Mich. Admin. Code R. 330.257 - Stroke care regions
Rule 7.
(1) The
department, with the advice and recommendations of the statewide stroke care
advisory subcommittee and state EMS coordination committee, shall support the
establishment and operational activities of the regional stroke system of care
through the commitment of resources.
(2) Each region shall establish a regional
stroke system of care as prescribed by this part.
(3) All MCA areas or regions shall
participate in the regional stroke care system, and life support agencies that
care for stroke patients shall be offered membership on the regional stroke
care advisory council. Regional stroke care advisory councils must be operated
in a manner that maximizes inclusion of their constituents. The following
requirements must be met:
(a) Quarterly, a
regional stroke system of care shall submit evidence of ongoing activity, such
as meeting notices and minutes, to the department. Annually, the regional
stroke system of care shall file a report with the department that describes
ongoing progress toward regional stroke care plan implementation and includes
evidence that members of the regional stroke care advisory council are
currently involved in stroke care.
(b) The regional stroke system of care shall
develop a regional stroke care plan. The plan is subject to review by the
statewide stroke care advisory committee and the state EMS coordination
committee for recommendation and approval by the department.
(c) The department shall review the plan to
ensure that it contains at a minimum, all the following:
(i) All counties within the regional stroke
system are included unless a specific county, or portion thereof, has been
aligned within an adjacent system, and all healthcare entities, MCAs, and life
support agencies have been given an opportunity to participate in the planning
process.
(ii) All the following
components are addressed:
(A) Stroke risk
reduction.
(B)
Communications.
(C) Regional
performance improvement.
(D) Stroke
education.
(E)
Infrastructure.
(F) Continuum of
care.
(4) Each regional stroke system of care shall
appoint a RPSRO.
(5) Each regional
stroke care advisory council shall develop performance improvement plans that
are based on standards under
R 330.260. The statewide stroke care
advisory subcommittee and state EMS coordination committee shall annually
review the performance improvement plan and make recommendations to the
department.
(6) Recommendations
developed and proposed for implementation by a regional stroke care advisory
council must meet or exceed those that are established by the department, with
the advice and recommendations of the statewide stroke care advisory
subcommittee and state EMS coordination committee, as based on standards under
R 330.254(1)(n) and
R
330.254(1)(o).
(7) The department shall recognize the
regional stroke system once it approves a completed regional stroke plan. The
regional stroke 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 stroke 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
stroke system.
(c) The third phase
is the final phase, with the department making a final decision regarding the
regional stroke 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 stroke care
advisory subcommittee and the state EMS coordination committee, and the
department approves, the department shall notify the regional stroke system
applicant of recommended action within 90 days after receipt by the
department.
(9) After approval, a
regional stroke care advisory council shall implement the plan to include both
the following:
(a) Education of all entities
about the plan components.
(b)
On-going review of resources, process, and outcome data.
(10) The regional stroke system approval is
effective for 3 years.
Notes
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