1. Within 7 days, e-mail a serious incident report form to OEMS.SIR@state.ma.us.
2. Within 30 days of filing the initial report, file an 1) investigation report of the incident and a 2) plan of correction and preventability with the Office of Emergency Medical Services (OEMS).
Tips:
Your local government (e.g. city, town) may require that you submit a copy of the report to them and/or may have additional reporting requirements.
Resources:
DPH, EMS - Complaints and Serious Incidents (includes link to the Serious Incident Report Form)
Laws:
105 CMR § 170.350(B)
Contact:
Department of Public Health
Office of Emergency Medical Services
67 Forest St.,
Marlborough, MA 01752
Telephone: (617) 753-7300
Fax: (617) 753-7320
We hope these instructions helped you meet this reporting requirement. Be aware that this action may not fulfill all applicable reporting requirements associated with the event.
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