A designated primary stroke center hospital shall:

1. A. Be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located;
2. B. Be a hospital accredited by an organization that has been granted deeming authority by the Centers for Medicare & Medicaid Services and approved by the Maryland Department of Health to accredit hospitals in the State;
3. C. If located in Maryland, be a base station approved under COMAR 30.03.06;
4. D. Provide assessment and management of the stroke patient consistent with the most current AHA/ASA consensus based clinical practice guidelines to meet the needs of the patient;
5. E. Have a stroke center medical director;
6. F. Have a dedicated stroke center nurse coordinator;
7. G. Have sufficient personnel and resources needed to facilitate healthcare data management and concurrent review of quality metrics and program objectives;
8. H. Meet the requirements of Regulations .03—.14 of this chapter;
9. I. Satisfy the MIEMSS requirements for designation as a primary stroke center; and

10. J. Meet the requirements for a site review in COMAR 30.08.02.06, which may be satisfied by completing either:

    1. (1) An on-site review by MIEMSS; or

    2. (2) A site survey as part of The Joint Commission Disease Specific Care Certification Program for certification as a primary stroke center if the hospital:

       1. (a) Authorizes The Joint Commission to provide MIEMSS with survey findings, certification reports, and other information related to The Joint Commission;
       2. (b) Allows MIEMSS to participate in the accreditation site survey; and
       3. (c) Provides MIEMSS any additional information required to determine it has satisfied the requirements for designation under this chapter.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: June 5, 2006 (33:11 Md. R. 952)

Regulation .06B amended effective June 4, 2007 (34:11 Md. R. 973)

Chapter revised effective July 1, 2021 (48:9 Md. R. 360)

Regulation .01B amended effective July 21, 2025 (52:14 Md. R. 714)

Regulation .15 repealed effective October 18, 2021 (48:21 Md. R. 892)