Regulations, Forms & Resources
Overview
Missouri has enacted laws that create the Time Critical Diagnosis System through which emergency medical care is provided for patients who experience trauma, stroke, or STEMI, a potentially fatal form of heart attack. All of these conditions require quick assessment, diagnosis and treatment by a facility that can provide timely, definitive care to minimize risk for preventable complications and death.
The Time Critical Diagnosis System and a sustained effort by partners throughout the state will improve health outcomes for Missourians who suffer acute trauma, stroke, or ST-segment elevation myocardial infarction through the Time Critical Diagnosis system.
Archive
- General
- Reports
- Fact Sheet
- Frequently Asked Questions
- Work Groups
- Stroke and STEMI Implementation
- Trauma Task Force
Resources and Publications
- TCD Conference 1-23-13 Presentation by Samar Muzaffar
- Presentation Resources
- EMTALA Presentation-06-13-2012
- Missouri Emergency Medical Care System Time Critical Diagnosis Resources
- Stroke Reviewers Education - 2013
Emergency Medical Services
Regulations
The DHSS Bureau of Hospital Standards is pleased to announce that the date for Missouri Time Critical Diagnosis (TCD) Stroke STEMI application acceptance has been determined. All STEMI Centers that wish to become designated as a TCD STEMI Center may submit their completed application and documentation beginning Monday, February 23, 2015. This may be accomplished by mailing, faxing, or emailing the application and accompanying documents. Once received, the application(s) will be reviewed. If an application contains any omissions, the STEMI Center will be contacted regarding the missing information. After an application has been confirmed as complete, the STEMI Center will be contacted to arrange a date for the review.
The DHSS Bureau of Hospital Standards is pleased to announce that the date for Missouri Time Critical Diagnosis (TCD) Stroke Center application acceptance has been determined. All Stroke Centers that wish to become designated as a TCD Stroke Center may submit theircompleted application and documentation beginning Thursday, August 15, 2013. This may be accomplished by mailing, faxing, or emailing the application and accompanying documents. Once received, the application(s) will be reviewed. If an application contains any omissions, the Stroke Center will be contacted regarding the missing information. After an application has been confirmed as complete, the Stroke Center will be contacted to arrange a date for the review.
All applications and correspondence should be sent care of TCD System at Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 or TCD@health.mo.gov.
- Current Trauma Regulations
- MO 580-1628 (R. 08/07) Trauma Center Application - Fillable
- Application for Trauma Certified Hospital Designation (Alternative Pathway) - Fillable
- STEMI Regulations (Final Effective 6-30-2013)
- STEMI Data Elements
- STEMI Definitions (Final Effective 6-30-2013)
- STEMI Center Application - Fillable
- Application for STEMI Certified Hospital Designation (Alternate Pathway) - Fillable
- Recommendations for Counting PCIs (added 3-19-2010) (Guidelines only, not for regulations)
- Stroke Regulations (Final Effective 2-28-2018)
- Stroke Data Elements
- Stroke Center Application and Instructions pages 56-62 (Final Effective 2-28-2018)
- Stroke Center Application - Fillable
- Application for Stroke Certified Hospital Designation (Alternate Pathway) - Fillable (Final Effective 2-28-2018)
- Transport Protocol for Stroke and STEMI Patients (Final)
- Definitions for Stroke and STEMI Transport Protocols (Final)
- Community Plan for Emergency Medical Services, Trauma, STEMI and Stroke (Final)
Comments or questions should be forwarded to the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 or by e-mail, care of TCD@health.mo.gov.