Mich. Admin. Code R. 330.206 - STEMI center or facility verification; designation and re-designation
Rule 6.
(1) A
healthcare facility, which intends to hold itself out to provide STEMI care,
shall obtain designation as a STEMI receiving center or STEMI referral
facility. A healthcare facility shall not self-designate itself, advertise, or
otherwise describe itself as a STEMI receiving center or STEMI referral
facility without obtaining and maintaining that designation from the
department. Facilities that are not designated by the department will be noted
as non-designated healthcare facilities.
(2) The department shall re-designate the
STEMI care capabilities of each STEMI center or facility based on verification
and designation requirements in effect when the re-designation takes
place.
(3) To obtain designation as
a STEMI center or facility, the healthcare facility shall apply for designation
to the department. A healthcare facility has a right to an administrative
hearing if denied a specific STEMI center or facility level
designation.
(4) The department
shall designate the existing STEMI care resources of all participating
healthcare facilities in the state, based on the following categories:
(a) A STEMI receiving center shall provide
evidence of current certification or accreditation by a department-approved
nationally recognized professional certifying and accrediting organization that
the healthcare facility has the resources required to be certified as meeting
all the criteria for a certified STEMI receiving center equivalent to a TJC-AHA
comprehensive STEMI center or TJC-AHA primary heart attack center or an ACC
chest pain center with PCI or a Corazon PCI/Catheterization program, or
subsequent equivalent certification or accreditation as approved by the
department with the advice of the STEMI advisory subcommittee, pursuant to
R 330.204(1)(l), and
all the following:
(ii) Participate in coordinating and
implementing regional STEMI risk reduction plans.
(iii) Participate in the regional performance
improvement process.
(iv) Provide
staff assistance to the department for the state designation and verification
process of STEMI referral centers when applicable pursuant to
R
330.204(1)(l).
(b) A STEMI referral facility shall provide
evidence of current certification or accreditation by a department-approved
nationally recognized professional certifying and accrediting organization that
the healthcare facility has the resources required to be certified as meeting
all the criteria for a certified STEMI referral facility equivalent to a
TJC-AHA acute heart attack ready center or an ACC non-PCI chest pain center or
a Corazon chest pain center or subsequent equivalent certification or
accreditation as approved by the department with the advice of the STEMI
advisory subcommittee, pursuant to
R 330.204(1)(l), and
all the following:
(ii) Participate in coordinating and
implementing regional STEMI risk reduction plans.
(iii) Participate in the regional performance
improvement process.
(5) Healthcare facilities wishing to be
re-designated as a STEMI receiving center shall independently obtain
certification or accreditation by a department-approved nationally recognized
professional certifying and accrediting organization at that level and comply
with the standards that are incorporated by reference pursuant to
R 330.204(1)(l),
subrule (4)(a) of this rule, and all the following:
(b) Participate in coordinating and
implementing regional STEMI risk reduction plans.
(c) Participate in the regional performance
improvement process.
(d) Provide
staff assistance to the department for the state designation and verification
process of STEMI referral centers when applicable pursuant to
R
330.204(1)(l).
(6) Healthcare facilities wishing to be
re-designated as a STEMI referral facility shall independently obtain
certification or accreditation by a department-approved nationally recognized
professional certifying and accrediting organization at that level and comply
with the standards that are incorporated by reference pursuant to
R 330.204(1)(l) and
R 330.206(4)(a) and
all of the following:
(a) Comply with data
submission requirements in
R 330.209 and R 330.10.
(b) Participate in coordinating and
implementing regional STEMI risk reduction plans.
(c) Participate in the regional performance
improvement process.
(7)
A hospital may apply to the department for one-time temporary, time-limited
status as a provisional STEMI center or facility by submitting an application
that includes evidence that the hospital meets the department-approved criteria
for a provisional STEMI center or facility at the level that it is applying
for. A hospital applying for provisional STEMI center or facility status
requires the recommendation of the regional STEMI network system and
notification to the statewide STEMI advisory subcommittee.
(8) The department may, with the advice and
recommendations of the statewide STEMI care advisory subcommittee and state EMS
coordination committee, modify the criteria or establish additional levels of
STEMI care resources as appropriate to maintain an effective state STEMI system
of care and protect the public welfare. The department shall not establish
criteria for the purpose of limiting the number of healthcare facilities that
qualify for a particular STEMI center or facility level of designation under
these rules.
Notes
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