HB2244 Enrolled LRB096 07994 KTG 18098 b

1     AN ACT concerning public health.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The State Finance Act is amended by adding
5 Section 5.719 as follows:
 
6     (30 ILCS 105/5.719 new)
7     Sec. 5.719. The Hospital Stroke Care Fund.
 
8     Section 10. The Emergency Medical Services (EMS) Systems
9 Act is amended by changing Sections 3.25, 3.30, 3.130, and
10 3.200 and by adding Sections 3.116, 3.117, 3.117.5, 3.118,
11 3.118.5, 3.119, and 3.226 as follows:
 
12     (210 ILCS 50/3.25)
13     Sec. 3.25. EMS Region Plan; Development.
14     (a) Within 6 months after designation of an EMS Region, an
15 EMS Region Plan addressing at least the information prescribed
16 in Section 3.30 shall be submitted to the Department for
17 approval. The Plan shall be developed by the Region's EMS
18 Medical Directors Committee with advice from the Regional EMS
19 Advisory Committee; portions of the plan concerning trauma
20 shall be developed jointly with the Region's Trauma Center
21 Medical Directors or Trauma Center Medical Directors

 

 

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1 Committee, whichever is applicable, with advice from the
2 Regional Trauma Advisory Committee, if such Advisory Committee
3 has been established in the Region. Portions of the Plan
4 concerning stroke shall be developed jointly with the Regional
5 Stroke Advisory Subcommittee.
6         (1) A Region's EMS Medical Directors Committee shall be
7     comprised of the Region's EMS Medical Directors, along with
8     the medical advisor to a fire department vehicle service
9     provider. For regions which include a municipal fire
10     department serving a population of over 2,000,000 people,
11     that fire department's medical advisor shall serve on the
12     Committee. For other regions, the fire department vehicle
13     service providers shall select which medical advisor to
14     serve on the Committee on an annual basis.
15         (2) A Region's Trauma Center Medical Directors
16     Committee shall be comprised of the Region's Trauma Center
17     Medical Directors.
18     (b) A Region's Trauma Center Medical Directors may choose
19 to participate in the development of the EMS Region Plan
20 through membership on the Regional EMS Advisory Committee,
21 rather than through a separate Trauma Center Medical Directors
22 Committee. If that option is selected, the Region's Trauma
23 Center Medical Director shall also determine whether a separate
24 Regional Trauma Advisory Committee is necessary for the Region.
25     (c) In the event of disputes over content of the Plan
26 between the Region's EMS Medical Directors Committee and the

 

 

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1 Region's Trauma Center Medical Directors or Trauma Center
2 Medical Directors Committee, whichever is applicable, the
3 Director of the Illinois Department of Public Health shall
4 intervene through a mechanism established by the Department
5 through rules adopted pursuant to this Act.
6     (d) "Regional EMS Advisory Committee" means a committee
7 formed within an Emergency Medical Services (EMS) Region to
8 advise the Region's EMS Medical Directors Committee and to
9 select the Region's representative to the State Emergency
10 Medical Services Advisory Council, consisting of at least the
11 members of the Region's EMS Medical Directors Committee, the
12 Chair of the Regional Trauma Committee, the EMS System
13 Coordinators from each Resource Hospital within the Region, one
14 administrative representative from an Associate Hospital
15 within the Region, one administrative representative from a
16 Participating Hospital within the Region, one administrative
17 representative from the vehicle service provider which
18 responds to the highest number of calls for emergency service
19 within the Region, one administrative representative of a
20 vehicle service provider from each System within the Region,
21 one Emergency Medical Technician (EMT)/Pre-Hospital RN from
22 each level of EMT/Pre-Hospital RN practicing within the Region,
23 and one registered professional nurse currently practicing in
24 an emergency department within the Region. Of the 2
25 administrative representatives of vehicle service providers,
26 at least one shall be an administrative representative of a

 

 

