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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 5. The State Finance Act is amended by adding | ||||||||||||||||||||||||
5 | Section 5.875 as follows: | ||||||||||||||||||||||||
6 | (30 ILCS 105/5.875 new) | ||||||||||||||||||||||||
7 | Sec. 5.875. The Acute Cardiac Event Data Collection Fund. | ||||||||||||||||||||||||
8 | Section 10. The Emergency Medical Services (EMS) Systems | ||||||||||||||||||||||||
9 | Act is amended by changing Sections 3.25, 3.30, and 3.117.75 | ||||||||||||||||||||||||
10 | and by adding Sections 3.121.1, 3.121.2, 3.121.3, 3.121.4, | ||||||||||||||||||||||||
11 | 3.121.5, 3.121.6, and 3.121.7 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 |
| |||||||
| |||||||
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. Portions of the Plan concerning | ||||||
6 | ST-elevated myocardial infarction shall be developed jointly | ||||||
7 | with the Regional Acute Cardiac Subcommittee.
| ||||||
8 | (1) A Region's EMS Medical Directors
Committee shall be | ||||||
9 | comprised of the Region's EMS Medical Directors,
along with | ||||||
10 | the medical advisor to a fire department
vehicle service | ||||||
11 | provider. For regions which include a municipal fire
| ||||||
12 | department serving a population of over 2,000,000 people, | ||||||
13 | that fire
department's medical advisor shall serve on the | ||||||
14 | Committee. For other regions,
the fire department vehicle | ||||||
15 | service providers shall select which medical
advisor to | ||||||
16 | serve on the Committee on an annual basis.
| ||||||
17 | (2) A Region's Trauma Center Medical Directors
| ||||||
18 | Committee shall be comprised of the Region's Trauma Center
| ||||||
19 | Medical Directors.
| ||||||
20 | (b) A Region's Trauma Center Medical Directors may
choose | ||||||
21 | to participate in the development of the EMS Region
Plan | ||||||
22 | through membership on the Regional EMS Advisory
Committee, | ||||||
23 | rather than through a separate Trauma Center Medical Directors
| ||||||
24 | Committee. If that option is selected,
the Region's Trauma | ||||||
25 | Center Medical Director shall also
determine whether a separate | ||||||
26 | Regional Trauma Advisory
Committee is necessary for the Region.
|
| |||||||
| |||||||
1 | (c) In the event of disputes over content of the
Plan | ||||||
2 | between the Region's EMS Medical Directors Committee and the
| ||||||
3 | Region's Trauma Center Medical Directors or Trauma Center
| ||||||
4 | Medical Directors Committee, whichever is applicable, the
| ||||||
5 | Director of the Illinois Department of Public Health shall
| ||||||
6 | intervene through a mechanism established by the Department
| ||||||
7 | through rules adopted pursuant to this Act.
| ||||||
8 | (d) "Regional EMS Advisory Committee" means a
committee | ||||||
9 | formed within an Emergency Medical Services (EMS)
Region to | ||||||
10 | advise the Region's EMS Medical Directors
Committee and to | ||||||
11 | select the Region's representative to the
State Emergency | ||||||
12 | Medical Services Advisory Council,
consisting of at least the | ||||||
13 | members of the Region's EMS
Medical Directors Committee, the | ||||||
14 | Chair of the Regional
Trauma Committee, the EMS System | ||||||
15 | Coordinators from each
Resource Hospital within the Region, one | ||||||
16 | administrative
representative from an Associate Hospital | ||||||
17 | within the Region,
one administrative representative from a | ||||||
18 | Participating
Hospital within the Region, one administrative
| ||||||
19 | representative from the vehicle service provider which
| ||||||
20 | responds to the highest number of calls for emergency service | ||||||
21 | within
the Region, one administrative representative of a | ||||||
22 | vehicle
service provider from each System within the Region, | ||||||
23 | one individual from each level of license provided in Section | ||||||
24 | 3.50 of this Act, one Pre-Hospital Registered Nurse
practicing | ||||||
25 | within the Region,
and one registered professional nurse | ||||||
26 | currently practicing
in an emergency department within the |
| |||||||
| |||||||
1 | Region.
