Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.18 - Designated Acute Stroke Ready Center
Section 30.08.18.07 - Stroke Unit
Universal Citation: MD Code Reg 30.08.18.07
Current through Register Vol. 51, No. 6, March 22, 2024
The facility shall:
A. If an acute care hospital, maintain a stroke unit that meets the requirements of this regulation which:
(1) Has designated beds for the care of patients not eligible for fibrinolytic therapy or endovascular therapy through qualified clinical staff who meet the requirements in Regulation .10 of this chapter;
(2) Develops a standardized process originating in clinical practice guidelines or evidence-based practice to deliver or facilitate the delivery of clinical care;
(3) Develops an individualized plan of care that is based on the patient's assessed needs and reflects coordination of care with other programs, as determined by patient comorbidities; and
(4) Maintains written documentation delineating the function of the stroke unit including:
(a) Admission criteria;
(b) Discharge criteria;
(c) Stroke care protocols;
(d) Patient census;
(e) Rehabilitation in the hospital;
(f) Rehabilitation after discharge; and
(g) Outcomes data; or
B. If not an acute care hospital, have a written transfer agreement with a hospital which:
(1) Meets the requirements of this chapter;
(2) Has an inpatient stroke unit that meets the requirements of this regulation; and
(3) Can admit the patient after initial treatment and stabilization.
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