In addition to meeting the requirements of COMAR 30.08.11.01, a designated comprehensive stroke center hospital shall:
- A. Be designated by MIEMSS as a primary stroke center at the time of application for designation as a comprehensive stroke center;
- B. Continue to meet the primary stroke center requirements in COMAR 30.08.11 to the extent such requirements are consistent with designation as a comprehensive stroke center;
- C. Act as a resource center for other facilities in its region or state;
- D. Annually care for at least 20 Subarachnoid Hemorrhage by aneurysm patients per year;
- E. Annually perform a combined total of 15 endovascular coiling and surgical clippings per year for aneurysm;
F. Annually administer fibrinolytics to 25 eligible patients per year or 50 eligible patients over 2 years:
- (1) IV fibrinolytic ordered and monitored via telemedicine at another hospital is acceptable; and
- (2) IV fibrinolytic administered at an outside hospital and transferred to CSC site is acceptable;
- G. Satisfy the MIEMSS requirements for designation as a comprehensive stroke center by MIEMSS; and
H. Meet the requirements for a site review in COMAR 30.08.02.06, which may be satisfied by completing either:
- (1) An on-site review by MIEMSS; or
(2) A site survey as part of The Joint Commission Disease Specific Care Certification Program for certification as a comprehensive stroke center if the hospital:
- (a) Authorized The Joint Commission to provide MIEMSS with survey findings, certification reports, and other information related to The Joint Commission's certification of the hospital as a comprehensive stroke center;
- (b) Allows MIEMSS to participate in the accreditation site survey; and
- (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: October 17, 2011 (38:21 Md. R. 1280)
Chapter revised effective January 1, 2022 (48:22 Md. R. 938)