California
Primary Stroke Centers.
22 CCR 100153.02
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22 CCR 100153.02
22 CCR 100153.02
§ 100153.02. Primary Stroke Centers.
(a)
Eligibility. A licensed general acute care hospital (GACH) that meets all the requirements of this section may be designated by the local EMS agency (LEMSA) as a primary stroke center.
(b)
Requirements. The GACH must meet all requirements for an acute stroke ready hospital, as set forth in Section 100153.01(b) of this subarticle, as well as the following additional requirements:
(1)
Capabilities.
(A)
Neuro-Imaging Services. Computed tomography (CT) completed within twenty-five (25) minutes and interpretation of the results within forty- five (45) minutes of patient arrival at the primary stroke center.
(B)
Laboratory Services. Maintain twenty-four (24) hours a day, seven (7) days a week, 365 days per year availability of laboratory services, with results available within forty-five (45) minutes following a blood draw.
(C)
Neurosurgical Services. Neurosurgical services, including operating rooms, that are available either on-site or through an agreement with a thrombectomy-capable, comprehensive, or other stroke center with neurosurgical services, within two (2) hours of acute stroke patient arrival at the primary stroke center.
(D)
Rehabilitation Services. Provide or contract for acute care rehabilitation services.
(2)
Program Staffing. The stroke team shall include, at a minimum:
(A)
The stroke program manager; and
(B)
A neurologist, interventional neuroradiologist, or emergency physician who is board-certified or board-eligible in neurology, endovascular neurosurgical radiology, or emergency medicine, or another board-certified physician with sufficient experience in the management of acute cerebral vascular disease as determined by the GACH credentials committee.
(3)
Policies. Written policies and procedures for stroke services, including written protocols and standardized orders for the emergency care of stroke patients.
(4)
Public Education and Outreach. Conduct public education on acute stroke and stroke prevention;
(5)
Data Collection, QI, and Evaluation. Primary stroke centers designated under this section are subject to the requirements of Article 5 of this subchapter.
(6)
Additional Requirements. A LEMSA medical director may establish requirements for designation as a primary stroke center in addition to those required under this section.
(c)
Primary Stroke Centers Designated Prior to Effective Date of Regulations. A primary stroke center designated by the LEMSA prior to the effective date of these regulations, may continue to operate as a primary stroke center; however, any such primary stroke center shall meet the requirements of these regulations within twelve (12) months following a program review described in Article 5, Section 100154.03(a) of this subchapter.
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