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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 1. Short title. This Act may be cited as the MRSA | ||||||||||||||||||||||||||
5 | Screening and Reporting Act. | ||||||||||||||||||||||||||
6 | Section 5. Definitions. In this Act: | ||||||||||||||||||||||||||
7 | "MRSA" means methicillin-resistant Staphylococcus aureus. | ||||||||||||||||||||||||||
8 | "MSSA" means methicillin-susceptible Staphylococcus | ||||||||||||||||||||||||||
9 | aureus. | ||||||||||||||||||||||||||
10 | Section 10. MRSA control program. In order to improve the | ||||||||||||||||||||||||||
11 | prevention of hospital-associated bloodstream infections due | ||||||||||||||||||||||||||
12 | to methicillin-resistant Staphylococcus aureus ("MRSA"), every | ||||||||||||||||||||||||||
13 | hospital shall establish an MRSA control program that requires: | ||||||||||||||||||||||||||
14 | (1) Identification of all MRSA-colonized patients in | ||||||||||||||||||||||||||
15 | all intensive care units, and at-risk patients identified | ||||||||||||||||||||||||||
16 | by the hospital, through active surveillance testing. | ||||||||||||||||||||||||||
17 | (2) Isolation of identified MRSA-colonized or | ||||||||||||||||||||||||||
18 | MRSA-infected patients in an appropriate manner. | ||||||||||||||||||||||||||
19 | (3) Strict adherence to hand washing and hygiene | ||||||||||||||||||||||||||
20 | guidelines. | ||||||||||||||||||||||||||
21 | (4) Identification of nosocomial S. aureus bloodstream | ||||||||||||||||||||||||||
22 | infection, recording the total number and the subsets due |
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1 | to MRSA or to MSSA. | ||||||
2 | (5) Maintenance of records and reporting of cases under | ||||||
3 | Section 15 of this Act.
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4 | Section 15. Reports to Department of Public Health. For all | ||||||
5 | patients who are identified with nosocomial S. aureus | ||||||
6 | bloodstream infection or asymptomatic colonization due to MRSA | ||||||
7 | pursuant to Section 10, the Department of Public Health shall | ||||||
8 | require the annual reporting of such cases as a communicable | ||||||
9 | disease or condition. The report shall include the total | ||||||
10 | numbers of all nosocomial S. aureus bloodstream infections as | ||||||
11 | well as subsets due to MRSA or MSSA, defined as those S. aureus | ||||||
12 | bloodstream infections that are acquired during the initial | ||||||
13 | stay in the hospital with onset of symptoms after 72 hours in | ||||||
14 | the hospital or that are present upon readmission to the | ||||||
15 | hospital within 30 days after discharge from the prior stay. | ||||||
16 | The Department shall compile aggregate data from all hospitals | ||||||
17 | for all such patients and shall make such data available on its | ||||||
18 | website and in all reports on health statistics and reportable | ||||||
19 | communicable disease cases in Illinois. | ||||||
20 | Section 90. The Hospital Licensing Act is amended by | ||||||
21 | changing Section 6.08 as follows:
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22 | (210 ILCS 85/6.08) (from Ch. 111 1/2, par. 147.08)
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23 | Sec. 6.08. (a) Every hospital shall provide notification as |
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1 | required in
this Section to police officers, firefighters, | ||||||
2 | emergency
medical technicians, and
ambulance personnel who | ||||||
3 | have provided or are about to provide emergency
care or life | ||||||
4 | support services to a patient who has been diagnosed as having
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5 | a dangerous communicable or infectious disease. Such | ||||||
6 | notification shall
not include the name of the patient, and the | ||||||
7 | emergency services provider
agency and any person receiving | ||||||
8 | such
notification shall treat the information received as a | ||||||
9 | confidential medical
record.
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10 | (b) The Department shall establish by regulation a list of | ||||||
11 | those
communicable reportable diseases and conditions for | ||||||
12 | which an annual report of numbers
notification shall
be | ||||||
13 | required
provided . After the effective date of this amendatory | ||||||
14 | Act of the 95th General Assembly, such reportable diseases and | ||||||
15 | conditions shall include asymptomatic colonization due to | ||||||
16 | methicillin-resistant Staphylococcus aureus (MRSA) and | ||||||
17 | nosocomial Staphylococcus aureus bloodstream infections, both | ||||||
18 | the total number of nosocomial Staphylococcus aureus | ||||||
19 | bloodstream infections and the numbers of nosocomial | ||||||
20 | Staphylococcus aureus bloodstream infections due to MRSA or | ||||||
21 | methicillin-susceptible Staphylococcus aureus (MSSA), listed | ||||||
22 | separately.
