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. 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: 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; 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; MIEMSS shall select a team, which, at a minimum, shall include MIEMSS staff and three representatives from the following categories: Specialty physician; Emergency physician; Specialty nurse; Administrator; The on-site review team members shall: 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; Verify the hospital's ability to meet the: Responsibilities of, and the resources, equipment, and performance standards for, the type of specialty referral center designation sought, and Overall needs of that particular specialty system in that region; Familiarize themselves with the hospital's application and the designation standards; Inspect the hospital's physical plant; Interview team members and management personnel; Examine the hospital's specialty care-related documents, including patient care records; Review other materials considered appropriate by MIEMSS; Provide an exit interview of preliminary findings to the applicant upon the completion of the on-site review; and Provide a brief written summary of preliminary findings upon the completion of the on-site review.