Section 1250.1840  Accessibility of Service

a)         Criteria #1:  Do facilities providing the service have referral agreements with facilities which do not provide the service?

b)         Standard #1:  Facilities providing cardiac catheterization should have referral agreements with area hospitals not offering such services.

c)         Data Factors:  Referral Agreements.

d)         Criteria #2:  Do facilities providing such services have referral agreements for the transfer of patients for cardiac surgery if such is not available on site?

e)         Standard #1:  All facilities performing cardiac catheterization which do not perform cardiac surgery (open heart) must have referral agreements and policies for the transfer of patients requiring such surgery.

f)          Data Factors:

1)         Existing referral patterns.

2)         Location of Cardiac Catheterization services.

3)         Location of Cardiac Surgery (open heart) programs.

4)         Existing referral agreements.

5)         Acceptance of results of catheterization from referral institution.