New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 7A - STROKE CENTERS › Section 8:43G-7A.3 - Primary stroke center licensure designation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) To be designated as
				a primary stroke center, a hospital shall, at a minimum, provide:
1. An acute stroke team available to see a patient
				identified as a potential acute stroke patient within 15 minutes following the
				patient's arrival at the hospital's emergency department or within 15 minutes
				following a diagnosis of a patient's potential acute stroke;
2. Written policies and procedures for stroke
				services that are reviewed at least every three years, revised more frequently as
				needed, and implemented.
i. These policies and
				procedures shall include written protocols and standardized orders for emergency
				care of stroke patients;
3.
				Neuro-imaging services capability that is available 24 hours a day, seven days a
				week, such that imaging shall be performed within 25 minutes following order entry.
				Such studies shall be interpreted by a board-certified radiologist, board-certified
				neurologist or residents who interpret such studies as part of their training in an
				Accreditation Council of Graduate Medical Education-approved radiology training
				program with concurrence by a board-certified radiologist or board-certified
				neurologist within 20 minutes of study completion.
i. Neuro-imaging services shall, at a minimum,
				include computerized tomography scanning or magnetic resonance imaging, as well as
				interpretation of the imaging.
ii. In
				the event that tele-radiology is used in image interpretation, all staffing and
				staff qualification requirements contained in this subchapter shall remain in effect
				and shall be documented by the hospital.
iii. For the purpose of this subsection, a
				qualified radiologist shall be board-certified by the American Board of Radiology or
				the American Osteopathic Board of Radiology.
iv. For the purpose of this subsection, a
				qualified neurologist shall be board-certified by the American Board of Psychiatry
				and Neurology or the American Osteopathic Board of Neurology and
				Psychiatry;
4. Laboratory
				services capability 24 hours a day, seven days a week, such that services may be
				performed within 45 minutes following order entry.
i. Laboratory services shall, at a minimum,
				include blood testing, electrocardiography and x-ray services;
5. Intermediate, telemetry or critical care beds
				staffed in accordance with
				8:43G-9.20 and 9.7,
				respectively;
6. Neurosurgical services
				that are available, including operating room availability, either directly or under
				agreement with a comprehensive stroke center, within two hours following admission
				of acute stroke patients to the primary stroke center;
7. Acute care rehabilitation services;
8. Documentation that it has current contractual
				agreements with at least one carrier that provides health insurance coverage through
				the State Medicaid Children's Health Care Coverage Program, established pursuant to
				30:4I-1 et seq., and the New Jersey
				FamilyCare Health Coverage Program, established pursuant to
				30:4J-8 et seq.; and
9. Transfer arrangements with a comprehensive
				stroke center in New Jersey that facilitate transfer of patients with complex
				strokes to the comprehensive stroke center for care when clinically
				warranted.