Section R. 330.257 - Stroke care regionsRule 7.
(1) The department, with the advice and recommendations of the statewide stroke care advisory subcommittee and state EMS coordination committee, shall support the establishment and operational activities of the regional stroke system of care through the commitment of resources.(2) Each region shall establish a regional stroke system of care as prescribed by this part.(3) All MCA areas or regions shall participate in the regional stroke care system, and life support agencies that care for stroke patients shall be offered membership on the regional stroke care advisory council. Regional stroke care advisory councils must be operated in a manner that maximizes inclusion of their constituents. The following requirements must be met:(a) Quarterly, a regional stroke system of care shall submit evidence of ongoing activity, such as meeting notices and minutes, to the department. Annually, the regional stroke system of care shall file a report with the department that describes ongoing progress toward regional stroke care plan implementation and includes evidence that members of the regional stroke care advisory council are currently involved in stroke care.(b) The regional stroke system of care shall develop a regional stroke care plan. The plan is subject to review by the statewide stroke care advisory committee and the state EMS coordination committee for recommendation and approval by the department.(c) The department shall review the plan to ensure that it contains at a minimum, all the following: (i) All counties within the regional stroke system are included unless a specific county, or portion thereof, has been aligned within an adjacent system, and all healthcare entities, MCAs, and life support agencies have been given an opportunity to participate in the planning process.(ii) All the following components are addressed:(A) Stroke risk reduction.(C) Regional performance improvement.(4) Each regional stroke system of care shall appoint a RPSRO.(5) Each regional stroke care advisory council shall develop performance improvement plans that are based on standards under R 330.260. The statewide stroke care advisory subcommittee and state EMS coordination committee shall annually review the performance improvement plan and make recommendations to the department.(6) Recommendations developed and proposed for implementation by a regional stroke care advisory council must meet or exceed those that are established by the department, with the advice and recommendations of the statewide stroke care advisory subcommittee and state EMS coordination committee, as based on standards under R 330.254(1)(n) and R 330.254(1)(o).(7) The department shall recognize the regional stroke system once it approves a completed regional stroke plan. The regional stroke system approval process must consist of the following phases: (a) The first phase is the application phase, which begins with the submission to the department of a completed regional plan for the regional stroke system.(b) The second phase is the review phase, which begins after the receipt of the regional plan and ends with a department recommendation to approve the regional stroke system.(c) The third phase is the final phase, with the department making a final decision regarding the regional stroke system plan. This phase also includes an appeal procedure for the denial of an approval of application in accordance with the department's administrative hearings requirements.(8) If the application phase results in a recommendation to the department for approval by the statewide stroke care advisory subcommittee and the state EMS coordination committee, and the department approves, the department shall notify the regional stroke system applicant of recommended action within 90 days after receipt by the department.(9) After approval, a regional stroke care advisory council shall implement the plan to include both the following:(a) Education of all entities about the plan components.(b) On-going review of resources, process, and outcome data.(10) The regional stroke system approval is effective for 3 years.Mich. Admin. Code R. 330.257
2023 MR 21, Eff. 11/6/2023