1. A. A Cardiac Interventional Center shall be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located.

2. B. If located in Maryland, a Cardiac Interventional Center shall:

   1. (1) Have one of the following:

      1. (a) A Certificate of Need (CON) issued by the Maryland Health Care Commission for a cardiac surgery and percutaneous coronary intervention (PCI) program; or
      2. (b) A current waiver issued by the Maryland Health Care Commission to provide primary percutaneous coronary intervention (PCI) services to STEMI patients meeting certain criteria without on-site cardiac surgery; and
   2. (2) Be a base station approved under COMAR 30.03.06.

3. C. If not located in Maryland, a Cardiac Interventional Center shall:

   1. (1) Possess all government approvals required to provide Primary PCI under the laws of the jurisdiction in which it is located including, if required, a CON; and

   2. (2) Satisfy one of the following:

      1. (a) Be a base station approved under COMAR 30.03.06; or
      2. (b) Have the equipment necessary to conduct a dual consult between EMS and a Maryland base station for each Maryland patient transported to the Cardiac Interventional Center.

4. D. A Cardiac Interventional Center shall:

   1. (1) Provide primary PCI as soon as possible and not to exceed 90 minutes from patient arrival, that is, door to balloon time of less than 90 minutes, for 75% of appropriate STEMI patients;
   2. (2) Provide primary PCI for appropriate STEMI patients 24 hours per day, 7 day per week;
   3. (3) Have adequate physician, nursing, and technical staff to provide cardiac catheterization and coronary care unit services 24 hours per day, 7 days per week;
   4. (4) Have a single call access system for receiving patients with STEMI;
   5. (5) Participate in the County Hospital Alert Tracking System (CHATS) program;
   6. (6) Abide by the Maryland Emergency Medical Services Inter-Hospital Transfer Guidelines published by MIEMSS in addition to any applicable transfer requirements in COMAR 10.24.17;
   7. (7) Communicate as soon as possible with the STEMI patient's primary physician and cardiologist regarding patient outcome;

   8. (8) Establish a Cardiac Interventional Center medical review committee which shall be a medical review committee under Health Occupations Article, §1-401, Annotated Code of Maryland, as a committee established in the Maryland Institute for Emergency Medical Services Systems which:

      1. (a) Meets at least three times a year;
      2. (b) Reviews practice patterns; and
      3. (c) Modifies practice patterns as appropriate; and

   9. (9) Comply with the requirements of COMAR 30.08.04, including participating in:

      1. (a) A Cardiovascular Data registry jointly approved by MHCC and MIEMSS, including any registry data reporting requirements established by either MIEMSS or MHCC; and
      2. (b) State specialty care quality management activities of MIEMSS or of MHCC that are approved by MIEMSS.

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

Effective date: May 3, 2010 (37:9 Md. R. 674)