A designated trauma or specialty referral center shall have a hospital-wide quality management plan to reflect and demonstrate continuous quality improvement in the delivery of trauma and specialty care. The quality management program includes, but is not limited to, the requirements for trauma and specialty referral centers in COMAR 30.08.03. A designated trauma and specialty referral center shall have a system for continuous monitoring and trend analysis of trauma patient bypass status. Designated trauma and specialty referral centers shall participate in State trauma and specialty care quality management activities sponsored by MIEMSS. If appropriate for quality assurance purposes, designated trauma and specialty centers shall provide EMS providers licensed or certified by the EMS Board under Education Article §13-516, Annotated Code of Maryland, who have or have had a direct treatment relationship with a patient, follow-up data or information on that patient. Quality assurance information provided under this action is considered to be provided in accordance with COMAR 30.03.04.05.