Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.02 - Designation of Trauma and Specialty Referral Centers
Section 30.08.02.06 - On-Site Review for Initial Specialty Referral Center Designation

Universal Citation: MD Code Reg 30.08.02.06

Current through Register Vol. 51, No. 19, September 20, 2024

A. At MIEMSS' discretion, MIEMSS may accept verification of a specialty referral center by a nationally recognized medical specialty organization, without conducting an on-site review.

B. The on-site review process for initial designation of specialty referral centers shall be conducted in accordance with Regulation .05 of this chapter, with the following exceptions:

(1) The on-site review team shall consist of MIEMSS staff, as well as medical, administrative, and nursing professionals having expertise in the specialty being designated;

(2) The Executive Director may appoint additional staff from other State agencies to the on-site review team when those agencies have shared regulatory oversight in the specialty referral center;

(3) MIEMSS shall select a team, which, at a minimum, shall include MIEMSS staff and three representatives from the following categories:

(a) Specialty physician;

(b) Emergency physician;

(d) Administrator;

(4) The on-site review team members shall:

(a) Evaluate the appropriateness and capability of the applicant to provide specialty care services, according to the designation standards for that particular specialty, as described at COMAR 30.08.06-30.08.12;

(b) Verify the hospital's ability to meet the:

(i) Responsibilities of, and the resources, equipment, and performance standards for, the type of specialty referral center designation sought, and

(ii) Overall needs of that particular specialty system in that region;

(d) Inspect the hospital's physical plant;

(e) Interview team members and management personnel;

(f) Examine the hospital's specialty care-related documents, including patient care records;

(g) Review other materials considered appropriate by MIEMSS;

(h) Provide an exit interview of preliminary findings to the applicant upon the completion of the on-site review; and

(i) Provide a brief written summary of preliminary findings upon the completion of the on-site review.

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