# 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 .07 Stroke Unit.

*COMAR 30.08.18.07*

The facility shall:

A. If an acute care hospital, maintain a stroke unit that meets the requirements of this regulation which:

  (1) Has designated beds for the care of patients not eligible for fibrinolytic therapy or endovascular therapy through qualified clinical staff who meet the requirements in Regulation .10 of this chapter;

  (2) Develops a standardized process originating in clinical practice guidelines or evidence-based practice to deliver or facilitate the delivery of clinical care;

  (3) Develops an individualized plan of care that is based on the patient’s assessed needs and reflects coordination of care with other programs, as determined by patient comorbidities; and

  (4) Maintains written documentation delineating the function of the stroke unit including:

    (a) Admission criteria;

    (b) Discharge criteria;

    (c) Stroke care protocols;

    (d) Patient census;

    (e) Rehabilitation in the hospital;

    (f) Rehabilitation after discharge; and

    (g) Outcomes data; or

B. If not an acute care hospital, have a written transfer agreement with a hospital which:

  (1) Meets the requirements of this chapter;

  (2) Has an inpatient stroke unit that meets the requirements of this regulation; and

  (3) Can admit the patient after initial treatment and stabilization.