16 Del. Admin. Code § 4306-6.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 4306-6.0 - Delaware Stroke Center Requirements

6.1 To be considered a participant in Delaware's Prehospital Stroke Triage Scheme and receive potential stroke patients from EMS and patient transport agencies, a facility must be recognized as a Delaware Stroke System of Care participating stroke center. To be recognized as an Stroke System of Care participating stroke center, the following is required:

6.1.1 Stroke certification from TJC, or equivalent nationally verified guidelines-based accrediting organization per 16 Del.C. Ch. 10.

6.1.2 Participation in 75% (3) of the quarterly SSC and Quality Evaluation Committee meetings, verified by attendance logs.

6.1.3 Submit stroke patient data to the AHA Get With The Guidelines (GWTG) Stroke Registry, no later than 90 days after the end of the quarter.

6.1.4 Agree to the sharing of performance indicator data and the use of the State of Delaware's GWTG Super User account to evaluate and improve the performance of the SSoC. The facility must maintain an acceptable standard of care for Delaware stroke patients as determined by the QE Committee and evidenced by review of GWTG stroke data.

6.1.5 Agree to provide timely patient care feedback to EMS and patient transporting agencies for the purpose of loop closure and performance improvement.

6.1.6 Enter into a Memorandum of Understanding (MOU) with the State of Delaware agreeing to these terms and requirements.

6.1.7 Be in compliance with this regulation and 16 Del.C. Ch. 97.

6.2 To be considered a participant in Delaware's Prehospital Stroke Triage Scheme and receive potential stroke patients from EMS and patient transport agencies, an out-of-state facility will receive Delaware reciprocity as a Delaware Stroke System of Care participating stroke center if the following requirements are met:

6.2.1 Stroke certification from TJC, or equivalent nationally verified guidelines-based accrediting organization.

6.2.2 Submit stroke patient data to the AHA GWTG Stroke Registry, or other similar registry/database from which data can be reported.

6.2.3 Agree to sharing of performance indicator data required by Stroke System of Care participating stroke centers, as requested by the Stroke System of Care/QE Committee.

6.3 The QE Committee chairperson may appoint a Facility Review Subcommittee to review a stroke facility's compliance with these requirements. Failure to adhere to the above requirements may result in a facility being removed from Delaware's Prehospital Stroke Triage Scheme and lose the ability to receive potential stroke patients from EMS and patient transport agencies.

16 Del. Admin. Code § 4306-6.0

28 DE Reg. 390 (11/1/2024) (Final)