Public Act 098-1001
 
HB5742 EnrolledLRB098 18125 RPS 53254 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The State Finance Act is amended by adding
Section 5.855 as follows:
 
    (30 ILCS 105/5.855 new)
    Sec. 5.855. The Stroke Data Collection Fund.
 
    Section 10. The Emergency Medical Services (EMS) Systems
Act is amended by changing Sections 3.116, 3.117, 3.117.5,
3.118, 3.118.5, 3.119, and 3.226 and by adding Section 3.117.75
as follows:
 
    (210 ILCS 50/3.116)
    Sec. 3.116. Hospital Stroke Care; definitions. As used in
Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this
Act:
    "Acute Stroke-Ready Hospital" means a hospital that has
been designated by the Department as meeting the criteria for
providing emergent stroke care. Designation may be provided
after a hospital has been certified or through application and
designation as such.
    "Certification" or "certified" means certification, using
evidence-based standards, from a nationally-recognized
certifying body approved by the Department.
    "Comprehensive Stroke Center" means a hospital that has
been certified and has been designated as such.
    "Designation" or "designated" means the Department's
recognition of a hospital as a Comprehensive Stroke Center,
Primary Stroke Center, or Acute Stroke-Ready Hospital Emergent
Stroke Ready Hospital.
    "Emergent stroke care" is emergency medical care that
includes diagnosis and emergency medical treatment of acute
stroke patients.
    "Emergent Stroke Ready Hospital" means a hospital that has
been designated by the Department as meeting the criteria for
providing emergent stroke care.
    "Primary Stroke Center" means a hospital that has been
certified by a Department-approved, nationally-recognized
certifying body and designated as such by the Department.
    "Regional Stroke Advisory Subcommittee" means a
subcommittee formed within each Regional EMS Advisory
Committee to advise the Director and the Region's EMS Medical
Directors Committee on the triage, treatment, and transport of
possible acute stroke patients and to select the Region's
representative to the State Stroke Advisory Subcommittee. At
minimum, the Regional Stroke Advisory Subcommittee shall
consist of: one representative from the EMS Medical Directors
Committee; one EMS coordinator from a Resource Hospital; one
administrative representative or his or her designee from each
level of stroke care, including Comprehensive Stroke Centers
within the Region, if any, Primary Stroke Centers within the
Region, if any, and Acute Stroke-Ready Hospitals within the
Region, if any; one physician from each level of stroke care,
including one physician who is a neurologist or who provides
advanced stroke care at a Comprehensive Stroke Center in the
Region, if any, one physician who is a neurologist or who
provides acute stroke care at a Primary Stroke Center in the
Region, if any, and one physician who provides acute stroke
care at an Acute Stroke-Ready Hospital in the Region, if any;
one nurse practicing in each level of stroke care, including
one nurse from a Comprehensive Stroke Center in the Region, if
any, one nurse from a Primary Stroke Center in the Region, if
any, and one nurse from an Acute Stroke-Ready Hospital in the
Region, if any; one representative from both a public and a
private vehicle service provider that transports possible
acute stroke patients within the Region; the State-designated
regional EMS Coordinator; and a fire chief or his or her
designee from the EMS Region, if the Region serves a population
of more than 2,000,000. The Regional Stroke Advisory
Subcommittee shall establish bylaws to ensure equal membership
that rotates and clearly delineates committee responsibilities
and structure. Of the members first appointed, one-third shall
be appointed for a term of one year, one-third shall be
appointed for a term of 2 years, and the remaining members
shall be appointed for a term of 3 years. The terms of
subsequent appointees shall be 3 years. The Regional Stroke
Advisory Subcommittee shall consist of one representative from
the EMS Medical Directors Committee; equal numbers of
administrative representatives, or their designees, from
Primary Stroke Centers within the Region, if any, and from
hospitals that are capable of providing emergent stroke care
that are not Primary Stroke Centers within the Region; one
neurologist from a Primary Stroke Center in the Region, if any;
one nurse practicing in a Primary Stroke Center and one nurse
from a hospital capable of providing emergent stroke care that
is not a Primary Stroke Center; one representative from both a
public and a private vehicle service provider which transports
possible acute stroke patients within the Region; the State
designated regional EMS Coordinator; and in regions that serve
a population of over 2,000,000, a fire chief, or designee, from
the EMS Region.
