Section 100270.223 - Comprehensive Stroke Care Centers(a) Hospitals designated as a comprehensive stroke center by the local EMS agency shall meet the following minimum criteria:(1) Satisfy all the requirements of a thrombectomy-capable and primary stroke center as provided in this chapter.(2) Neuro-endovascular diagnostic and therapeutic procedures available twenty-four (24) hours a day, seven (7) days a week.(3) Advanced imaging, available twenty-four (24) hours a day, seven (7) days a week, three hundred and sixty-five (365) days per year, which shall include but not be limited to: (A) All imaging requirements for thrombectomy-capable centers.(B) Diffusion-weighted magnetic resonance imaging (MRI) and computed tomography (CT) perfusion imaging.(4) Transcranial Doppler (TCD) shall be available in a timeframe that is clinically appropriate.(5) Intensive care unit (ICU) beds with licensed independent practitioners with the expertise and experience to provide neuro-critical care twenty-four (24) hours a day, seven (7) days a week, three hundred and sixty-five days (365) days per year.(6) Data-driven, continuous quality improvement process including collection and monitoring of standardized performance measures.(7) A stroke patient research program.(8) Satisfy all the following staff qualifications: (A) A neurosurgical team capable of assessing and treating complex stroke and stroke- like syndromes.(B) A qualified neuro-radiologist, board-certified by the American Board of Radiology or the American Osteopathic Board of Radiology.(C) If teleradiology is used in image interpretation, all staffing and staff qualification requirements contained in this section shall remain in effect and shall be documented by the hospital.(D) Written call schedule for attending neurointerventionalist, neurologist, neurosurgeon providing availability twenty-four (24) hours a day seven (7) days a week.(9) Provide comprehensive rehabilitation services either on-site or by written transfer agreement with another health care facility licensed to provide such services.(10) Written transfer agreements with primary stroke centers in the region to accept the transfer of patients with complex strokes when clinically warranted.(11) A comprehensive stroke center shall at a minimum, provide guidance and continuing stroke-specific medical education to hospitals designated as a primary stroke center with which they have transfer agreements.(b) Additional requirements may be stipulated by the local EMS agency medical director.Cal. Code Regs. Tit. 22, § 100270.223
1. New article 4 (sections 100270.223-100270.227) and section filed 4-17-2019; operative 7-1-2019 (Register 2019, No. 16). Note: Authority cited: Sections 1797.107, 1797.176 and 1798.150, Health and Safety Code. Reference: Sections 1797.103, 1797.204, 1797.220, 1797.222 and 1798.172, Health and Safety Code.
1. New article 4 (sections 100270.223-100270.227 ) and section filed 4-17-2019; operative 7/1/2019 (Register 2019, No. 16).