A hand and upper extremity trauma center shall: Be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located; 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; Have an emergency department which offers comprehensive emergency care 24 hours a day with: At least one physician experienced in emergency care on duty in the emergency care area; and 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: Medical; Surgical; Orthopedic; and Anesthesia; Have a resolution adopted by the Board of Directors of the hospital committing the hospital to: Participate in State and regional emergency medical services; and 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: Financial; Human; and Physical. The hand and upper extremity trauma center shall have: A medical director; Appropriately educated nurse leaders and clinical staff to provide care for hand and upper extremity trauma patients; A fellowship training program in hand surgery accredited by the ACGME; A comprehensive post-trauma rehabilitation program accredited by CARF; A quality improvement program which participates in State and regional emergency medical services quality management; An educational program for physicians, nurses, and therapists who treat trauma patients with single system upper extremity trauma; A policy committee that oversees the activities of the hand and upper extremity trauma center; An internal morbidity and mortality conference scheduled to meet at least monthly to record and discuss any complications; A maintained hand registry; and Timely submission of data to the MIEMSS State trauma registry.