Section 16.02.01.010 - DEFINITIONS01.Department. The Idaho Department of Health and Welfare.02.EMS Agency. Any organization licensed by the Department under Sections 56-1011 through 56-1023, Idaho Code, and IDAPA 16.01.03, "Emergency Medical Services (EMS) - Agency Licensing Requirements," that operates an air medical service, ambulance service, or non-transport service.03.Facility. A health care organization that is voluntarily seeking designation from the Idaho TSE Council. A facility may be any of the following: a. Center as designated by the Idaho TSE Council.b. Freestanding emergency department:i. Owned by a hospital with a dedicated emergency department;ii. Located within thirty-five (35) miles of the hospital that owns or controls it;iii. Provides emergency services twenty-four (24) hours per day, seven (7) days per week on an outpatient basis;iv. Physically separate from a hospital; andv. Meets the staffing and service requirements in IDAPA 16.03.14, "Hospitals."c. Hospital as defined in Section 39-1301, Idaho Code.d. A health care clinic in a rural area that is located more than thirty-five (35) miles from a hospital via maintained roads and can provide emergency care to patients.04.Heart Attack. STEMI, a common name for ST-elevation myocardial infarction, is a more precise definition for a type of heart attack caused by a prolonged period of blocked blood supply that affects a large area of the heart and has a substantial risk of death or disability calling for a quick response.05.Idaho Time Sensitive Emergency (TSE) System Council. The Idaho TSE System Council established in Section 56-1027, Idaho Code.06.National Accrediting Body. An organization whose standards criteria is recognized by the Idaho TSE System Council and verifies compliance with those standards.07.Regional Time Sensitive Emergency (TSE) Committee. An Idaho regional TSE committee established under Section 56-1030, Idaho Code.08.STEMI. STEMI is an ST segment elevation myocardial infarction that is a particular type of heart attack, or MI (myocardial infarction), that is caused by a prolonged period of blocked blood supply. It affects a large area of the heart muscle, and so causes changes on the ECG as well as in blood levels of key chemical markers. This is considered a major heart attack and is referred to in medical shorthand as a STEMI.09.Stroke. An interruption of blood flow to the brain causing paralysis, slurred speech, or altered brain function usually caused by a blockage in a blood vessel that carries blood to the brain (ischemic stroke) or by a blood vessel bursting (hemorrhagic stroke).10.Time Sensitive Emergency (TSE). Time sensitive emergencies specifically for this chapter of rules are trauma, stroke, and heart attack.11.Trauma. The result of an act or event that damages, harms, or hurts a human being resulting in intentional or unintentional damage to the body resulting from acute exposure to mechanical, thermal, electrical, or chemical energy, or from the absence of such essentials as heat or oxygen.12.TSE-Designated Center. A facility that has voluntarily applied for TSE designation, has met designation criteria, remains in compliance with the designation criteria of these rules, and that the TSE Council has designated as one (1) or more of the following: a. Level I Trauma Center;b. Level II Trauma Center;c. Level III Trauma Center;d. Level IV Trauma Center;e. Level V Trauma Center;f. Pediatric Level I Trauma Center; org. Pediatric Level II Trauma Center;h. Level I Stroke Center (Comprehensive);i. Level II+ Stroke Center (Thrombectomy Capable);j. Level II Stroke Center (Primary); ork. Level III Stroke Center (Acute Stroke Ready);l. Level I+ STEMI Center (Cardiogenic Shock Capable);m. Level I STEMI Center (Heart Attack Receiving); orn. Level II STEMI Center (Heart Attack Referring).13.TSE Registry. The population-based data system defined under Section 57-2003, Idaho Code.14.TSE System. An organized statewide approach to treating trauma, stroke, and heart attack patients that establishes and promotes standards for patient transportation, equipment, and information analysis for effective and coordinated TSE care.Idaho Admin. Code r. 16.02.01.010