    "State Stroke Advisory Subcommittee" means a standing
advisory body within the State Emergency Medical Services
Advisory Council.
(Source: P.A. 96-514, eff. 1-1-10.)
 
    (210 ILCS 50/3.117)
    Sec. 3.117. Hospital Designations.
    (a) The Department shall attempt to designate Primary
Stroke Centers in all areas of the State.
        (1) The Department shall designate as many certified
    Primary Stroke Centers as apply for that designation
    provided they are certified by a nationally-recognized
    certifying body, approved by the Department, and
    certification criteria are consistent with the most
    current nationally-recognized, evidence-based stroke
    guidelines related to reducing the occurrence,
    disabilities, and death associated with stroke.
        (2) A hospital certified as a Primary Stroke Center by
    a nationally-recognized certifying body approved by the
    Department, shall send a copy of the Certificate and annual
    fee to the Department and shall be deemed, within 30
    business days of its receipt by the Department, to be a
    State-designated Primary Stroke Center.
        (3) A center designated as a Primary Stroke Center
    shall pay an annual fee as determined by the Department
    that shall be no less than $100 and no greater than $500.
    All fees shall be deposited into the Stroke Data Collection
    Fund.
        (3.5) With respect to a hospital that is a designated
    Primary Stroke Center, the Department shall have the
    authority and responsibility to do the following:
            (A) Suspend or revoke a hospital's Primary Stroke
        Center designation upon receiving notice that the
        hospital's Primary Stroke Center certification has
        lapsed or has been revoked by the State recognized
        certifying body.
            (B) Suspend a hospital's Primary Stroke Center
        designation, in extreme circumstances where patients
        may be at risk for immediate harm or death, until such
        time as the certifying body investigates and makes a
        final determination regarding certification.
            (C) Restore any previously suspended or revoked
        Department designation upon notice to the Department
        that the certifying body has confirmed or restored the
        Primary Stroke Center certification of that previously
        designated hospital.
            (D) Suspend a hospital's Primary Stroke Center
        designation at the request of a hospital seeking to
        suspend its own Department designation.
        (4) Primary Stroke Center designation shall remain
    valid at all times while the hospital maintains its
    certification as a Primary Stroke Center, in good standing,
    with the certifying body. The duration of a Primary Stroke
    Center designation shall coincide with the duration of its
    Primary Stroke Center certification. Each designated
    Primary Stroke Center shall have its designation
    automatically renewed upon the Department's receipt of a
    copy of the accrediting body's certification renewal.
        (5) A hospital that no longer meets
    nationally-recognized, evidence-based standards for
    Primary Stroke Centers, or loses its Primary Stroke Center
    certification, shall immediately notify the Department and
    the Regional EMS Advisory Committee within 5 business days.
    (a-5) The Department shall attempt to designate
Comprehensive Stroke Centers in all areas of the State.
        (1) The Department shall designate as many certified
    Comprehensive Stroke Centers as apply for that
    designation, provided that the Comprehensive Stroke
    Centers are certified by a nationally-recognized
    certifying body approved by the Department, and provided
    that the certifying body's certification criteria are
    consistent with the most current nationally-recognized and
    evidence-based stroke guidelines for reducing the
    occurrence of stroke and the disabilities and death
    associated with stroke.
        (2) A hospital certified as a Comprehensive Stroke
    Center shall send a copy of the Certificate and annual fee
    to the Department and shall be deemed, within 30 business
    days of its receipt by the Department, to be a
    State-designated Comprehensive Stroke Center.
        (3) A hospital designated as a Comprehensive Stroke
    Center shall pay an annual fee as determined by the
    Department that shall be no less than $100 and no greater
    than $500. All fees shall be deposited into the Stroke Data
    Collection Fund.
