N.J. Admin. Code § 8:43G-7A.3

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43G-7A.3 - Primary stroke center licensure designation

(a) To be designated as a primary stroke center, a hospital shall, at a minimum, provide:

1. An acute stroke team available to see a patient identified as a potential acute stroke patient within 15 minutes following the patient's arrival at the hospital's emergency department or within 15 minutes following a diagnosis of a patient's potential acute stroke;

2. Written policies and procedures for stroke services that are reviewed at least every three years, revised more frequently as needed, and implemented.

i. These policies and procedures shall include written protocols and standardized orders for emergency care of stroke patients;

3. Neuro-imaging services capability that is available 24 hours a day, seven days a week, such that imaging shall be performed within 25 minutes following order entry. Such studies shall be interpreted by a board-certified radiologist, board-certified neurologist or residents who interpret such studies as part of their training in an Accreditation Council of Graduate Medical Education-approved radiology training program with concurrence by a board-certified radiologist or board-certified neurologist within 20 minutes of study completion.

i. Neuro-imaging services shall, at a minimum, include computerized tomography scanning or magnetic resonance imaging, as well as interpretation of the imaging.

ii. In the event that tele-radiology is used in image interpretation, all staffing and staff qualification requirements contained in this subchapter shall remain in effect and shall be documented by the hospital.

iii. For the purpose of this subsection, a qualified radiologist shall be board-certified by the American Board of Radiology or the American Osteopathic Board of Radiology.

iv. For the purpose of this subsection, a qualified neurologist shall be board-certified by the American Board of Psychiatry and Neurology or the American Osteopathic Board of Neurology and Psychiatry;

4. Laboratory services capability 24 hours a day, seven days a week, such that services may be performed within 45 minutes following order entry.

i. Laboratory services shall, at a minimum, include blood testing, electrocardiography and x-ray services;

5. Intermediate, telemetry or critical care beds staffed in accordance with 8:43G-9.20 and 9.7, respectively;

6. Neurosurgical services that are available, including operating room availability, either directly or under agreement with a comprehensive stroke center, within two hours following admission of acute stroke patients to the primary stroke center;

7. Acute care rehabilitation services;

8. Documentation that it has current contractual agreements with at least one carrier that provides health insurance coverage through the State Medicaid Children's Health Care Coverage Program, established pursuant to 30:4I-1 et seq., and the New Jersey FamilyCare Health Coverage Program, established pursuant to 30:4J-8 et seq.; and

9. Transfer arrangements with a comprehensive stroke center in New Jersey that facilitate transfer of patients with complex strokes to the comprehensive stroke center for care when clinically warranted.

N.J. Admin. Code § 8:43G-7A.3

Amended by R.2007 d.353, effective 11/19/2007.
See: 39 N.J.R. 336(a), 39 N.J.R. 4928(b).
In (a)3, inserted "with concurrence by a board-certified radiologist or board-certified neurologist".