Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 130.000 - Hospital Licensure
Subpart D - SUPPLEMENTARY STANDARDS: PARTICULAR SERVICES
Section 130.1410 - Quality Improvement

Current through Register 1531, September 27, 2024

(A) The hospital shall implement and maintain an effective, data-driven quality assessment and performance improvement program for the Primary Stroke Service.

(B) The hospital shall collect and analyze data, as defined by the Department, on patients presenting to the ED with acute stroke, to identify opportunities for improvement in the service.

(C) The hospital shall submit data, in a manner defined by the Department, and in accordance with protocols established by the Department in guidelines.

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