Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Hospitals designated as a comprehensive
stroke center by the local EMS agency shall meet the following minimum
criteria:
(1) Satisfy all the requirements of
a thrombectomy-capable and primary stroke center as provided in this
chapter.
(2) Neuro-endovascular
diagnostic and therapeutic procedures available twenty-four (24) hours a day,
seven (7) days a week.
(3) Advanced
imaging, available twenty-four (24) hours a day, seven (7) days a week, three
hundred and sixty-five (365) days per year, which shall include but not be
limited to:
(A) All imaging requirements for
thrombectomy-capable centers.
(B)
Diffusion-weighted magnetic resonance imaging (MRI) and computed tomography
(CT) perfusion imaging.
(4) Transcranial Doppler (TCD) shall be
available in a timeframe that is clinically appropriate.
(5) Intensive care unit (ICU) beds with
licensed independent practitioners with the expertise and experience to provide
neuro-critical care twenty-four (24) hours a day, seven (7) days a week, three
hundred and sixty-five days (365) days per year.
(6) Data-driven, continuous quality
improvement process including collection and monitoring of standardized
performance measures.
(7) A stroke
patient research program.
(8)
Satisfy all the following staff qualifications:
(A) A neurosurgical team capable of assessing
and treating complex stroke and stroke- like syndromes.
(B) A qualified neuro-radiologist,
board-certified by the American Board of Radiology or the American Osteopathic
Board of Radiology.
(C) If
teleradiology is used in image interpretation, all staffing and staff
qualification requirements contained in this section shall remain in effect and
shall be documented by the hospital.
(D) Written call schedule for attending
neurointerventionalist, neurologist, neurosurgeon providing availability
twenty-four (24) hours a day seven (7) days a week.
(9) Provide comprehensive rehabilitation
services either on-site or by written transfer agreement with another health
care facility licensed to provide such services.
(10) Written transfer agreements with primary
stroke centers in the region to accept the transfer of patients with complex
strokes when clinically warranted.
(11) A comprehensive stroke center shall at a
minimum, provide guidance and continuing stroke-specific medical education to
hospitals designated as a primary stroke center with which they have transfer
agreements.
(b)
Additional requirements may be stipulated by the local EMS agency medical
director.
1. New
article 4 (sections 100270.223-100270.227) and section filed 4-17-2019;
operative 7-1-2019 (Register 2019, No. 16).
Note: Authority cited: Sections
1797.107,
1797.176
and
1798.150,
Health and Safety Code. Reference: Sections
1797.103,
1797.204,
1797.220,
1797.222
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.
