Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 15 - Emergency Response Network
Chapter 187 - Requirements for Louisiana Stroke Center Recognition
Section I-18703 - Stroke Center Criteria
Universal Citation: LA Admin Code I-18703
Current through Register Vol. 50, No. 9, September 20, 2024
A. Each facility participating in stroke center recognition shall meet the following criteria.
1. CSC: a comprehensive stroke
center (CSC) will meet the requirements specified by the joint commission or
other board approved accrediting/certification body approved by LERN for
comprehensive stroke center certification. Attestation as a CSC is only allowed
after verification by the joint commission or other LERN approved
accrediting/certification body that the facility meets all requirements set
forth in the CSC standards.
2. TSC:
a thrombectomy capable stroke center (TSC) will meet the requirements specified
by the joint commission or other board approved accrediting/certification body
approved by LERN for thrombectomy capable stroke center certification.
Attestation as a TSC is only allowed after verification by the joint commission
or other LERN approved accrediting/certification body that the facility meets
all requirements set forth in the TSC standards.
3. PSC-E: a primary stroke center (PSC-E)
shall meet the requirements specified by the joint commission, healthcare
facilities accreditation program (HFAP), or other LERN approved
accrediting/certification body for Primary Stroke Center verification.
Attestation as a PSC-E is only allowed after verification by the joint
commission, HFAP, or other LERN approved accrediting/certification body that
the facility meets all requirements set forth in the PSC standards. In addition
to PSC requirements, a PSC-E must have physician(s) credentialed to perform
mechanical thrombectomy and must update resource management portal of
endovascular availability at all times. If a physician credentialed to perform
endovascular capability is not available, the PSC-E must notify all EMS
providers in the region when endovascular resources are not available. The
PSC-E must collect and submit quarterly to LERN the same data the joint
commission requires the Thrombectomy Stroke Capable centers to collect and any
other data as required by LERN.
4.
PSC: a primary stroke center (PSC) shall meet the requirements specified by the
joint commission, healthcare facilities accreditation program (HFAP), or other
LERN approved accrediting/certification body for primary stroke center
verification. Attestation as a PSC is only allowed after verification by the
joint commission, HFAP, or other LERN approved accrediting/certification body
that the facility meets all requirements set forth in the PSC
standards.
5. ASRH: an acute stroke
ready hospital (ASRH) will provide timely access to stroke care but may not
meet all criteria for a CSC, TSC, or a PSC or a PSC-E facility. An ASRH will
provide acute stroke care in urban and rural areas where transportation and
access are limited. An ASRH is intended to recognize models of care delivery
that have shown utility, including "drip-and-ship" and telemedicine. An ASRH
must meet requirements adopted by LERN and submit quarterly data as required by
LERN. LERN approved requirements are based on national best practice
guidelines.
6. Stroke bypass
hospital: a stroke bypass hospital should not receive patients exhibiting signs
or symptoms of stroke except for instances when the clinical situation requires
stopping at the closest emergency department. A stroke bypass hospital must
have:
a. transfer protocol in place for
transfer to higher levels of care through written and agreed upon relationship
with a CSC, TSC, PSC, PSC-E or ASRH stroke center.
AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2846(A) and 48:2845(A)(7).
Disclaimer: These regulations may not be the most recent version. Louisiana 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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