8
(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.
R 330.207 Triage and transport.
Rule 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.