Of the 2 administrative representatives of vehicle | ||||||
2 | service providers, at
least one shall be an administrative | ||||||
3 | representative of a private vehicle
service provider. The
| ||||||
4 | Department's Regional EMS Coordinator for each Region shall
| ||||||
5 | serve as a non-voting member of that Region's EMS Advisory
| ||||||
6 | Committee.
| ||||||
7 | Every 2 years, the members of the Region's EMS Medical
| ||||||
8 | Directors Committee shall rotate serving as Committee Chair,
| ||||||
9 | and select the Associate Hospital, Participating Hospital
and | ||||||
10 | vehicle service providers which shall send
representatives to | ||||||
11 | the Advisory Committee, and the
EMS personnel and nurse who | ||||||
12 | shall serve on the
Advisory Committee.
| ||||||
13 | (e) "Regional Trauma Advisory Committee" means a
committee | ||||||
14 | formed within an Emergency Medical Services (EMS)
Region, to | ||||||
15 | advise the Region's Trauma Center Medical
Directors Committee, | ||||||
16 | consisting of at least the Trauma
Center Medical Directors and | ||||||
17 | Trauma Coordinators from each
Trauma Center within the Region, | ||||||
18 | one EMS Medical Director
from a resource hospital within the | ||||||
19 | Region, one EMS System
Coordinator from another resource | ||||||
20 | hospital within the
Region, one representative each from a | ||||||
21 | public and private
vehicle service provider which transports | ||||||
22 | trauma patients
within the Region, an administrative | ||||||
23 | representative from
each trauma center within the Region, one | ||||||
24 | EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN | ||||||
25 | representing
the highest level of EMS personnel practicing | ||||||
26 | within the Region, one
emergency physician and one Trauma Nurse |
| |||||||
| |||||||
1 | Specialist (TNS)
currently practicing in a trauma center. The | ||||||
2 | Department's
Regional EMS Coordinator for each Region shall | ||||||
3 | serve as a
non-voting member of that Region's Trauma Advisory
| ||||||
4 | Committee.
| ||||||
5 | Every 2 years, the members of the Trauma Center Medical
| ||||||
6 | Directors Committee shall rotate serving as Committee Chair,
| ||||||
7 | and select the vehicle service providers, EMS personnel, | ||||||
8 | emergency
physician, EMS System Coordinator and TNS who shall | ||||||
9 | serve on
the Advisory Committee.
| ||||||
10 | (Source: P.A. 98-973, eff. 8-15-14.)
| ||||||
11 | (210 ILCS 50/3.30)
| ||||||
12 | Sec. 3.30. EMS Region Plan; Content.
| ||||||
13 | (a) The EMS Medical Directors Committee shall address
at | ||||||
14 | least the following:
| ||||||
15 | (1) Protocols for inter-System/inter-Region
patient | ||||||
16 | transports, including identifying the conditions of
| ||||||
17 | emergency patients which may not be transported to the
| ||||||
18 | different levels of emergency department, based on their
| ||||||
19 | Department classifications and relevant Regional
| ||||||
20 | considerations (e.g. transport times and distances);
| ||||||
21 | (2) Regional standing medical orders;
| ||||||
22 | (3) Patient transfer patterns, including criteria
for | ||||||
23 | determining whether a patient needs the specialized
| ||||||
24 | services of a trauma center, along with protocols for the
| ||||||
25 | bypassing of or diversion to any hospital, trauma center or
|
| |||||||
| |||||||
1 | regional trauma center which are consistent with | ||||||
2 | individual
System bypass or diversion protocols and | ||||||
3 | protocols for
patient choice or refusal;
| ||||||
4 | (4) Protocols for resolving Regional or
Inter-System | ||||||
5 | conflict;
| ||||||
6 | (5) An EMS disaster preparedness plan which
includes | ||||||
7 | the actions and responsibilities of all EMS
participants | ||||||
8 | within the Region. Within 90 days of the effective date of | ||||||
9 | this
amendatory Act of 1996, an EMS System shall submit to | ||||||
10 | the Department for review
an internal disaster plan. At a | ||||||
11 | minimum, the plan shall include contingency
plans for the | ||||||
12 | transfer of patients to other facilities if an evacuation | ||||||
13 | of the
hospital becomes necessary due to a catastrophe, | ||||||
14 | including but not limited to, a
power failure;
| ||||||
15 | (6) Regional standardization of continuing
education | ||||||
16 | requirements;
