Cal. Code Regs. tit. 22 § 100270.126

Current through Register 2024 Notice Reg. No. 49, December 6, 2024

Section 100270.126 - [Operative until 1/1/2025] Data Management

(a) The local EMS agency shall implement a standardized data collection and reporting process for a STEMI critical care system.

(b) The system shall include the collection of both prehospital and hospital patient care data, as determined by the local EMS agency.

(c) The prehospital STEMI patient care elements selected by the local EMS agency shall be compliant with the most current version of the California EMS Information Systems (CEMSIS) database, and the National EMS Information System (NEMSIS).

(d) All hospitals that receive STEMI patients via EMS shall participate in the local EMS agency data collection process in accordance with local EMS agency policies and procedures.

(e) The prehospital care record and the hospital data elements shall be collected and submitted to the local EMS agency, and subsequently to the EMS Authority, on no less than a quarterly basis and shall include, but not be limited to, the following:

(1) The STEMI patient data elements:

(A) EMS ePCR Number.

(B) Facility.

(C) Name: Last, First.

(D) Date of Birth.

(E) Patient Age.

(F) Patient Gender.

(G) Patient Race.

(H) Hospital Arrival Date.

(I) Hospital Arrival Time.

(J) Dispatch Date.

(K) Dispatch Time.

(L) Field ECG Performed.

(M) 1st ECG Date.

(N) 1st ECG Time.

(O) Did the patient suffer out-of-hospital cardiac arrest.

(P) CATH LAB Activated.

(Q) CATH LAB Activation Date.

(R) CATH LAB Activation Time.

(S) Did the patient go to the CATH LAB.

(T) CATH LAB Arrival Date.

(U) CATH LAB Arrival Time.

(V) PCI Performed.

(W) PCI Date.

(X) PCI Time.

(Y) Fibrinolytic Infusion.

(Z) Fibrinolytic Infusion Date.

(AA) Fibrinolytic Infusion Time.

(BB) Transfer.

(CC) SRH ED Arrival Date.

(DD) SRH ED Arrival Time.

(EE) SRH ED Departure Date.

(FF) SRH ED Departure Time.

(GG) Hospital Discharge Date.

(HH) Patient Outcome:

(II) Primary and Secondary Discharge Diagnosis.

(2) The STEMI System data elements:

(A) Number of STEMIs treated.

(B) Number of STEMI patients transferred.

(C) Number and percent of emergency department STEMI patients arriving by private transport (non-EMS).

(D) The false positive rate of EMS diagnosis of STEMI, defined as the percentage of STEMI alerts by EMS which did not show STEMI on ECG reading by the emergency physician.

Cal. Code Regs. Tit. 22, § 100270.126

1. New article 5 (sections 100270.126-100270.127) and section filed 4-19-2019; operative 7-1-2019 (Register 2019, No. 16).

Note: Authority cited: Sections 1791.102, 1797.103, 1797.107, 1797.176, 1797.204, 1797.220, 1798.150 and 1798.172, Health and Safety Code. Reference: Sections 1797.220, 1797.222 and 1797.204, Health and Safety Code.

1. New article 5 (sections 100270.126-100270.127) and section filed 4-19-2019; operative 7/1/2019 (Register 2019, No. 16).

The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.