<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 30.08.03.01" title_num="30" subtitle_num="08" chapter_num="03" heading="Requirements for Trauma or Specialty Referral Centers.">
  <paragraph num="A.">
    <text>A hospital designated as a trauma or specialty referral center shall:</text>
    <paragraph num="(1)">
      <text>Comply with the applicable standards for trauma or specialty care as developed by MIEMSS and set forth in COMAR 30.08.05—30.08.12;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Receive all trauma or specialty patients, regardless of race, color, religion, age, sex, marital status, national origin, ancestry, physical or mental disability, or ability to pay;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Upon MIEMSS' request, provide data to MIEMSS related to trauma or specialty care programs;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Allow MIEMSS to monitor compliance with applicable regulations and standards as set forth by MIEMSS, including providing MIEMSS with access to:</text>
      <paragraph num="(a)">
        <text>Patient discharge summaries,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Patient care logs,</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Patient care records,</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Hospital trauma or specialty care quality management program records, including minutes, and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Other documents that MIEMSS determines to be relevant; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Require confidentiality of information relating to an individual patient, provider, and hospital care outcomes in accordance with:</text>
      <paragraph num="(a)">
        <text>Health Occupations Article, Title 1, Subtitle 4, Annotated Code of Maryland, and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>General Provisions Article, Title 4, Subtitle 3, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Emergency Standards.</text>
    <paragraph num="(1)">
      <text>MIEMSS may impose additional requirements on a trauma or specialty referral center if it determines that the requirements are necessary for the immediate protection of trauma or specialty patients.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>MIEMSS shall provide the designated trauma or specialty referral center with advance written notice of an additional emergency standard.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The designated trauma or specialty referral center shall have reasonable time to comply with the emergency standard.</text>
    </paragraph>
  </paragraph>
</regulation>