North Dakota Code § 23-43-05

Stroke system of care task force
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1. The department of health and human services shall establish a stroke system of care 
task force to address matters of triage, treatment, and transport of possible acute 
stroke patients. The stroke system of care task force must include representation from 
the department of health and human services, the emergency medical services 
advisory council, the university of North Dakota's center for rural health, the American 
stroke association or similar entity, comprehensive stroke centers, primary stroke 
centers, rural hospitals, physicians, and emergency medical services operations.
2. The task force shall implement the regulations necessary to establish an effective 
stroke system of care in the state, with a focus on serving rural areas. The regulations 
must include protocols for the assessment, stabilization, and appropriate routing of 
stroke patients by emergency medical services operations, and for coordination and 
communication between hospitals, comprehensive stroke centers, primary stroke 
centers, and other support services necessary to assure all residents have access to 
effective and efficient stroke care.
3. The stroke system of care task force shall make recommendations to the department 
of health and human services. Upon receiving such recommendations, the department 
of health and human services may adopt rules implementing the recommendations.

4. As used in this subsection, "telemedicine services" means the use of interactive audio, 
video, and other electronic media used for the purpose of diagnosis, consultation, or 
treatment of acute stroke. The stroke system of care task force shall recommend 
eligible essential health care services for acute stroke care provided through 
telemedicine services.

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