Michigan Administrative Code › Department - Health and Human Services › Behavioral Health and Developmental Disabilities Administration › Statewide Stemi System › Part 1 - GENERAL PROVISIONS › Section R. 330.204 - Powers and duties of department

Current through Vol. 24-12, July 15, 2024
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.