105 CMR, § 130.1401

Current through Register 1533, October 25, 2024

Section 130.1401 - Definitions Applicable to 105 CMR 130.1401 Through 130.1413

Acute Hemorrhagic Stroke (a Subtype of Acute Stroke). The relatively rapid onset of a focal neurological deficit with signs or symptoms persisting longer than 24 hours and not attributable to another disease process. Initial CT/MRI may show evidence of acute brain hemorrhage (either intracerebral or subarachnoid blood) or no evidence of blood on imaging in the presence of blood in the subarachnoid space by lumbar puncture.

Acute Ischemic Stroke (a Subtype of Acute Stroke). The relatively rapid onset of a focal neurological deficit with signs or symptoms persisting longer than 24 hours and not attributable to another disease process. Initial CT/MRI may show evidence of acute ischemic changes or no evidence of stroke.

Acute Stroke. The relatively rapid onset of a focal neurological deficit with signs or symptoms persisting longer than 24 hours and not attributable to another disease process. Acute stroke includes both ischemic and hemorrhagic stroke, and requires brain imaging to define the stroke subtype.

Acute Stroke Expertise. At least two of the following:

(1) completion of a stroke fellowship;

(2) participation (as an attendee or faculty) in at least two regional, national, or international stroke courses or conferences each year;

(3) eight or more continuing medical education (CME) credits each year in the area of cerebrovascular disease; or

(4) other criteria approved by the governing body of the hospital.

Acute Stroke Team. Physician(s) and other health care professionals, e.g., nurse, physician's assistant, or nurse practitioner, with acute stroke expertise available for prompt consultation consistent with time targets acceptable to the Department.

Primary Stroke Service. Emergency diagnostic and therapeutic services provided by a multidisciplinary team and available 24 hours per day, seven days per week to patients presenting with symptoms of acute stroke.

Time Targets. Time frames established by the Department in guidelines regarding Primary Stroke Services.

105 CMR, § 130.1401

Amended by Mass Register Issue 1343, eff. 4/7/2017.