| ||||||
17 | (7) Regional standardization of Do Not
Resuscitate | ||||||
18 | (DNR) policies, and protocols for power of
attorney for | ||||||
19 | health care;
| ||||||
20 | (8) Protocols for disbursement of Department
grants;
| ||||||
21 | (9) Protocols for the triage, treatment, and transport | ||||||
22 | of possible acute stroke patients; and | ||||||
23 | (10) Regional standing medical orders for the | ||||||
24 | administration of opioid antagonists. | ||||||
25 | (11) Protocols for the triage, treatment, | ||||||
26 | identification, and transport of possible ST-elevated |
| |||||||
| |||||||
1 | myocardial infarction patients to STEMI Receiving Centers | ||||||
2 | or STEMI Referring Centers as defined in Section 3.121.1 of | ||||||
3 | this Act. | ||||||
4 | (b) The Trauma Center Medical Directors or Trauma
Center | ||||||
5 | Medical Directors Committee shall address at least
the | ||||||
6 | following:
| ||||||
7 | (1) The identification of Regional Trauma
Centers;
| ||||||
8 | (2) Protocols for inter-System and inter-Region
trauma | ||||||
9 | patient transports, including identifying the
conditions | ||||||
10 | of emergency patients which may not be
transported to the | ||||||
11 | different levels of emergency department,
based on their | ||||||
12 | Department classifications and relevant
Regional | ||||||
13 | considerations (e.g. transport times and
distances);
| ||||||
14 | (3) Regional trauma standing medical orders;
| ||||||
15 | (4) Trauma patient transfer patterns, including
| ||||||
16 | criteria for determining whether a patient needs the
| ||||||
17 | specialized services of a trauma center, along with
| ||||||
18 | protocols for the bypassing of or diversion to any | ||||||
19 | hospital,
trauma center or regional trauma center which are | ||||||
20 | consistent
with individual System bypass or diversion | ||||||
21 | protocols and
protocols for patient choice or refusal;
| ||||||
22 | (5) The identification of which types of patients
can | ||||||
23 | be cared for by Level I and Level II Trauma Centers;
| ||||||
24 | (6) Criteria for inter-hospital transfer of
trauma | ||||||
25 | patients;
| ||||||
26 | (7) The treatment of trauma patients in each
trauma |
| |||||||
| |||||||
1 | center within the Region;
| ||||||
2 | (8) A program for conducting a quarterly
conference | ||||||
3 | which shall include at a minimum a discussion of
morbidity | ||||||
4 | and mortality between all professional staff
involved in | ||||||
5 | the care of trauma patients;
| ||||||
6 | (9) The establishment of a Regional trauma
quality | ||||||
7 | assurance and improvement subcommittee, consisting of
| ||||||
8 | trauma surgeons, which shall perform periodic medical | ||||||
9 | audits
of each trauma center's trauma services, and forward
| ||||||
10 | tabulated data from such reviews to the Department; and
| ||||||
11 | (10) The establishment, within 90 days of the effective | ||||||
12 | date of this
amendatory Act of 1996, of an internal | ||||||
13 | disaster plan, which shall include, at a
minimum, | ||||||
14 | contingency plans for the transfer of patients to other | ||||||
15 | facilities if
an evacuation of the hospital becomes | ||||||
16 | necessary due to a catastrophe, including
but not limited | ||||||
17 | to, a power failure.
| ||||||
18 | (c) The Region's EMS Medical Directors and Trauma
Center | ||||||
19 | Medical Directors Committees shall appoint any
subcommittees | ||||||
20 | which they deem necessary to address specific
issues concerning | ||||||
21 | Region activities.
| ||||||
22 | (Source: P.A. 99-480, eff. 9-9-15.)
| ||||||
23 | (210 ILCS 50/3.117.75) | ||||||
24 | Sec. 3.117.75. Stroke Data Collection Fund. | ||||||
25 | (a) The Stroke Data Collection Fund is created as a special |
| |||||||
| |||||||
1 | fund in the State treasury. | ||||||
2 | (b) Moneys in the fund shall be used by the Department to | ||||||
3 | support the data collection provided for in Section 3.118 of | ||||||
4 | this Act. Any surplus funds beyond what are needed to support | ||||||
5 | the data collection provided for in Section 3.118 of this Act | ||||||
6 | shall be used by the Department to support the salary of the | ||||||
7 | Department Stroke and Acute Cardiac Event Coordinator or for | ||||||
8 | other stroke-care initiatives, including administrative | ||||||
9 | oversight of stroke care.
