# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 18 — Designated Acute Stroke Ready Center

#### Regulation .01 Designated Acute Stroke Ready Center.

*COMAR 30.08.18.01*

A designated acute stroke ready center shall:

A. Be licensed as a hospital or freestanding medical center by the licensing authority in the jurisdiction in which it is located;

B. If a hospital, be accredited by 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;

C. If located in Maryland, be a base station approved under COMAR 30.03.06;

D. Provide assessment and management of the stroke patient consistent with the most current AHA/ASA consensus based clinical practice guidelines to meet the needs of the patient;

E. Have a stroke center medical director;

F. Have a stroke center nurse coordinator dedicated to the facility;

G. Have sufficient personnel and resources needed to facilitate healthcare data management and concurrent review of quality metrics and program objectives;

H. Meet the requirements of Regulations .02—.14 of this chapter;

I. Satisfy the MIEMSS requirements for designation as an Acute Stroke Ready Center; and

J. Meet the requirements for a site review in COMAR 30.08.02.06, which may be satisfied by completing either:

  (1) An on-site review by MIEMSS; or

  (2) A site survey as part of The Joint Commission Disease Specific Care Certification Program for certification as an acute stroke ready center if the facility:

    (a) Authorizes 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 an acute stroke ready center;

    (b) Allows MIEMSS to participate in the accreditation site survey; and

    (c) Provides MIEMSS any additional information required to determine it has satisfied the requirements for designation under this chapter.