Section R. 330.255 - Stroke center verification; designation and re-designationRule 5.
(1) A healthcare facility that intends to hold itself out to provide stroke care shall not self-designate itself as a stroke center, advertise, or otherwise describe itself as a "designated stroke center" without obtaining and maintaining a designation from the department. Facilities that are not designated by the department will be noted as a non-designated healthcare facility.(2) The department shall re-designate the stroke care capabilities of each stroke center based on verification and designation requirements in effect when the re-designation takes place.(3) To obtain designation as a stroke center, the healthcare facility shall apply to the department. A healthcare facility has a right to an administrative hearing if denied a specific stroke center level designation.(4) The department shall designate the existing stroke care resources of all participating healthcare facilities in this state, based on the following categories: (a) A level I or comprehensive stroke center shall provide evidence of current certification by a department-approved, CMS-recognized professional certifying organization that the healthcare facility has the resources required to be certified as meeting all the criteria, or subsequent equivalent certification as approved by the department, with the advice of the stroke advisory subcommittee, for an accredited comprehensive stroke center under R 330.254(1)(e). All the following apply to a level I stroke center: (i) Comply with data submission requirements in R 330.258 and R 330.259.(ii) Participate in coordinating and implementing regional stroke risk reduction plans.(iii) Participate in the regional performance improvement process.(iv) Provide staff assistance to the department for the designation and verification process of stroke centers when applicable under R 330.254(1)(e).(b) A level II or thrombectomy capable stroke center shall provide evidence of current certification by a department-approved, CMS-recognized professional certifying organization that the healthcare facility has the resources required to be certified as meeting all the criteria, or subsequent equivalent certification as approved by the department with the advice of the stroke advisory subcommittee, for a certified thrombectomy capable stroke center under R 330.254 (1)(e), and all the following:(i) Comply with data submission requirements in R 330.258 and R 330.259.(ii) Participate in coordinating and implementing regional stroke risk reduction plans.(iii) Participate in the regional performance improvement process.(iv) Provide staff assistance to the department for the designation and verification process of stroke centers when applicable under R 330.254(1)(e).(c) A level III or primary stroke center shall provide current certification by a department-approved, CMS-recognized professional certifying organization that the healthcare facility has the resources required to be certified as meeting all the criteria, or subsequent equivalent certification as approved by the department with the advice of the stroke advisory subcommittee, for a certified primary stroke center under R 330.254(1)(e), and all the following:(i) Comply with data submission requirements in R 330.258 and R 330.259.(ii) Participate in coordinating and implementing regional stroke risk reduction plans.(iii) Participate in the regional performance improvement process.(d) A level IV or acute stroke ready hospital stroke center shall provide current certification by a department-approved, CMS-recognized professional certifying organization that the healthcare facility has the resources required to be certified as meeting all the criteria, or subsequent equivalent certification as approved by the department with the advice of stroke advisory subcommittee, for a certified acute stroke ready hospital under R 330.254(1)(e). All the following apply to the level IV stroke center: (i) Comply with data submission requirements in R 330.258 and R 330.259.(ii) Participate in coordinating and implementing regional stroke risk reduction plans.(iii) Participate in the regional performance improvement process.(5) Healthcare facilities wishing to be re-designated as a level I or comprehensive stroke center shall independently obtain certification by a department-approved, CMS-recognized professional certifying organization at that level, and comply with the standards under R 330.254(1)(e), and all the following:(a) Comply with data submission requirements in R 330.258 and R 330.259.(b) Participate in coordinating and implementing regional stroke risk reduction plans.(c) Participate in the regional performance improvement process.(d) Provide staff assistance to the department for the designation and verification process of stroke centers when applicable under R 330.254(1)(e).(6) Healthcare facilities wishing to be re-designated as a level II or thrombectomy capable stroke center shall independently obtain certification by a department-approved, CMS- recognized professional certifying organization at that level, and comply with the standards under R 330.254(1)(e) and all of the following: (a) Comply with data submission requirements in R 330.258 and R 330.259.(b) Participate in coordinating and implementing regional stroke risk reduction plans.(c) Participate in the regional performance improvement process.(d) Provide staff assistance to the department for the designation and verification process of stroke centers when applicable under R 330.254(1)(e).(7) Healthcare facilities wishing to be re-designated as a level III or primary stroke center shall independently obtain certification by a department-approved, CMS-recognized professional certifying organization at that level and comply with the standards under R 330.254(1)(e), and the following:(a) Comply with data submission requirements in R 330.258 and R 330.259.(b) Participate in coordinating and implementing regional stroke risk reduction plans.(c) Participate in the regional performance improvement process.(8) Healthcare facilities wishing to be re-designated as a level IV or acute stroke ready stroke center shall independently obtain certification by a department-approved CMS recognized professional certifying organization at that level and comply with the under R 330.254 (1)(e), and the following: (a) Comply with data submission requirements in R 330.258 and R 330.259.(b) Participate in coordinating and implementing regional stroke risk reduction plans.(c) Participate in the regional performance improvement process.(9) A hospital may apply to the department for a one-time, temporary-time limited status as a provisional stroke center by submitting an application that includes evidence that the hospital meets the department-approved criteria for a provisional stroke center at the level that the hospital is applying. A hospital applying for provisional stroke center status requires the recommendation of the stroke network system and notification to the statewide stroke advisory committee.(10) The department may, with the advice and recommendations of the statewide stroke care advisory committee and state EMS coordination committee, modify the criteria or establish additional levels of stroke care resources as appropriate to maintain an effective state stroke 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 stroke center level of designation under these rules.Mich. Admin. Code R. 330.255
2023 MR 21, Eff. 11/6/2023