Full Text of HB5742 98th General Assembly
HB5742enr 98TH GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning regulation.
| 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 5.855 as follows: | 6 | | (30 ILCS 105/5.855 new) | 7 | | Sec. 5.855. The Stroke Data Collection Fund. | 8 | | Section 10. The Emergency Medical Services (EMS) Systems | 9 | | Act is amended by changing Sections 3.116, 3.117, 3.117.5, | 10 | | 3.118, 3.118.5, 3.119, and 3.226 and by adding Section 3.117.75 | 11 | | as follows: | 12 | | (210 ILCS 50/3.116) | 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 | | "Acute Stroke-Ready Hospital" means a hospital that has | 17 | | been designated by the Department as meeting the criteria for | 18 | | providing emergent stroke care. Designation may be provided | 19 | | after a hospital has been certified or through application and | 20 | | designation as such. | 21 | | "Certification" or "certified" means certification, using |
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| 1 | | evidence-based standards, from a nationally-recognized | 2 | | certifying body approved by the Department. | 3 | | "Comprehensive Stroke Center" means a hospital that has | 4 | | been certified and has been designated as such. | 5 | | "Designation" or "designated" means the Department's | 6 | | recognition of a hospital as a Comprehensive Stroke Center, | 7 | | Primary Stroke Center , or Acute Stroke-Ready Hospital Emergent | 8 | | Stroke Ready Hospital . | 9 | | "Emergent stroke care" is emergency medical care that | 10 | | includes diagnosis and emergency medical treatment of acute | 11 | | stroke patients. | 12 | | "Emergent Stroke Ready Hospital" means a hospital that has | 13 | | been designated by the Department as meeting the criteria for | 14 | | providing emergent stroke care. | 15 | | "Primary Stroke Center" means a hospital that has been | 16 | | certified by a Department-approved, nationally-recognized | 17 | | certifying body and designated as such by the Department. | 18 | | "Regional Stroke Advisory Subcommittee" means a | 19 | | subcommittee formed within each Regional EMS Advisory | 20 | | Committee to advise the Director and the Region's EMS Medical | 21 | | Directors Committee on the triage, treatment, and transport of | 22 | | possible acute stroke patients and to select the Region's | 23 | | representative to the State Stroke Advisory Subcommittee. At | 24 | | minimum, the Regional Stroke Advisory Subcommittee shall | 25 | | consist of: one representative from the EMS Medical Directors | 26 | | Committee; one EMS coordinator from a Resource Hospital; one |
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| 1 | | administrative representative or his or her designee from each | 2 | | level of stroke care, including Comprehensive Stroke Centers | 3 | | within the Region, if any, Primary Stroke Centers within the | 4 | | Region, if any, and Acute Stroke-Ready Hospitals within the | 5 | | Region, if any; one physician from each level of stroke care, | 6 | | including one physician who is a neurologist or who provides | 7 | | advanced stroke care at a Comprehensive Stroke Center in the | 8 | | Region, if any, one physician who is a neurologist or who | 9 | | provides acute stroke care at a Primary Stroke Center in the | 10 | | Region, if any, and one physician who provides acute stroke | 11 | | care at an Acute Stroke-Ready Hospital in the Region, if any; | 12 | | one nurse practicing in each level of stroke care, including | 13 | | one nurse from a Comprehensive Stroke Center in the Region, if | 14 | | any, one nurse from a Primary Stroke Center in the Region, if | 15 | | any, and one nurse from an Acute Stroke-Ready Hospital in the | 16 | | Region, if any; one representative from both a public and a | 17 | | private vehicle service provider that transports possible | 18 | | acute stroke patients within the Region; the State-designated | 19 | | regional EMS Coordinator; and a fire chief or his or her | 20 | | designee from the EMS Region, if the Region serves a population | 21 | | of more than 2,000,000. The Regional Stroke Advisory | 22 | | Subcommittee shall establish bylaws to ensure equal membership | 23 | | that rotates and clearly delineates committee responsibilities | 24 | | and structure. Of the members first appointed, one-third shall | 25 | | be appointed for a term of one year, one-third shall be | 26 | | appointed for a term of 2 years, and the remaining members |
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| 1 | | shall be appointed for a term of 3 years. The terms of | 2 | | subsequent appointees shall be 3 years. The Regional Stroke | 3 | | Advisory Subcommittee shall consist of one representative from | 4 | | the EMS Medical Directors Committee; equal numbers of | 5 | | administrative representatives, or their designees, from | 6 | | Primary Stroke Centers within the Region, if any, and from | 7 | | hospitals that are capable of providing emergent stroke care | 8 | | that are not Primary Stroke Centers within the Region; one | 9 | | neurologist from a Primary Stroke Center in the Region, if any; | 10 | | one nurse practicing in a Primary Stroke Center and one nurse | 11 | | from a hospital capable of providing emergent stroke care that | 12 | | is not a Primary Stroke Center; one representative from both a | 13 | | public and a private vehicle service provider which transports | 14 | | possible acute stroke patients within the Region; the State | 15 | | designated regional EMS Coordinator; and in regions that serve | 16 | | a population of over 2,000,000, a fire chief, or designee, from | 17 | | the EMS Region. | 18 | | "State Stroke Advisory Subcommittee" means a standing | 19 | | advisory body within the State Emergency Medical Services | 20 | | Advisory Council.