| ||||||
10 | (Source: P.A. 98-1001, eff. 1-1-15 .) | ||||||
11 | (210 ILCS 50/3.121.1 new) | ||||||
12 | Sec. 3.121.1. Hospital acute cardiac event care; | ||||||
13 | definitions. As used in the Sections following this Section and | ||||||
14 | preceding Section 3.125: | ||||||
15 | "Acute cardiac event" means any acute cardiovascular | ||||||
16 | condition, including acute myocardial infarction and sudden | ||||||
17 | cardiac arrest. | ||||||
18 | "Catheterization lab" means an examination room in a | ||||||
19 | hospital or clinic with diagnostic imaging equipment used to | ||||||
20 | visualize the arteries of the heart and the chambers of the | ||||||
21 | heart and treat any stenosis or abnormality found. | ||||||
22 | "Designation" or "designated" means the Department's | ||||||
23 | recognition of a hospital as a STEMI Receiving Center or a | ||||||
24 | STEMI Referring Center. | ||||||
25 | "Regional Acute Cardiac Subcommittee" means a subcommittee |
| |||||||
| |||||||
1 | established under Section 3.121.2 of this Act. | ||||||
2 | "State Acute Cardiac Advisory Council" means a standing | ||||||
3 | advisory body within the State Emergency Medical Services | ||||||
4 | Advisory Council. | ||||||
5 | "STEMI" means ST-elevated myocardial infarction. | ||||||
6 | "STEMI Receiving Center" means a hospital that has been | ||||||
7 | accredited by a Department-approved, nationally recognized | ||||||
8 | accrediting body and designated as such by the Department. | ||||||
9 | "STEMI Referring Center" means a hospital that has not been | ||||||
10 | accredited as a STEMI Receiving Center by a | ||||||
11 | Department-approved, nationally recognized accrediting body | ||||||
12 | and has been designated by the Department as a STEMI Referring | ||||||
13 | Center. | ||||||
14 | (210 ILCS 50/3.121.2 new) | ||||||
15 | Sec. 3.121.2. Regional Acute Cardiac Subcommittee. There | ||||||
16 | shall be a subcommittee formed within each Regional EMS | ||||||
17 | Advisory Committee to advise the Director and the Region's EMS | ||||||
18 | Medical Directors Committee on the identification, triage, | ||||||
19 | treatment, and transport of possible STEMI patients and to | ||||||
20 | select the Region's representative to the State Acute Cardiac | ||||||
21 | Advisory Council. At minimum, the Regional Acute Cardiac | ||||||
22 | Subcommittee shall consist of: one representative from the EMS | ||||||
23 | Medical Directors Committee; one EMS coordinator from a | ||||||
24 | Resource Hospital; one administrative representative, or his | ||||||
25 | or her designee, from a STEMI Receiving Center within the |
| |||||||
| |||||||
1 | Region, if any; one administrative representative, or his or | ||||||
2 | her designee, from a STEMI Referring Center within the Region, | ||||||
3 | if any; one physician from a STEMI Receiving Center within the | ||||||
4 | Region, if any, and one physician from a STEMI Referring Center | ||||||
5 | within the Region, if any, one of whom shall be an | ||||||
6 | interventional cardiologist; one catheterization lab nurse | ||||||
7 | from a STEMI Receiving Center within the Region, if any; one | ||||||
8 | representative from a public vehicle service provider that | ||||||
9 | transports possible STEMI patients within the Region; one | ||||||
10 | representative from a private vehicle service provider that | ||||||
11 | transports possible STEMI patients within the Region; the | ||||||
12 | State-designated regional EMS Coordinator; and one fire chief, | ||||||
13 | or his or her designee, from the EMS Region if the EMS Region | ||||||
14 | serves a population of more than 2,000,000. The Regional Acute | ||||||
15 | Cardiac Subcommittee shall establish bylaws to ensure equal | ||||||
16 | membership that rotates and clearly delineates committee | ||||||
17 | responsibilities and structure. Of the members first | ||||||
18 | appointed, one-third shall be appointed for a term of one year, | ||||||
19 | one-third shall be appointed for a term of 2 years, and the | ||||||
20 | remaining members shall be appointed for a term of 3 years. The | ||||||
21 | terms of subsequent appointees shall be 3 years. | ||||||
22 | Each Regional Acute Cardiac Subcommittee shall develop | ||||||
23 | protocols that include plans for the identification, triage, | ||||||
24 | treatment, and transport of possible STEMI patients to the most | ||||||
25 | appropriate STEMI Receiving Center or STEMI Referring Center, | ||||||
26 | if available. Such protocols must follow evidence-based |
| |||||||
| |||||||
1 | science. | ||||||
2 | (210 ILCS 50/3.121.3 new) | ||||||
3 | Sec. 3.121.3. State Acute Cardiac Advisory Council; triage | ||||||
4 | and transport of possible STEMI patients. | ||||||
5 | (a) There shall be established within the State Emergency | ||||||
6 | Medical Services Advisory Council, or other statewide body | ||||||
7 | responsible for emergency health care, a standing State Acute | ||||||
8 | Cardiac Advisory Council, which shall serve as an advisory body | ||||||
