Michigan Administrative Code › Department - Health and Human Services › Behavioral Health and Developmental Disabilities Administration › Statewide Stemi System › Part 1 - GENERAL PROVISIONS › Section R. 330.203 - Definitions; P to V

Current through Vol. 24-12, July 15, 2024
Rule 3.
(1) As
				  used in these rules:
(a) "PCI" or
				  "percutaneous coronary intervention" means a procedure used to open or widen a
				  narrowed or blocked coronary artery to restore the blood flow that supplies the
				  heart and is usually performed on an emergency basis for a STEMI
				  patient.
(b) "Protocol" means a
				  patient care standard, standing order, policy, or procedure for providing
				  emergency medical services that is established by an MCA and approved by the
				  department under section 20919 of the code, MCL
				  333.20919.
(c) "Provisional" means a one-time temporary
				  time-limited status conferred on a facility by the department that most closely
				  matches the current level of care based on the published criteria for
				  accreditation or certification for which it is applying.
(d) "PSRO" or "professional standards review
				  organization" means a committee established by a life support agency or an MCA
				  for the purpose of improving the quality of medical care, as provided in
				  section 1 of 1967 PA 270, MCL
				  331.531.
(e) "Quality improvement program" means
				  actions taken by a life support agency, MCA, STEMI center or facility, or
				  jointly between a life support agency, MCA, or STEMI center or facility with a
				  goal of continuous improvement of medical care in accordance with the code.
				  Actions must take place under a PSRO, as provided in sections 1 to 3 of 1967 PA
				  270, MCL 331.531 to
				  331.533.
(f) "Regional STEMI advisory council" means a
				  committee established by a regional STEMI system whose function is to provide
				  leadership and direction in matters related to STEMI system development in
				  their region, and to monitor the performance of the STEMI agencies and
				  healthcare facilities within the region, including, but not limited to, the
				  review of STEMI deaths and preventable complications, and it is comprised of
				  the following:
(i) MCA personnel.
(ii) EMS personnel.
(iii) Life support agency
				  representatives.
(iv) Healthcare
				  facility representatives.
(v)
				  Physicians.
(vi) Nurses.
(vii) Consumers.
(g) "Regional STEMI plan" means a written
				  plan prepared by a regional STEMI advisory council, and approved by the
				  regional STEMI system, that is based on minimum criteria established by the
				  department.
(h) "Regional STEMI
				  system" means an organized group comprised of the local MCA within a region
				  that integrates into the existing regional trauma network and is responsible
				  for appointing a regional STEMI advisory council and creating a regional STEMI
				  plan.
(i) "Regional systems of care
				  authority" means an organization recognized by the department that is comprised
				  of MCAs within a region and is also approved as the regional trauma network,
				  which provides clinical oversight for the regional trauma system, regional
				  stroke system, and regional STEMI system within the region.
(j) "RPSRO" or regional PSRO means a
				  committee established by the regional STEMI system for the purpose of improving
				  the quality of STEMI care within a recognized STEMI region as provided in
				  sections 1 to 3 of 1967 PA 270, MCL
				  331.531 to
				  331.533.
(k) "Statewide STEMI care advisory
				  subcommittee" means a STEMI care advisory subcommittee that acts as the
				  department's subject matter experts regarding the clinical and operational
				  components of STEMI care.
(l)
				  "Statewide STEMI registry" means a system for collecting data that the
				  department manages, analyzes, and disseminates.
(m) "Statewide STEMI system of care" means a
				  comprehensive and integrated arrangement of emergency services personnel, STEMI
				  centers or facilities, equipment, services, communications, MCAs, and
				  organizations necessary to provide STEMI care to all patients within a
				  particular geographic region.
(n)
				  "STEMI" means an ST-segment elevation myocardial infarction defined by symptoms
				  of myocardial infarction associated with an ST-segment elevation on an
				  ECG.
(o) "STEMI bypass" means to
				  forego EMS transport of a patient to the nearest healthcare facility for a
				  healthcare facility whose resources are more appropriate to the STEMI patient
				  pursuant to direction given to pre-hospital emergency medical services by
				  online medical direction or predetermined triage criteria as established by
				  department-approved protocols.
(p)
				  "STEMI care" means diagnostic evaluation, triage, acute intervention, emergency
				  transport, and other acute care services for STEMI patients who potentially
				  require emergent cardiac care, and may include education, risk reduction, and
				  subacute STEMI management.
(q)
				  "STEMI diversion" means the re-routing of a STEMI patient from a STEMI care
				  center that has one or more of its essential resources currently functioning at
				  maximum capacity, or is otherwise unavailable, to an alternate STEMI care
				  center to serve the best interests of the STEMI patient.
(r) "STEMI receiving center" means a
				  healthcare facility designated by the department as having met the criteria set
				  forth by a department-approved nationally recognized professional accrediting
				  and certifying organization as having the resources to provide PCI, treatment,
				  and referral for emergency STEMI patients 24 hours per day, 365 days per
				  year.
(s) "STEMI referral facility"
				  means a healthcare facility designated by the department as having met the
				  criteria set forth by a department-approved nationally recognized professional
				  accrediting/certifying organization as having the resources to provide
				  treatment and referral services for STEMI patients 24 hours per day, 365 days
				  per year.
(t) "STEMI response"
				  means an individual who has been identified as a potential STEMI patient and
				  requires the utilization of the STEMI system of care.
(u) "TJC" means the Joint
				  Commission.
(v) "Triage" means
				  classifying patients according to the severity of their medical
				  conditions.
(w) "Verification"
				  means an evaluation process conducted by a national professional accrediting
				  and certifying organization, or the department, to verify resources and improve
				  STEMI care.