Mich. Admin. Code R. 330.204 - Powers and duties of department
Rule 4.
(1) The
department, with the advice of the state EMS coordination committee and
statewide STEMI care advisory subcommittee, shall do all the following:
(a) Implement an all-inclusive STEMI system
throughout this state that allows for the care of all STEMI patients in an
integrated system of healthcare in the pre-hospital and healthcare facility
environments by personnel that are well trained and equipped to care for STEMI
patients.
(b) Perform all the
following:
(i) Establish regional systems of
care authorities comprised of the MCAs in each region currently approved as
regional trauma networks. The regional systems of care authority shall provide
oversight for the regional trauma system, regional stroke system, and regional
STEMI system.
(ii) Establish a
statewide STEMI care quality improvement program using a statewide
database.
(iii) Monitor the
statewide STEMI system.
(iv) Ensure
the coordination and performance of the regional STEMI systems.
(v) Set minimum standards for system
performance and STEMI patient care.
(c) Develop a statewide process to establish
regional STEMI systems comprised of the local MCAs, within a region, and in a
manner that integrates the STEMI system into existing regional trauma, EMS, and
medical control systems.
(d)
Develop, implement, and maintain a state STEMI systems of care plan.
(e) Develop an in-state process for the
verification of STEMI resources based on a department-approved nationally
recognized professional certifying and accrediting organization's current
standards if resources are available.
(f) Develop a statewide process for the
designation of STEMI centers and facilities.
(g) Develop an appeals process for healthcare
facilities to contest their designation determination.
(h) Establish state STEMI care
recommendations and approve regional STEMI protocols that are established and
adopted by the local MCAs.
(i)
Recognize the established regional STEMI systems.
(j) Provide system oversight of the STEMI
care provided in each region in accordance with the following:
(i) Regional STEMI systems must be integrated
into the established regional systems of care authority composed of the
collaborating local MCAs in a region.
(ii) The regional systems of care authority
shall apply to the department for approval and recognition as a regional STEMI
system. The department, with the statewide STEMI care advisory subcommittee and
state EMS coordination committee, shall review the regional STEMI system
application for approval every 3 years.
(iii) The establishment of the regional STEMI
system does not limit the transfer or transport of STEMI patients between
regions of this state.
(k) Require STEMI triage protocol that is
established and adopted by local MCA and regional STEMI systems and developed
based on triage criteria prescribed by the department on the recommendation of
the statewide STEMI care advisory subcommittee and state EMS coordination
committee, and following the procedures established by the department under
section 20919(3) of the code, MCL
333.20919.
(l) Develop a statewide STEMI verification
process based on the verification standards of a nationally recognized
professional accrediting and certifying organization for a predetermined period
of time.
(m) Establish a mechanism
for periodic re-designation of STEMI centers and facilities.
(n) Develop a comprehensive statewide STEMI
data collection system.
(o)
Formulate recommendations for the development of performance improvement plans
by the regional STEMI systems, consistent with those in
R 330.211.
(p) Develop a process for STEMI system
performance improvement, including responsibility for monitoring compliance
with standards, maintaining confidentiality, and providing periodic review of
STEMI center and facility standards set forth by nationally recognized
professional review organizations as specified in
R 330.206 and
R 330.211.
(q) Develop a process for the evaluation of
STEMI system effectiveness based on standards as specified in
R 330.211.
(r) Coordinate and integrate appropriate
STEMI risk reduction strategies and programs.
(s) Support the state STEMI system of care
and provide resources to carry out its responsibilities and
functions.
(t) Support the training
and education needs and resources of STEMI care personnel throughout this
state.
(2) The department
may deny, suspend, or revoke designation of a STEMI center or facility upon a
finding including, but not limited to, any one of the following:
(a) Failure to comply with the rules or
healthcare facilities rules and regulations, or both.
(b) Willful preparation or filing of false
reports or records.
(c) Fraud or
deceit in obtaining or maintaining designation status.
(d) Failure to meet designation criteria
established in these rules.
(e)
Unauthorized disclosure of medical or other confidential information.
(f) Alteration or inappropriate destruction
of medical records.
(g) The
healthcare facility no longer has the resources required to comply with the
current level of designation conferred.
(h) The healthcare facility no longer cares
for STEMI patients.
(i) A
department-approved STEMI care verification body has determined that the STEMI
center or facility no longer meets the STEMI center or facility verification
criteria.
(j) Identified
deficiencies are not remediated in the allowable time frame.
(3) The department shall provide
notice of disciplinary action including, but not limited to, intent to deny,
suspend, or revoke STEMI center or facility designation and provide for an
appeals process in accordance with the code and sections 71 to 87 of the
administrative procedures act of 1969, 1969 PA 306, MCL
24.271 to
24.287.
(4) In developing a statewide STEMI system of
care, the department shall consider all the following factors:
(a) Efficient implementation and
operation.
(b) Decrease in
morbidity and mortality.
(c) Cost
effective implementation.
(d)
Incorporation of national standards.
(e) Availability of funds for
implementation.
Notes
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