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1 private vehicle service provider. The Department's Regional
2 EMS Coordinator for each Region shall serve as a non-voting
3 member of that Region's EMS Advisory Committee.
4     Every 2 years, the members of the Region's EMS Medical
5 Directors Committee shall rotate serving as Committee Chair,
6 and select the Associate Hospital, Participating Hospital and
7 vehicle service providers which shall send representatives to
8 the Advisory Committee, and the EMTs/Pre-Hospital RN and nurse
9 who shall serve on the Advisory Committee.
10     (e) "Regional Trauma Advisory Committee" means a committee
11 formed within an Emergency Medical Services (EMS) Region, to
12 advise the Region's Trauma Center Medical Directors Committee,
13 consisting of at least the Trauma Center Medical Directors and
14 Trauma Coordinators from each Trauma Center within the Region,
15 one EMS Medical Director from a resource hospital within the
16 Region, one EMS System Coordinator from another resource
17 hospital within the Region, one representative each from a
18 public and private vehicle service provider which transports
19 trauma patients within the Region, an administrative
20 representative from each trauma center within the Region, one
21 EMT representing the highest level of EMT practicing within the
22 Region, one emergency physician and one Trauma Nurse Specialist
23 (TNS) currently practicing in a trauma center. The Department's
24 Regional EMS Coordinator for each Region shall serve as a
25 non-voting member of that Region's Trauma Advisory Committee.
26     Every 2 years, the members of the Trauma Center Medical

 

 

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1 Directors Committee shall rotate serving as Committee Chair,
2 and select the vehicle service providers, EMT, emergency
3 physician, EMS System Coordinator and TNS who shall serve on
4 the Advisory Committee.
5 (Source: P.A. 89-177, eff. 7-19-95.)
 
6     (210 ILCS 50/3.30)
7     Sec. 3.30. EMS Region Plan; Content.
8     (a) The EMS Medical Directors Committee shall address at
9 least the following:
10         (1) Protocols for inter-System/inter-Region patient
11     transports, including identifying the conditions of
12     emergency patients which may not be transported to the
13     different levels of emergency department, based on their
14     Department classifications and relevant Regional
15     considerations (e.g. transport times and distances);
16         (2) Regional standing medical orders;
17         (3) Patient transfer patterns, including criteria for
18     determining whether a patient needs the specialized
19     services of a trauma center, along with protocols for the
20     bypassing of or diversion to any hospital, trauma center or
21     regional trauma center which are consistent with
22     individual System bypass or diversion protocols and
23     protocols for patient choice or refusal;
24         (4) Protocols for resolving Regional or Inter-System
25     conflict;

 

 

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1         (5) An EMS disaster preparedness plan which includes
2     the actions and responsibilities of all EMS participants
3     within the Region. Within 90 days of the effective date of
4     this amendatory Act of 1996, an EMS System shall submit to
5     the Department for review an internal disaster plan. At a
6     minimum, the plan shall include contingency plans for the
7     transfer of patients to other facilities if an evacuation
8     of the hospital becomes necessary due to a catastrophe,
9     including but not limited to, a power failure;
10         (6) Regional standardization of continuing education
11     requirements;
12         (7) Regional standardization of Do Not Resuscitate
13     (DNR) policies, and protocols for power of attorney for
14     health care; and
15         (8) Protocols for disbursement of Department grants;
16     and .
17         (9) Protocols for the triage, treatment, and transport
18     of possible acute stroke patients.
19     (b) The Trauma Center Medical Directors or Trauma Center
20 Medical Directors Committee shall address at least the
21 following:
22         (1) The identification of Regional Trauma Centers;
23         (2) Protocols for inter-System and inter-Region trauma
24     patient transports, including identifying the conditions
25     of emergency patients which may not be transported to the
26     different levels of emergency department, based on their

 

 

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1     Department classifications and relevant Regional
2     considerations (e.g. transport times and distances);
3         (3) Regional trauma standing medical orders;
4         (4) Trauma patient transfer patterns, including
5     criteria for determining whether a patient needs the
6     specialized services of a trauma center, along with
7     protocols for the bypassing of or diversion to any
8     hospital, trauma center or regional trauma center which are
9     consistent with individual System bypass or diversion
10     protocols and protocols for patient choice or refusal;
11         (5) The identification of which types of patients can
12     be cared for by Level I and Level II Trauma Centers;
13         (6) Criteria for inter-hospital transfer of trauma
14     patients;
15         (7) The treatment of trauma patients in each trauma
16     center within the Region;
17         (8) A program for conducting a quarterly conference
18     which shall include at a minimum a discussion of morbidity
19     and mortality between all professional staff involved in
20     the care of trauma patients;
21         (9) The establishment of a Regional trauma quality
22     assurance and improvement subcommittee, consisting of
23     trauma surgeons, which shall perform periodic medical
24     audits of each trauma center's trauma services, and forward
25     tabulated data from such reviews to the Department; and
26         (10) The establishment, within 90 days of the effective

 

 

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1     date of this amendatory Act of 1996, of an internal
2     disaster plan, which shall include, at a minimum,
3     contingency plans for the transfer of patients to other
4     facilities if an evacuation of the hospital becomes
5     necessary due to a catastrophe, including but not limited
6     to, a power failure.
7     (c) The Region's EMS Medical Directors and Trauma Center
8 Medical Directors Committees shall appoint any subcommittees
9 which they deem necessary to address specific issues concerning
10 Region activities.
11 (Source: P.A. 89-177, eff. 7-19-95; 89-667, eff. 1-1-97.)
 
