The hospital shall develop and implement: A written policy which demonstrates that the hospital has established the stroke center to: Monitor the care delivered to acute stroke patients; Improve the quality of care delivered to acute stroke patients; Move patients through the initial acute care phase of their hospital stay in a timely fashion; and Ensure that all stroke patients will receive medical care commensurate with the hospital's designation as a primary stroke center; Written procedures for rapidly activating the stroke team to care for potentially eligible fibrinolytic and endovascular candidates within 15 minutes of notification; and Written care protocols for the treatment of acute stroke which: Address: Evaluation of each patient by a member of the emergency department clinical staff within 10 minutes of the patient's arrival at the hospital emergency department; At least one member of the stroke team arriving at the acute stroke patient's bedside within 15 minutes of notification; Ischemic stroke; Hemorrhagic stroke; Stabilization of vital functions; Initial diagnostic tests; The use of medications including fibrinolytics; Care of the potential endovascular candidate; Timely and safe patient transfer; and The hospital's plan for updating the protocols at least annually; Are maintained up-to-date in: The emergency department; The stroke unit; The intensive care unit; and All other locations where stroke care is provided.