Hawaii Administrative Code

A. All hospitals and specialized care facilities in the state that provide emergency medical services shall be categorized every 1-3 years, in order to identify the readiness and capability of each hospital within each county to provide definitive treatment of consumers, especial…

A. There shall be appropriate treatment, triage, and transfer protocols for emergency management of seriously ill patients for use by all acute care facilities and specialty physicians in the areas of trauma, burns, acute cardiac, spinal cord injuries, poison, high-risk infant, b…

A. During or immediately after the time of patient care, an ambulance patient care report form shall be prepared for each patient, with at least copies as follows: original copy retained by the ambulance service, one copy to medical facility, if patient is transported to such, an…

A. There shall be a review and evaluation on an ongoing and periodic basis to determine the adequacy of prehospital emergency medical services and identify areas for improvement of services or correction of deficiencies. B. Prehospital emergency medical services and systems estab…

Notes Haw. Code R. §§ 11-72-24 to 11-72-27

A. The minimum levels of emergency ambulance services for each of the six major islands of the State shall be as follows: 1. Oahu: advanced life support in thirteen locations; 2. Hawaii: advanced life support in six locations; 3. Maui: advanced life support in four locations and …

a. The minimum staff for responding to an emergency ambulance call shall be one mobile intensive care technician and one emergency medical technician for advanced life support; b. The minimum staff for responding to an emergency ambulance call shall be two emergency medical techn…

If any provision of these rules, or the application thereof to any person or circumstance is held invalid, the invalidity does not affect other provisions or applications of these rules that can be given effect without the invalid provision or application, and to this end the pro…

Each advanced life support and basic life support unit, and all vehicles and equipment used, shall be in compliance with the ambulance licensing and personnel certification standards as prescribed by this chapter. Notes Haw. Code R. § 11-72-30 [Eff. AUG 12 1985] (Auth: HRS §§ 321…

A. Effective upon adoption of this section, the fee for emergency ambulance services for each patient treated and transported to a medical facility or to a location for aeromedical transport, including but not limited to airports helipads or helicopter landing sites, shall be acc…

A. No emergency medical services provided by or under contract with the department of health shall be denied to any person on the basis of the ability of the person to pay therefor or because of the lack of prepaid health care coverage or proof of such ability or coverage. B. The…

Notes Haw. Code R. §§ 11-72-33 to 11-72-36

A. The director of health may contract for the provision of emergency medical ambulance services with a county which applies to the director for direct operation of such services provided that the county: 1. Develops a detailed budget including a line item description of services…

The director of health may contract for the provision of emergency medical services or any necessary component of an emergency medical services system in a county. Notes Haw. Code R. § 11-72-38 [Eff. AUG 12 1985] (Auth: HRS §§ 321-228, 321-233) (Imp: HRS § 321-228)

Notes Haw. Code R. §§ 11-72-39 to 11-72-42

The director may waive any section or portion of these rules if it is necessary in order to ensure public safety and welfare. Notes Haw. Code R. § 11-72-4 [Eff. AUG 12 1985] (Auth: HRS § 321-233) (Imp: HRS § 321-233)

A. No person, either as owner, agent, or otherwise shall furnish, operate, conduct, maintain, advertise, or otherwise be engaged in or profess to be engaged in ambulance service in the state without holding a valid ambulance service license issued pursuant to these regulations. B…

A. Applications for an ambulance service license shall be made upon forms, prepared and prescribed by the director. B. Each application for an ambulance service license shall be accompanied by a nonrefundable fee of $10. Notes Haw. Code R. § 11-72-44 [Eff. AUG 12 1985] (Auth: HRS…

A. Each licensed ambulance service ambulance shall, at all times when in, use as such: 1. Be suitable for the transportation of patients with respect to health, sanitation, and safety; 2. In the case of ground motor ambulance, conform to the document entitled Motor Vehicle Ambula…

a. No ambulance shall be operated in the State of Hawaii unless there is at all times in force and in effect insurance coverage, issued by an insurance company licensed to do business in the State of Hawaii, for each and every ambulance owned or operated by or for the applicant l…

A. Within thirty days after receipt of an application for an ambulance service license, an investigation will be made of the applicant and the proposed operations; B. Prior to issuance or denial of an ambulance service license, an inspection will be made of the ambulances, equipm…

A. Annual renewal of an ambulance service license shall be obtained prior to expiration. B. The annual renewal fee for a license that has not expired or been suspended or revoked shall be $20. C. The annual renewal fee for a license that has expired for one to fifty-nine days sha…

