A Burn center shall: Maintain a designated unit or units for specialized acute burn care; Be a hospital designated as a Level II or higher trauma center; If an in-State hospital, have one of the following issued by the Maryland Health Care Commission: A certificate of need; or An exception from the requirement for a certificate of need; Demonstrate commitment to the optimal care of the hospital’s burn injured patients by the hospital’s board of directors, administration, medical staff, and nursing staff by formulating a board of director’s resolution, updated yearly, stating that: The hospital agrees to meet the burn center designation standards; The hospital has a commitment to the infrastructure and the financial, human, and physical resources necessary to support the hospital’s burn center designation; and The hospital has a commitment to the quality management (QM) process of the burn patient; Complete transfers to in-State hospitals, or to out-of-State hospitals listed in the Maryland Emergency Medical Services Interhospital Transfer Resource Manual, in accordance with the guidelines contained in the Maryland Emergency Medical Services Interhospital Transfer Resource Manual without the need for separate transfer agreements; Have a written transfer agreement in place for transfer of a patient to an out-of-State hospital not listed in the Maryland Emergency Medical Services Interhospital Transfer Resource Manual, if the hospital transfers to such out-of-State hospital more than five times a year; Have a written transfer agreement in place for transfer of a patient to a rehabilitation hospital if the hospital transfers to such a rehabilitation hospital more than two times a year; Have and maintain current accreditation by an organization that has been granted deeming authority by the Centers for Medicare & Medicaid Services and approved by the Maryland Department of Health to accredit hospitals in the State; Use the resources of the burn center for patients with burn injuries and those suffering from burn-like diseases; and Have administrative and budgetary commitment in order to support the needs of the burn center, inclusive of clerical and clinical nursing personnel, that helps fulfill needs of the concurrent PI, outreach, injury prevention, and research. Prehospital Care. A burn center shall: Maintain access to an EMS system for the transport of patients (public safety and commercial services) with burns from referral sources within the geographic service area; Participate in regional or State EMS committees and councils at least three times per year; Have a written hospital emergency preparedness/multiple casualty incident (MCI) plan for the triage and early treatment of adult and pediatric patients burned in an MCI; Ensure that the MCI plan for the geographic service area is reviewed and updated on an annual basis by the hospital Emergency Preparedness Committee and EMS liaisons and drill inclusive of burn patients annually; and Provide education on the current concepts in triage and burn care treatment to prehospital and hospital care providers within its geographic service area.