| ANNOUNCEMENT Ohio law requires all agencies to review existing administrative rules every five years to determine if a rule should be rescinded, amended, or continued without change (No Change). The rules in O.A.C. Chapter 4765-4 (Reporting Delivery of Emergency Medical Services and Trauma Care) and O.A.C. Chapter 14 (Trauma Triage) were final filed for five year review with the Joint Committee on Agency Rule Review (JCARR) on May 9, 2018. Nine rules are no change rules. Six rules were amended. These rules became effective on June 1, 2018: Chapter 4765-4 (Reporting Delivery of Emergency Medical Services and Trauma Care) | 4765-4-01 | Amended | Definitions. | | 4765-4-02 | No Change | Purpose. | | 4765-4-03 | No Change | Required reporting. | | 4765-4-04 | Amended | Risk adjustment. | | 4765-4-05 | No Change | Protected information. | | 4765-4-06 | Amended | Submission of data. | | 4765-4-07 | No Change | Reporting deadlines. | | 4765-4-08 | No Change | Failure to report. | | 4765-4-09 | No Change | Regional reporting. | - Rule 4765‑4-01 of the O.A.C. was amended to revise a citation for materials incorporated by reference.
- Rule 4765‑4-04 of the O.A.C. was amended to improve the formatting of paragraph (D) and to clarify that mortality is an outcome in the state trauma registry and that the EMFTS Board may evaluate the feasibility of risk adjusting outcome variables.
- Rule 4765‑4-06 of the O.A.C. was amended to improve the formatting of paragraph (B).
Chapter 14 (Trauma Triage) | 4765-14-01 | Amended | Definitions. | | 4765-14-02 | Amended | Determination of a trauma victim. | | 4765-14-03 | No Change | Enforcement of state or regional trauma triage protocols. | | 4765-14-04 | No Change | Education of state and regional trauma triage protocols. | | 4765-14-05 | Amended | Exceptions to mandatory transport. | | 4765-14-06 | No Change | Amendments affecting regional protocols. | - Rule 4765‑14-01 of the O.A.C. was amended to correct punctuation and change the word "decrease" to "alteration" in paragraph (I)(1).
- Rule 4765‑14-02 of the O.A.C. was amended to improve the structure and clarity of the rule and correct punctuation.
- Rule 4765‑14-05 of the O.A.C. was amended to improve formatting.
Please review the rules at LAW Writer® Ohio Laws and Rules, using the following links: http://codes.ohio.gov/oac/4765-4 and http://codes.ohio.gov/oac/4765-14. DISCLAIMER: THIS IS A SUMMARY OF KEY CHANGES ONLY. NOT ALL OF THE CHANGES ARE LISTED. PLEASE REFER TO THE RESPECTIVE INDIVIDUAL RULE TO SEE THE COMPLETE CHANGES FOR EACH RULE. Additional information about EMS rules and the rule review process is available at: Emergency Medical Services - Small Business Regulatory Impact. Contact the Division of EMS about the State Board of Emergency Medical, Fire, and Transportation Services (EMFTS) administrative rules at ems.rules@dps.ohio.gov. | 
