Illinois General Assembly - Full Text of SB2403
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Full Text of SB2403  99th General Assembly


Sen. Chapin Rose

Filed: 3/7/2016





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2    AMENDMENT NO. ______. Amend Senate Bill 2403 by replacing
3everything after the enacting clause with the following:
4    "Section 1. This Act may be referred to as Gabby's Law.
5    Section 5. The Department of Public Health Powers and
6Duties Law of the Civil Administrative Code of Illinois is
7amended by adding Section 2310-314 as follows:
8    (20 ILCS 2310/2310-314 new)
9    Sec. 2310-314. Sepsis screening protocols. The Department
10shall adopt rules to implement Section 6.23a of the Hospital
11Licensing Act.
12    Section 10. The Hospital Licensing Act is amended by adding
13Section 6.23a as follows:



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1    (210 ILCS 85/6.23a new)
2    Sec. 6.23a. Sepsis screening protocols.
3     (a) Each hospital shall adopt, implement, and periodically
4update evidence-based protocols for the early recognition and
5treatment of patients with sepsis, severe sepsis, or septic
6shock (sepsis protocols) that are based on generally accepted
7standards of care. Sepsis protocols must include components
8specific to the identification, care, and treatment of adults
9and of children, and must clearly identify where and when
10components will differ for adults and for children seeking
11treatment in the emergency department or as an inpatient. These
12protocols must also include the following components:
13        (1) a process for the screening and early recognition
14    of patients with sepsis, severe sepsis, or septic shock;
15        (2) a process to identify and document individuals
16    appropriate for treatment through sepsis protocols,
17    including explicit criteria defining those patients who
18    should be excluded from the protocols, such as patients
19    with certain clinical conditions or who have elected
20    palliative care;
21        (3) guidelines for hemodynamic support with explicit
22    physiologic and treatment goals, methodology for invasive
23    or non-invasive hemodynamic monitoring, and timeframe
24    goals;
25        (4) for infants and children, guidelines for fluid
26    resuscitation consistent with current, evidence-based



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1    guidelines for severe sepsis and septic shock with defined
2    therapeutic goals for children;
3        (5) identification of the infectious source and
4    delivery of early broad spectrum antibiotics with timely
5    re-evaluation to adjust to narrow spectrum antibiotics
6    targeted to identified infectious sources; and
7        (6) criteria for use, based on accepted evidence of
8    vasoactive agents.
9    (b) Each hospital shall ensure that professional staff with
10direct patient care responsibilities and, as appropriate,
11staff with indirect patient care responsibilities, including,
12but not limited to, laboratory and pharmacy staff, are
13periodically trained to implement the sepsis protocols
14required under subsection (a). The hospital shall ensure
15updated training of staff if the hospital initiates substantive
16changes to the sepsis protocols.
17    (c) Each hospital shall be responsible for the collection
18and utilization of quality measures related to the recognition
19and treatment of severe sepsis for purposes of internal quality
21    (d) The evidence-based protocols adopted under this
22Section shall be provided to the Department upon the
23Department's request.
24    (e) Hospitals submitting sepsis data as required by the
25Center for Medicare and Medicaid Services Hospital Inpatient
26Quality Reporting program as of fiscal year 2016 are presumed



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1to meet the sepsis protocol requirements outlined in this
3    (f) Subject to appropriation, the Department shall:
4        (1) recommend evidence-based sepsis definitions and
5    metrics that incorporate evidence-based findings,
6    including appropriate antibiotic stewardship, and that
7    align with the National Quality Forum, the Centers for
8    Medicare and Medicaid Services, the Agency for Healthcare
9    Research and Quality, and The Joint Commission;
10        (2) establish and use a methodology for collecting,
11    analyzing, and disclosing the information collected under
12    this Section, including collection methods, formatting,
13    and methods and means for aggregate data release and
14    dissemination;
15        (3) complete a digest of efforts and recommendations no
16    later than 12 months after the effective date of this
17    amendatory Act of the 99th General Assembly; the digest may
18    include Illinois-specific data, trends, conditions, or
19    other clinical factors; a summary shall be provided to the
20    Governor and General Assembly and shall be publicly
21    available on the Department's website; and
22        (4) consult and seek input and feedback prior to the
23    proposal, publication, or issuance of any guidance,
24    methodologies, metrics, rulemaking, or any other
25    information authorized under this Section from statewide
26    organizations representing hospitals, physicians, advanced



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1    practice nurses, pharmacists, and long-term care
2    facilities. Public and private hospitals, epidemiologists,
3    infection prevention professionals, health care
4    informatics and health care data professionals, and
5    academic researchers may be consulted.
6    If the Department receives an appropriation and carries out
7the requirements of paragraphs (1), (2), (3), and (4), then the
8Department may adopt rules concerning the collection of data
9from hospitals regarding sepsis and requiring that each
10hospital shall be responsible for reporting to the Department.
11    Any publicly released hospital-specific information under
12this Section is subject to data provisions specified in Section
1325 of the Hospital Report Card Act.
14    Section 99. Effective date. This Act takes effect upon
15becoming law.".