# 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 .07 Stroke Unit.

*COMAR 30.08.11.07*

The hospital shall maintain a stroke unit that meets the requirements of this regulation which:

A. Has designated beds for the care of acute stroke patients beyond the acute treatment period;

B. Provides care to acute stroke patients through qualified clinical staff who meet the requirements in Regulation .09 of this chapter;

C. Develops a standardized process originating in clinical practice guidelines or evidence-based practice to deliver or facilitate the delivery of clinical care;

D. Develops an individualized plan of care that is based on the patient’s assessed needs and reflects coordination of care with other programs as determined by patient comorbidities; and

E. Maintains written documentation delineating the function of the stroke unit including:

  (1) Admission criteria;

  (2) Discharge criteria;

  (3) Acute stroke care protocols;

  (4) Interdisciplinary rounding;

  (5) Patient census;

  (6) Rehabilitation in the hospital;

  (7) Rehabilitation after discharge; and

  (8) Outcomes data.