Section R. 330.212 - Destination protocolsRule 12. Local MCAs shall develop and submit STEMI patient destination protocols to the bureau of emergency preparedness, EMS, and systems of care for review by the statewide quality assurance task force appointed under section 20916 of the code, MCL 333.20916. After review and approval by the department, the MCAs must formally adopt and implement the protocol. The following factors must be used in evaluating destination protocols:
(a) STEMI patients must not be transported to a healthcare facility that does not participate in the state STEMI system of care unless there is no other reasonable alternative available.(b) STEMI patients must be transported to the closest appropriate STEMI center or facility as identified in regional and local MCA protocols. In the event of a STEMI bypass, STEMI care must be provided to patients as necessary pursuant to 42 USC 1395dd or other applicable laws.(c) If a STEMI receiving center is not within a reasonable distance from the incident scene, the STEMI patient must be transported to the closest appropriate STEMI referral facility.(d) Each regional STEMI system shall make appropriate determinations for STEMI patient destination based on what is best for the patient.(e) In areas of the state close to state borders, the most appropriate STEMI center or facility may be out of the state. If possible, transport STEMI patients within state borders. Local protocols must address this issue.Mich. Admin. Code R. 330.212
2023 MR 22, Eff. 11/9/2023