<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 30.08.17.11" title_num="30" subtitle_num="08" chapter_num="17" heading="Qualifications of Stroke Center Director and Clinicians.">
  <paragraph num="A.">
    <text>Director.</text>
    <paragraph num="(1)">
      <text>The stroke center medical director shall be a physician with competence in caring for the acute stroke patient and be Board-certified or Board-eligible in:</text>
      <paragraph num="(a)">
        <text>Neurology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Neurosurgery; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Vascular neurology.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The stroke center medical director’s qualifications shall include:</text>
      <paragraph num="(a)">
        <text>Completion of a stroke fellowship or vascular neurosurgery fellowship and obtained vascular neurology certification by the American Board of Psychiatry and Neurology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Active participation in the Stroke Quality Improvement Council (QIC);</text>
      </paragraph>
      <paragraph num="(c)">
        <text>12 hours of category 1 CME credits related to stroke care annually;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Participation in at least one regional, national, or international stroke conference annually;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Participation in stroke patient morbidity and mortality reviews; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Participation in stroke research and publication efforts.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Neurologists, Neurosurgeons, NeurInterventionalists, NeuroRadiologisst, NeuroIntensivists, and Vascular Surgeons. Qualifications for neurologists, neurosurgeons, neurointerventionalists, neuroradiologists, vascular surgeons and neurointensivists shall include:</text>
    <paragraph num="(1)">
      <text>Board certification or Board eligibility in their specialty as approved by the American Board of Medical Specialties;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Completion of:</text>
      <paragraph num="(a)">
        <text>A fellowship;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Demonstrated experience equivalent to completion of a stroke specialty fellowship appropriate to their area of expertise; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Both of these;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>8 or more hours of category 1 or 2 CME credits per year related to stroke care;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Participation in stroke patient morbidity and mortality reviews; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Participation in stroke research and publication efforts.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Emergency Physicians. The qualifications of emergency physicians who care for stroke patients shall include:</text>
    <paragraph num="(1)">
      <text>Board certification or Board eligibility in emergency medicine as approved by the American Board of Medical Specialties;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Participation in stroke patient morbidity and mortality reviews;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>4 or more hours of category 1 or 2 CME credits per year related to stroke care; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Participation in stroke research and publication efforts.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Nurse Practitioners. Nurse Practitioners who care for stroke patients shall:</text>
    <paragraph num="(1)">
      <text>Hold a current license with the Maryland State Board of Nursing to practice as a registered nurse;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain certification as a nurse practitioner from the American Nurses Credentialing Center or other certification organization as deemed appropriate by the Maryland State Board of Nursing; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be credentialed through the hospital’s credentialing process.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Physician Assistants. Physician assistants who care for stroke patients shall:</text>
    <paragraph num="(1)">
      <text>Have graduated from a physician assistant educational program accredited by the Accreditation Review Commission on Education for the Physician Assistant or its successor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain current certification by the National Commission on Certification of Physician Assistants;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintain an approved delegation agreement on file with the Maryland Board of Physicians; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Be credentialed through the hospital credentialing process.</text>
    </paragraph>
  </paragraph>
</regulation>