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23 | (c) The hospital shall send the letter of notification | ||||||
24 | within 72 hours
after a confirmed diagnosis of any of the | ||||||
25 | communicable diseases listed by
the Department pursuant to | ||||||
26 | subsection (b), except confirmed diagnoses of
Acquired |
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1 | Immunodeficiency Syndrome (AIDS). If there is a confirmed
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2 | diagnosis of AIDS, the hospital shall send the letter of | ||||||
3 | notification only
if the police officers, firefighters, | ||||||
4 | emergency medical
technicians, or ambulance personnel have
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5 | indicated on the ambulance run
sheet that a reasonable | ||||||
6 | possibility exists that they have had blood or body
fluid | ||||||
7 | contact with the patient, or if hospital personnel providing | ||||||
8 | the
notification have reason to know of a possible exposure.
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9 | (d) Notification letters shall be sent to the designated | ||||||
10 | contact at the
municipal or private provider agencies listed on | ||||||
11 | the ambulance run sheet.
Except in municipalities with a | ||||||
12 | population over 1,000,000, a list
attached to the
ambulance run | ||||||
13 | sheet must contain all municipal and private provider
agency
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14 | personnel who have provided any pre-hospital care immediately | ||||||
15 | prior to
transport.
In municipalities with a population over | ||||||
16 | 1,000,000, the
ambulance run sheet must contain the company | ||||||
17 | number or unit
designation number for any fire department | ||||||
18 | personnel who have
provided any pre-hospital care immediately | ||||||
19 | prior to transport.
The letter
shall state the names of crew | ||||||
20 | members listed on
the attachment to
the ambulance
run sheet and | ||||||
21 | the name of the
communicable disease diagnosed, but shall not
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22 | contain the patient's name. Upon receipt of such notification | ||||||
23 | letter, the
applicable private provider agency or the | ||||||
24 | designated infectious disease
control officer of a municipal | ||||||
25 | fire department or fire protection
district shall contact all | ||||||
26 | personnel involved in the pre-hospital or
inter-hospital care |
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1 | and transport of the patient. Such notification letter
may, but | ||||||
2 | is not required to, consist of the following form:
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3 | NOTIFICATION LETTER
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4 | (NAME OF HOSPITAL)
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5 | (ADDRESS)
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6 | TO:...... (Name of Organization)
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7 | FROM:.....(Infection Control Coordinator)
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8 | DATE:.....
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9 | As required by Section 6.08 of the Illinois Hospital | ||||||
10 | Licensing Act,
.....(name of hospital) is hereby providing | ||||||
11 | notification that the following
crew
members or agencies | ||||||
12 | transported or provided pre-hospital care to a patient
on ..... | ||||||
13 | (date), and the transported patient was later
diagnosed as
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14 | having .....(name
of communicable disease): .....(list of crew | ||||||
15 | members). The Hospital
Licensing Act requires you to maintain | ||||||
16 | this information as a confidential
medical record. Disclosure | ||||||
17 | of this information may therefore result in
civil liability for | ||||||
18 | the individual or company breaching the patient's
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19 | confidentiality, or both.
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20 | If you have any questions regarding this patient, please | ||||||
21 | contact me at
.....(telephone number), between .....(hours). | ||||||
22 | Questions regarding exposure
or the financial aspects of | ||||||
23 | obtaining medical care should be directed to your
employer.
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24 | (e) Upon discharge of a patient with a communicable disease | ||||||
25 | to emergency
personnel, the hospital shall notify the emergency | ||||||
26 | personnel of appropriate
precautions against the communicable |
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1 | disease, but shall not identify the
name of the disease.
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2 | (f) The hospital may, in its discretion, take any measures | ||||||
3 | in addition
to those required in this Section to notify
police | ||||||
4 | officers, firefighters,
emergency medical technicians, and | ||||||
5 | ambulance
personnel of possible exposure to any communicable | ||||||
6 | disease. However, in
all cases this information shall be | ||||||
7 | maintained as a confidential medical
record.
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8 | (g) Any person providing or failing to provide notification | ||||||
9 | under the
protocol required by this Section shall have immunity | ||||||
10 | from any liability,
either criminal or civil, that might result | ||||||
11 | by reason of such action or
inaction, unless such action or | ||||||
12 | inaction is willful.
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13 | (h) Any person who willfully fails to provide any | ||||||
14 | notification required
pursuant to an applicable protocol which | ||||||
15 | has been adopted and approved
pursuant to this Section commits | ||||||
16 | a petty offense, and shall be subject
to a fine of $200 for the | ||||||
17 | first offense, and $500 for a second or subsequent
offense.
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18 | (i) Nothing in this Section shall preclude a civil action | ||||||
19 | by a
firefighter,
emergency medical technician, or ambulance | ||||||
20 | crew member against
an emergency services provider
agency, | ||||||
21 | municipal fire department, or fire protection district that | ||||||
22 | fails to
inform the member in a timely
fashion of the
receipt | ||||||
23 | of a notification letter.
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24 | (Source: P.A. 92-363, eff. 1-1-02.)
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