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 as defined by COMAR Title 30.02.04.01.

EMS Clinician Professionalism and Accountability
The Office of Integrity works closely with the State 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, and clinicians representing advanced life support, basic life support, Emergency Medical Responders and Emergency Medical Dispatchers. To create a quorum, it requires that a PRP member with the same clinician level as the clinician on review is present. The Peer-Review Panel, after reviewing complaints, communicates the results of the investigations presented by the Office of Integrity and recommends corrective and disciplinary actions to the State EMS Board.