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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD <br /> 9. Agency Quality Assurance Plan <br /> 10.Agency Equipment Attestation <br /> 11.Agency Infection Control Plan/Policy <br /> 12.Agency Medical Treatment Agreement <br /> Required Document Description <br /> 1. Agency CONTINUUM Roster Attestation: Completed Attestation (Attachment 2) <br /> that the Agency is maintaining an active and up to date roster in the North Carolina <br /> Office of EMS Credentialing Information System. <br /> a. CONTINUUM - "Credentialing Information System" is a database of all <br /> credentialed providers in the North Carolina EMS system. It is a <br /> mechanism for agencies to verify an individual's credential and date of <br /> expiration. <br /> b. All EMS Response Agencies in Orange County are currently listed in the <br /> CONTINUUM. <br /> c. As a credentialed provider joins or leaves an Agency, Agencies will update <br /> their CONTINUUM roster. <br /> d. The North Carolina Office of EMS will update provider's credentials as they <br /> change including expiration dates. The EMS system administrator, training <br /> Coordinator, and Agency representative receive notification of all expired <br /> credentials automatically through the CONTINUUM system. <br /> e. Providers receive email notification at thirty days prior to expiration and new <br /> credentials are mailed through CONTINUUM to the provider's listed <br /> address; therefore it is critical that providers ensure their contact information <br /> is current in CONTINUUM. <br /> 2. Agency Service Description: Orange County Emergency Services requires a full <br /> description of the type and level of EMS service to be provided by the applying <br /> Agency, including the location(s) from which it is intended to operate. <br /> a. Agencies should define the type and level of service to be provided (e.g. <br /> Emergency Medical Technician, Advanced EMT, Paramedic). <br /> b. Agencies applying for Advanced EMT or Paramedic Level upgrade to <br /> service must obtain Provider License with the North Carolina State Office of <br /> EMS as defined in 10A NCAC 13P .0204. Applications to State OEMS <br /> must occur at least 30 days prior to projected implementation date. <br /> c. Agencies should provide their defined service area and any mutual aid <br /> areas for EMS response. <br /> d. Agencies should describe the vehicles routinely used for responding to <br /> medical calls with the vehicle's staging location. (i.e. If an Agency utilizes a <br /> Vt Responder Vehicle for all calls.) <br /> Rev. 8/8/2018 - 2 - <br />