KRS 311A.190: Information furnished to board by providers and program -- Patient

care record report form -- Annual reports -- Confidentiality -- Report to

medical facility, ambulance provider, and patient -- Records -- Disclosure and

admissibility of data and records -- Cabinet access to data.

(1) Each licensed ambulance provider, mobile integrated healthcare program, and

medical first response provider as defined in this chapter shall collect and provide to

the board patient care record data and informa tion required by the board by this

chapter and administrative regulation.

(2) The board shall develop a patient care record form for the use of each class of

ambulance provider, mobile integrated healthcare program, and medical first

response provider containing the data required in subsection (1) of this section. An

ambulance provider, mobile integrated healthcare program, or medical first

response provider may utilize any patient care record form it chooses in lieu of or in

addition to the board developed patient care record form. However, the data

captured on the patient care record form utilized by the ambulance service, mobile

integrated healthcare program, or medical first response provider shall include at

least the data that is required by the admini strative regulations promulgated

pursuant to subsection (1) of this section.

(3) An ambulance provider, mobile integrated healthcare program, or medical first

response provider shall report the required patient care record data as prescribed

through admini strative regulations promulgated by the board by transmitting the

required data and information to the board in an electronic format. If the board

requires the use of a specific electronic format, it shall provide a copy of the file

layout requirements, in either written or electronic format, to the licensed

ambulance provider or medical first response provider at no charge.

(4) The board shall publish a comprehensive annual report reflecting the data collected,

injury and illness data, treatment utilized, and other information deemed important

by the board. The annual report shall not include patient identifying information or

any other information identifying a natural person. A copy of the comprehensive

annual report, if issued, shall be forwarded to the Governor and the General

Assembly.

(5) Ambulance provider, mobile integrated healthcare program and medical first

response provider patient care records and the information transmitted electronically

to the board shall be confidential and in compliance wit h HIPAA privacy rules

referenced in 45 C.F.R. pt. 164. No person shall make an unauthorized release of

information on an ambulance provider, mobile integrated healthcare program, or

medical first response provider patient care record. Only the patient or t he patient's

parent or legal guardian if the patient is a minor, or the patient's legal guardian or

person with proper power of attorney if the patient is under legal disability as being

incompetent or mentally ill, or a court of competent jurisdiction may authorize the

release of information on a patient's care record or the inspection or copying of the

patient care record. Any authorization for the release of information or for

inspection or copying of a patient care record shall be in writing.

(6) An ambulance provider or medical first response provider that collects patient data

through electronic means shall have the means of providing a patient care record or

summary report that includes all required data elements to the medical care facility.

A copy o f the medical first response patient care record or summary report of the

patient care record and patient information shall be made available to the ambulance

service that transports the patient. A copy of the ambulance transportation and

medical report forms shall be made available to any medical care facility to which a

patient is transported and shall be included in the patient's medical record by that

facility. If a patient is not transported to a medical facility, the copy of the patient

care record th at is to be given to the transporting ambulance provider or medical

care facility shall be given to the patient or to the patient's parent or legal guardian

upon request. If the ambulance provider, medical facility, patient, or patient's legal

guardian refuses delivery of their patient care record or is unavailable to receive the

form, that copy of the patient care record shall be returned to the medical first

response provider or ambulance provider and destroyed.

(7) All ambulance services and mobile integrated healthcare programs shall be required

to keep adequate reports and records to be maintained at the ambulance base

headquarters and to be available for periodic review as deemed necessary by the

board. Required records and reports are as follows:

(a) Employee records, including a resume of each employee's training and

experience and evidence of current certification or licensure; and

(b) Health records of all personnel including records of all illnesses or accidents

occurring while on duty.

(8) Data and records generated and kept by the board or its contractors regarding the

evaluation of emergency medical care, mobile integrated healthcare programs, and

trauma care in the Commonwealth, including the identities of patients, emergency

medical services pe rsonnel, ambulance providers, medical first -response providers,

and emergency medical facilities, shall be confidential, shall not be subject to

disclosure under KRS 61.805 to 61.850 or KRS 61.870 to 61.884, shall not be

admissible in court for any purpose, and shall not be subject to discovery. However,

nothing in this section shall limit the discoverability or admissibility of patient

medical records regularly and ordinarily kept in the course of a patient's treatment

that otherwise would be admissible or discoverable.

(9) The Cabinet for Health and Family Services shall have complete and immediate

access to all data and records maintained by the board or its contractors and may use

information contained in the data and records to fulfill its responsibilit ies and

requirements for health facilities and services, including but not limited to those

duties assigned to the cabinet by KRS 194A.101, 216.2920 to 216.2929, and

216B.042.