In Massachusetts, point of entry for EMS is governed by the EMS System regulations, and their definition of "appropriate health care facility." An appropriate health care facility is the emergency department of an acute care hospital, or a licensed satellite emergency department, that is closest geographically (interpreted by DPH to be "in time") to the patient's location, OR in compliance with a Department of Public Health-approved point of entry plan.
The following are statewide DPH-approved EMS point of entry plans:
- Trauma Field Triage and Statewide Point of Entry Plan, effective 9/1/2011 (PDF)
- Statewide Stroke Point of Entry Plan
- Statewide STEMI Point of Entry Plan (PDF) file size 1MB
- Statewide Point of Entry Plan for Appropriate Health Care Facility Destination Based on Patient's Specific Condition and Need (PDF)