12     (210 ILCS 50/3.116 new)
13     Sec. 3.116. Hospital Stroke Care; definitions. As used in
14 Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this
15 Act:
16     "Certification" or "certified" means certification, using
17 evidence-based standards, from a nationally-recognized
18 certifying body approved by the Department.
19     "Designation" or "designated" means the Department's
20 recognition of a hospital as a Primary Stroke Center or
21 Emergent Stroke Ready Hospital.
22     "Emergent stroke care" is emergency medical care that
23 includes diagnosis and emergency medical treatment of acute
24 stroke patients.
25     "Emergent Stroke Ready Hospital" means a hospital that has

 

 

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1 been designated by the Department as meeting the criteria for
2 providing emergent stroke care.
3     "Primary Stroke Center" means a hospital that has been
4 certified by a Department-approved, nationally-recognized
5 certifying body and designated as such by the Department.
6     "Regional Stroke Advisory Subcommittee" means a
7 subcommittee formed within each Regional EMS Advisory
8 Committee to advise the Director and the Region's EMS Medical
9 Directors Committee on the triage, treatment, and transport of
10 possible acute stroke patients and to select the Region's
11 representative to the State Stroke Advisory Subcommittee. The
12 Regional Stroke Advisory Subcommittee shall consist of one
13 representative from the EMS Medical Directors Committee; equal
14 numbers of administrative representatives, or their designees,
15 from Primary Stroke Centers within the Region, if any, and from
16 hospitals that are capable of providing emergent stroke care
17 that are not Primary Stroke Centers within the Region; one
18 neurologist from a Primary Stroke Center in the Region, if any;
19 one nurse practicing in a Primary Stroke Center and one nurse
20 from a hospital capable of providing emergent stroke care that
21 is not a Primary Stroke Center; one representative from both a
22 public and a private vehicle service provider which transports
23 possible acute stroke patients within the Region; the State
24 designated regional EMS Coordinator; and in regions that serve
25 a population of over 2,000,000, a fire chief, or designee, from
26 the EMS Region.

 

 

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1     "State Stroke Advisory Subcommittee" means a standing
2 advisory body within the State Emergency Medical Services
3 Advisory Council.
 
4     (210 ILCS 50/3.117 new)
5     Sec. 3.117. Hospital Designations.
6     (a) The Department shall attempt to designate Primary
7 Stroke Centers in all areas of the State.
8         (1) The Department shall designate as many certified
9     Primary Stroke Centers as apply for that designation
10     provided they are certified by a nationally-recognized
11     certifying body, approved by the Department, and
12     certification criteria are consistent with the most
13     current nationally-recognized, evidence-based stroke
14     guidelines related to reducing the occurrence,
15     disabilities, and death associated with stroke.
16         (2) A hospital certified as a Primary Stroke Center by
17     a nationally-recognized certifying body approved by the
18     Department, shall send a copy of the Certificate to the
19     Department and shall be deemed, within 30 days of its
20     receipt by the Department, to be a State-designated Primary
21     Stroke Center.
22         (3) With respect to a hospital that is a designated
23     Primary Stroke Center, the Department shall have the
24     authority and responsibility to do the following:
25             (A) Suspend or revoke a hospital's Primary Stroke

 

 

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1         Center designation upon receiving notice that the
2         hospital's Primary Stroke Center certification has
3         lapsed or has been revoked by the State recognized
4         certifying body.
5             (B) Suspend a hospital's Primary Stroke Center
6         designation, in extreme circumstances where patients
7         may be at risk for immediate harm or death, until such
8         time as the certifying body investigates and makes a
9         final determination regarding certification.
10             (C) Restore any previously suspended or revoked
11         Department designation upon notice to the Department
12         that the certifying body has confirmed or restored the
13         Primary Stroke Center certification of that previously
14         designated hospital.
15             (D) Suspend a hospital's Primary Stroke Center
16         designation at the request of a hospital seeking to
17         suspend its own Department designation.
18         (4) Primary Stroke Center designation shall remain
19     valid at all times while the hospital maintains its
20     certification as a Primary Stroke Center, in good standing,
21     with the certifying body. The duration of a Primary Stroke
22     Center designation shall coincide with the duration of its
23     Primary Stroke Center certification. Each designated
24     Primary Stroke Center shall have its designation
25     automatically renewed upon the Department's receipt of a
26     copy of the accrediting body's certification renewal.

