Md. Code Regs. 30.08.17.11

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

Section 30.08.17.11 - Qualifications of Stroke Center Director and Clinicians

A. Director.

(1) The stroke center medical director shall be a physician with competence in caring for the acute stroke patient and be Board-certified or Board-eligible in:

(a) Neurology;

(b) Neurosurgery; or

(c) Vascular neurology.

(2) The stroke center medical director's qualifications shall include:

(a) Completion of a stroke fellowship or vascular neurosurgery fellowship and obtained vascular neurology certification by the American Board of Psychiatry and Neurology;

(b) Active participation in the Stroke Quality Improvement Council (QIC);

(c) 12 hours of category 1 CME credits related to stroke care annually;

(d) Participation in at least one regional, national, or international stroke conference annually;

(e) Participation in stroke patient morbidity and mortality reviews; and

(f) Participation in stroke research and publication efforts.

B. Neurologists, Neurosurgeons, NeurInterventionalists, NeuroRadiologisst, NeuroIntensivists, and Vascular Surgeons. Qualifications for neurologists, neurosurgeons, neurointerventionalists, neuroradiologists, vascular surgeons and neurointensivists shall include:

(1) Board certification or Board eligibility in their specialty as approved by the American Board of Medical Specialties;

(2) Completion of:

(a) A fellowship;

(b) Demonstrated experience equivalent to completion of a stroke specialty fellowship appropriate to their area of expertise; or

(c) Both of these;

(3) 8 or more hours of category 1 or 2 CME credits per year related to stroke care;

(4) Participation in stroke patient morbidity and mortality reviews; and

(5) Participation in stroke research and publication efforts.

C. Emergency Physicians. The qualifications of emergency physicians who care for stroke patients shall include:

(1) Board certification or Board eligibility in emergency medicine as approved by the American Board of Medical Specialties;

(2) Participation in stroke patient morbidity and mortality reviews;

(3) 4 or more hours of category 1 or 2 CME credits per year related to stroke care; and

(4) Participation in stroke research and publication efforts.

D. Nurse Practitioners. Nurse Practitioners who care for stroke patients shall:

(1) Hold a current license with the Maryland State Board of Nursing to practice as a registered nurse;

(2) Maintain certification as a nurse practitioner from the American Nurses Credentialing Center or other certification organization as deemed appropriate by the Maryland State Board of Nursing; and

(3) Be credentialed through the hospital's credentialing process.

E. Physician Assistants. Physician assistants who care for stroke patients shall:

(1) Have graduated from a physician assistant educational program accredited by the Accreditation Review Commission on Education for the Physician Assistant or its successor;

(2) Maintain current certification by the National Commission on Certification of Physician Assistants;

(3) Maintain an approved delegation agreement on file with the Maryland Board of Physicians; and

(4) Be credentialed through the hospital credentialing process.

Md. Code Regs. 30.08.17.11

Regulation .11 amended effective 48:22 Md. R. 938, eff. 1/1/2022