Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Hospitals designated as a
thrombectomy-capable stroke center by the local EMS agency shall meet the
following minimum criteria:
(1) Satisfy all
the requirements of a primary stroke center as provided in this
chapter.
(2) The ability to perform
mechanical thrombectomy for the treatment of ischemic stroke twenty-four (24)
hours a day, seven (7) days a week, three hundred and sixty-five (365) days per
year.
(3) Dedicated neuro-intensive
care unit beds to care for acute ischemic stroke patients twenty-four (24)
hours a day, seven (7) days a week, three hundred and sixty-five (365) days per
year.
(4) Satisfy all the following
staff qualifications:
(A) A qualified
physician, board certified by the American Board of Radiology, American
osteopathic Board of Radiology, American Board of Psychiatry and Neurology, or
the American osteopathic Board of Neurology and Psychiatry, with
neuro-interventional angiographic training and skills on staff as deemed by the
hospital's credentialing committee.
(B) A qualified neuro-radiologist,
board-certified by the American Board of Radiology or the American Osteopathic
Board of Radiology.
(C) A qualified
vascular neurologist, board-certified by the American Board of Psychiatry and
Neurology or the American Osteopathic Board of Neurology and Psychiatry, or
with appropriate education and experience as defined by the hospital
credentials committee.
(D) 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.
(5) The ability to perform advanced imaging
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, the
following:
(A) Computed tomography angiography
(CTA).
(B) Diffusion-weighted MRI
or CT Perfusion.
(C) Catheter
angiography.
(D) Magnetic resonance
angiography (MRA).
(E) And the
following modalities available when clinically necessary:
(i) Carotid duplex ultrasound.
(ii) Transesophageal echocardiography
(TEE).
(iii) Transthoracic
Echocardiography (TTE).
(6) A process to collect and review data
regarding adverse patient outcomes following mechanical thrombectomy.
(7) Written transfer agreement with at least
one comprehensive stroke center.
(b) Additional requirements may be stipulated
by the local EMS agency medical director.
1. New
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.
