In addition to meeting the requirements of COMAR 30.08.11.01, a designated comprehensive stroke center hospital shall: Be designated by MIEMSS as a primary stroke center at the time of application for designation as a comprehensive stroke center; Continue to meet the primary stroke center requirements in COMAR 30.08.11 to the extent such requirements are consistent with designation as a comprehensive stroke center; Act as a resource center for other facilities in its region or state; Annually care for at least 20 Subarachnoid Hemorrhage by aneurysm patients per year; Annually perform a combined total of 15 endovascular coiling and surgical clippings per year for aneurysm; Annually administer fibrinolytics to 25 eligible patients per year or 50 eligible patients over 2 years: IV fibrinolytic ordered and monitored via telemedicine at another hospital is acceptable; and IV fibrinolytic administered at an outside hospital and transferred to CSC site is acceptable; Satisfy the MIEMSS requirements for designation as a comprehensive stroke center by MIEMSS; and Meet the requirements for a site review in COMAR 30.08.02.06, which may be satisfied by completing either: An on-site review by MIEMSS; or A site survey as part of The Joint Commission Disease Specific Care Certification Program for certification as a comprehensive stroke center if the hospital: Authorized The Joint Commission to provide MIEMSS with survey findings, certification reports, and other information related to The Joint Commission's certification of the hospital as a comprehensive stroke center; Allows MIEMSS to participate in the accreditation site survey; and Provides MIEMSS any additional information required to determine it has satisfied the requirements for designation under this chapter.