<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 30.08.02.01" title_num="30" subtitle_num="08" chapter_num="02" heading="Trauma Care Levels and Specialty Referral Centers.">
  <paragraph num="A.">
    <text>MIEMSS shall designate a hospital by level of care capability as set forth for:</text>
    <paragraph num="(1)">
      <text>Trauma centers, in COMAR 30.08.05; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Specialty referral centers, in the appropriate specialty care standards within this subtitle.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The levels of trauma care are:</text>
    <paragraph num="(1)">
      <text>Primary Adult Resource Center;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Level I trauma center;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Level II trauma center; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Level III trauma center.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Multiple Clinical Locations.</text>
    <paragraph num="(1)">
      <text>A single hospital or one or more hospitals under common ownership may be designated as a single trauma or specialty center program with more than one clinical location if:</text>
      <paragraph num="(a)">
        <text>Clinical requirements are met at each separate location;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>There is a designated individual with administrative oversight of the designated trauma or specialty center program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>There is a designated individual with clinical oversight of the designated trauma or specialty center program who is responsible for:</text>
        <paragraph num="(i)">
          <text>Data collection;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Quality improvement;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Education;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Research; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Prevention;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>There is a designated individual responsible for administrative oversight at each clinical location; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>There is a designated individual responsible for clinical oversight at each clinical location.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>In this subtitle, in the case of a designated trauma or specialty center with more than one clinical location:</text>
      <paragraph num="(a)">
        <text>The term “hospital” shall be interpreted as meaning each separate clinical location which is operated as part of the designated trauma or specialty center program for the purposes of clinical requirements; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The term “hospital” shall be interpreted to mean all clinical locations operated as part of the designated trauma or specialty center program collectively for the purposes of nonclinical requirements.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>