Regulation .02 Organization.
Regulation .02 Organization.LinkCopy Citation
A.
A hand and upper extremity trauma center shall:
(1)
Be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located;
(2)
Be accredited by [the Joint Commission on Accreditation of Health Care Organizations] an organization that has been granted deeming authority by the Centers for Medicare & Medicaid Services and approved by the Maryland Department of Health to accredit hospitals in the State, with a designated hand surgery service;
(3)
Have an emergency department which offers comprehensive emergency care 24 hours a day with:
(a)
At least one physician experienced in emergency care on duty in the emergency care area; and
(b)
In-hospital physician coverage by members of the medical staff or by senior-level residents who are postgraduate year 3 or higher for the following services:
(i)
Medical;
(ii)
Surgical;
(iii)
Orthopedic; and
(iv)
Anesthesia;
(4)
Have a resolution adopted by the Board of Directors of the hospital committing the hospital to:
(a)
Participate in State and regional emergency medical services; and
(b)
Maintain the infrastructure necessary to support the hospital's provision of state-of-the-art hand and upper extremity trauma care including the following resources necessary to the provision of such service:
(i)
Financial;
(ii)
Human; and
(iii)
Physical.
B.
The hand and upper extremity trauma center shall have:
(1)
A medical director;
(2)
Appropriately educated nurse leaders and clinical staff to provide care for hand and upper extremity trauma patients;
(3)
A fellowship training program in hand surgery accredited by the ACGME;
(4)
A comprehensive post-trauma rehabilitation program accredited by CARF;
(5)
A quality improvement program which participates in State and regional emergency medical services quality management;
(6)
An educational program for physicians, nurses, and therapists who treat trauma patients with single system upper extremity trauma;
(7)
A policy committee that oversees the activities of the hand and upper extremity trauma center;
(8)
An internal morbidity and mortality conference scheduled to meet at least monthly to record and discuss any complications;
(9)
A maintained hand registry; and
(10)
Timely submission of data to the MIEMSS State trauma registry.