9 | to the State Emergency Medical Services Advisory Council and | ||||||
10 | the Department on matters related to the triage, treatment, and | ||||||
11 | transport of possible STEMI patients. Membership on the State | ||||||
12 | Acute Cardiac Advisory Council shall be as geographically | ||||||
13 | diverse as possible and include one representative from each | ||||||
14 | Regional Acute Cardiac Subcommittee, to be chosen by each | ||||||
15 | Regional Acute Cardiac Subcommittee. The Director shall | ||||||
16 | appoint additional members, as needed, to ensure there is | ||||||
17 | adequate representation from the following: | ||||||
18 | (1) an EMS Medical Director; | ||||||
19 | (2) a hospital administrator, or his or her designee, | ||||||
20 | from a
STEMI Receiving Center; | ||||||
21 | (3) a hospital administrator, or his or her designee, | ||||||
22 | from a
STEMI Referring Center; | ||||||
23 | (4) a registered nurse from a STEMI Receiving Center; | ||||||
24 | (5) a registered nurse from a STEMI Referring Center; | ||||||
25 | (6) an interventional cardiologist from a STEMI |
| |||||||
| |||||||
1 | Receiving Center; | ||||||
2 | (7) a cardiologist from a STEMI Referring Center; | ||||||
3 | (8) an EMS Coordinator; | ||||||
4 | (9) an acute cardiac event patient advocate; | ||||||
5 | (10) a fire chief, or his or her designee, from an EMS | ||||||
6 | Region
that serves a population of more than 2,000,000 | ||||||
7 | people; | ||||||
8 | (11) a fire chief, or his or her designee, from a rural | ||||||
9 | EMS
Region; | ||||||
10 | (12) a representative of a private ambulance
provider; | ||||||
11 | (13) a representative of a municipal EMS
provider; and | ||||||
12 | (14) a representative of the State Emergency
Medical | ||||||
13 | Services Advisory Council. | ||||||
14 | (b) Of the members first appointed, 9 members shall be | ||||||
15 | appointed for a term of one year, 9 members shall be appointed | ||||||
16 | for a term of 2 years, and the remaining members shall be | ||||||
17 | appointed for a term of 3 years. The terms of subsequent | ||||||
18 | appointees shall be 3 years. | ||||||
19 | (c) The State Acute Cardiac Advisory Council shall be | ||||||
20 | provided a 90-day period in which to review and comment upon | ||||||
21 | all rules proposed by the Department pursuant to this Act | ||||||
22 | concerning STEMI care, except for emergency rules adopted | ||||||
23 | pursuant to Section 5-45 of the Illinois Administrative | ||||||
24 | Procedure Act. The 90-day review and comment period shall | ||||||
25 | commence prior to publication of the proposed rules and upon | ||||||
26 | the Department's submission of the proposed rules to the |
| |||||||
| |||||||
1 | individual Council members, if the Council is not meeting at | ||||||
2 | the time the proposed rules are ready for Council review. | ||||||
3 | (d) Nothing in this Section shall preclude the State Acute | ||||||
4 | Cardiac Advisory Council from reviewing and commenting on | ||||||
5 | proposed rules which fall under the purview of the State | ||||||
6 | Emergency Medical Services Advisory Council. Nothing in this | ||||||
7 | Section shall preclude the Emergency Medical Services Advisory | ||||||
8 | Council from reviewing and commenting on proposed rules which | ||||||
9 | fall under the purview of the State Acute Cardiac Advisory | ||||||
10 | Council. | ||||||
11 | (e) The Director shall coordinate with and assist the EMS | ||||||
12 | System Medical Directors and Regional Acute Cardiac | ||||||
13 | Subcommittee within each EMS Region to establish protocols | ||||||
14 | related to the identification, triage, treatment, and | ||||||
15 | transport of possible acute cardiac event patients by licensed | ||||||
16 | emergency medical services providers. | ||||||
17 | (210 ILCS 50/3.121.4 new) | ||||||
18 | Sec. 3.121.4. Hospital designations; STEMI Receiving | ||||||
19 | Centers. | ||||||
20 | (a) The Department shall attempt to designate STEMI | ||||||
21 | Receiving Centers in all areas of the State. | ||||||
22 | (1) The Department shall designate as many accredited
| ||||||
23 | STEMI Receiving Centers as apply for that designation | ||||||
24 | provided they are accredited by a nationally recognized | ||||||
25 | accrediting body and approved by the Department, and the |
| |||||||
| |||||||
1 | accreditation criteria are consistent with the most | ||||||
2 | current nationally recognized, evidence-based STEMI | ||||||
3 | guidelines related to reducing the occurrence, | ||||||
4 | disabilities, and death associated with STEMI. | ||||||
5 | (2) A hospital accredited as a STEMI Receiving Center
| ||||||
6 | by a nationally recognized accrediting body approved by the | ||||||
7 | Department shall send a copy of the accreditation | ||||||
8 | certificate and annual fee to the Department and shall be | ||||||
9 | deemed, within 30 business days after its receipt by the | ||||||
10 | Department, to be a State-designated STEMI Receiving | ||||||
11 | Center. | ||||||
