Section R. 330.204 - Powers and duties of departmentRule 4.
(1) The department, with the advice of the state EMS coordination committee and statewide STEMI care advisory subcommittee, shall do all the following: (a) Implement an all-inclusive STEMI system throughout this state that allows for the care of all STEMI patients in an integrated system of healthcare in the pre-hospital and healthcare facility environments by personnel that are well trained and equipped to care for STEMI patients.(b) Perform all the following:(i) Establish regional systems of care authorities comprised of the MCAs in each region currently approved as regional trauma networks. The regional systems of care authority shall provide oversight for the regional trauma system, regional stroke system, and regional STEMI system.(ii) Establish a statewide STEMI care quality improvement program using a statewide database.(iii) Monitor the statewide STEMI system.(iv) Ensure the coordination and performance of the regional STEMI systems.(v) Set minimum standards for system performance and STEMI patient care.(c) Develop a statewide process to establish regional STEMI systems comprised of the local MCAs, within a region, and in a manner that integrates the STEMI system into existing regional trauma, EMS, and medical control systems.(d) Develop, implement, and maintain a state STEMI systems of care plan.(e) Develop an in-state process for the verification of STEMI resources based on a department-approved nationally recognized professional certifying and accrediting organization's current standards if resources are available.(f) Develop a statewide process for the designation of STEMI centers and facilities.(g) Develop an appeals process for healthcare facilities to contest their designation determination.(h) Establish state STEMI care recommendations and approve regional STEMI protocols that are established and adopted by the local MCAs.(i) Recognize the established regional STEMI systems.(j) Provide system oversight of the STEMI care provided in each region in accordance with the following: (i) Regional STEMI systems must be integrated into the established regional systems of care authority composed of the collaborating local MCAs in a region.(ii) The regional systems of care authority shall apply to the department for approval and recognition as a regional STEMI system. The department, with the statewide STEMI care advisory subcommittee and state EMS coordination committee, shall review the regional STEMI system application for approval every 3 years.(iii) The establishment of the regional STEMI system does not limit the transfer or transport of STEMI patients between regions of this state.(k) Require STEMI triage protocol that is established and adopted by local MCA and regional STEMI systems and developed based on triage criteria prescribed by the department on the recommendation of the statewide STEMI care advisory subcommittee and state EMS coordination committee, and following the procedures established by the department under section 20919(3) of the code, MCL 333.20919.(l) Develop a statewide STEMI verification process based on the verification standards of a nationally recognized professional accrediting and certifying organization for a predetermined period of time.(m) Establish a mechanism for periodic re-designation of STEMI centers and facilities.(n) Develop a comprehensive statewide STEMI data collection system.(o) Formulate recommendations for the development of performance improvement plans by the regional STEMI systems, consistent with those in R 330.211.(p) Develop a process for STEMI system performance improvement, including responsibility for monitoring compliance with standards, maintaining confidentiality, and providing periodic review of STEMI center and facility standards set forth by nationally recognized professional review organizations as specified in R 330.206 and R 330.211.(q) Develop a process for the evaluation of STEMI system effectiveness based on standards as specified in R 330.211.(r) Coordinate and integrate appropriate STEMI risk reduction strategies and programs.(s) Support the state STEMI system of care and provide resources to carry out its responsibilities and functions.(t) Support the training and education needs and resources of STEMI care personnel throughout this state.(2) The department may deny, suspend, or revoke designation of a STEMI center or facility upon a finding including, but not limited to, any one of the following: (a) Failure to comply with the rules or healthcare facilities rules and regulations, or both.(b) Willful preparation or filing of false reports or records.(c) Fraud or deceit in obtaining or maintaining designation status.(d) Failure to meet designation criteria established in these rules.(e) Unauthorized disclosure of medical or other confidential information.(f) Alteration or inappropriate destruction of medical records.(g) The healthcare facility no longer has the resources required to comply with the current level of designation conferred.(h) The healthcare facility no longer cares for STEMI patients.(i) A department-approved STEMI care verification body has determined that the STEMI center or facility no longer meets the STEMI center or facility verification criteria.(j) Identified deficiencies are not remediated in the allowable time frame.(3) The department shall provide notice of disciplinary action including, but not limited to, intent to deny, suspend, or revoke STEMI center or facility designation and provide for an appeals process in accordance with the code and sections 71 to 87 of the administrative procedures act of 1969, 1969 PA 306, MCL 24.271 to 24.287.(4) In developing a statewide STEMI system of care, the department shall consider all the following factors: (a) Efficient implementation and operation.(b) Decrease in morbidity and mortality.(c) Cost effective implementation.(d) Incorporation of national standards.(e) Availability of funds for implementation.Mich. Admin. Code R. 330.204
2023 MR 22, Eff. 11/9/2023