Public Act 099-0828
 
SB2403 EnrolledLRB099 18409 MJP 42785 b


  
    AN ACT concerning regulation.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  

  
 
    Section 1. This Act may be referred to as Gabby's Law.
 
    Section 5. The Department of Public Health Powers and 
Duties Law of the
Civil Administrative Code of Illinois is 
amended  by adding Section 2310-314 as follows:
 
    (20 ILCS 2310/2310-314 new)
    Sec. 2310-314. Sepsis screening protocols. The Department 
shall adopt rules to implement Section 6.23a of the Hospital 
Licensing Act.
 
    Section 10. The Hospital Licensing Act is amended  by adding 
Section 6.23a as follows:
 
    (210 ILCS 85/6.23a new)
    Sec. 6.23a. Sepsis screening protocols.
    (a) Each hospital shall adopt, implement, and periodically 
update evidence-based protocols for the early recognition and 
treatment of patients with sepsis, severe sepsis, or septic 
shock (sepsis protocols) that are based on generally accepted 
standards of care. Sepsis protocols must include components 
specific to the identification, care, and treatment of adults 
and of children, and must clearly identify where and when 
components will differ for adults and for children seeking 
treatment in the emergency department or as an inpatient. These 
protocols must also include the following components:
        (1) a process for the screening and early recognition 
    of patients with sepsis, severe sepsis, or septic shock;
        (2) a process to identify and document individuals 
    appropriate for treatment through sepsis protocols, 
    including explicit criteria defining those patients who 
    should be excluded from the protocols, such as patients 
    with certain clinical conditions or who have elected 
    palliative care;
        (3) guidelines for hemodynamic support with explicit 
    physiologic and treatment goals, methodology for invasive 
    or non-invasive hemodynamic monitoring, and timeframe 
    goals;
        (4) for infants and children, guidelines for fluid 
    resuscitation consistent with current, evidence-based 
    guidelines for severe sepsis and septic shock with defined 
    therapeutic goals for children;
        (5) identification of the infectious source and 
    delivery of early broad spectrum antibiotics with timely 
    re-evaluation to adjust to narrow spectrum antibiotics 
    targeted to identified infectious sources; and
        (6) criteria for use, based on accepted evidence of 
    vasoactive agents.
    (b) Each hospital shall ensure that professional staff with 
direct patient care responsibilities and, as appropriate, 
staff with indirect patient care responsibilities, including, 
but not limited to, laboratory and pharmacy staff, are 
periodically trained to implement the sepsis protocols 
required under subsection (a). The hospital shall ensure 
updated training of staff if the hospital initiates substantive 
changes to the sepsis protocols.
    (c) Each hospital shall be responsible for the collection 
and utilization of quality measures related to the recognition 
and treatment of severe sepsis for purposes of internal quality 
improvement.
    (d) The evidence-based protocols adopted under this 
Section shall be provided to the Department upon the 
Department's request.
    (e) Hospitals submitting sepsis data as required by the 
Centers for Medicare and Medicaid Services Hospital Inpatient 
Quality Reporting program as of fiscal year 2016 are presumed 
to meet the sepsis protocol requirements outlined in this 
Section.
    (f) Subject to appropriation, the Department shall:
        (1) recommend evidence-based sepsis definitions and 
    metrics that incorporate evidence-based findings, 
    including appropriate antibiotic stewardship, and that 
    align with the National Quality Forum, the Centers for 
    Medicare and Medicaid Services, the Agency for Healthcare 
    Research and Quality, and the Joint Commission;
        (2) establish and use a methodology for collecting, 
    analyzing, and disclosing the information collected under 
    this Section, including collection methods, formatting, 
    and methods and means for aggregate data release and 
    dissemination;
        (3) complete a digest of efforts and recommendations no 
    later than 12 months after the effective date of this 
    amendatory Act of the 99th General Assembly; the digest may 
    include Illinois-specific data, trends, conditions, or 
    other clinical factors; a summary shall be provided to the 
    Governor and General Assembly and shall be publicly 
    available on the Department's website; and
        (4) consult and seek input and feedback prior to the 
    proposal, publication, or issuance of any guidance, 
    methodologies, metrics, rulemaking, or any other 
    information authorized under this Section from statewide 
    organizations representing hospitals, physicians, advanced 
    practice nurses, pharmacists, and long-term care 
    facilities. Public and private hospitals, epidemiologists, 
    infection prevention professionals, health care 
    informatics and health care data professionals, and 
    academic researchers may be consulted. 
    If the Department receives an appropriation and carries out 
the requirements of paragraphs (1), (2), (3), and (4), then the 
Department may adopt rules concerning the collection of data 
from hospitals regarding sepsis and requiring that each 
hospital shall be responsible for reporting to the Department.
    Any publicly released hospital-specific information under 
this Section is subject to data provisions specified in Section 
25 of the Hospital Report Card Act. 


 
    Section 99. Effective date. This Act takes effect upon 
becoming law.