16 Del. Admin. Code § 4306-5.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 4306-5.0 - Stroke System of Care Committees and Leadership

5.1 Stroke System of Care Committee and Committee Leadership Overview

5.1.1 Committees and their minimum memberships are defined within 16 Del.C. Ch. 97 Emergency Medical Services Systems and this regulation.

5.1.2 Committee leaders maintain a system-wide perspective and communicate with other committees to encourage open dialogue and system-wide problem solving.

5.1.3 Committee leaders model a collaborative approach toward Committee members and DPH/Office of Emergency Medical Services (EMS) personnel.

5.2 Leadership:

5.2.1 Presides at respective committee meetings and performs related administrative duties according to Roberts' Rules of Order;

5.2.2 Appointed by the Director of Public Health for a 3-year term and may serve subsequent terms; and

5.2.3 May serve as immediate past committee chairperson following completion of term or terms of service.

5.3 Stroke System of Care Medical Advisor:

5.3.1 Serves as an advisor on both specific and general stroke clinical and patient care issues which are brought to the Stroke System Committee or its subcommittees;

5.3.2 Assists the Stroke System Committee and its subcommittees in developing clinical-oriented system policies and protocols;

5.3.3 Serves as a leader in stroke prevention and public education activities;

5.3.4 Serves as liaison to the Stroke System Quality Evaluation Committee for medical issues requiring physician input; and

5.3.5 Is experienced in medical leadership through a previous role such as physician chairman or medical director.

5.4 Standing Committees and Subcommittees

5.4.1 The committee and subcommittees of the Stroke System of Care are as follows:

5.4.1.1 Stroke System Committee (SSC);

5.4.1.2 Stroke System Quality Evaluation Committee (QE Committee);

5.4.1.3 Stroke System Education and Prevention Subcommittee (Education Committee); and

5.4.1.4 Ad hoc subcommittees and workgroups.

5.4.2 SSC - Scope

5.4.2.1 The SSC is the overarching standing committee providing coordination, oversight, and guidance for all components of the Stroke System of Care in Delaware and is supported by the Stroke System Coordinator.

5.4.2.2 The SSC serves as an advisory committee only, providing recommendations to the DPH Director. The SSC has no regulatory, or other, authority.

5.4.2.3 The SSC and Stroke System Coordinator are responsible for the development and maintenance of the Stroke System Plan.

5.4.3 Stroke System Quality Evaluation Committee - Scope

5.4.3.1 Acts as the standing committee of the SSC that focuses on system performance improvement;

5.4.3.2 Provides recommendations, advice, and assistance to DPH in its ongoing evaluation of the Delaware Stroke System;

5.4.3.3 Evaluate statewide and hospital specific stroke data and outcomes with bench-marking against state and national performance measures.

5.4.3.4 Evaluates trend analysis of system components;

5.4.3.5 Makes recommendations for improvement actions;

5.4.3.6 Evaluates the effectiveness of actions taken and methodologies for follow-up;

5.4.3.7 Supports stroke prevention, research, and system activities by publishing or assisting others with publishing reports;

5.4.3.8 Assists with supervision of the State Stroke Registry; and

5.4.3.9 Provides administration through the State Stroke System Coordinator, in conjunction with the Stroke System QE Committee Chairperson.

5.4.4 Stroke System Education and Prevention Subcommittee (Education Committee)

5.4.4.1 Scope:

5.4.4.1.1 Acts as the standing committee of the SSC that focuses on state-wide public education, awareness, and prevention;

5.4.4.1.2 Serves as the injury-prevention component of the Delaware State Stroke System Plan;

5.4.4.1.3 Decreases death and disability from stroke through public education; and

5.4.4.1.4 Supports statewide public education and community outreach efforts.

5.4.4.2 Membership:

5.4.4.2.1 Is comprised of volunteers from agencies involved with stroke education and prevention; and

5.4.4.2.2 Unlike other stroke committees and subcommittees, leadership length of term is not defined.

5.4.5 Ad-hoc Subcommittees:

5.4.5.1 Are established as needed by the SSC Chair or Stroke System Coordinator and with approval by the SSC;

5.4.5.2 Will be comprised of volunteer membership from the SSC and defined by the ad-hoc committee's need; and

5.4.5.3 Will be led by a volunteer from the ad-hoc subcommittee with an undefined length of term.

16 Del. Admin. Code § 4306-5.0

28 DE Reg. 390 (11/1/2024) (Final)