Birmingham Regional Emergency
Medical Services System


The ADPH/EMS is responsible for all EMS issues related to medical accountability in
Region 3 and throughout the state. Unless otherwise specified in the State’s EMS system
components, all complaints or patient care issues are handled in accordance with the
policies established by the ADPH/EMS.

BREMSS has a regional medical direction and accountability committee composed of
EMS system components chaired by the BREMSS medical director. The committee will
hold meetings once every quarter, at a minimum, to provide a forum to express concerns
and share ideas. The committee encompasses a broad representation of the region’s EMS
system component participants. Membership of this committee consists of representatives
• The Regional Medical Director (chairperson)
• The on-line medical director or their designee of each hospital providing medical
• The off-line medical director of each licensed EMS provider service
• Each licensed EMS provider service
• Each county EMA office
• Each 9-1-1 agency
• Each PSAP

The MDAC is not a regulatory committee. Its purpose is to provide access to the regional
medical director and to provide a forum for discussions on how to improve emergency
medical care throughout BREMSS.