Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 15 - Emergency Response Network › Chapter 187 - Requirements for Louisiana Stroke Center Recognition › Section I-18703 - Stroke Center Criteria

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
				  facility participating in stroke center recognition shall meet the following
				  criteria.
1. CSC: a comprehensive stroke
				  center (CSC) will meet the requirements specified by the joint commission or
				  other board approved accrediting/certification body approved by LERN for
				  comprehensive stroke center certification. Attestation as a CSC is only allowed
				  after verification by the joint commission or other LERN approved
				  accrediting/certification body that the facility meets all requirements set
				  forth in the CSC standards.
2. TSC:
				  a thrombectomy capable stroke center (TSC) will meet the requirements specified
				  by the joint commission or other board approved accrediting/certification body
				  approved by LERN for thrombectomy capable stroke center certification.
				  Attestation as a TSC is only allowed after verification by the joint commission
				  or other LERN approved accrediting/certification body that the facility meets
				  all requirements set forth in the TSC standards.
3. PSC-E: a primary stroke center (PSC-E)
				  shall meet the requirements specified by the joint commission, healthcare
				  facilities accreditation program (HFAP), or other LERN approved
				  accrediting/certification body for Primary Stroke Center verification.
				  Attestation as a PSC-E is only allowed after verification by the joint
				  commission, HFAP, or other LERN approved accrediting/certification body that
				  the facility meets all requirements set forth in the PSC standards. In addition
				  to PSC requirements, a PSC-E must have physician(s) credentialed to perform
				  mechanical thrombectomy and must update resource management portal of
				  endovascular availability at all times. If a physician credentialed to perform
				  endovascular capability is not available, the PSC-E must notify all EMS
				  providers in the region when endovascular resources are not available. The
				  PSC-E must collect and submit quarterly to LERN the same data the joint
				  commission requires the Thrombectomy Stroke Capable centers to collect and any
				  other data as required by LERN.
4.
				  PSC: a primary stroke center (PSC) shall meet the requirements specified by the
				  joint commission, healthcare facilities accreditation program (HFAP), or other
				  LERN approved accrediting/certification body for primary stroke center
				  verification. Attestation as a PSC is only allowed after verification by the
				  joint commission, HFAP, or other LERN approved accrediting/certification body
				  that the facility meets all requirements set forth in the PSC
				  standards.
5. ASRH: an acute stroke
				  ready hospital (ASRH) will provide timely access to stroke care but may not
				  meet all criteria for a CSC, TSC, or a PSC or a PSC-E facility. An ASRH will
				  provide acute stroke care in urban and rural areas where transportation and
				  access are limited. An ASRH is intended to recognize models of care delivery
				  that have shown utility, including "drip-and-ship" and telemedicine. An ASRH
				  must meet requirements adopted by LERN and submit quarterly data as required by
				  LERN. LERN approved requirements are based on national best practice
				  guidelines.
6. Stroke bypass
				  hospital: a stroke bypass hospital should not receive patients exhibiting signs
				  or symptoms of stroke except for instances when the clinical situation requires
				  stopping at the closest emergency department. A stroke bypass hospital must
				  have:
a. transfer protocol in place for
				  transfer to higher levels of care through written and agreed upon relationship
				  with a CSC, TSC, PSC, PSC-E or ASRH stroke center.