# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 02 — Designation of Trauma and Specialty Referral Centers

#### Regulation .06 On-Site Review for Initial Specialty Referral Center Designation.

*COMAR 30.08.02.06*

A. At MIEMSS' discretion, MIEMSS may accept verification of a specialty referral center by a nationally recognized medical specialty organization, without conducting an on-site review.

B. The on-site review process for initial designation of specialty referral centers shall be conducted in accordance with Regulation .05 of this chapter, with the following exceptions:

  (1) The on-site review team shall consist of MIEMSS staff, as well as medical, administrative, and nursing professionals having expertise in the specialty being designated;

  (2) The Executive Director may appoint additional staff from other State agencies to the on-site review team when those agencies have shared regulatory oversight in the specialty referral center;

  (3) MIEMSS shall select a team, which, at a minimum, shall include MIEMSS staff and three representatives from the following categories:

    (a) Specialty physician;

    (b) Emergency physician;

    (c) Specialty nurse;

    (d) Administrator;

  (4) The on-site review team members shall:

    (a) Evaluate the appropriateness and capability of the applicant to provide specialty care services, according to the designation standards for that particular specialty, as described at COMAR 30.08.06—30.08.12;

    (b) Verify the hospital's ability to meet the:

      (i) Responsibilities of, and the resources, equipment, and performance standards for, the type of specialty referral center designation sought, and

      (ii) Overall needs of that particular specialty system in that region;

    (c) Familiarize themselves with the hospital's application and the designation standards;

    (d) Inspect the hospital's physical plant;

    (e) Interview team members and management personnel;

    (f) Examine the hospital's specialty care-related documents, including patient care records;

    (g) Review other materials considered appropriate by MIEMSS;

    (h) Provide an exit interview of preliminary findings to the applicant upon the completion of the on-site review; and

    (i) Provide a brief written summary of preliminary findings upon the completion of the on-site review.