        (4) With respect to a hospital that is a designated
    Comprehensive Stroke Center, the Department shall have the
    authority and responsibility to do the following:
            (A) Suspend or revoke the hospital's Comprehensive
        Stroke Center designation upon receiving notice that
        the hospital's Comprehensive Stroke Center
        certification has lapsed or has been revoked by the
        State recognized certifying body.
            (B) Suspend the hospital's Comprehensive Stroke
        Center designation, in extreme circumstances in which
        patients may be at risk for immediate harm or death,
        until such time as the certifying body investigates and
        makes a final determination regarding certification.
            (C) Restore any previously suspended or revoked
        Department designation upon notice to the Department
        that the certifying body has confirmed or restored the
        Comprehensive Stroke Center certification of that
        previously designated hospital.
            (D) Suspend the hospital's Comprehensive Stroke
        Center designation at the request of a hospital seeking
        to suspend its own Department designation.
        (5) Comprehensive Stroke Center designation shall
    remain valid at all times while the hospital maintains its
    certification as a Comprehensive Stroke Center, in good
    standing, with the certifying body. The duration of a
    Comprehensive Stroke Center designation shall coincide
    with the duration of its Comprehensive Stroke Center
    certification. Each designated Comprehensive Stroke Center
    shall have its designation automatically renewed upon the
    Department's receipt of a copy of the certifying body's
    certification renewal.
        (6) A hospital that no longer meets
    nationally-recognized, evidence-based standards for
    Comprehensive Stroke Centers, or loses its Comprehensive
    Stroke Center certification, shall notify the Department
    and the Regional EMS Advisory Committee within 5 business
    days.
    (b) Beginning on the first day of the month that begins 12
months after the adoption of rules authorized by this
subsection, the The Department shall attempt to designate
hospitals as Acute Stroke-Ready Hospitals Emergent Stroke
Ready Hospitals capable of providing emergent stroke care in
all areas of the State. Designation may be approved by the
Department after a hospital has been certified as an Acute
Stroke-Ready Hospital or through application and designation
by the Department. For any hospital that is designated as an
Emergent Stroke Ready Hospital at the time that the Department
begins the designation of Acute Stroke-Ready Hospitals, the
Emergent Stroke Ready designation shall remain intact for the
duration of the 12-month period until that designation expires.
Until the Department begins the designation of hospitals as
Acute Stroke-Ready Hospitals, hospitals may achieve Emergent
Stroke Ready Hospital designation utilizing the processes and
criteria provided in Public Act 96-514.
        (1) (Blank). The Department shall designate as many
    Emergent Stroke Ready Hospitals as apply for that
    designation as long as they meet the criteria in this Act.
        (2) Hospitals may apply for, and receive, Acute
    Stroke-Ready Hospital Emergent Stroke Ready Hospital
    designation from the Department, provided that the
    hospital attests, on a form developed by the Department in
    consultation with the State Stroke Advisory Subcommittee,
    that it meets, and will continue to meet, the criteria for
    Acute Stroke-Ready Hospital designation and pays an annual
    fee Emergent Stroke Ready Hospital designation.
        A hospital designated as an Acute Stroke-Ready
    Hospital shall pay an annual fee as determined by the
    Department that shall be no less than $100 and no greater
    than $500. All fees shall be deposited into the Stroke Data
    Collection Fund.
        (2.5) A hospital may apply for, and receive, Acute
    Stroke-Ready Hospital designation from the Department,
    provided that the hospital provides proof of current Acute
    Stroke-Ready Hospital certification and the hospital pays
    an annual fee.
            (A) Acute Stroke-Ready Hospital designation shall
        remain valid at all times while the hospital maintains
        its certification as an Acute Stroke-Ready Hospital,
        in good standing, with the certifying body.
            (B) The duration of an Acute Stroke-Ready Hospital
        designation shall coincide with the duration of its
        Acute Stroke-Ready Hospital certification.
