Regulation .02 Cardiac Interventional Center.
Regulation .02 Cardiac Interventional Center.LinkCopy Citation
A.
A Cardiac Interventional Center shall be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located.
B.
If located in Maryland, a Cardiac Interventional Center shall:
(1)
Have one of the following:
(a)
A Certificate of Need (CON) issued by the Maryland Health Care Commission for a cardiac surgery and percutaneous coronary intervention (PCI) program; or
(b)
A current waiver issued by the Maryland Health Care Commission to provide primary percutaneous coronary intervention (PCI) services to STEMI patients meeting certain criteria without on-site cardiac surgery; and
(2)
Be a base station approved under COMAR 30.03.06.
C.
If not located in Maryland, a Cardiac Interventional Center shall:
(1)
Possess all government approvals required to provide Primary PCI under the laws of the jurisdiction in which it is located including, if required, a CON; and
(2)
Satisfy one of the following:
(a)
Be a base station approved under COMAR 30.03.06; or
(b)
Have the equipment necessary to conduct a dual consult between EMS and a Maryland base station for each Maryland patient transported to the Cardiac Interventional Center.
D.
A Cardiac Interventional Center shall:
(1)
Provide primary PCI as soon as possible and not to exceed 90 minutes from patient arrival, that is, door to balloon time of less than 90 minutes, for 75% of appropriate STEMI patients;
(2)
Provide primary PCI for appropriate STEMI patients 24 hours per day, 7 day per week;
(3)
Have adequate physician, nursing, and technical staff to provide cardiac catheterization and coronary care unit services 24 hours per day, 7 days per week;
(4)
Have a single call access system for receiving patients with STEMI;
(5)
Participate in the County Hospital Alert Tracking System (CHATS) program;
(6)
Abide by the Maryland Emergency Medical Services Inter-Hospital Transfer Guidelines published by MIEMSS in addition to any applicable transfer requirements in COMAR 10.24.17;
(7)
Communicate as soon as possible with the STEMI patient's primary physician and cardiologist regarding patient outcome;
(8)
Establish a Cardiac Interventional Center medical review committee which shall be a medical review committee under Health Occupations Article, §1-401, Annotated Code of Maryland, as a committee established in the Maryland Institute for Emergency Medical Services Systems which:
(a)
Meets at least three times a year;
(b)
Reviews practice patterns; and
(c)
Modifies practice patterns as appropriate; and
(9)
Comply with the requirements of COMAR 30.08.04, including participating in:
(a)
A Cardiovascular Data registry jointly approved by MHCC and MIEMSS, including any registry data reporting requirements established by either MIEMSS or MHCC; and
(b)
State specialty care quality management activities of MIEMSS or of MHCC that are approved by MIEMSS.