12 | (3) A hospital designated as a STEMI Receiving Center
| ||||||
13 | shall pay an annual fee as determined by the Department | ||||||
14 | that shall be no less than $100 and no greater than $500. | ||||||
15 | All fees shall be deposited into the Acute Cardiac Event | ||||||
16 | Data Collection Fund. | ||||||
17 | (4) With respect to a hospital that is a
designated | ||||||
18 | STEMI Receiving Center, the Department shall have the | ||||||
19 | authority and responsibility to do the following: | ||||||
20 | (A) Suspend or revoke a hospital's STEMI Receiving
| ||||||
21 | Center designation upon receiving notice that the | ||||||
22 | hospital's STEMI Receiving Center accreditation has | ||||||
23 | lapsed or has been revoked by the State-recognized | ||||||
24 | accrediting body. | ||||||
25 | (B) Suspend a hospital's STEMI Receiving Center
| ||||||
26 | designation in extreme circumstances where patients |
| |||||||
| |||||||
1 | may be at risk for immediate harm or death until such | ||||||
2 | time as the accrediting body investigates and makes a | ||||||
3 | final determination regarding accreditation. | ||||||
4 | (C) Restore any previously suspended or revoked
| ||||||
5 | Department designation upon notice to the Department | ||||||
6 | that the accrediting body has confirmed or restored the | ||||||
7 | STEMI Receiving Center accreditation of that | ||||||
8 | previously designated hospital. | ||||||
9 | (D) Suspend a hospital's STEMI Receiving Center
| ||||||
10 | accreditation at the request of a hospital seeking to | ||||||
11 | suspend its own Department designation. | ||||||
12 | (5) STEMI Receiving Center designation shall remain
| ||||||
13 | valid at all times while the hospital maintains its | ||||||
14 | accreditation as a STEMI Receiving Center, in good | ||||||
15 | standing, with the accrediting body. The duration of a | ||||||
16 | STEMI Receiving Center designation shall coincide with the | ||||||
17 | duration of its STEMI Receiving Center accreditation. Each | ||||||
18 | designated STEMI Receiving Center shall have its | ||||||
19 | designation automatically renewed upon the Department's | ||||||
20 | receipt of a copy of the accrediting body's STEMI Receiving | ||||||
21 | Center accreditation renewal. | ||||||
22 | (6) A hospital that no longer meets
nationally | ||||||
23 | recognized, evidence-based standards for STEMI Receiving | ||||||
24 | Centers or loses its STEMI Receiving Center accreditation | ||||||
25 | shall notify the Department and the Regional EMS Advisory | ||||||
26 | Committee within 5 business days. |
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1 | (b) The Department shall consult with the State Acute | ||||||
2 | Cardiac Advisory Council for developing the designation, | ||||||
3 | re-designation, and de-designation processes for STEMI | ||||||
4 | Receiving Centers. | ||||||
5 | (c) The Department shall consult with the State Acute | ||||||
6 | Cardiac Advisory Council as subject matter experts at least | ||||||
7 | annually regarding STEMI standards of care. | ||||||
8 | (210 ILCS 50/3.121.5 new) | ||||||
9 | Sec. 3.121.5. Hospital designations; STEMI Referring | ||||||
10 | Centers. | ||||||
11 | (a) The Department shall attempt to designate STEMI | ||||||
12 | Referring Centers in all areas of the State. | ||||||
13 | (1) The Department shall designate as many accredited
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14 | STEMI Referring Centers as apply for that designation | ||||||
15 | provided they are accredited by a nationally recognized | ||||||
16 | accrediting body and approved by the Department, and the | ||||||
17 | accreditation criteria are consistent with the most | ||||||
18 | current nationally recognized, evidence-based STEMI | ||||||
19 | guidelines related to reducing the occurrence, | ||||||
20 | disabilities, and death associated with STEMI. | ||||||
21 | (2) A hospital accredited as a STEMI Referring Center
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22 | by a nationally recognized accrediting body approved by the | ||||||
23 | Department shall send a copy of the accreditation | ||||||
24 | certificate and annual fee to the Department and shall be | ||||||
25 | deemed, within 30 business days after its receipt by the |
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1 | Department, to be a State-designated STEMI Referring | ||||||
2 | Center. | ||||||
3 | (3) A hospital designated as a STEMI Referring Center
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4 | shall pay an annual fee as determined by the Department | ||||||
5 | that shall be no less than $100 and no greater than $500. | ||||||
6 | All fees shall be deposited into the Acute Cardiac Event | ||||||
7 | Data Collection Fund. | ||||||
8 | (4) With respect to a hospital that is a
designated | ||||||
9 | STEMI Referring Center, the Department shall have the | ||||||
10 | authority and responsibility to do the following: | ||||||
11 | (A) Suspend or revoke a hospital's STEMI Referring