            (C) Each designated Acute Stroke-Ready Hospital
        shall have its designation automatically renewed upon
        the Department's receipt of a copy of the certifying
        body's certification renewal and Application for
        Stroke Center Designation form.
            (D) A hospital must submit a copy of its
        certification renewal from the certifying body as soon
        as practical but no later than 30 business days after
        that certification is received by the hospital. Upon
        the Department's receipt of the renewal certification,
        the Department shall renew the hospital's Acute
        Stroke-Ready Hospital designation.
            (E) A hospital designated as an Acute Stroke-Ready
        Hospital shall pay an annual fee as determined by the
        Department that shall be no less than $100 and no
        greater than $500. All fees shall be deposited into the
        Stroke Data Collection Fund.
        (3) Hospitals seeking Acute Stroke-Ready Hospital
    Emergent Stroke Ready Hospital designation that do not have
    certification shall develop policies and procedures that
    are consistent with consider nationally-recognized,
    evidence-based protocols for the provision of emergent
    stroke care. Hospital policies relating to emergent stroke
    care and stroke patient outcomes shall be reviewed at least
    annually, or more often as needed, by a hospital committee
    that oversees quality improvement. Adjustments shall be
    made as necessary to advance the quality of stroke care
    delivered. Criteria for Acute Stroke-Ready Hospital
    Emergent Stroke Ready Hospital designation of hospitals
    shall be limited to the ability of a hospital to:
            (A) create written acute care protocols related to
        emergent stroke care;
            (A-5) participate in the data collection system
        provided in Section 3.118, if available;
            (B) maintain a written transfer agreement with one
        or more hospitals that have neurosurgical expertise;
            (C) designate a Clinical Director of Stroke Care
        who shall be a clinical member of the hospital staff
        with training or experience, as defined by the
        facility, in the care of patients with cerebrovascular
        disease. This training or experience may include, but
        is not limited to, completion of a fellowship or other
        specialized training in the area of cerebrovascular
        disease, attendance at national courses, or prior
        experience in neuroscience intensive care units. The
        Clinical Director of Stroke Care may be a neurologist,
        neurosurgeon, emergency medicine physician, internist,
        radiologist, advanced practice nurse, or physician's
        assistant director of stroke care, which may be a
        clinical member of the hospital staff or the designee
        of the hospital administrator, to oversee the
        hospital's stroke care policies and procedures;
            (C-5) provide rapid access to an acute stroke team,
        as defined by the facility, that considers and reflects
        nationally-recognized, evidenced-based protocols or
        guidelines;
            (D) administer thrombolytic therapy, or
        subsequently developed medical therapies that meet
        nationally-recognized, evidence-based stroke
        guidelines;
            (E) conduct brain image tests at all times;
            (F) conduct blood coagulation studies at all
        times; and
            (G) maintain a log of stroke patients, which shall
        be available for review upon request by the Department
        or any hospital that has a written transfer agreement
        with the Acute Stroke-Ready Hospital; Emergent Stroke
        Ready Hospital.
            (H) admit stroke patients to a unit that can
        provide appropriate care that considers and reflects
        nationally-recognized, evidence-based protocols or
        guidelines or transfer stroke patients to an Acute
        Stroke-Ready Hospital, Primary Stroke Center, or
        Comprehensive Stroke Center, or another facility that
        can provide the appropriate care that considers and
        reflects nationally-recognized, evidence-based
        protocols or guidelines; and
            (I) demonstrate compliance with
        nationally-recognized quality indicators.
        (4) With respect to Acute Stroke-Ready Hospital
    Emergent Stroke Ready Hospital designation, the Department
    shall have the authority and responsibility to do the
    following:
            (A) Require hospitals applying for Acute
        Stroke-Ready Hospital Emergent Stroke Ready Hospital
        designation to attest, on a form developed by the
        Department in consultation with the State Stroke
        Advisory Subcommittee, that the hospital meets, and
        will continue to meet, the criteria for an Acute
        Stroke-Ready a Emergent Stroke Ready Hospital.
