A Registry hospital shall maintain compliance with the following requirements: A Registry hospital shall meet the criteria established in the manual of operations of the C-PORT E Registry of Non-Primary PCI that follows-on the C-PORT E Study of Non-Primary PCI; and A Registry hospital shall continue to satisfy the following requirements: For institutional resources: Maintain a patient prioritization plan that guarantees that a patient who requires primary PCI for STEMI is given immediate preference for care in the cardiac catheterization laboratory; Maintain a formal and properly executed written agreement with a tertiary care center that provides for the unconditional transfer of each non-primary PCI patient who requires additional care, including emergent or non-primary cardiac surgery or PCI, from the applicant hospital to the tertiary institution; and Maintain its agreement with an advanced cardiac support emergency medical services provider that guarantees arrival of the air or ground ambulance at the applicant hospital within 30 minutes of a request for non-primary PCI patient transport by the applicant; For physician resources, A Registry hospital shall maintain adequate staff necessary for the provision of primary and non-primary PCI services, including a minimum of three interventional cardiologists who: Meet the requirements in the C-PORT E study research protocol and in COMAR 10.24.17, Table A-1; Can be available on-site within 30 minutes when on call; and Agree to abide by the Device Selection Criteria in the applicable Manual of Operations; For minimum volumes, A Registry hospital shall maintain a minimum volume of 200 PCI procedures during each year of its waiver; For follow-up of patients enrolled in the C-PORT E study, A Registry hospital shall maintain a patient follow-up rate of 98 percent; and For follow-up of patients enrolled in the Registry, A Registry hospital shall commit to patient follow-up through hospital discharge. A Registry hospital shall notify the Commission in writing within 3 business days of the occurrence of any of the following: The hospital performs non-primary PCI on a patient not enrolled in the Registry; The hospital's primary PCI waiver expires, is relinquished, or is withdrawn; The hospital fails to notify the Commission of the death of or a coronary artery bypass surgery experienced by a patient participating in the Registry; The hospital fails to perform a minimum of 200 PCI procedures annually each year after it received a non-primary PCI research waiver from the Commission; or The hospital fails to meet and maintain the criteria required by the Commission for participation in the Registry, or its participation in the Registry ends for any reason. A hospital required to give notice under §B of this regulation shall, on written notice from the Commission, immediately relinquish its authority to perform nonprimary PCI.