 

 

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1         (5) A hospital that no longer meets
2     nationally-recognized, evidence-based standards for
3     Primary Stroke Centers, or loses its Primary Stroke Center
4     certification, shall immediately notify the Department and
5     the Regional EMS Advisory Committee.
6     (b) The Department shall attempt to designate hospitals as
7 Emergent Stroke Ready Hospitals capable of providing emergent
8 stroke care in all areas of the State.
9         (1) The Department shall designate as many Emergent
10     Stroke Ready Hospitals as apply for that designation as
11     long as they meet the criteria in this Act.
12         (2) Hospitals may apply for, and receive, Emergent
13     Stroke Ready Hospital designation from the Department,
14     provided that the hospital attests, on a form developed by
15     the Department in consultation with the State Stroke
16     Advisory Subcommittee, that it meets, and will continue to
17     meet, the criteria for Emergent Stroke Ready Hospital
18     designation.
19         (3) Hospitals seeking Emergent Stroke Ready Hospital
20     designation shall develop policies and procedures that
21     consider nationally-recognized, evidence-based protocols
22     for the provision of emergent stroke care. Hospital
23     policies relating to emergent stroke care and stroke
24     patient outcomes shall be reviewed at least annually, or
25     more often as needed, by a hospital committee that oversees
26     quality improvement. Adjustments shall be made as

 

 

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1     necessary to advance the quality of stroke care delivered.
2     Criteria for Emergent Stroke Ready Hospital designation of
3     hospitals shall be limited to the ability of a hospital to:
4             (A) create written acute care protocols related to
5         emergent stroke care;
6             (B) maintain a written transfer agreement with one
7         or more hospitals that have neurosurgical expertise;
8             (C) designate a director of stroke care, which may
9         be a clinical member of the hospital staff or the
10         designee of the hospital administrator, to oversee the
11         hospital's stroke care policies and procedures;
12             (D) administer thrombolytic therapy, or
13         subsequently developed medical therapies that meet
14         nationally-recognized, evidence-based stroke
15         guidelines;
16             (E) conduct brain image tests at all times;
17             (F) conduct blood coagulation studies at all
18         times; and
19             (G) maintain a log of stroke patients, which shall
20         be available for review upon request by the Department
21         or any hospital that has a written transfer agreement
22         with the Emergent Stroke Ready Hospital.
23         (4) With respect to Emergent Stroke Ready Hospital
24     designation, the Department shall have the authority and
25     responsibility to do the following:
26             (A) Require hospitals applying for Emergent Stroke

 

 

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1         Ready Hospital designation to attest, on a form
2         developed by the Department in consultation with the
3         State Stroke Advisory Subcommittee, that the hospital
4         meets, and will continue to meet, the criteria for a
5         Emergent Stroke Ready Hospital.
6             (B) Designate a hospital as an Emergent Stroke
7         Ready Hospital no more than 20 business days after
8         receipt of an attestation that meets the requirements
9         for attestation.
10             (C) Require annual written attestation, on a form
11         developed by the Department in consultation with the
12         State Stroke Advisory Subcommittee, by Emergent Stroke
13         Ready Hospitals to indicate compliance with Emergent
14         Stroke Ready Hospital criteria, as described in this
15         Section, and automatically renew Emergent Stroke Ready
16         Hospital designation of the hospital.
17             (D) Issue an Emergency Suspension of Emergent
18         Stroke Ready Hospital designation when the Director,
19         or his or her designee, has determined that the
20         hospital no longer meets the Emergent Stroke Ready
21         Hospital criteria and an immediate and serious danger
22         to the public health, safety, and welfare exists. If
23         the Emergent Stroke Ready Hospital fails to eliminate
24         the violation immediately or within a fixed period of
25         time, not exceeding 10 days, as determined by the
26         Director, the Director may immediately revoke the

 

 

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1         Emergent Stroke Ready Hospital designation. The
2         Emergent Stroke Ready Hospital may appeal the
3         revocation within 15 days after receiving the
4         Director's revocation order, by requesting an
5         administrative hearing.
6             (E) After notice and an opportunity for an
7         administrative hearing, suspend, revoke, or refuse to
8         renew an Emergent Stroke Ready Hospital designation,
9         when the Department finds the hospital is not in
10         substantial compliance with current Emergent Stroke
11         Ready Hospital criteria.
12     (c) The Department shall consult with the State Stroke
13 Advisory Subcommittee for developing the designation and
14 de-designation processes for Primary Stroke Centers and
15 Emergent Stroke Ready Hospitals.
 
