Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.17 - Comprehensive Stroke Center Standards
Section 30.08.17.17 - Quality Management

Universal Citation: MD Code Reg 30.08.17.17

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

A. In addition to the requirements of COMAR 30.08.11.14, the hospital shall incorporate into the hospital's quality assurance process reports about:

(1) Specific acute stroke treatment benchmarks; and

(2) Stroke treatment quality improvement goals.

B. The hospital shall establish a multidisciplinary institutional quality assurance/performance improvement committee that meets on a regular basis to:

(1) Monitor quality benchmarks;

(2) Review complications; and

(3) Review and modify practice patterns as appropriate.

C. In cases where mechanical endovascular reperfusion therapy is appropriate, the hospital shall achieve door-to-device times (arrival to first pass of thrombectomy device) in 50 percent or more of eligible acute ischemic stroke patients within 120 minutes (for direct arriving patients) and within 60 minutes (for inter-facility transfer patients) treated with endovascular therapy.

D. The hospital shall demonstrate progress towards reducing door-to-device times in 50 percent or more of eligible acute ischemic stroke patients within 90 minutes for direct arriving patients.

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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.