| 21 | | (Source: P.A. 96-514, eff. 1-1-10.) | 22 | | (210 ILCS 50/3.117) | 23 | | Sec. 3.117. Hospital Designations. | 24 | | (a) The Department shall attempt to designate Primary | 25 | | Stroke Centers in all areas of the State. |
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| 1 | | (1) The Department shall designate as many certified
| 2 | | Primary Stroke Centers as apply for that designation | 3 | | provided they are certified by a nationally-recognized | 4 | | certifying body, approved by the Department, and | 5 | | certification criteria are consistent with the most | 6 | | current nationally-recognized, evidence-based stroke | 7 | | guidelines related to reducing the occurrence, | 8 | | disabilities, and death associated with stroke. | 9 | | (2) A hospital certified as a Primary Stroke Center by | 10 | | a nationally-recognized certifying body approved by the | 11 | | Department, shall send a copy of the Certificate and annual | 12 | | fee to the Department and shall be deemed, within 30 | 13 | | business days of its receipt by the Department, to be a | 14 | | State-designated Primary Stroke Center. | 15 | | (3) A center designated as a Primary Stroke Center | 16 | | shall pay an annual fee as determined by the Department | 17 | | that shall be no less than $100 and no greater than $500. | 18 | | All fees shall be deposited into the Stroke Data Collection | 19 | | Fund. | 20 | | (3.5) With respect to a hospital that is a designated | 21 | | Primary Stroke Center, the Department shall have the | 22 | | authority and responsibility to do the following: | 23 | | (A) Suspend or revoke a hospital's Primary Stroke | 24 | | Center designation upon receiving notice that the | 25 | | hospital's Primary Stroke Center certification has | 26 | | lapsed or has been revoked by the State recognized |
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| 1 | | certifying body. | 2 | | (B) Suspend a hospital's Primary Stroke Center | 3 | | designation, in extreme circumstances where patients | 4 | | may be at risk for immediate harm or death, until such | 5 | | time as the certifying body investigates and makes a | 6 | | final determination regarding certification. | 7 | | (C) Restore any previously suspended or revoked | 8 | | Department designation upon notice to the Department | 9 | | that the certifying body has confirmed or restored the | 10 | | Primary Stroke Center certification of that previously | 11 | | designated hospital. | 12 | | (D) Suspend a hospital's Primary Stroke Center | 13 | | designation at the request of a hospital seeking to | 14 | | suspend its own Department designation. | 15 | | (4) Primary Stroke Center designation shall remain | 16 | | valid at all times while the hospital maintains its | 17 | | certification as a Primary Stroke Center, in good standing, | 18 | | with the certifying body. The duration of a Primary Stroke | 19 | | Center designation shall coincide with the duration of its | 20 | | Primary Stroke Center certification. Each designated | 21 | | Primary Stroke Center shall have its designation | 22 | | automatically renewed upon the Department's receipt of a | 23 | | copy of the accrediting body's certification renewal. | 24 | | (5) A hospital that no longer meets | 25 | | nationally-recognized, evidence-based standards for | 26 | | Primary Stroke Centers, or loses its Primary Stroke Center |
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| 1 | | certification, shall immediately notify the Department and | 2 | | the Regional EMS Advisory Committee within 5 business days . | 3 | | (a-5) The Department shall attempt to designate | 4 | | Comprehensive Stroke Centers in all areas of the State. | 5 | | (1) The Department shall designate as many certified | 6 | | Comprehensive Stroke Centers as apply for that | 7 | | designation, provided that the Comprehensive Stroke | 8 | | Centers are certified by a nationally-recognized | 9 | | certifying body approved by the Department, and provided | 10 | | that the certifying body's certification criteria are | 11 | | consistent with the most current nationally-recognized and | 12 | | evidence-based stroke guidelines for reducing the | 13 | | occurrence of stroke and the disabilities and death | 14 | | associated with stroke. | 15 | | (2) A hospital certified as a Comprehensive Stroke | 16 | | Center shall send a copy of the Certificate and annual
fee | 17 | | to the Department and shall be deemed, within 30
business | 18 | | days of its receipt by the Department, to be a
| 19 | | State-designated Comprehensive Stroke Center. | 20 | | (3) A hospital designated as a Comprehensive Stroke | 21 | | Center shall pay an annual fee as determined by the | 22 | | Department that shall be no less than $100 and no greater | 23 | | than $500. All fees shall be deposited into the Stroke Data | 24 | | Collection Fund. | 25 | | (4) With respect to a hospital that is a designated | 26 | | Comprehensive Stroke Center, the Department shall have the |
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| 1 | | authority and responsibility to do the following: | 2 | | (A) Suspend or revoke the hospital's Comprehensive | 3 | | Stroke Center designation upon receiving notice that | 4 | | the hospital's Comprehensive Stroke Center | 5 | | certification has lapsed or has been revoked by the | 6 | | State recognized certifying body. | 7 | | (B) Suspend the hospital's Comprehensive Stroke | 8 | | Center designation, in extreme circumstances in which | 9 | | patients may be at risk
