<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 30.08.19.01" title_num="30" subtitle_num="08" chapter_num="19" heading="Designated Thrombectomy-Capable Primary Stroke Center.">
  <text>In addition to meeting the requirements of COMAR 30.08.11, a designated thrombectomy-capable primary stroke center hospital shall:</text>
  <paragraph num="A.">
    <text>Be designated by MIEMSS as a primary stroke center at the time of application for designation as a thrombectomy-capable primary stroke center;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Continue to meet the primary stroke center requirements in COMAR 30.08.11 to the extent such requirements are consistent with designation as a thrombectomy-capable primary stroke center;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Require each physician who performs mechanical thrombectomy to have performed 15 mechanical thrombectomies over the past 12 months or 30 over the past 24 months, which may include procedures performed at other facilities;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Perform mechanical thrombectomy and have provided post-procedure care for a minimum of 15 patients in the past 12 months or at least 30 patients over the past 24 months;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Meet the requirements of Regulations .01—.15 of this chapter;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Satisfy the MIEMSS requirements for designation as a thrombectomy-capable primary stroke center by MIEMSS; and</text>
  </paragraph>
  <paragraph num="G.">
    <text>Meet the requirements for a site review in COMAR 30.08.02.06, which may be satisfied by completing either:</text>
    <paragraph num="(1)">
      <text>An on-site review by MIEMSS; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A site survey as part of The Joint Commission Disease Specific Care Certification Program for certification as a thrombectomy-capable primary stroke center if the hospital:</text>
      <paragraph num="(a)">
        <text>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 a thrombectomy-capable primary stroke center;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Allows MIEMSS to participate in the accreditation site survey; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Provides MIEMSS any additional information required to determine that the hospital has satisfied the requirements for designation under this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>