California Code of Regulations
Title 22 - Social Security
Division 9 - Prehospital Emergency Medical Services
Chapter 7.2 - Stroke Critical Care System
Article 2 - Local EMS Agency Stroke Critical Care System Requirements
Section 100270.220 - Stroke Critical Care System Plan

Universal Citation: 22 CA Code of Regs 100270.220

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The local EMS agency may develop and implement a stroke critical care system.

(b) The local EMS agency implementing a stroke critical care system shall have a Stroke Critical Care System Plan approved by the EMS Authority prior to implementation.

(c) The Stroke Critical Care System Plan submitted to the EMS Authority shall include, at a minimum, all of the following components:

(1) The names and titles of the local EMS agency personnel who have a role in a stroke critical care system.

(2) The list of stroke designated facilities with the agreement expiration dates.

(3) A description or a copy of the local EMS agency's stroke patient identification and destination policies.

(4) A description or a copy of the method of field communication to the receiving hospital-specific to stroke patients, designed to expedite time-sensitive treatment on arrival.

(5) A description or a copy of the policy that facilitates the inter-facility transfer of stroke patients.

(6) A description of the method of data collection from the EMS providers and designated stroke hospitals to the local EMS agency and the EMS Authority.

(7) A policy or description of how the Local EMS agency integrates a receiving center in a neighboring jurisdiction.

(8) A description of the integration of stroke into an existing quality improvement committee or a description of any stroke-specific quality improvement committee.

(9) A description of programs to conduct or promote public education specific to stroke.

(d) The EMS Authority shall, within 30 days of receiving a request for approval, notify the requesting local EMS agency in writing of approval or disapproval of its Stroke Critical Care System Plan. If the Stroke Critical Care System Plan is disapproved, the response shall include the reason(s) for the disapproval and any required corrective action items.

(e) The local EMS agency shall provide an amended plan to the EMS Authority within 60 days of receipt of the disapproval letter.

(f) The local EMS agency currently operating a stroke critical care system implemented before the effective date of these regulations, shall submit to the EMS Authority a Stroke Critical Care System Plan as an addendum to its next annual EMS plan update, or within 180 days of the effective date of these regulations, whichever comes first.

(g) Any stroke center designated by the local EMS agency before implementation of these regulations may continue to operate. Before re-designation by the local EMS agency at the next regular interval, stroke centers shall be re-evaluated to meet the criteria established in these regulations.

(h) No health care facility shall advertise in any manner or otherwise hold itself out to be affiliated with a stroke critical care system or a stroke center unless they have been designated by the local EMS agency, in accordance with this chapter.

1. New article 2 (sections 100270.220-100270.221) and section filed 4-17-2019; operative 7-1-2019 (Register 2019, No. 16).

Note: Authority cited: Sections 1797.105, 1797.107, 1797.176 and 1798.150, Health and Safety Code. Reference: Sections 1797.103, 1797.105, 1797.173, 1797.176, 1797.220, 1797.250, 1798.170 and 1798.172, Health and Safety Code.

The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.

Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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