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

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

### Chapter 11 — Designated Primary Stroke Center Standards

#### Regulation .02 Organization.

*COMAR 30.08.11.02*

The hospital's board of directors, administrators, and medical and nursing staffs shall demonstrate commitment to the hospital's designation as a primary stroke center by:

A. A board of directors' resolution stating that the hospital agrees to meet the standards of this chapter for designation as a primary stroke center;

B. An organizational chart showing key stroke center personnel including the stroke center medical director and stroke center nurse coordinator and their relationship within the hospital;

C. Establishing mechanisms to guide and assure cooperative relationships with community and professional groups committed to increasing public awareness and improving acute stroke care;

D. Maintaining documentation of stroke center leadership including:

  (1) An appointment letter for the stroke center medical director; and

  (2) Curricula vitae of key stroke program personnel with training and expertise in cerebrovascular disease including:

    (a) Physicians;

    (b) A stroke center nurse coordinator; and

    (c) Other key health care personnel; and

E. Maintaining bylaws, contracts, and budgets specific to acute stroke care, indicating the hospital's commitment to the financial, human, and physical resources necessary to support the hospital's designation as a primary stroke center.