Mich. Admin. Code R. 330.208 - STEMI care regions
Rule 8.
(1) The
department, with the advice and recommendations of the statewide STEMI care
advisory subcommittee and state EMS coordination committee, shall support the
establishment and operational activities of the STEMI regions through the
commitment of resources.
(2) Each
region shall establish a regional STEMI system of care as prescribed and
defined by R 330.201 to
R 330.211.
(3) All MCAs within an area or region shall
participate in the regional STEMI system of care, and life support agencies
that care for STEMI patients shall be offered membership on the regional STEMI
care advisory council. Regional STEMI care advisory councils must be operated
in a manner that maximizes inclusion of their constituents. Regional STEMI care
advisory councils must be operated in a manner that maximizes inclusion of
their constituents and meets all of the following requirements:
(a) Not less than quarterly, a regional STEMI
system of care shall submit evidence of ongoing activity, such as meeting
notices and minutes, to the department. Annually, the regional STEMI care
advisory council shall file a report with the department that describes ongoing
progress toward regional STEMI care plan implementation and includes evidence
that members of the regional STEMI care advisory council are currently involved
in STEMI care.
(b) The regional
STEMI system of care shall develop a regional STEMI care plan. The plan is
subject to review by the statewide STEMI care advisory subcommittee and state
EMS coordination committee and approval by the department.
(c) The department shall review the plan to
ensure that it contains at a minimum, all of the following:
(i) All counties within the regional STEMI
system have been included unless a specific county, or portion thereof, has
been aligned within an adjacent STEMI system, and all healthcare entities,
MCAs, and life support agencies have had an opportunity to participate in the
planning process.
(ii) All of the
following components have been addressed:
(A)
STEMI risk reduction.
(B)
Communications.
(C) Regional
performance improvement.
(D) STEMI
education.
(E)
Infrastructure.
(F) Continuum of
care.
(4) Each regional STEMI system of care shall
appoint a RPSRO as defined in
R
330.203(f).
(5) Each regional STEMI care advisory council
shall develop performance improvement plans that are based on standards under
R 330.211. The performance
improvement plan shall be reviewed annually by the statewide STEMI care
advisory subcommittee and state EMS coordination committee for recommendations
to the department.
(6)
Recommendations developed and proposed for implementation by a regional STEMI
care advisory council must meet or exceed those that are established by the
department with the advice and recommendations of the statewide STEMI care
advisory subcommittee and state EMS coordination committee, as based on
standards that are incorporated by reference in these rules, pursuant to
R 330.204(1)(o) and
R 325.204(1)(p).
(7) The department
shall recognize the regional STEMI system once it approves a completed regional
work plan. The regional STEMI system approval process must consist of the
following phases:
(a) The first phase is the
application phase, which begins with the submission to the department of a
completed regional plan for the regional STEMI system.
(b) The second phase is the review phase,
which begins after the receipt of the regional plan and ends with a department
recommendation to approve the regional STEMI system.
(c) The third phase is the final phase, with
the department making a final decision regarding the regional STEMI system
plan. This phase also includes an appeal procedure for the denial of an
approval of application in accordance with the department's administrative
hearings requirements.
(8) If the application phase results in a
recommendation to the department for approval by the statewide STEMI care
advisory subcommittee and the state EMS coordination committee, and the
department approves, then the department shall notify the regional STEMI system
applicant of recommended action within 90 days after receipt by the
department.
(9) Upon approval, a
regional STEMI care advisory council shall implement the plan to include the
following:
(a) Education of all entities about
the plan components.
(b) On-going
review of resources, process, and outcome data.
(10) The regional STEMI system approval is in
effect for 3 years.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.