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12 | Center designation upon receiving notice that the | ||||||
13 | hospital's STEMI Referring Center accreditation has | ||||||
14 | lapsed or has been revoked by the State-recognized | ||||||
15 | accrediting body. | ||||||
16 | (B) Suspend a hospital's STEMI Referring Center
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17 | designation in extreme circumstances where patients | ||||||
18 | may be at risk for immediate harm or death until such | ||||||
19 | time as the accrediting body investigates and makes a | ||||||
20 | final determination regarding accreditation. | ||||||
21 | (C) Restore any previously suspended or revoked
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22 | Department designation upon notice to the Department | ||||||
23 | that the accrediting body has confirmed or restored the | ||||||
24 | STEMI Referring Center accreditation of that | ||||||
25 | previously designated hospital. | ||||||
26 | (D) Suspend a hospital's STEMI Referring Center
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1 | accreditation at the request of a hospital seeking to | ||||||
2 | suspend its own Department designation. | ||||||
3 | (5) STEMI Referring Center designation shall remain
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4 | valid at all times while the hospital maintains its | ||||||
5 | accreditation as a STEMI Referring Center, in good | ||||||
6 | standing, with the accrediting body. The duration of a | ||||||
7 | STEMI Referring Center designation shall coincide with the | ||||||
8 | duration of its STEMI Referring Center accreditation. Each | ||||||
9 | designated STEMI Referring Center shall have its | ||||||
10 | designation automatically renewed upon the Department's | ||||||
11 | receipt of a copy of the accrediting body's STEMI Referring | ||||||
12 | Center accreditation renewal. | ||||||
13 | (6) A hospital that no longer meets
nationally | ||||||
14 | recognized, evidence-based standards for STEMI Referring | ||||||
15 | Centers or loses its STEMI Referring Center accreditation | ||||||
16 | shall notify the Department and the Regional EMS Advisory | ||||||
17 | Committee within 5 business days. | ||||||
18 | (b) The Department shall consult with the State Acute | ||||||
19 | Cardiac Advisory Council for developing the designation, | ||||||
20 | re-designation, and de-designation processes for STEMI | ||||||
21 | Referring Centers. | ||||||
22 | (c) The Department shall consult with the State Acute | ||||||
23 | Cardiac Advisory Council as subject matter experts at least | ||||||
24 | annually regarding STEMI standards of care. | ||||||
25 | (210 ILCS 50/3.121.6 new) |
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1 | Sec. 3.121.6. Acute Cardiac Event Data Collection Fund. | ||||||
2 | (a) The Acute Cardiac Event Data Collection Fund is created | ||||||
3 | as a special fund in the State treasury. | ||||||
4 | (b) Moneys in the fund shall be used by the Department to | ||||||
5 | support the data collection provided for in Section 3.121.7 of | ||||||
6 | this Act. Any surplus funds beyond what are needed to support | ||||||
7 | the data collection provided for in Section 3.121.7 of this Act | ||||||
8 | shall be used by the Department to support the salary of the | ||||||
9 | Department Stroke and Acute Cardiac Event Coordinator or for | ||||||
10 | other STEMI and acute cardiac event-care initiatives, | ||||||
11 | including administrative oversight. | ||||||
12 | (210 ILCS 50/3.121.7 new) | ||||||
13 | Sec. 3.121.7. Reporting; STEMI Receiving Centers. | ||||||
14 | (a) By July 1, 2017, the Director shall send the list of | ||||||
15 | designated STEMI Receiving Centers to all Resource Hospital EMS | ||||||
16 | Medical Directors in this State and shall post a list of | ||||||
17 | designated STEMI Receiving Centers on the Department's | ||||||
18 | website, which shall be continuously updated. | ||||||
19 | (b) The Department shall add the names of designated STEMI | ||||||
20 | Receiving Centers to the website listing immediately upon | ||||||
21 | designation and shall immediately remove the name when a | ||||||
22 | hospital loses its designation after notice and a hearing. | ||||||
23 | (c) STEMI data collection systems and all STEMI-related | ||||||
24 | data collected from hospitals shall comply with the following | ||||||
25 | requirements: |
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1 | (1) The confidentiality of patient records shall be
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2 | maintained in accordance with State and federal laws. | ||||||
3 | (2) Hospital proprietary information and the names of
| ||||||
4 | any hospital administrator, health care professional, or | ||||||
5 | employee shall not be subject to disclosure. | ||||||
6 | (3) Information submitted to the Department shall be
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7 | privileged and strictly confidential and shall be used only | ||||||
8 | for the evaluation and improvement of hospital STEMI care. | ||||||
