Mich. Admin. Code R. 330.211 - Regional performance improvement
Rule 11.
(1) Each
regional STEMI system shall develop and implement a regional STEMI care
performance improvement program. This program must include the standards that
are incorporated by reference pursuant to
R 330.204(1)(d), R
3330.204(1)(j), and R
330.208(5) and include the
development of an annual process for reporting to the department a review of
all region-wide policies, procedures, and protocols.
(2) Each regional STEMI system is responsible
for monitoring, assessing, and evaluating the system to improve STEMI care,
reduce death and disability, surveillance of STEMI incidence, and
implementation of STEMI risk reduction initiatives.
(3) Each regional STEMI system shall appoint
an RPSRO.
(4) Deviations from
protocols established and adopted by local MCAs and approved by the department
for STEMI patients must be addressed through a documented STEMI care
performance improvement process established by a PSRO.
(5) Each regional STEMI care advisory council
shall observe the confidentiality provisions of 45 CFR part 164, the health
insurance portability and accountability act of 1996,
Public Law
104-191 , data confidentiality provisions under the
code and any confidentiality provisions established by the RPSRO.
(6) The performance improvement program must
include the standards under
R 330.204(1)(p),
R 330.208(5), and
include all the following:
(a) Components of
the regional STEMI care plan.
(b)
Triage criteria and effectiveness.
(c) STEMI diversion and bypass.
(d) Data driven provision of care defined by
available data metrics supported by the region, the statewide STEMI care
advisory subcommittee, and the department.
(7) Each regional STEMI system is responsible
for the ongoing evaluation of the system. Accordingly, each region shall
develop a procedure for receiving information from the regional STEMI system
constituents on the implementation of various components of that region's STEMI
system, and include the standards under
R 330.204(1)(d) and
R 325.208(5), and include all of the following:
(a) Components of the regional STEMI care
plan.
(b) Triage criteria and
effectiveness.
(c) STEMI diversion
and bypass.
(d) Data analytics as
defined by the department with the advice of the statewide STEMI care advisory
subcommittee.
(8) Based
upon information received by the region in the evaluation process, the region
shall annually prepare a report containing results of the evaluation and a
performance improvement plan. The report must be made available to all regional
STEMI system constituents.
(9) The
region shall ensure that all STEMI centers and facilities participate in this
annual evaluation process and encourage all other hospitals that treat STEMI
patients to do likewise. The region shall not release specific information
related to an individual patient or practitioner. Aggregate system performance
information and evaluation must be available for review.
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.