Tier III transport requires approval for its advanced treatment modalities from which authorities?

• A. Local hospital CFO.
• B. Insurance company.
• C. EMS Medical Director and IDPH.
• D. City council.

Answer: (C)

Tier III transport involves using advanced treatment modalities, so their use must be authorized by both clinical leadership and state regulation. The EMS Medical Director provides the medical oversight, develops and approves protocols, and determines which advanced interventions EMS personnel may perform based on training and evidence. The Illinois Department of Public Health (IDPH) serves as the state regulatory body that approves these modalities for use across the system, ensuring consistency with state rules and patient safety. Other entities, like a local hospital CFO, an insurance company, or city council, do not grant clinical practice privileges for prehospital care.