Md. Code Regs. 30.08.14.02

Current through Register Vol. 51, No. 25, December 13, 2024

Section 30.08.14.02 - Organization

A. A hand and upper extremity trauma center shall:

(1) Be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located;

(2) Be accredited by the Joint Commission on Accreditation of Health Care Organizations with a designated hand surgery service;

(3) Have an emergency department which offers comprehensive emergency care 24 hours a day with:

(a) At least one physician experienced in emergency care on duty in the emergency care area; and

(b) In-hospital physician coverage by members of the medical staff or by senior-level residents who are postgraduate year 3 or higher for the following services:

(i) Medical;

(ii) Surgical;

(iii) Orthopedic; and

(iv) Anesthesia;

(4) Have a resolution adopted by the Board of Directors of the hospital committing the hospital to:

(a) Participate in State and regional emergency medical services; and

(b) Maintain the infrastructure necessary to support the hospital's provision of state-of-the-art hand and upper extremity trauma care including the following resources necessary to the provision of such service:

(i) Financial;

(ii) Human; and

(iii) Physical.

B. The hand and upper extremity trauma center shall have:

(1) A medical director;

(2) Appropriately educated nurse leaders and clinical staff to provide care for hand and upper extremity trauma patients;

(3) A fellowship training program in hand surgery accredited by the ACGME;

(4) A comprehensive post-trauma rehabilitation program accredited by CARF;

(5) A quality improvement program which participates in State and regional emergency medical services quality management;

(6) An educational program for physicians, nurses, and therapists who treat trauma patients with single system upper extremity trauma;

(7) A policy committee that oversees the activities of the hand and upper extremity trauma center;

(8) An internal morbidity and mortality conference scheduled to meet at least monthly to record and discuss any complications;

(9) A maintained hand registry; and

(10) Timely submission of data to the MIEMSS State trauma registry.

Md. Code Regs. 30.08.14.02