy, nutrition, and other departments to ensure timely provision of services; (C) For a patient who cannot be provided the type and level of care needed to complete treatment of the patient’s injury or condition within 24 hours of arrival at the satellite: (i) Transport of the patient to the parent hospital for continuing care using appropriate transportation and personnel; or (ii) Transfer to another receiving hospital with capability and capacity. (d) Coordinate with: (A) Any 9-1-1 jurisdiction within the 9-1-1 service area as those terms are defined in ORS 403.105 to ensure, to the greatest extent possible, that only patients who can receive an appropriate level of care at the satellite are transported to the satellite to limit the need for multiple emergency transports; and (B) Ambulance services within the ambulance service area as those terms are defined in OAR 333-250-0205 to ensure, to the greatest extent possible, that only patients who can receive an appropriate level of care at the satellite are transported to the satellite to limit the need for multiple emergency transports; and (e) On a quarterly basis, report to the Oregon Health Authority (Authority), for each patient evaluated or treated at the satellite, a basic emergency medical services data set including but not limited to: (A) Unique patient ID; (B) Gender; (C) Ethnicity; (D) Race; (E) Year of birth; (F) Date and time of patient presentation to satellite; (G) Chief complaint; (H) Diagnosis; (I) Discharge disposition; (J) Date and time of patient discharge; (K) Transport mode to and from the facility, including ambulance service provider, if applicable; and (L) Facility transferred to, if applicable. (2) A facility indorsed as a satellite under a hospital license for the provision of emergency medical services may not: (a) Be located: (A) In a county with three or more hospitals with an emergency department; or (B) In a city with a hospital with an emergency department. (b) Receive a trauma center categorization by the Authority; (c) Keep a patient for more than 24 hours; or (d) Provide inpatient care.