for immediate harm or death, | 10 | | until such time as the certifying body investigates and | 11 | | makes a final determination regarding certification. | 12 | | (C) Restore any previously suspended or revoked | 13 | | Department designation upon notice to the Department | 14 | | that the certifying body has confirmed or restored the | 15 | | Comprehensive Stroke Center certification of that | 16 | | previously designated hospital. | 17 | | (D) Suspend the hospital's Comprehensive Stroke | 18 | | Center designation at the request of a hospital seeking | 19 | | to suspend its own Department designation. | 20 | | (5) Comprehensive Stroke Center designation shall | 21 | | remain valid at all times while the hospital maintains its | 22 | | certification as a Comprehensive Stroke Center, in good | 23 | | standing, with the certifying body. The duration of a | 24 | | Comprehensive Stroke Center designation shall coincide | 25 | | with the duration of its Comprehensive Stroke Center | 26 | | certification. Each designated Comprehensive Stroke Center |
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| 1 | | shall have its designation automatically renewed upon the | 2 | | Department's receipt of a copy of the certifying body's | 3 | | certification renewal. | 4 | | (6) A hospital that no longer meets | 5 | | nationally-recognized, evidence-based standards for | 6 | | Comprehensive Stroke Centers, or loses its Comprehensive | 7 | | Stroke Center certification, shall notify the Department | 8 | | and the Regional EMS Advisory Committee within 5 business | 9 | | days. | 10 | | (b) Beginning on the first day of the month that begins 12 | 11 | | months after the adoption of rules authorized by this | 12 | | subsection, the The Department shall attempt to designate | 13 | | hospitals as Acute Stroke-Ready Hospitals Emergent Stroke | 14 | | Ready Hospitals capable of providing emergent stroke care in | 15 | | all areas of the State. Designation may be approved by the | 16 | | Department after a hospital has been certified as an Acute | 17 | | Stroke-Ready Hospital or through application and designation | 18 | | by the Department. For any hospital that is designated as an | 19 | | Emergent Stroke Ready Hospital at the time that the Department | 20 | | begins the designation of Acute Stroke-Ready Hospitals, the | 21 | | Emergent Stroke Ready designation shall remain intact for the | 22 | | duration of the 12-month period until that designation expires. | 23 | | Until the Department begins the designation of hospitals as | 24 | | Acute Stroke-Ready Hospitals, hospitals may achieve Emergent | 25 | | Stroke Ready Hospital designation utilizing the processes and | 26 | | criteria provided in Public Act 96-514. |
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| 1 | | (1) (Blank). The Department shall designate as many | 2 | | Emergent Stroke Ready Hospitals as apply for that | 3 | | designation as long as they meet the criteria in this Act. | 4 | | (2) Hospitals may apply for, and receive, Acute | 5 | | Stroke-Ready Hospital Emergent Stroke Ready Hospital | 6 | | designation from the Department, provided that the | 7 | | hospital attests, on a form developed by the Department in | 8 | | consultation with the State Stroke Advisory Subcommittee, | 9 | | that it meets, and will continue to meet, the criteria for | 10 | | Acute Stroke-Ready Hospital designation and pays an annual | 11 | | fee Emergent Stroke Ready Hospital designation . | 12 | | A hospital designated as an Acute Stroke-Ready | 13 | | Hospital shall pay an annual fee as determined by the | 14 | | Department that shall be no less than $100 and no greater | 15 | | than $500. All fees shall be deposited into the Stroke Data | 16 | | Collection Fund. | 17 | | (2.5) A hospital may apply for, and receive, Acute | 18 | | Stroke-Ready Hospital designation from the Department, | 19 | | provided that the hospital provides proof of current Acute | 20 | | Stroke-Ready Hospital certification and the hospital pays | 21 | | an annual fee. | 22 | | (A) Acute Stroke-Ready Hospital designation shall | 23 | | remain valid at all times while the hospital maintains | 24 | | its certification as an Acute Stroke-Ready Hospital, | 25 | | in good standing, with the certifying body. | 26 | | (B) The duration of an Acute Stroke-Ready Hospital |
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| 1 | | designation shall coincide with the duration of its | 2 | | Acute Stroke-Ready Hospital certification. | 3 | | (C) Each designated Acute Stroke-Ready Hospital | 4 | | shall have its designation automatically renewed upon | 5 | | the Department's receipt of a copy of the certifying | 6 | | body's certification renewal and Application for | 7 | | Stroke Center Designation form. | 8 | | (D) A hospital must submit a copy of its | 9 | | certification renewal from the certifying body as soon | 10 | | as practical but no later than 30 business days after | 11 | | that certification is received by the hospital. Upon | 12 | | the Department's receipt of the renewal certification, | 13 | | the Department shall renew the hospital's Acute | 14 | | Stroke-Ready Hospital designation. | 15 | | (E) A hospital designated as an Acute Stroke-Ready | 16 | | Hospital shall pay an annual fee as determined by the | 17 | | Department that shall be no less than $100 and no | 18 | | greater than $500. All fees shall be deposited into the | 19 | | Stroke Data Collection Fund. | 20 | | (3) Hospitals seeking Acute Stroke-Ready Hospital | 21 | | Emergent Stroke Ready Hospital designation that do not have | 22 | | certification shall develop policies and procedures that | 23 | | are consistent with consider nationally-recognized, | 24 | | evidence-based protocols for the provision of emergent | 25 | | stroke care. Hospital policies relating to emergent stroke | 26 | | care and stroke patient outcomes shall be reviewed at least |
