Michigan Administrative Code › Department - Health and Human Services › Behavioral Health and Developmental Disabilities Administration › Statewide Stroke System › Part 1 - GENERAL PROVISIONS › Section R. 330.254 - 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 stroke care advisory subcommittee, shall do all the following:
(a) Implement an all-inclusive stroke system
				  throughout this state that allows for the care of all stroke 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 stroke
				  patients.
(b) Perform all of
				  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 within the region.
(ii) Establish a statewide stroke care
				  quality improvement program using a statewide database.
(iii) Monitor the statewide stroke
				  system.
(iv) Ensure the
				  coordination and performance of the regional stroke systems.
(v) Set minimum standards for system
				  performance and stroke patient care.
(c) Develop a statewide process to establish
				  regional stroke systems comprised of the local MCAs within a region in a manner
				  that integrates the stroke system into existing regional trauma, EMS, and
				  medical control systems.
(d)
				  Develop, implement, and maintain a state stroke systems of care plan.
(e) Develop a statewide process for the
				  verification of stroke resources based on a stroke center's current
				  certification by a department-approved, CMS-recognized professional certifying
				  organization.
(f) Develop a
				  statewide process for the designation of stroke centers.
(g) Develop an appeals process for healthcare
				  facilities to contest their designation determination.
(h) Establish state stroke care
				  recommendations and approve regional stroke protocols that are established and
				  adopted by the local MCA.
(i)
				  Recognize the regional stroke systems providing system oversight of the stroke
				  care provided in each region of this state.
(j) Regional stroke systems must be
				  integrated into the established regional systems of care authority composed of
				  the collaborating local MCAs in a region.
(k) The regional systems of care authority
				  shall apply to the department for approval and recognition as a regional stroke
				  system. The department, with the statewide stroke care advisory subcommittee
				  and state EMS coordination committee, shall review the regional stroke system
				  application for approval every 3 years.
(l) The establishment of the regional stroke
				  system does not limit the transfer or transport of stoke patients between
				  regions of the state.
(m) Require
				  stroke triage protocols, which are established and adopted by local MCA and
				  regional stroke systems and developed based on triage criteria prescribed by
				  the department on the recommendation of the statewide stroke 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.
(n) Develop a statewide stroke verification
				  process based on the verification standards of a CMS recognized professional
				  certifying organization for a predetermined period of time.
(o) Establish a mechanism for periodic
				  re-designation of stroke centers.
(p) Develop a comprehensive statewide stroke
				  data collection system.
(q)
				  Formulate recommendations for the development of performance improvement plans
				  by the regional stroke systems, consistent with those in
				  R 330.260.
(r) Develop a process for stroke system
				  performance improvement, including responsibility for monitoring compliance
				  with standards, maintaining confidentiality, and providing periodic review of
				  stroke center standards set forth by nationally recognized professional review
				  organizations. The following standards are incorporated by reference in these
				  rules, as specified in
				  R 330.259, and
				  R 330.260.
(t) Develop a process for the evaluation of
				  stroke system effectiveness based on standards under
				  R 330.260.
(u) Coordinate and integrate appropriate
				  stroke risk reduction strategies and programs.
(v) Support the state stroke system of care
				  and provide resources to carry out its responsibilities and
				  functions.
(w) Support the training
				  and education needs and resources of stroke care personnel throughout this
				  state.