TITLE 7               HEALTH



                                (STEMI) RECEIVING AND REFERRING CENTERS               ISSUING AGENCY:  New Mexico Department of Health, Epidemiology and Response Division, Emergency Medical Systems Bureau.

[ NMAC - N, 8/15/14]               SCOPE:  These rules apply to New Mexico acute care hospitals that seek to be accredited or become accredited as a STEMI receiving or referring center by the society of cardiovascular patient care or another nationally recognized and Department of Health approved organization that provides such accreditation. 

[ NMAC - N, 8/15/14]               STATUTORY AUTHORITY:  These rules are promulgated pursuant to the following statutory authorities: 1) the New Mexico Department of Health Act, Subsection E of NMSA 1978, Section 9-7-6, which authorizes the secretary of the department of health to “make and adopt such reasonable and procedural rules and regulations as may be necessary to carry out the duties of the department and its divisions,” and 2) the Emergency Medical Services Act, NMSA 1978, Section 24-10B-4 (“Certification of STEMI receiving and referring centers”).

[ NMAC - N, 8/15/14]               DURATION:  Permanent.

[ NMAC - N, 8/15/14]               EFFECTIVE DATE:  August 15, 2014, unless a later date is cited at the end of a section.

[ NMAC - N, 8/15/14]               OBJECTIVE:  These rules are intended to establish the requirements necessary for acute care hospitals to be certified as STEMI receiving or referring centers.  Additionally, the rule intends to identify incentives for participation in a STEMI registry, as well as assist and encourage STEMI receiving centers to enter into coordinated care agreements with STEMI referring centers and other health care facilities throughout the state to provide appropriate access to care for acute heart attack patients.

[ NMAC - N, 8/15/14]               DEFINITIONS:  Unless a different meaning is plainly required by the context, the following words and phrases used in these regulations shall have the meanings indicated.

                A.            “Accredited” means a process of validation by an organization recognized by the department.

                B.            “Acute care hospital” means a facility with an emergency department and physicians(s) available, licensed under state statute, or a comparable facility operated by the federal government or located and licensed by another state.

                C.            “Bureau” means the EMS bureau of the epidemiology and response division of the department of health.

                D.            “Certified” means a formal determination by the department that an acute care facility has met the standards necessary for national accreditation, including functioning in a STEMI and other heart attack care system, and capable of providing special resources and care as a STEMI receiving or STEMI referring center.

                E.            “Department” means the New Mexico department of health.

                F.            “Recognized” means written acknowledgement by the bureau.

                G.            “Registry” means a bureau approved database which documents and integrates medical and system information related to the provision of STEMI and other heart attack care by acute care hospital facilities.

                H.            “STEMI” means ST segment elevation myocardial infarction, a common type of heart attack caused by a blocked artery that supplies blood to the heart muscle.


                A.            Funding for data submission:  The department will, depending on availability of funds and based on guidelines approved by the department and administered by the bureau, provide limited financial assistance to acute care hospitals providing STEMI and other heart attack care data to the approved registry data platform, and allowing department access to that data.   This funding is provided to defray licensing costs associated with the submission of data to the approved data platform.  Participation in data submission to the registry is required to be eligible for funds.  Acute care hospitals designated or seeking designation as STEMI receiving or referring centers must report data to the department approved data platform that is consistent with nationally recognized guidelines on the treatment of individuals with confirmed STEMI or other heart attack.

                B.            Data platform:  The department of health shall approve a single data platform, to which data is submitted by each hospital, and maintain a statewide STEMI heart attack database that compiles information and statistics on heart attack care through this data platform.

[ NMAC - N, 8/15/14]

                                      STEMI receiving or referring center certification:  The department shall certify an acute care hospital as a STEMI receiving center or STEMI referring center if that hospital has been accredited as a STEMI receiving center or STEMI referring center by the society of cardiovascular patient care or another nationally recognized organization approved by the department of health that provides STEMI receiving or referring accreditation. The department shall post information regarding certification on the department's web site. If a hospital loses its national accreditation as a STEMI receiving center or STEMI referring center, the secretary shall revoke the hospital's certification.

[ NMAC - N, 8/15/14]             STEMI Heart attack system development and improvement:  To every extent possible, the department of health will:

                A.            Facilitate the communication and analysis of information and data between the department, acute care hospitals, emergency medical services, and other care providers regarding ways to improve the quality of care for heart attack patients.

                B.            Establish a STEMI and heart attack data oversight process, and implement a plan for continuous quality improvement in the quality of care provided to heart attack patients statewide based on STEMI and other data sources, which will include:

                    (1)     analyzing data generated by the registry on STEMI heart attack response and treatment;

                    (2)     identifying potential interventions to improve STEMI heart attack care in the prehospital and acute care hospital settings throughout the state, and based on guidelines approved by the department and administered by the bureau, provide limited financial assistance depending on availability of funds; and

                    (3)     assuring that data reported under section NMAC shall be made available to requesting entities that have responsibility for the management and administration of services that provide prehospital and acute hospital care of heart attack patients.

[ NMAC - N, 8/15/14]