rev. 12/2023
Utah Stroke Receiving Facility Application
Process
Hospitals wishing to be voluntarily designated as a Stroke Receiving Facility shall submit a letter of intent to the Utah Department of Health, Bureau of Emergency Medical Services and Preparedness stating interest in designation and request an application for designation as a Stroke Receiving Facility.
Upon receipt of the completed application, the Department shall review the application for completeness and schedule a site visit to the applicant hospital.
The department will review the designation application for continued compliance with elements outlined in the application. Upon completion of the application review, findings will be sent to the hospital administrator and stroke program representatives. Those findings will include the following:
- Hospital Stroke Program Strengths
- Recommendations pertinent to the stroke program application review
A report of those findings and a recommendation will be presented to Utah Department of Health and Human Services (Office of EMS), Executive Director approval or denial of recommendation for designation.
A certificate of designation as a Utah Stroke Receiving Facility will be provided to successful applicants indicating that the hospital has met all required criteria. Utah Stroke Receiving Facility designation shall be for a period of three (3) years from the date of the site visit.
Designated facilities must submit stroke data into the RedCap or Get With The Guidelines (GWTG), database system on a quarterly basis. Stroke data submission must be verified by contacting the Utah Department of Health and Human Services, Office of Emergency Medical Services Health Information and Data Analyst:
Yukiko Yoneoka, Health Informaticist
yyoneoka@utah.gov
Verifycation must be in writting from Patrice Nicholes. Please attach written verifycation while completing the Stroke Designation/Re-designation Application.
The Utah Department of Health, Bureau of Emergency Medical Services and Preparedness will determine data elements required to be reported.
Renewal Designation will commence following submission of a Re-designation Application.
Further questions should be addressed to:
Carl W. Avery, RN, CFRN
Utah Department of Health
carlavery@utah.gov