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| 1 | | annually, or more often as needed, by a hospital committee | 2 | | that oversees quality improvement. Adjustments shall be | 3 | | made as necessary to advance the quality of stroke care | 4 | | delivered. Criteria for Acute Stroke-Ready Hospital | 5 | | Emergent Stroke Ready Hospital designation of hospitals | 6 | | shall be limited to the ability of a hospital to: | 7 | | (A) create written acute care protocols related to | 8 | | emergent stroke care; | 9 | | (A-5) participate in the data collection system | 10 | | provided in Section 3.118, if available; | 11 | | (B) maintain a written transfer agreement with one | 12 | | or more hospitals that have neurosurgical expertise; | 13 | | (C) designate a Clinical Director of Stroke Care | 14 | | who shall be a clinical member of the hospital staff | 15 | | with training or experience, as defined by the | 16 | | facility, in the care of patients with cerebrovascular | 17 | | disease. This training or experience may include, but | 18 | | is not limited to, completion of a fellowship or other | 19 | | specialized training in the area of cerebrovascular | 20 | | disease, attendance at national courses, or prior | 21 | | experience in neuroscience intensive care units. The | 22 | | Clinical Director of Stroke Care may be a neurologist, | 23 | | neurosurgeon, emergency medicine physician, internist, | 24 | | radiologist, advanced practice nurse, or physician's | 25 | | assistant director of stroke care, which may be a | 26 | | clinical member of the hospital staff or the designee |
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| 1 | | of the hospital administrator, to oversee the | 2 | | hospital's stroke care policies and procedures ; | 3 | | (C-5) provide rapid access to an acute stroke team, | 4 | | as defined by the facility, that considers and reflects | 5 | | nationally-recognized, evidenced-based protocols or | 6 | | guidelines; | 7 | | (D) administer thrombolytic therapy, or | 8 | | subsequently developed medical therapies that meet | 9 | | nationally-recognized, evidence-based stroke | 10 | | guidelines; | 11 | | (E) conduct brain image tests at all times; | 12 | | (F) conduct blood coagulation studies at all | 13 | | times; and | 14 | | (G) maintain a log of stroke patients, which shall | 15 | | be available for review upon request by the Department | 16 | | or any hospital that has a written transfer agreement | 17 | | with the Acute Stroke-Ready Hospital; Emergent Stroke | 18 | | Ready Hospital. | 19 | | (H) admit stroke patients to a unit that can | 20 | | provide appropriate care that considers and reflects | 21 | | nationally-recognized, evidence-based protocols or | 22 | | guidelines or transfer stroke patients to an Acute | 23 | | Stroke-Ready Hospital, Primary Stroke Center, or | 24 | | Comprehensive Stroke Center, or another facility that | 25 | | can provide the appropriate care that considers and | 26 | | reflects nationally-recognized, evidence-based |
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| 1 | | protocols or guidelines; and | 2 | | (I) demonstrate compliance with | 3 | | nationally-recognized quality indicators. | 4 | | (4) With respect to Acute Stroke-Ready Hospital | 5 | | Emergent Stroke Ready Hospital designation, the Department | 6 | | shall have the authority and responsibility to do the | 7 | | following: | 8 | | (A) Require hospitals applying for Acute | 9 | | Stroke-Ready Hospital Emergent Stroke Ready Hospital | 10 | | designation to attest, on a form developed by the | 11 | | Department in consultation with the State Stroke | 12 | | Advisory Subcommittee, that the hospital meets, and | 13 | | will continue to meet, the criteria for an Acute | 14 | | Stroke-Ready a Emergent Stroke Ready Hospital. | 15 | | (A-5) Require hospitals applying for Acute | 16 | | Stroke-Ready Hospital designation via national Acute | 17 | | Stroke-Ready Hospital certification to provide proof | 18 | | of current Acute Stroke-Ready Hospital certification, | 19 | | in good standing. | 20 | | The Department shall require a hospital that is | 21 | | already certified as an Acute Stroke-Ready Hospital to | 22 | | send a copy of the Certificate to the Department. | 23 | | Within 30 business days of the Department's | 24 | | receipt of a hospital's Acute Stroke-Ready Certificate | 25 | | and Application for Stroke Center Designation form | 26 | | that indicates that the hospital is a certified Acute |
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| 1 | | Stroke-Ready Hospital, in good standing, the hospital | 2 | | shall be deemed a State-designated Acute Stroke-Ready | 3 | | Hospital. The Department shall send a designation | 4 | | notice to each hospital that it designates as an Acute | 5 | | Stroke-Ready Hospital and shall add the names of | 6 | | designated Acute Stroke-Ready Hospitals to the website | 7 | | listing immediately upon designation. The Department | 8 | | shall immediately remove the name of a hospital from | 9 | | the website listing when a hospital loses its | 10 | | designation after notice and, if requested by the | 11 | | hospital, a hearing. | 12 | | The Department shall develop an Application for | 13 | | Stroke Center Designation form that contains a | 14 | | statement that "The above named facility meets the | 15 | | requirements for Acute Stroke-Ready Hospital | 16 | | Designation as provided in Section 3.117 of the | 17 | | Emergency Medical Services (EMS) Systems Act" and | 18 | | shall instruct the applicant facility to provide: the | 19 | | hospital name and address; the hospital CEO or | 20 | | Administrator's typed name and signature; the hospital | 21 | | Clinical Director of Stroke Care's typed name and | 22 | | signature; and a contact person's typed name, email | 23 | | address, and phone number. | 24 | | The Application for Stroke Center Designation form | 25 | | shall contain a statement that instructs the hospital | 26 | | to "Provide proof of current Acute Stroke-Ready |
