Md. Code Regs. 30.08.16.02

Current through Register Vol. 51, No. 24, December 2, 2024

Section 30.08.16.02 - Cardiac Interventional Center

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.

Md. Code Regs. 30.08.16.02