16     (210 ILCS 50/3.117.5 new)
17     Sec. 3.117.5. Hospital Stroke Care; grants.
18     (a) In order to encourage the establishment and retention
19 of Primary Stroke Centers and Emergent Stroke Ready Hospitals
20 throughout the State, the Director may award, subject to
21 appropriation, matching grants to hospitals to be used for the
22 acquisition and maintenance of necessary infrastructure,
23 including personnel, equipment, and pharmaceuticals for the
24 diagnosis and treatment of acute stroke patients. Grants may be
25 used to pay the fee for certifications by Department approved

 

 

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1 nationally-recognized certifying bodies or to provide
2 additional training for directors of stroke care or for
3 hospital staff.
4     (b) The Director may award grant moneys to Primary Stroke
5 Centers and Emergent Stroke Ready Hospitals for developing or
6 enlarging stroke networks, for stroke education, and to enhance
7 the ability of the EMS System to respond to possible acute
8 stroke patients.
9     (c) A Primary Stroke Center, Emergent Stroke Ready
10 Hospital, or hospital seeking certification as a Primary Stroke
11 Center or designation as an Emergent Stroke Ready Hospital may
12 apply to the Director for a matching grant in a manner and form
13 specified by the Director and shall provide information as the
14 Director deems necessary to determine whether the hospital is
15 eligible for the grant.
16     (d) Matching grant awards shall be made to Primary Stroke
17 Centers, Emergent Stroke Ready Hospitals, or hospitals seeking
18 certification or designation as a Primary Stroke Center or
19 designation as an Emergent Stroke Ready Hospital. The
20 Department may consider prioritizing grant awards to hospitals
21 in areas with the highest incidence of stroke, taking into
22 account geographic diversity, where possible.
 
23     (210 ILCS 50/3.118 new)
24     Sec. 3.118. Reporting.
25     (a) The Director shall, not later than July 1, 2012,

 

 

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1 prepare and submit to the Governor and the General Assembly a
2 report indicating the total number of hospitals that have
3 applied for grants, the project for which the application was
4 submitted, the number of those applicants that have been found
5 eligible for the grants, the total number of grants awarded,
6 the name and address of each grantee, and the amount of the
7 award issued to each grantee.
8     (b) By July 1, 2010, the Director shall send the list of
9 designated Primary Stroke Centers and designated Emergent
10 Stroke Ready Hospitals to all Resource Hospital EMS Medical
11 Directors in this State and shall post a list of designated
12 Primary Stroke Centers and Emergent Stroke Ready Hospitals on
13 the Department's website, which shall be continuously updated.
14     (c) The Department shall add the names of designated
15 Primary Stroke Centers and Emergent Stroke Ready Hospitals to
16 the website listing immediately upon designation and shall
17 immediately remove the name when a hospital loses its
18 designation after notice and a hearing.
19     (d) Stroke data collection systems and all stroke-related
20 data collected from hospitals shall comply with the following
21 requirements:
22         (1) The confidentiality of patient records shall be
23     maintained in accordance with State and federal laws.
24         (2) Hospital proprietary information and the names of
25     any hospital administrator, health care professional, or
26     employee shall not be subject to disclosure.

 

 

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1         (3) Information submitted to the Department shall be
2     privileged and strictly confidential and shall be used only
3     for the evaluation and improvement of hospital stroke care.
4     Stroke data collected by the Department shall not be
5     directly available to the public and shall not be subject
6     to civil subpoena, nor discoverable or admissible in any
7     civil, criminal, or administrative proceeding against a
8     health care facility or health care professional.
9     (e) The Department may administer a data collection system
10 to collect data that is already reported by designated Primary
11 Stroke Centers to their certifying body, to fulfill Primary
12 Stroke Center certification requirements. Primary Stroke
13 Centers may provide complete copies of the same reports that
14 are submitted to their certifying body, to satisfy any
15 Department reporting requirements. In the event the Department
16 establishes reporting requirements for designated Primary
17 Stroke Centers, the Department shall permit each designated
18 Primary Stroke Center to capture information using existing
19 electronic reporting tools used for certification purposes.
20 Nothing in this Section shall be construed to empower the
21 Department to specify the form of internal recordkeeping. Three
22 years from the effective date of this amendatory Act of the
23 96th General Assembly, the Department may post stroke data
24 submitted by Primary Stroke Centers on its website, subject to
25 the following:
26         (1) Data collection and analytical methodologies shall

