The facility shall develop and implement: A written policy which demonstrates that the facility has established the acute stroke ready center to: Monitor the care delivered to acute stroke patients; Improve the quality of care delivered to acute stroke patients; Move patients through the initial acute care phase of their hospital stay in a timely fashion; and Ensure that all stroke patients will receive medical care commensurate with the hospital designation as an acute stroke ready center; Written procedures for rapidly activating the stroke team to care for potentially eligible fibrinolytic and endovascular candidates within 15 minutes of notification; Written care protocols for the treatment of acute stroke which address: Evaluation of each patient by a member of the emergency department clinical staff within 10 minutes of the patient’s arrival at the hospital emergency department; At least one member of the stroke team arriving at the acute stroke patient’s bedside within 15 minutes of notification; Ischemic stroke; Hemorrhagic stroke; Stabilization of vital functions; Initial diagnostic tests; The use of medications including fibrinolytics; Care of the potential endovascular candidate; and Timely and safe patient transfer within 2 hours or less of emergency department arrival or when medically stable; A current agreement with a transport service to meet the timeline in §C(9) of this regulation; and A written protocol for transfer that includes communication and feedback from the receiving facility, which is: Updated at least annually; and Maintained up-to-date in: The emergency department; and All other locations where stroke care is provided.