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. Author manuscript; available in PMC: 2025 Mar 5.
Published in final edited form as: J Stroke Cerebrovasc Dis. 2024 Dec 5;34(2):108174. doi: 10.1016/j.jstrokecerebrovasdis.2024.108174

Table 2.

Distribution of Level of Prescriptiveness of Stroke Systems of Care Laws, 2018

Laws Prescriptiveness
Required Required in some circumstances Authorized Silent
EMS Care Laws
 EMS triage/ground transportation 13 0 7 31
 EMS pre-notification 3 0 3 45
 EMS stroke standardized tools 12 0 1 38
 CQI for EMSS 7 0 4 40
Hospital Care Laws
 CSC certification 26 0 4 21
 PSC certification 28 0 4 19
 ASRH certification 21 0 2 28
 Inter-facility transfer agreements 6 9 3 33
 CQI for stroke centers 6 2 7 36

Note: CSC = Comprehensive Stroke Center; PSC = Primary Stroke Center; ASRH = Acute Stroke Ready Hospital; EMS = Emergency Medical Services; EMSS = EMS System; CQI = Continuous Quality Improvement.