A. The freestanding medical facility shall have pre-arranged transfer agreements with facilities that are capable of providing definitive care appropriate for the nature and severity of the patient's illness or injury.
B. Patient transfers shall be consistent with the Interhospital Transfer Guidelines published by the Maryland Institute for Emergency Medical Services System.
C. When transfer by ambulance is medically necessary the facility shall transfer the patient via:
(1) A hospital owned and operated ambulance service;
(2) A contracted ambulance service; or
(3) An ambulance service through an agreement with the local emergency medical system (EMS) jurisdictional program.
D. The level of care and medical interventions provided by an ambulance during transfer shall be appropriate for the patient's condition.
E. Before transfer, the patient shall:
(1) Be assessed by a physician or licensed independent practitioner; and
(2) Receive stabilizing medical treatment consistent with that of the freestanding medical facility's ability to treat.
F. The freestanding medical facility shall provide the emergency medical system and the receiving facility with the patient's medical records necessary for ongoing care, including:
(1) All treatment provided to the patient;
(2) Medications administered to the patient;
(3) Diagnostic procedures performed for the patient; and
(4) The patient's response to the care at the time of transfer.