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| 1 | | Hospital certification from a nationally-recognized | 2 | | certifying body approved by the Department". | 3 | | (B) Designate a hospital as an Acute Stroke-Ready | 4 | | Hospital Emergent Stroke Ready Hospital no more than 30 | 5 | | 20 business days after receipt of an attestation that | 6 | | meets the requirements for attestation , unless the | 7 | | Department, within 30 days of receipt of the | 8 | | attestation, chooses to conduct an onsite survey prior | 9 | | to designation. If the Department chooses to conduct an | 10 | | onsite survey prior to designation, then the onsite | 11 | | survey shall be conducted within 90 days of receipt of | 12 | | the attestation . | 13 | | (C) Require annual written attestation, on a form | 14 | | developed by the Department in consultation with the | 15 | | State Stroke Advisory Subcommittee, by Acute | 16 | | Stroke-Ready Hospitals Emergent Stroke Ready Hospitals | 17 | | to indicate compliance with Acute Stroke-Ready | 18 | | Hospital Emergent Stroke Ready Hospital criteria, as | 19 | | described in this Section, and automatically renew | 20 | | Acute Stroke-Ready Hospital Emergent Stroke Ready | 21 | | Hospital designation of the hospital. | 22 | | (D) Issue an Emergency Suspension of Acute | 23 | | Stroke-Ready Hospital Emergent Stroke Ready Hospital | 24 | | designation when the Director, or his or her designee, | 25 | | has determined that the hospital no longer meets the | 26 | | Acute Stroke-Ready Hospital Emergent Stroke Ready |
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| 1 | | Hospital criteria and an immediate and serious danger | 2 | | to the public health, safety, and welfare exists. If | 3 | | the Acute Stroke-Ready Hospital Emergent Stroke Ready | 4 | | Hospital fails to eliminate the violation immediately | 5 | | or within a fixed period of time, not exceeding 10 | 6 | | days, as determined by the Director, the Director may | 7 | | immediately revoke the Acute Stroke-Ready Hospital | 8 | | Emergent Stroke Ready Hospital designation. The Acute | 9 | | Stroke-Ready Hospital Emergent Stroke Ready Hospital | 10 | | may appeal the revocation within 15 business days after | 11 | | receiving the Director's revocation order, by | 12 | | requesting an administrative hearing. | 13 | | (E) After notice and an opportunity for an | 14 | | administrative hearing, suspend, revoke, or refuse to | 15 | | renew an Acute Stroke-Ready Hospital Emergent Stroke | 16 | | Ready Hospital designation, when the Department finds | 17 | | the hospital is not in substantial compliance with | 18 | | current Acute Stroke-Ready Hospital Emergent Stroke | 19 | | Ready Hospital criteria. | 20 | | (c) The Department shall consult with the State Stroke | 21 | | Advisory Subcommittee for developing the designation , | 22 | | re-designation, and de-designation processes for Comprehensive | 23 | | Stroke Centers, for Primary Stroke Centers , and Acute | 24 | | Stroke-Ready Hospitals Emergent Stroke Ready Hospitals .
| 25 | | (d) The Department shall consult with the State Stroke | 26 | | Advisory Subcommittee as subject matter experts at least |
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| 1 | | annually regarding stroke standards of care. | 2 | | (Source: P.A. 96-514, eff. 1-1-10; revised 11-12-13.) | 3 | | (210 ILCS 50/3.117.5) | 4 | | Sec. 3.117.5. Hospital Stroke Care; grants. | 5 | | (a) In order to encourage the establishment and retention | 6 | | of Comprehensive Stroke Centers, Primary Stroke Centers , and | 7 | | Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals | 8 | | throughout the State, the Director may award, subject to | 9 | | appropriation, matching grants to hospitals to be used for the | 10 | | acquisition and maintenance of necessary infrastructure, | 11 | | including personnel, equipment, and pharmaceuticals for the | 12 | | diagnosis and treatment of acute stroke patients. Grants may be | 13 | | used to pay the fee for certifications by Department approved | 14 | | nationally-recognized certifying bodies or to provide | 15 | | additional training for directors of stroke care or for | 16 | | hospital staff. | 17 | | (b) The Director may award grant moneys to Comprehensive | 18 | | Stroke Centers, Primary Stroke Centers , and Acute Stroke-Ready | 19 | | Hospitals Emergent Stroke Ready Hospitals for developing or | 20 | | enlarging stroke networks, for stroke education, and to enhance | 21 | | the ability of the EMS System to respond to possible acute | 22 | | stroke patients. | 23 | | (c) A Comprehensive Stroke Center, Primary Stroke Center, | 24 | | or Acute Stroke-Ready Hospital Emergent Stroke Ready Hospital , | 25 | | or a hospital seeking certification as a Comprehensive Stroke |
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| 1 | | Center, Primary Stroke Center , or Acute Stroke-Ready Hospital | 2 | | or designation as an Acute Stroke-Ready Hospital, Emergent | 3 | | Stroke Ready Hospital may apply to the Director for a matching | 4 | | grant in a manner and form specified by the Director and shall | 5 | | provide information as the Director deems necessary to | 6 | | determine whether the hospital is eligible for the grant. | 7 | | (d) Matching grant awards shall be made to Comprehensive | 8 | | Stroke Centers, Primary Stroke Centers, Acute Stroke-Ready | 9 | | Hospitals Emergent Stroke Ready Hospitals , or hospitals | 10 | | seeking certification or designation as a Comprehensive Stroke | 11 | | Center, Primary Stroke Center , or Acute Stroke-Ready Hospital | 12 | | designation as an Emergent Stroke Ready Hospital . The | 13 | | Department may consider prioritizing grant awards to hospitals | 14 | | in areas with the highest incidence of stroke, taking into | 15 | | account geographic diversity, where possible.
