# 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 .06 Transfer of Stroke Patients in Need of Higher Level of Care.

*COMAR 30.08.11.06*

The hospital shall:

A. Transfer the clinically appropriate stroke patient requiring a higher level of care after initial treatment and stabilization to a MIEMSS designated primary stroke center that has endovascular capability or a MIEMSS designated comprehensive stroke center; and

B. Maintain an agreement or agreements with a commercial ambulance service to:

  (1) Transfer stroke patients as clinically necessary;

  (2) Ensure the appropriate delivery of care during transport; and

  (3) Limit utilization of local emergency medical services (EMS) resources unless by pre-existing agreement.