Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.16 - Cardiac Interventional Center Standards
Section 30.08.16.02 - Cardiac Interventional Center

Universal Citation: MD Code Reg 30.08.16.02

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

A. A Cardiac Interventional Center shall be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located.

B. If located in Maryland, a Cardiac Interventional Center shall:

(1) Have one of the following:
(a) A Certificate of Need (CON) issued by the Maryland Health Care Commission for a cardiac surgery and percutaneous coronary intervention (PCI) program; or

(b) A current waiver issued by the Maryland Health Care Commission to provide primary percutaneous coronary intervention (PCI) services to STEMI patients meeting certain criteria without on-site cardiac surgery; and

(2) Be a base station approved under COMAR 30.03.06.

C. If not located in Maryland, a Cardiac Interventional Center shall:

(1) Possess all government approvals required to provide Primary PCI under the laws of the jurisdiction in which it is located including, if required, a CON; and

(2) Satisfy one of the following:
(a) Be a base station approved under COMAR 30.03.06; or

(b) Have the equipment necessary to conduct a dual consult between EMS and a Maryland base station for each Maryland patient transported to the Cardiac Interventional Center.

D. A Cardiac Interventional Center shall:

(1) Provide primary PCI as soon as possible and not to exceed 90 minutes from patient arrival, that is, door to balloon time of less than 90 minutes, for 75% of appropriate STEMI patients;

(2) Provide primary PCI for appropriate STEMI patients 24 hours per day, 7 day per week;

(3) Have adequate physician, nursing, and technical staff to provide cardiac catheterization and coronary care unit services 24 hours per day, 7 days per week;

(4) Have a single call access system for receiving patients with STEMI;

(5) Participate in the County Hospital Alert Tracking System (CHATS) program;

(6) Abide by the Maryland Emergency Medical Services Inter-Hospital Transfer Guidelines published by MIEMSS in addition to any applicable transfer requirements in COMAR 10.24.17;

(7) Communicate as soon as possible with the STEMI patient's primary physician and cardiologist regarding patient outcome;

(8) Establish a Cardiac Interventional Center medical review committee which shall be a medical review committee under Health Occupations Article, § 1-401, Annotated Code of Maryland, as a committee established in the Maryland Institute for Emergency Medical Services Systems which:
(a) Meets at least three times a year;

(b) Reviews practice patterns; and

(c) Modifies practice patterns as appropriate; and

(9) Comply with the requirements of COMAR 30.08.04, including participating in:
(a) A Cardiovascular Data registry jointly approved by MHCC and MIEMSS, including any registry data reporting requirements established by either MIEMSS or MHCC; and

(b) State specialty care quality management activities of MIEMSS or of MHCC that are approved by MIEMSS.

Disclaimer: These regulations may not be the most recent version. Maryland 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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