| 16 | | (Source: P.A. 96-514, eff. 1-1-10.) | 17 | | (210 ILCS 50/3.117.75 new) | 18 | | Sec. 3.117.75. Stroke Data Collection Fund. | 19 | | (a) The Stroke Data Collection Fund is created as a special | 20 | | fund in the State treasury. | 21 | | (b) Moneys in the fund shall be used by the Department to | 22 | | support the data collection provided for in Section 3.118 of | 23 | | this Act. Any surplus funds beyond what are needed to support | 24 | | the data collection provided for in Section 3.118 of this Act | 25 | | shall be used by the Department to support the salary of the |
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| 1 | | Department Stroke Coordinator or for other stroke-care | 2 | | initiatives, including administrative oversight of stroke | 3 | | care. | 4 | | (210 ILCS 50/3.118) | 5 | | Sec. 3.118. Reporting. | 6 | | (a) The Director shall, not later than July 1, 2012, | 7 | | prepare and submit to the Governor and the General Assembly a | 8 | | report indicating the total number of hospitals that have | 9 | | applied for grants, the project for which the application was | 10 | | submitted, the number of those applicants that have been found | 11 | | eligible for the grants, the total number of grants awarded, | 12 | | the name and address of each grantee, and the amount of the | 13 | | award issued to each grantee. | 14 | | (b) By July 1, 2010, the Director shall send the list of | 15 | | designated Comprehensive Stroke Centers, Primary Stroke | 16 | | Centers , and Acute Stroke-Ready Hospitals designated Emergent | 17 | | Stroke Ready Hospitals to all Resource Hospital EMS Medical | 18 | | Directors in this State and shall post a list of designated | 19 | | Comprehensive Stroke Centers, Primary Stroke Centers , and | 20 | | Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals | 21 | | on the Department's website, which shall be continuously | 22 | | updated. | 23 | | (c) The Department shall add the names of designated | 24 | | Comprehensive Stroke Centers, Primary Stroke Centers , and | 25 | | Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals |
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| 1 | | to the website listing immediately upon designation and shall | 2 | | immediately remove the name when a hospital loses its | 3 | | designation after notice and a hearing. | 4 | | (d) Stroke data collection systems and all stroke-related | 5 | | data collected from hospitals shall comply with the following | 6 | | requirements: | 7 | | (1) The confidentiality of patient records shall be | 8 | | maintained in accordance with State and federal laws. | 9 | | (2) Hospital proprietary information and the names of | 10 | | any hospital administrator, health care professional, or | 11 | | employee shall not be subject to disclosure. | 12 | | (3) Information submitted to the Department shall be | 13 | | privileged and strictly confidential and shall be used only | 14 | | for the evaluation and improvement of hospital stroke care. | 15 | | Stroke data collected by the Department shall not be | 16 | | directly available to the public and shall not be subject | 17 | | to civil subpoena, nor discoverable or admissible in any | 18 | | civil, criminal, or administrative proceeding against a | 19 | | health care facility or health care professional. | 20 | | (e) The Department may administer a data collection system | 21 | | to collect data that is already reported by designated | 22 | | Comprehensive Stroke Centers, Primary Stroke Centers , and | 23 | | Acute Stroke-Ready Hospitals to their certifying body, to | 24 | | fulfill Primary Stroke Center certification requirements. | 25 | | Comprehensive Stroke Centers, Primary Stroke Centers , and | 26 | | Acute Stroke-Ready Hospitals may provide data used in |
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| 1 | | submission complete copies of the same reports that are | 2 | | submitted to their certifying body, to satisfy any Department | 3 | | reporting requirements. The Department may require submission | 4 | | of data elements in a format that is used State-wide. In the | 5 | | event the Department establishes reporting requirements for | 6 | | designated Comprehensive Stroke Centers, Primary Stroke | 7 | | Centers, and Acute Stroke-Ready Hospitals, the Department | 8 | | shall permit each designated Comprehensive Stroke Center, | 9 | | Primary Stroke Center , or Acute Stroke-Ready Hospital to | 10 | | capture information using existing electronic reporting tools | 11 | | used for certification purposes. Nothing in this Section shall | 12 | | be construed to empower the Department to specify the form of | 13 | | internal recordkeeping. Three years from the effective date of | 14 | | this amendatory Act of the 96th General Assembly, the | 15 | | Department may post stroke data submitted by Comprehensive | 16 | | Stroke Centers, Primary Stroke Centers , and Acute Stroke-Ready | 17 | | Hospitals on its website, subject to the following: | 18 | | (1) Data collection and analytical methodologies shall | 19 | | be used that meet accepted standards of validity and | 20 | | reliability before any information is made available to the | 21 | | public. | 22 | | (2) The limitations of the data sources and analytic | 23 | | methodologies used to develop comparative hospital | 24 | | information shall be clearly identified and acknowledged, | 25 | | including, but not limited to, the appropriate and | 26 | | inappropriate uses of the data. |
