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. If located in Maryland, a Cardiac Interventional Center shall: Have one of the following: A Certificate of Need (CON) issued by the Maryland Health Care Commission for a cardiac surgery and percutaneous coronary intervention (PCI) program; or 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 Be a base station approved under COMAR 30.03.06. If not located in Maryland, a Cardiac Interventional Center shall: 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 Satisfy one of the following: Be a base station approved under COMAR 30.03.06; or 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. A Cardiac Interventional Center shall: 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; Provide primary PCI for appropriate STEMI patients 24 hours per day, 7 day per week; Have adequate physician, nursing, and technical staff to provide cardiac catheterization and coronary care unit services 24 hours per day, 7 days per week; Have a single call access system for receiving patients with STEMI; Participate in the County Hospital Alert Tracking System (CHATS) program; 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; Communicate as soon as possible with the STEMI patient's primary physician and cardiologist regarding patient outcome; 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: Meets at least three times a year; Reviews practice patterns; and Modifies practice patterns as appropriate; and Comply with the requirements of COMAR 30.08.04, including participating in: A Cardiovascular Data registry jointly approved by MHCC and MIEMSS, including any registry data reporting requirements established by either MIEMSS or MHCC; and State specialty care quality management activities of MIEMSS or of MHCC that are approved by MIEMSS.