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PO Box 360
Trenton, NJ 08625-0360
|Fred M. Jacobs, M.D., J.D.|
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The Office of Certificate of Need and Healthcare Facility Licensure in the Health Facilities and Licensing Division of the Senior Services and Health Systems Branch of the Department of Health and Senior Services proposes to amend N.J.A.C. 8:43G-7A governing the designation of stroke centers.
During the public comment period for the rulemaking to adopt N.J.A.C. 8:43G-7A (38 N.J.R. 91(a)), the Department received comments from 17 physicians opposed to the proposal to allow residents to interpret neuro-imaging studies of suspected stroke patients provided that these residents are interpreting these studies as part of their training in an approved radiology training program. The Department also received comment opposing the proposal to require that neuro-interventional procedures be performed within 20 minutes following order entry.
The Department agreed that it would be appropriate to require that the interpretation of neuro-imaging studies by residents be with the concurrence of a board-certified radiologist or board-certified neurologist, and that a reasonable standard for the performance of neuro-interventional procedures would be 60 minutes following order entry. However, the Department did not make these substantive amendments upon adoption of N.J.A.C. 8:43G-7A because they would have effectively destroyed the value of the original notice of proposal.
The Department proposes to amend N.J.A.C. 8:43G-7A.3(a)3 to require that the interpretation of neuro-imaging studies by residents be with the concurrence of a board-certified radiologist or board-certified neurologist. This proposed amendment would ensure the provision of proper supervision and oversight of resident neuro-imaging interpretation.
The Department also proposes to amend N.J.A.C. 8:43G-7A.7(a)2, to require neuro-interventional procedures to be “performed within 60 minutes following order entry” rather than within 20 minutes following order entry, as is provided in existing N.J.A.C. 8:43G-7A.7(a)2. The experts the Department consulted in response to the comments described above considered the 20-minute standard to be unattainable in many cases. The experts recommended the Department establish 60-minutes as an appropriate standard for performance of these neuro-interventional procedures.
The proposal appears in the February 5, 2006 issue of the New Jersey Register.
The public has until April 6, 2007 to comment on the proposal. Persons wishing to comment on the proposal must submit their comments in writing to John A. Calabria, Director, Office of Certificate of Need and Healthcare Facility Licensure, New Jersey Department of Health and Senior Services,
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Department of Health
P. O. Box 360, Trenton, NJ 08625-0360