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| 1 | | (3) To the greatest extent possible, comparative | 2 | | hospital information initiatives shall use standard-based | 3 | | norms derived from widely accepted provider-developed | 4 | | practice guidelines. | 5 | | (4) Comparative hospital information and other | 6 | | information that the Department has compiled regarding | 7 | | hospitals shall be shared with the hospitals under review | 8 | | prior to public dissemination of the information. | 9 | | Hospitals have 30 days to make corrections and to add | 10 | | helpful explanatory comments about the information before | 11 | | the publication. | 12 | | (5) Comparisons among hospitals shall adjust for | 13 | | patient case mix and other relevant risk factors and | 14 | | control for provider peer groups, when appropriate. | 15 | | (6) Effective safeguards to protect against the | 16 | | unauthorized use or disclosure of hospital information | 17 | | shall be developed and implemented. | 18 | | (7) Effective safeguards to protect against the | 19 | | dissemination of inconsistent, incomplete, invalid, | 20 | | inaccurate, or subjective hospital data shall be developed | 21 | | and implemented. | 22 | | (8) The quality and accuracy of hospital information | 23 | | reported under this Act and its data collection, analysis, | 24 | | and dissemination methodologies shall be evaluated | 25 | | regularly. | 26 | | (9) None of the information the Department discloses to |
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| 1 | | the public under this Act may be used to establish a | 2 | | standard of care in a private civil action. | 3 | | (10) The Department shall disclose information under | 4 | | this Section in accordance with provisions for inspection | 5 | | and copying of public records required by the Freedom of | 6 | | Information Act, provided that the information satisfies | 7 | | the provisions of this Section. | 8 | | (11) Notwithstanding any other provision of law, under | 9 | | no circumstances shall the Department disclose information | 10 | | obtained from a hospital that is confidential under Part 21 | 11 | | of Article VIII of the Code of Civil Procedure. | 12 | | (12) No hospital report or Department disclosure may | 13 | | contain information identifying a patient, employee, or | 14 | | licensed professional.
| 15 | | (Source: P.A. 96-514, eff. 1-1-10.) | 16 | | (210 ILCS 50/3.118.5) | 17 | | Sec. 3.118.5. State Stroke Advisory Subcommittee; triage | 18 | | and transport of possible acute stroke patients. | 19 | | (a) There shall be established within the State Emergency | 20 | | Medical Services Advisory Council, or other statewide body | 21 | | responsible for emergency health care, a standing State Stroke | 22 | | Advisory Subcommittee, which shall serve as an advisory body to | 23 | | the Council and the Department on matters related to the | 24 | | triage, treatment, and transport of possible acute stroke | 25 | | patients. Membership on the Committee shall be as |
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| 1 | | geographically diverse as possible and include one | 2 | | representative from each Regional Stroke Advisory | 3 | | Subcommittee, to be chosen by each Regional Stroke Advisory | 4 | | Subcommittee. The Director shall appoint additional members, | 5 | | as needed, to ensure there is adequate representation from the | 6 | | following: | 7 | | (1) an EMS Medical Director; | 8 | | (2) a hospital administrator, or designee, from a | 9 | | Comprehensive Stroke Center Primary Stroke Center ; | 10 | | (3) a hospital administrator, or designee, from a | 11 | | hospital capable of providing emergent stroke care that is | 12 | | not a Primary Stroke Center; | 13 | | (3.5) a hospital administrator, or designee, from an | 14 | | Acute Stroke-Ready Hospital; | 15 | | (3.10) a registered nurse from a Comprehensive Stroke | 16 | | Center; | 17 | | (4) a registered nurse from a Primary Stroke Center; | 18 | | (5) a registered nurse from an Acute Stroke-Ready | 19 | | Hospital a hospital capable of providing emergent stroke | 20 | | care that is not a Primary Stroke Center ; | 21 | | (5.5) a physician providing advanced stroke care from a | 22 | | Comprehensive Stroke center; | 23 | | (6) a physician providing stroke care neurologist from | 24 | | a Primary Stroke Center; | 25 | | (7) a physician providing stroke care from an Acute | 26 | | Stroke-Ready Hospital an emergency department physician |
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| 1 | | from a hospital, capable of providing emergent stroke care, | 2 | | that is not a Primary Stroke Center ; | 3 | | (8) an EMS Coordinator; | 4 | | (9) an acute stroke patient advocate; | 5 | | (10) a fire chief, or designee, from an EMS Region that | 6 | | serves a population of over 2,000,000 people; | 7 | | (11) a fire chief, or designee, from a rural EMS | 8 | | Region; | 9 | | (12) a representative from a private ambulance | 10 | | provider; and | 11 | | (12.5) a representative from a municipal EMS provider; | 12 | | and | 13 | | (13) a representative from the State Emergency Medical | 14 | | Services Advisory Council. | 15 | | (b) Of the members first appointed, 9 7 members shall be | 16 | | appointed for a term of one year, 9 7 members shall be | 17 | | appointed for a term of 2 years, and the remaining members | 18 | | shall be appointed for a term of 3 years. The terms of | 19 | | subsequent appointees shall be 3 years. | 20 | | (c) The State Stroke Advisory Subcommittee shall be | 21 | | provided a 90-day period in which to review and comment upon | 22 | | all rules proposed by the Department pursuant to this Act | 23 | | concerning stroke care, except for emergency rules adopted | 24 | | pursuant to Section 5-45 of the Illinois Administrative | 25 | | Procedure Act. The 90-day review and comment period shall | 26 | | commence prior to publication of the proposed rules and upon |
