The Office of Integrity works to ensure the health, safety, and welfare of the public as it relates to the delivery of EMS by Maryland-licensed and certified EMS clinicians. It helps to ensure the quality of patient care by investigating complaints and allegations of prohibited conduct.

The Office of Integrity works closely with the EMS Board, Attorney General’s Office, Incident Review Committee (IRC), Peer-Review Panel (PRP), and EMS operational program (EMSOP) quality assurance officers statewide. The PRP is a 13-member panel of physicians representing the Maryland Board of Physicians, Maryland Medical Chirurgical Society, and EMSOP medical directors. All levels of EMS clinicians are also represented on this panel. The PRP reviews complaints, as 31 well as the results of the investigations presented by the Office of Integrity, and recommends corrective and disciplinary actions to the EMS Board. The State EMS Medical Director and MIEMSS Executive Director serve as ex-officio members of the PRP.