Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-310 - Certificate of need › Section 246-310-735 - Partnering agreements

Current through Register Vol. 24-14, July 15, 2024
The applicant hospital must have a signed written agreement
				  with a hospital providing on-site cardiac surgery. This agreement must include,
				  at minimum, provisions for:
(1)
				Coordination between the nonsurgical hospital and surgical hospital's
				availability of surgical teams and operating rooms. The hospital with on-site
				surgical services is not required to maintain an available surgical suite
				twenty-four hours, seven days a week.
(2) Assurance the backup surgical hospital
				can provide cardiac surgery during all hours that elective PCIs are being
				performed at the applicant hospital.
(3) Transfer of all clinical data, including
				images and videos, with the patient to the backup surgical hospital.
(4) Communication by the physician(s)
				performing the elective PCI to the backup hospital cardiac surgeon(s) about the
				clinical reasons for urgent transfer and the patient's clinical
				condition.
(5) Acceptance of all
				referred patients by the backup surgical hospital.
(6) The applicant hospital's mode of
				emergency transport for patients requiring urgent transfer. The hospital must
				have a signed transportation agreement with a vendor who will expeditiously
				transport by air or land all patients who experience complications during
				elective PCIs that require transfer to a backup hospital with on-site cardiac
				surgery.
(7) Emergency
				transportation beginning within twenty minutes of the initial identification of
				a complication.
(8) Evidence that
				the emergency transport staff are certified. These staff must be advanced
				cardiac life support (ACLS) certified and have the skills, experience, and
				equipment to monitor and treat the patient en route and to manage an
				intra-aortic balloon pump (IABP).
(9) The hospital documenting the
				transportation time from the decision to transfer the patient with an elective
				PCI complication to arrival in the operating room of the backup hospital.
				Transportation time must be less than one hundred twenty minutes.
(10) At least two annual timed emergency
				transportation drills with outcomes reported to the hospital's quality
				assurance program.
(11) Patient
				signed informed consent for adult elective (and emergent) PCIs. Consent forms
				must explicitly communicate to the patients that the intervention is being
				performed without on-site surgery backup and address risks related to transfer,
				the risk of urgent surgery, and the established emergency transfer agreements.
(12) Conferences between
				representatives from the heart surgery program(s) and the elective coronary
				intervention program. These conferences must be held at least quarterly, in
				which a significant number of preoperative and post-operative cases are
				reviewed, including all transport cases.
(13) Addressing peak volume periods (such as
				joint agreements with other programs, the capacity to temporarily increase
				staffing, etc.).
Statutory Authority: RCW 70.38.128. 09-01-113, §
					 246-310-735, filed 12/19/08, effective
					 12/19/08.