(1) By January 1, 2011, the department shall endeavor to enhance and support an emergency cardiac and stroke care system through:

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Terms Used In Washington Code 70.168.150

  • Cardiac: means acute coronary syndrome, an umbrella term used to cover any group of clinical symptoms compatible with acute myocardial ischemia, which is chest discomfort or other symptoms due to insufficient blood supply to the heart muscle resulting from coronary artery disease. See Washington Code 70.168.015
  • Department: means the department of health. See Washington Code 70.168.015
  • Hospital: means a facility licensed under chapter 70. See Washington Code 70.168.015
  • Patient care procedures: means written operating guidelines adopted by the regional emergency medical services and trauma care council, in consultation with local emergency medical services and trauma care councils, emergency communication centers, and the emergency medical services medical program director, in accordance with minimum statewide standards. See Washington Code 70.168.015
  • Prehospital: means emergency medical care or transportation rendered to patients prior to hospital admission or during interfacility transfer by licensed ambulance or aid service under chapter 18. See Washington Code 70.168.015
  • Triage: means the sorting of patients in terms of disposition, destination, or priority. See Washington Code 70.168.015
(a) Encouraging hospitals to voluntarily self-identify cardiac and stroke capabilities, indicating which level of cardiac and stroke service the facility provides. Hospital levels must be defined by the previous work of the emergency cardiac and stroke technical advisory committee and must follow the guiding principles and recommendations of the emergency cardiac and stroke work group report;
(b) Giving a hospital “deemed status” and designating it as a primary stroke center if it has received a certification of distinction for primary stroke centers issued by the nonprofit organization known as the joint commission. When available, a hospital shall demonstrate its cardiac or stroke level through external, national certifying organizations, including, but not limited to, primary stroke center certification by the joint commission; and
(c) Within the current authority of the department, adopting cardiac and stroke prehospital patient care protocols, patient care procedures, and triage tools, consistent with the guiding principles and recommendations of the emergency cardiac and stroke work group report.
(2) A hospital that voluntarily participates in the system:
(a) Shall participate in internal, as well as regional, quality improvement activities;
(b) Shall participate in a national, state, or local data collection system that measures cardiac and stroke system performance from patient onset of symptoms to treatment or intervention, and includes, at a minimum, the nationally recognized consensus measures for stroke; and
(c) May advertise participation in the system, but may not claim a verified certification level unless verified by an external, nationally recognized, evidence-based certifying body as provided in subsection (1)(b) of this section.

NOTES:

FindingsIntent2010 c 52: See note following RCW 70.168.015.