Who signs the EMS system modification form?

• A. The on-scene EMS supervisor.
• B. The Resource Hospital and IDPH.
• C. The regional EMS administrator.
• D. The hospital CEO.

Answer: (B)

Modifications to an EMS system require the involvement of the party with clinical oversight and the state regulator. The Resource Hospital signs to show there is clinical endorsement and resource support for the proposed changes, confirming they fit with current protocols and the hospital’s capabilities. The Illinois Department of Public Health signs to provide state-level authorization and ensure the changes comply with EMS rules and regulations. In contrast, an on-scene supervisor focuses on patient care in the field, a regional EMS administrator handles regional operations but doesn’t typically sign system-wide modification documents, and a hospital CEO handles hospital-specific matters rather than EMS system-wide policy changes. So, the form is signed by the Resource Hospital and IDPH.