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| 1 | | the Department's submission of the proposed rules to the | 2 | | individual Committee members, if the Committee is not meeting | 3 | | at the time the proposed rules are ready for Committee review. | 4 | | (d) The State Stroke Advisory Subcommittee shall develop | 5 | | and submit an evidence-based statewide stroke assessment tool | 6 | | to clinically evaluate potential stroke patients to the | 7 | | Department for final approval. Upon approval, the Department | 8 | | shall disseminate the tool to all EMS Systems for adoption. The | 9 | | Director shall post the Department-approved stroke assessment | 10 | | tool on the Department's website. The State Stroke Advisory | 11 | | Subcommittee shall review the Department-approved stroke | 12 | | assessment tool at least annually to ensure its clinical | 13 | | relevancy and to make changes when clinically warranted. | 14 | | (d-5) Each EMS Regional Stroke Advisory Subcommittee shall | 15 | | submit recommendations for continuing education for | 16 | | pre-hospital personnel to that Region's EMS Medical Directors | 17 | | Committee. | 18 | | (e) Nothing in this Section shall preclude the State Stroke | 19 | | Advisory Subcommittee from reviewing and commenting on | 20 | | proposed rules which fall under the purview of the State | 21 | | Emergency Medical Services Advisory Council. Nothing in this | 22 | | Section shall preclude the Emergency Medical Services Advisory | 23 | | Council from reviewing and commenting on proposed rules which | 24 | | fall under the purview of the State Stroke Advisory | 25 | | Subcommittee. | 26 | | (f) The Director shall coordinate with and assist the EMS |
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| 1 | | System Medical Directors and Regional Stroke Advisory | 2 | | Subcommittee within each EMS Region to establish protocols | 3 | | related to the assessment, treatment, and transport of possible | 4 | | acute stroke patients by licensed emergency medical services | 5 | | providers. These protocols shall include regional transport | 6 | | plans for the triage and transport of possible acute stroke | 7 | | patients to the most appropriate Comprehensive Stroke Center, | 8 | | Primary Stroke Center , or Acute Stroke-Ready Hospital Emergent | 9 | | Stroke Ready Hospital , unless circumstances warrant otherwise.
| 10 | | (Source: P.A. 96-514, eff. 1-1-10.) | 11 | | (210 ILCS 50/3.119) | 12 | | Sec. 3.119. Stroke Care; restricted practices. Sections in | 13 | | this Act pertaining to Comprehensive Stroke Centers, Primary | 14 | | Stroke Centers , and Acute Stroke-Ready Hospitals Emergent | 15 | | Stroke Ready Hospitals are not medical practice guidelines and | 16 | | shall not be used to restrict the authority of a hospital to | 17 | | provide services for which it has received a license under | 18 | | State law.
| 19 | | (Source: P.A. 96-514, eff. 1-1-10.) | 20 | | (210 ILCS 50/3.226) | 21 | | Sec. 3.226. Hospital Stroke Care Fund. | 22 | | (a) The Hospital Stroke Care Fund is created as a special | 23 | | fund in the State treasury for the purpose of receiving | 24 | | appropriations, donations, and grants collected by the |
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| 1 | | Illinois Department of Public Health pursuant to Department | 2 | | designation of Comprehensive Stroke Centers, Primary Stroke | 3 | | Centers , and Acute Stroke-Ready Hospitals Emergent Stroke | 4 | | Ready Hospitals . All moneys collected by the Department | 5 | | pursuant to its authority to designate Comprehensive Stroke | 6 | | Centers, Primary Stroke Centers , and Acute Stroke-Ready | 7 | | Hospitals Emergent Stroke Ready Hospitals shall be deposited | 8 | | into the Fund, to be used for the purposes in subsection (b). | 9 | | (b) The purpose of the Fund is to allow the Director of the | 10 | | Department to award matching grants: | 11 | | (1) to hospitals that have been certified as | 12 | | Comprehensive Stroke Centers, Primary Stroke Centers, or | 13 | | Acute Stroke-Ready Hospitals; | 14 | | (2) to hospitals that seek certification or | 15 | | designation or both as Comprehensive Stroke Centers, | 16 | | Primary Stroke Centers, or Acute Stroke-Ready Hospitals; | 17 | | (3) to hospitals that have been designated Acute | 18 | | Stroke-Ready Hospitals; | 19 | | (4) to hospitals that seek designation as Acute | 20 | | Stroke-Ready Hospitals; and | 21 | | (5) for the development of stroke networks. | 22 | | Hospitals may use grant funds to work with the EMS System | 23 | | to improve outcomes of possible acute stroke patients. | 24 | | (b) The purpose of the Fund is to allow the Director of the | 25 | | Department to award matching grants to hospitals that have been | 26 | | certified Primary Stroke Centers, that seek certification or |
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| 1 | | designation or both as Primary Stroke Centers, that have been | 2 | | designated Emergent Stroke Ready Hospitals, that seek | 3 | | designation as Emergent Stroke Ready Hospitals, and for the | 4 | | development of stroke networks. Hospitals may use grant funds | 5 | | to work with the EMS System to improve outcomes of possible | 6 | | acute stroke patients. | 7 | | (c) Moneys deposited in the Hospital Stroke Care Fund shall | 8 | | be allocated according to the hospital needs within each EMS | 9 | | region and used solely for the purposes described in this Act. | 10 | | (d) Interfund transfers from the Hospital Stroke Care Fund | 11 | | shall be prohibited.
| 12 | | (Source: P.A. 96-514, eff. 1-1-10.)
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