 

 

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1     be used that meet accepted standards of validity and
2     reliability before any information is made available to the
3     public.
4         (2) The limitations of the data sources and analytic
5     methodologies used to develop comparative hospital
6     information shall be clearly identified and acknowledged,
7     including, but not limited to, the appropriate and
8     inappropriate uses of the data.
9         (3) To the greatest extent possible, comparative
10     hospital information initiatives shall use standard-based
11     norms derived from widely accepted provider-developed
12     practice guidelines.
13         (4) Comparative hospital information and other
14     information that the Department has compiled regarding
15     hospitals shall be shared with the hospitals under review
16     prior to public dissemination of the information.
17     Hospitals have 30 days to make corrections and to add
18     helpful explanatory comments about the information before
19     the publication.
20         (5) Comparisons among hospitals shall adjust for
21     patient case mix and other relevant risk factors and
22     control for provider peer groups, when appropriate.
23         (6) Effective safeguards to protect against the
24     unauthorized use or disclosure of hospital information
25     shall be developed and implemented.
26         (7) Effective safeguards to protect against the

 

 

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1     dissemination of inconsistent, incomplete, invalid,
2     inaccurate, or subjective hospital data shall be developed
3     and implemented.
4         (8) The quality and accuracy of hospital information
5     reported under this Act and its data collection, analysis,
6     and dissemination methodologies shall be evaluated
7     regularly.
8         (9) None of the information the Department discloses to
9     the public under this Act may be used to establish a
10     standard of care in a private civil action.
11         (10) The Department shall disclose information under
12     this Section in accordance with provisions for inspection
13     and copying of public records required by the Freedom of
14     Information Act, provided that the information satisfies
15     the provisions of this Section.
16         (11) Notwithstanding any other provision of law, under
17     no circumstances shall the Department disclose information
18     obtained from a hospital that is confidential under Part 21
19     of Article VIII of the Code of Civil Procedure.
20         (12) No hospital report or Department disclosure may
21     contain information identifying a patient, employee, or
22     licensed professional.
 
23     (210 ILCS 50/3.118.5 new)
24     Sec. 3.118.5. State Stroke Advisory Subcommittee; triage
25 and transport of possible acute stroke patients.

 

 

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1     (a) There shall be established within the State Emergency
2 Medical Services Advisory Council, or other statewide body
3 responsible for emergency health care, a standing State Stroke
4 Advisory Subcommittee, which shall serve as an advisory body to
5 the Council and the Department on matters related to the
6 triage, treatment, and transport of possible acute stroke
7 patients. Membership on the Committee shall be as
8 geographically diverse as possible and include one
9 representative from each Regional Stroke Advisory
10 Subcommittee, to be chosen by each Regional Stroke Advisory
11 Subcommittee. The Director shall appoint additional members,
12 as needed, to ensure there is adequate representation from the
13 following:
14         (1) an EMS Medical Director;
15         (2) a hospital administrator, or designee, from a
16     Primary Stroke Center;
17         (3) a hospital administrator, or designee, from a
18     hospital capable of providing emergent stroke care that is
19     not a Primary Stroke Center;
20         (4) a registered nurse from a Primary Stroke Center;
21         (5) a registered nurse from a hospital capable of
22     providing emergent stroke care that is not a Primary Stroke
23     Center;
24         (6) a neurologist from a Primary Stroke Center;
25         (7) an emergency department physician from a hospital,
26     capable of providing emergent stroke care, that is not a

 

 

