Section R. 330.206 - STEMI center or facility verification; designation and re-designationRule 6.
(1) A healthcare facility, which intends to hold itself out to provide STEMI care, shall obtain designation as a STEMI receiving center or STEMI referral facility. A healthcare facility shall not self-designate itself, advertise, or otherwise describe itself as a STEMI receiving center or STEMI referral facility without obtaining and maintaining that designation from the department. Facilities that are not designated by the department will be noted as non-designated healthcare facilities.(2) The department shall re-designate the STEMI care capabilities of each STEMI center or facility based on verification and designation requirements in effect when the re-designation takes place.(3) To obtain designation as a STEMI center or facility, the healthcare facility shall apply for designation to the department. A healthcare facility has a right to an administrative hearing if denied a specific STEMI center or facility level designation.(4) The department shall designate the existing STEMI care resources of all participating healthcare facilities in the state, based on the following categories: (a) A STEMI receiving center shall provide evidence of current certification or accreditation by a department-approved nationally recognized professional certifying and accrediting organization that the healthcare facility has the resources required to be certified as meeting all the criteria for a certified STEMI receiving center equivalent to a TJC-AHA comprehensive STEMI center or TJC-AHA primary heart attack center or an ACC chest pain center with PCI or a Corazon PCI/Catheterization program, or subsequent equivalent certification or accreditation as approved by the department with the advice of the STEMI advisory subcommittee, pursuant to R 330.204(1)(l), and all the following:(i) Comply with data submission requirements in R 330.209 and R 330.210.(ii) Participate in coordinating and implementing regional STEMI risk reduction plans.(iii) Participate in the regional performance improvement process.(iv) Provide staff assistance to the department for the state designation and verification process of STEMI referral centers when applicable pursuant to R 330.204(1)(l).(b) A STEMI referral facility shall provide evidence of current certification or accreditation by a department-approved nationally recognized professional certifying and accrediting organization that the healthcare facility has the resources required to be certified as meeting all the criteria for a certified STEMI referral facility equivalent to a TJC-AHA acute heart attack ready center or an ACC non-PCI chest pain center or a Corazon chest pain center or subsequent equivalent certification or accreditation as approved by the department with the advice of the STEMI advisory subcommittee, pursuant to R 330.204(1)(l), and all the following:(i) Comply with data submission requirements in R 330.209 and R 330.210.(ii) Participate in coordinating and implementing regional STEMI risk reduction plans.(iii) Participate in the regional performance improvement process.(5) Healthcare facilities wishing to be re-designated as a STEMI receiving center shall independently obtain certification or accreditation by a department-approved nationally recognized professional certifying and accrediting organization at that level and comply with the standards that are incorporated by reference pursuant to R 330.204(1)(l), subrule (4)(a) of this rule, and all the following: (a) Comply with data submission requirements in R 330.209 and R 330.210.(b) Participate in coordinating and implementing regional STEMI risk reduction plans.(c) Participate in the regional performance improvement process.(d) Provide staff assistance to the department for the state designation and verification process of STEMI referral centers when applicable pursuant to R 330.204(1)(l).(6) Healthcare facilities wishing to be re-designated as a STEMI referral facility shall independently obtain certification or accreditation by a department-approved nationally recognized professional certifying and accrediting organization at that level and comply with the standards that are incorporated by reference pursuant to R 330.204(1)(l) and R 330.206(4)(a) and all of the following: (a) Comply with data submission requirements in R 330.209 and R 330.10.(b) Participate in coordinating and implementing regional STEMI risk reduction plans.(c) Participate in the regional performance improvement process.(7) A hospital may apply to the department for one-time temporary, time-limited status as a provisional STEMI center or facility by submitting an application that includes evidence that the hospital meets the department-approved criteria for a provisional STEMI center or facility at the level that it is applying for. A hospital applying for provisional STEMI center or facility status requires the recommendation of the regional STEMI network system and notification to the statewide STEMI advisory subcommittee.(8) The department may, with the advice and recommendations of the statewide STEMI care advisory subcommittee and state EMS coordination committee, modify the criteria or establish additional levels of STEMI care resources as appropriate to maintain an effective state STEMI system of care and protect the public welfare. The department shall not establish criteria for the purpose of limiting the number of healthcare facilities that qualify for a particular STEMI center or facility level of designation under these rules.Mich. Admin. Code R. 330.206
2023 MR 22, Eff. 11/9/2023