Pilot Programs

We are pleased to provide the enclosed application guidance for licensed EMS agencies and Training and Educational Institutions (TEI)s to participate in Kentucky Board of Emergency Medical Services clinical pilot programs. The guidance provides details about the application components that must be submitted in order to be considered for a pilot program.

There is no traditional application form to apply, nor is there an application fee. Instead, applications must be in the form of a proposal that contains the required sections summarized below.

The duration of all pilot programs shall not exceed 12 months.

Please feel free to contact the Kentucky Board of EMS office if you have any questions about the KBEMS Pilot program.

An application will be considered complete when it is submitted to the Kentucky Board of Emergency Medical Services and contains the following sections:

Section 1: Letter of Intent
Section 2: Type of Pilot Project
Section 3: General Project Description
Section 4: Patient Interaction Plan
Section 5: Staffing Plan
Section 6: Training/Educational Plan
Section 7: Medical Direction/ Quality Improvement Plan
Section 8: Data Collection/Quantitative Reporting
Section 9: Human Subjects Review Board (HSRB)
Section 10: Memorandum of Understanding

An application approved by the Board will be assigned a KBEMS Pilot Program number. The Pilot Program number will be assigned prior to any implementation of a pilot program and should be referenced on any and all Pilot Program correspondence. KBEMS may request additional material in support of an application before it makes a decision to approve or deny a request.

KBEMS Pilot Program Guidance

There is no traditional application form to apply for a KBEMS pilot program, nor is there an application fee. Applications must be in the form of a proposal that contains all ten (10) sections explained below. An application will be considered complete when all required information for all ten (10) sections is submitted to the Kentucky Board of Emergency Medical Services. Incomplete submissions will not be processed. Please feel free to contact the Kentucky Board of EMS office if you have any questions about the KBEMS pilot program.

PromotionSection 1: Letter of Intent

PromotionSection 2: Type of Pilot Program

PromotionSection 3: General Project Description

PromotionSection 4: Patient Interaction Plan

PromotionSection 5: Staffing Plan

PromotionSection 6: Training/Educational Plan

PromotionSection 7: Medical Direction/Quality Improvement Plan

PromotionSection 8: Data Collection/ Quantitative Reporting

PromotionSection 9: Human Subjects Review Board

PromotionSection 10: Memorandum of Understanding

Submission Process:

Kentucky Board of Emergency Medical Services
ATTN: Pilot Programs
118 James Ct., Suite 50
Lexington, KY 40505

Any amendment to the original Pilot Project must be submitted as a new project, and will be evaluated independently of any other project of the requesting agency.

A PROJECT MAY ONLY BEGIN AFTER YOU HAVE BEEN NOTIFIED THAT THE BOARD HAS REVIEWED AND APPROVED YOUR RESEARCH. APPROVAL IS EFFECTIVE FOR A MAXIMUM OF ONE YEAR FROM BOARD MEETING DATE.

 

Related Forms

Form Name Form Number Form Description
Pilot Program Background KBEMS-PP01 Background and Regulatory Authority for Pilot Programs.
Pilot Program Guidance KBEMS-PP02 Guideance on the Application processs for Pilot Programs.
HSRB Application KCTCS HSRB Human Subjects Review Board Application
Adverse Event Report KBEMS ADVERSE Report used in the case of an Adverse Event