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1     Primary Stroke Center;
2         (8) an EMS Coordinator;
3         (9) an acute stroke patient advocate;
4         (10) a fire chief, or designee, from an EMS Region that
5     serves a population of over 2,000,000 people;
6         (11) a fire chief, or designee, from a rural EMS
7     Region;
8         (12) a representative from a private ambulance
9     provider; and
10         (13) a representative from the State Emergency Medical
11     Services Advisory Council.
12     (b) Of the members first appointed, 7 members shall be
13 appointed for a term of one year, 7 members shall be appointed
14 for a term of 2 years, and the remaining members shall be
15 appointed for a term of 3 years. The terms of subsequent
16 appointees shall be 3 years.
17     (c) The State Stroke Advisory Subcommittee shall be
18 provided a 90-day period in which to review and comment upon
19 all rules proposed by the Department pursuant to this Act
20 concerning stroke care, except for emergency rules adopted
21 pursuant to Section 5-45 of the Illinois Administrative
22 Procedure Act. The 90-day review and comment period shall
23 commence prior to publication of the proposed rules and upon
24 the Department's submission of the proposed rules to the
25 individual Committee members, if the Committee is not meeting
26 at the time the proposed rules are ready for Committee review.

 

 

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1     (d) The State Stroke Advisory Subcommittee shall develop
2 and submit an evidence-based statewide stroke assessment tool
3 to clinically evaluate potential stroke patients to the
4 Department for final approval. Upon approval, the Department
5 shall disseminate the tool to all EMS Systems for adoption. The
6 Director shall post the Department-approved stroke assessment
7 tool on the Department's website. The State Stroke Advisory
8 Subcommittee shall review the Department-approved stroke
9 assessment tool at least annually to ensure its clinical
10 relevancy and to make changes when clinically warranted.
11     (e) Nothing in this Section shall preclude the State Stroke
12 Advisory Subcommittee from reviewing and commenting on
13 proposed rules which fall under the purview of the State
14 Emergency Medical Services Advisory Council. Nothing in this
15 Section shall preclude the Emergency Medical Services Advisory
16 Council from reviewing and commenting on proposed rules which
17 fall under the purview of the State Stroke Advisory
18 Subcommittee.
19     (f) The Director shall coordinate with and assist the EMS
20 System Medical Directors and Regional Stroke Advisory
21 Subcommittee within each EMS Region to establish protocols
22 related to the assessment, treatment, and transport of possible
23 acute stroke patients by licensed emergency medical services
24 providers. These protocols shall include regional transport
25 plans for the triage and transport of possible acute stroke
26 patients to the most appropriate Primary Stroke Center or

 

 

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1 Emergent Stroke Ready Hospital, unless circumstances warrant
2 otherwise.
 
3     (210 ILCS 50/3.119 new)
4     Sec. 3.119. Stroke Care; restricted practices. Sections in
5 this Act pertaining to Primary Stroke Centers and Emergent
6 Stroke Ready Hospitals are not medical practice guidelines and
7 shall not be used to restrict the authority of a hospital to
8 provide services for which it has received a license under
9 State law.
 
10     (210 ILCS 50/3.130)
11     Sec. 3.130. Violations; Plans of Correction. Except for
12 emergency suspension orders, or actions initiated pursuant to
13 Sections 3.117(a), 3.117(b), and Section 3.90(b)(10) of this
14 Act, prior to initiating an action for suspension, revocation,
15 denial, nonrenewal, or imposition of a fine pursuant to this
16 Act, the Department shall:
17     (a) Issue a Notice of Violation which specifies the
18 Department's allegations of noncompliance and requests a plan
19 of correction to be submitted within 10 days after receipt of
20 the Notice of Violation;
21     (b) Review and approve or reject the plan of correction. If
22 the Department rejects the plan of correction, it shall send
23 notice of the rejection and the reason for the rejection. The
24 party shall have 10 days after receipt of the notice of

 

 

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1 rejection in which to submit a modified plan;
2     (c) Impose a plan of correction if a modified plan is not
3 submitted in a timely manner or if the modified plan is
4 rejected by the Department;
5     (d) Issue a Notice of Intent to fine, suspend, revoke,
6 nonrenew or deny if the party has failed to comply with the
7 imposed plan of correction, and provide the party with an
8 opportunity to request an administrative hearing. The Notice of
9 Intent shall be effected by certified mail or by personal
10 service, shall set forth the particular reasons for the
11 proposed action, and shall provide the party with 15 days in
12 which to request a hearing.
13 (Source: P.A. 89-177, eff. 7-19-95.)
 
