Section 100270.121 - [Operative until 1/1/2025] Stemi Critical Care System Plan(a) The local EMS agency may develop and implement a STEMI critical care system.(b) The local EMS agency implementing a STEMI critical care system shall have a STEMI Critical Care System Plan approved by the EMS Authority prior to implementation.(c) A STEMI Critical Care System Plan submitted to the EMS Authority shall include, at a minimum, all of the following components: (1) The names and titles of the local EMS agency personnel who have a role in a STEMI critical care system.(2) The list of STEMI designated facilities with the agreement expiration dates.(3) A description or a copy of the local EMS agency's STEMI patient identification and destination policies.(4) A description or a copy of the method of field communication to the receiving hospital specific to STEMI patient, designed to expedite time-sensitive treatment on arrival.(5) A description or a copy of the policy that facilitates the inter-facility transfer of a STEMI patient.(6) A description of the method of data collection from the EMS providers and designated STEMI hospitals to the local EMS agency and the EMS Authority.(7) A policy or description of how the local EMS agency integrates a receiving center in a neighboring jurisdiction.(8) A description of the integration of STEMI into an existing quality improvement committee or a description of any STEMI specific quality improvement committee.(9) A description of programs to conduct or promote public education specific to cardiac care.(d) The EMS Authority shall, within 30-days of receiving a request for approval, notify the requesting local EMS agency in writing of approval or disapproval of its STEMI Critical Care System Plan. If the STEMI Critical Care System Plan is disapproved, the response shall include the reason(s) for the disapproval and any required corrective action items.(e) The local EMS agency shall provide a corrected plan to the EMS Authority within 60 days of receipt of the disapproval letter.(f) The local EMS agency currently operating a STEMI critical care system implemented before the effective date of these regulations, shall submit to the EMS Authority a STEMI Critical Care System Plan as an addendum to its next annual EMS plan update, or within 180-days of the effective date of these regulations, whichever comes first.(g) After approval of the STEMI Critical Care System Plan, the local EMS agency shall submit an update to the plan as part of its annual EMS update, consistent with the requirements in Section 100270.122.(h) No health care facility shall advertise in any manner or otherwise hold itself out to be affiliated with a STEMI critical care system or a STEMI center unless they have been so designated by the local EMS agency, in accordance with this chapter.Cal. Code Regs. Tit. 22, § 100270.121
1. New article 2 (sections 100270.121-100270.122) and section filed 4-19-2019; operative 7-1-2019 (Register 2019, No. 16). Note: Authority cited: Sections 1797.107, 1797.103, 1797.105, 1797.250, 1797.254 and 1798.150, Health and Safety Code. Reference: Sections 1797.176 and 1797.220, Health and Safety Code.
1. New article 2 (sections 100270.121-100270.122) and section filed 4-19-2019; operative 7/1/2019 (Register 2019, No. 16).The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.