A. The director may suspend or revoke an ambulance service license for failure of a licensee to comply and to maintain compliance with, or for violation of, an applicable provision, standard, or requirement of these regulations or of any other applicable law or ordinance or regul…

(a) The fee for treat/no transport shall be as follows:(1) For advanced life support services: $1,53 0.00; and (2) For basic life support services: $1,363.00. (b) The fee for transport to an alternative destination shall be $1,363.00 plus mileage of nineteen dollars per mile. (c)…

Notes Haw. Code R. §§ 11-72-50 to 11-72-54

A. Required equipment in each licensed ambulance in use as such shall include: 1. Telecommunications equipment for communications with a dispatch center; 2. Telecommunications equipment capable of providing communication with emergency medical facilities or emergency medical phys…

Notes Haw. Code R. §§ 11-72-56 to 11-72-59

Notes Haw. Code R. §§ 11-72-6 to 11-72-7

a. Application for certificates by the department for prehospital registered nurse shall be made upon forms prepared for such by the department. b. The application forms shall request the following information: 1. Applicant's name, mailing address, home address, telephone number,…

A. Within thirty days after a completed written application form is filed with the department, an investigation will he made of the applicant for certification. B. A certificate will be issued or the application denied not later than sixty days of receipt of an application unless…

a. Renewal of any prehospital registered nurse certificate by the state department of health, except for reasons of suspension, revocation, or expiration of more than sixty days, shall require presentation of the following, 60 days prior to the expiration of the certificate: 1. A…

A. The director may, subject to Chapter 91, Hawaii Revised Statutes, suspend or revoke a prehospital registered nurse certificate provided by the department for: 1. Failure of the certificate holder to comply and to maintain compliance with, or for his violation of the provisions…

Notes Haw. Code R. §§ 11-72-64 to 11-72-68

(a) The department of health may designate an alternative destination pursuant to an application for designation by an applicant that meets the requirements of sections 11-72-71 and 11-72-72, or it may directly designate a State-operated or State-contracted health care facility a…

(a) For the purposes of this subchapter, "applicant" shall mean a person or entity submitting an application for designation as an alternative destination under this subchapter. (b) Upon determining a need for an alternative destination, the department of health shall establish a…

(a) An applicant shall: (1) Be registered to do business in the State of Hawaii; (2) Have a Hawaii tax identification number; (3) Be licensed in accordance with applicable federal and State laws for the type of health care facility; (4) Have accreditation or certification as may …

(a) The department of health shall review applications for completeness and may reject an application for any of the following reasons: (1) The application is submitted after the end of the open application period; (2) The application is deemed incomplete by the department of hea…

(a) The department of health may cancel an open application period at any time prior to designation when the department finds it is in the public interest. (b) The department of health shall publish a public notice of the cancellation of an open application period in a daily news…

(a) When evaluating applications, the department of health may conduct discussions with applicants or conduct site visits for the purposes of: (1) Verifying information provided in an application; (2) Promoting understanding of the minimum requirements pursuant to section 11-72-7…

(a) The department of health shall grant designation to an application that has been evaluated as meeting the minimum requirements of section 11-72-72, except when the number of applications evaluated as meeting the minimum requirements exceeds the maximum number of alternative d…

(a) The term of designation granted by the department of health shall be three years unless suspended or revoked by the department of health or surrendered by the alternative destination. (b) The department of health may extend the term of a designation one time if the department…

No designation shall be assigned or otherwise transferred except with the prior written approval of the department of health. The department of health shall approve an assignment or transfer based on its determination that the assignment or transfer will not adversely impact the …

An alternative destination shall: (1) Comply with the provisions of this subchapter and all other applicable laws and all department of health policies, procedures, and protocols; (2) Comply with the requirements of section 11-72-72 and the requirements specified by the departmen…

A. The department of health shall establish, administer, and maintain the state comprehensive emergency medical services system, which shall consist of the emergency medical services systems in the counties of Hawaii, Maui, Kauai, and the city and county of Honolulu by applying t…

(a) The department of health may suspend or revoke a designation for any of the following reasons: (1) Failure to comply with any provision of this subchapter or any other applicable law; (2) Submission of misleading, incorrect, false, or fraudulent information to the department …

(a) An alternative destination aggrieved by a decision made pursuant section 11-72-73, 11-72-76, 11-72-77, or 11-72-80 may appeal the decision by filing a written complaint to the department of health in accordance with section 11-1-22 not later than fourteen calendar days from t…

(a) The department of health shall not disclose information in any application or related to the number or names of persons or entities that obtained an application, attended a pre-application meeting, or submitted an application until after the granting of designation. (b) All a…