14     (210 ILCS 50/3.200)
15     Sec. 3.200. State Emergency Medical Services Advisory
16 Council.
17     (a) There shall be established within the Department of
18 Public Health a State Emergency Medical Services Advisory
19 Council, which shall serve as an advisory body to the
20 Department on matters related to this Act.
21     (b) Membership of the Council shall include one
22 representative from each EMS Region, to be appointed by each
23 region's EMS Regional Advisory Committee. The Governor shall
24 appoint additional members to the Council as necessary to
25 insure that the Council includes one representative from each

 

 

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1 of the following categories:
2         (1) EMS Medical Director,
3         (2) Trauma Center Medical Director,
4         (3) Licensed, practicing physician with regular and
5     frequent involvement in the provision of emergency care,
6         (4) Licensed, practicing physician with special
7     expertise in the surgical care of the trauma patient,
8         (5) EMS System Coordinator,
9         (6) TNS,
10         (7) EMT-P,
11         (8) EMT-I,
12         (9) EMT-B,
13         (10) Private vehicle service provider,
14         (11) Law enforcement officer,
15         (12) Chief of a public vehicle service provider,
16         (13) Statewide firefighters' union member affiliated
17     with a vehicle service provider,
18         (14) Administrative representative from a fire
19     department vehicle service provider in a municipality with
20     a population of over 2 million people;
21         (15) Administrative representative from a Resource
22     Hospital or EMS System Administrative Director.
23     (c) Of the members first appointed, 5 members shall be
24 appointed for a term of one year, 5 members shall be appointed
25 for a term of 2 years, and the remaining members shall be
26 appointed for a term of 3 years. The terms of subsequent

 

 

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1 appointees shall be 3 years. All appointees shall serve until
2 their successors are appointed and qualified.
3     (d) The Council shall be provided a 90-day period in which
4 to review and comment, in consultation with the subcommittee to
5 which the rules are relevant, upon all rules proposed by the
6 Department pursuant to this Act, except for rules adopted
7 pursuant to Section 3.190(a) of this Act, rules submitted to
8 the State Trauma Advisory Council and emergency rules adopted
9 pursuant to Section 5-45 of the Illinois Administrative
10 Procedure Act. The 90-day review and comment period may
11 commence upon the Department's submission of the proposed rules
12 to the individual Council members, if the Council is not
13 meeting at the time the proposed rules are ready for Council
14 review. Any non-emergency rules adopted prior to the Council's
15 90-day review and comment period shall be null and void. If the
16 Council fails to advise the Department within its 90-day review
17 and comment period, the rule shall be considered acted upon.
18     (e) Council members shall be reimbursed for reasonable
19 travel expenses incurred during the performance of their duties
20 under this Section.
21     (f) The Department shall provide administrative support to
22 the Council for the preparation of the agenda and minutes for
23 Council meetings and distribution of proposed rules to Council
24 members.
25     (g) The Council shall act pursuant to bylaws which it
26 adopts, which shall include the annual election of a Chair and

 

 

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1 Vice-Chair.
2     (h) The Director or his designee shall be present at all
3 Council meetings.
4     (i) Nothing in this Section shall preclude the Council from
5 reviewing and commenting on proposed rules which fall under the
6 purview of the State Trauma Advisory Council.
7 (Source: P.A. 89-177, eff. 7-19-95; 90-655, eff. 7-30-98.)
 
8     (210 ILCS 50/3.226 new)
9     Sec. 3.226. Hospital Stroke Care Fund.
10     (a) The Hospital Stroke Care Fund is created as a special
11 fund in the State treasury for the purpose of receiving
12 appropriations, donations, and grants collected by the
13 Illinois Department of Public Health pursuant to Department
14 designation of Primary Stroke Centers and Emergent Stroke Ready
15 Hospitals. All moneys collected by the Department pursuant to
16 its authority to designate Primary Stroke Centers and Emergent
17 Stroke Ready Hospitals shall be deposited into the Fund, to be
18 used for the purposes in subsection (b).
19     (b) The purpose of the Fund is to allow the Director of the
20 Department to award matching grants to hospitals that have been
21 certified Primary Stroke Centers, that seek certification or
22 designation or both as Primary Stroke Centers, that have been
23 designated Emergent Stroke Ready Hospitals, that seek
24 designation as Emergent Stroke Ready Hospitals, and for the
25 development of stroke networks. Hospitals may use grant funds

 

 

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1 to work with the EMS System to improve outcomes of possible
2 acute stroke patients.
3     (c) Moneys deposited in the Hospital Stroke Care Fund shall
4 be allocated according to the hospital needs within each EMS
5 region and used solely for the purposes described in this Act.
6     (d) Interfund transfers from the Hospital Stroke Care Fund
7 shall be prohibited.