9 | STEMI data collected by the Department shall not be | ||||||
10 | directly available to the public and shall not be subject | ||||||
11 | to civil subpoena, nor discoverable or admissible in any | ||||||
12 | civil, criminal, or administrative proceeding against a | ||||||
13 | health care facility or health care professional. | ||||||
14 | (d) The Department may administer a data collection system | ||||||
15 | to collect data that is already reported by designated STEMI | ||||||
16 | Receiving Centers to their accrediting body, to fulfill | ||||||
17 | accreditation requirements. STEMI Receiving Centers may | ||||||
18 | provide data used in submission to their accrediting body to | ||||||
19 | satisfy any Department reporting requirements. The Department | ||||||
20 | may require submission of data elements in a format that is | ||||||
21 | used Statewide. In the event the Department establishes | ||||||
22 | reporting requirements for designated STEMI Receiving Centers, | ||||||
23 | the Department shall permit each designated STEMI Receiving | ||||||
24 | Center to capture information using existing electronic | ||||||
25 | reporting tools used for accreditation purposes. Nothing in | ||||||
26 | this Section shall be construed to empower the Department to |
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1 | specify the form of internal recordkeeping. Beginning 3 years | ||||||
2 | after the effective date of this amendatory Act of the 99th | ||||||
3 | General Assembly, the Department may post STEMI data submitted | ||||||
4 | by STEMI Receiving Centers on its website, subject to the | ||||||
5 | following: | ||||||
6 | (1) Data collection and analytical methodologies shall | ||||||
7 | be used that meet accepted standards of validity and | ||||||
8 | reliability before any information is made available to the | ||||||
9 | public. | ||||||
10 | (2) The limitations of the data sources and analytic | ||||||
11 | methodologies used to develop comparative hospital | ||||||
12 | information shall be clearly identified and acknowledged, | ||||||
13 | including, but not limited to, the appropriate and | ||||||
14 | inappropriate uses of the data. | ||||||
15 | (3) To the greatest extent possible, comparative | ||||||
16 | hospital information initiatives shall use standard-based | ||||||
17 | norms derived from widely accepted provider-developed | ||||||
18 | practice guidelines. | ||||||
19 | (4) Comparative hospital information and other | ||||||
20 | information that the Department has compiled regarding | ||||||
21 | hospitals shall be shared with the hospitals under review | ||||||
22 | prior to public dissemination of the information. | ||||||
23 | Hospitals have 30 days to make corrections and to add | ||||||
24 | helpful explanatory comments about the information before | ||||||
25 | the publication. | ||||||
26 | (5) Comparisons among hospitals shall adjust for |
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1 | patient case mix and other relevant risk factors and | ||||||
2 | control for provider peer groups, when appropriate. | ||||||
3 | (6) Effective safeguards to protect against the | ||||||
4 | unauthorized use or disclosure of hospital information | ||||||
5 | shall be developed and implemented. | ||||||
6 | (7) Effective safeguards to protect against the | ||||||
7 | dissemination of inconsistent, incomplete, invalid, | ||||||
8 | inaccurate, or subjective hospital data shall be developed | ||||||
9 | and implemented. | ||||||
10 | (8) The quality and accuracy of hospital information | ||||||
11 | reported under this Act and its data collection, analysis, | ||||||
12 | and dissemination methodologies shall be evaluated | ||||||
13 | regularly. | ||||||
14 | (9) None of the information the Department discloses to | ||||||
15 | the public under this Act may be used to establish a | ||||||
16 | standard of care in a private civil action. | ||||||
17 | (10) The Department shall disclose information under | ||||||
18 | this Section in accordance with provisions for inspection | ||||||
19 | and copying of public records required by the Freedom of | ||||||
20 | Information Act, provided that the information satisfies | ||||||
21 | the provisions of this Section. | ||||||
22 | (11) Notwithstanding any other provision of law, under | ||||||
23 | no circumstances shall the Department disclose information | ||||||
24 | obtained from a hospital that is confidential under Part 21 | ||||||
25 | of Article VIII of the Code of Civil Procedure. | ||||||
26 | (12) No hospital report or Department disclosure may |
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1 | contain information identifying a patient, employee, or | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2 | licensed professional.
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3 | Section 99. Effective date. This Act takes effect January | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
4 | 1, 2017.
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