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

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

### Chapter 10 — Neurotrauma Center Standards

#### Regulation .09 Neurotrauma Rehabilitation.

*COMAR 30.08.10.09*

A neurotrauma center shall have:

A. Transfer agreements to rehabilitation hospitals, for the primary three rehabilitation hospitals the trauma center utilizes, which may be joint transfer agreements if the trauma center is a part of a health system that utilizes a particular rehabilitation center with appropriate services tailored to the needs of traumatic brain and spinal cord injured patients;

B. A referral process/case management plan for timely assessment for, and placement in, an appropriate rehabilitation program;

C. Full in-house service or transfer process in place to a rehabilitation service for acute care or sub-acute care; and

D. Ongoing continuity of care for patients with traumatic brain and spinal cord injuries provided in affiliated rehabilitation acute or sub-acute facilities, by attending neurotrauma center specialists and sub-specialists.