North Dakota Code § 23-47-02

Acute cardiovascular emergency medical system - Duties of department
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1. Following consultation with and receipt of a recommendation of the acute 
cardiovascular emergency medical system of care advisory committee, the department 
shall establish and maintain a comprehensive emergency cardiovascular medical 
system for the state. The system must include standards for the following components:
a. A system plan.
b. Prehospital emergency medical services.
c. Hospitals, for which the standards must include:
(1) Standards for designation, redesignation, and dedesignation of receiving 
and referring centers.
(2) Standards for evaluation and quality improvement programs for designated 
centers.
(3) Recognition of a hospital as a STEMI receiving center or as a STEMI 
referring center. In making such recognition, the standards must include 
consideration of whether the hospital is:
(a) Accredited as a mission: lifeline STEMI receiving center or mission: 
lifeline STEMI referring center by the society of cardiovascular patient 
care and the American heart association accreditation process; or
(b) Accredited by a department-approved, nationally recognized 
organization that provides mission: lifeline STEMI receiving center and 
mission: lifeline STEMI referring center accreditation or a substantive 
equivalent.
d. System registries, for which the components must include a plan for achieving 
continuous quality improvement in the quality of care provided under the 
statewide system, including for STEMI response and treatment.
(1) In implementing this plan, the department shall maintain a statewide STEMI 
heart attack database that aggregates information and statistics on heart 
attack care.
(2) To the extent possible, the department shall coordinate with national 
voluntary health organizations involved in STEMI heart attack quality 
improvement to avoid duplication and redundancy.
(3) Designated receiving centers shall participate in the registry.
2. The proceedings and records of the program are not subject to subpoena, discovery, 
or introduction into evidence in any civil action arising out of any matter that is the 
subject of consideration by the program.

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