Section R. 330.207 - Triage and transportRule 7.
(1) The department, with the advice and recommendations of the statewide STEMI care advisory subcommittee and state EMS coordination committee, shall develop recommendations, based on standards pursuant to R 330.204, R 330.212, R 330.213, and R 330.214 for protocols that are established and adopted by local MCAs for the triage, transport, and inter-facility STEMI transfer of STEMI patients to the appropriate STEMI centers and facilities.(2) The standards under R 330.204, R 330.212, R 330.213, and R 330.214 for the triage, transport, and the inter-facility STEMI transfer of STEMI patients provide recommended minimum standards of care for protocols that are established and adopted by the local MCAs and that must be utilized in the care during transport of STEMI patients. On an annual basis, or as needed, the department shall review and update these recommended minimum standards with the advice and recommendations of the statewide STEMI care advisory subcommittee and state EMS coordination committee.(3) The department, with the advice and recommendations of the statewide STEMI care advisory subcommittee and state EMS coordination committee, shall create regional STEMI systems that meet all of the following criteria and are responsible for developing triage and transport procedures within that geographical area: (a) Each regional STEMI system must be integrated into the regional systems of care authority created within the existing trauma regions pursuant to R 325.132.(b) Each regional STEMI system may create its own triage and transport criteria and protocols, destination criteria and protocols, and inter-facility STEMI transfer criteria and protocols, which are established and adopted by the local MCAs, provided they meet or exceed the standards that are incorporated by reference in these rules pursuant to R 330.212, R 330.213, and R 330.214, and are reviewed by the quality assurance task force and approved by the department. This may include coordination of triage and transport criteria and protocols, which are established and adopted by local medical control, across geographic regions if in the best interest of providing optimal STEMI care to patients.
(c) STEMI care still must be provided to patients at healthcare facilities as necessary pursuant to 42 USC 1395dd and other applicable laws.Mich. Admin. Code R. 330.207
2023 MR 22, Eff. 11/9/2023