            (A-5) Require hospitals applying for Acute
        Stroke-Ready Hospital designation via national Acute
        Stroke-Ready Hospital certification to provide proof
        of current Acute Stroke-Ready Hospital certification,
        in good standing.
            The Department shall require a hospital that is
        already certified as an Acute Stroke-Ready Hospital to
        send a copy of the Certificate to the Department.
            Within 30 business days of the Department's
        receipt of a hospital's Acute Stroke-Ready Certificate
        and Application for Stroke Center Designation form
        that indicates that the hospital is a certified Acute
        Stroke-Ready Hospital, in good standing, the hospital
        shall be deemed a State-designated Acute Stroke-Ready
        Hospital. The Department shall send a designation
        notice to each hospital that it designates as an Acute
        Stroke-Ready Hospital and shall add the names of
        designated Acute Stroke-Ready Hospitals to the website
        listing immediately upon designation. The Department
        shall immediately remove the name of a hospital from
        the website listing when a hospital loses its
        designation after notice and, if requested by the
        hospital, a hearing.
            The Department shall develop an Application for
        Stroke Center Designation form that contains a
        statement that "The above named facility meets the
        requirements for Acute Stroke-Ready Hospital
        Designation as provided in Section 3.117 of the
        Emergency Medical Services (EMS) Systems Act" and
        shall instruct the applicant facility to provide: the
        hospital name and address; the hospital CEO or
        Administrator's typed name and signature; the hospital
        Clinical Director of Stroke Care's typed name and
        signature; and a contact person's typed name, email
        address, and phone number.
            The Application for Stroke Center Designation form
        shall contain a statement that instructs the hospital
        to "Provide proof of current Acute Stroke-Ready
        Hospital certification from a nationally-recognized
        certifying body approved by the Department".
            (B) Designate a hospital as an Acute Stroke-Ready
        Hospital Emergent Stroke Ready Hospital no more than 30
        20 business days after receipt of an attestation that
        meets the requirements for attestation, unless the
        Department, within 30 days of receipt of the
        attestation, chooses to conduct an onsite survey prior
        to designation. If the Department chooses to conduct an
        onsite survey prior to designation, then the onsite
        survey shall be conducted within 90 days of receipt of
        the attestation.
            (C) Require annual written attestation, on a form
        developed by the Department in consultation with the
        State Stroke Advisory Subcommittee, by Acute
        Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
        to indicate compliance with Acute Stroke-Ready
        Hospital Emergent Stroke Ready Hospital criteria, as
        described in this Section, and automatically renew
        Acute Stroke-Ready Hospital Emergent Stroke Ready
        Hospital designation of the hospital.
            (D) Issue an Emergency Suspension of Acute
        Stroke-Ready Hospital Emergent Stroke Ready Hospital
        designation when the Director, or his or her designee,
        has determined that the hospital no longer meets the
        Acute Stroke-Ready Hospital Emergent Stroke Ready
        Hospital criteria and an immediate and serious danger
        to the public health, safety, and welfare exists. If
        the Acute Stroke-Ready Hospital Emergent Stroke Ready
        Hospital fails to eliminate the violation immediately
        or within a fixed period of time, not exceeding 10
        days, as determined by the Director, the Director may
        immediately revoke the Acute Stroke-Ready Hospital
        Emergent Stroke Ready Hospital designation. The Acute
        Stroke-Ready Hospital Emergent Stroke Ready Hospital
        may appeal the revocation within 15 business days after
        receiving the Director's revocation order, by
        requesting an administrative hearing.
            (E) After notice and an opportunity for an
        administrative hearing, suspend, revoke, or refuse to
        renew an Acute Stroke-Ready Hospital Emergent Stroke
        Ready Hospital designation, when the Department finds
        the hospital is not in substantial compliance with
        current Acute Stroke-Ready Hospital Emergent Stroke
        Ready Hospital criteria.
    (c) The Department shall consult with the State Stroke
Advisory Subcommittee for developing the designation,
re-designation, and de-designation processes for Comprehensive
Stroke Centers, for Primary Stroke Centers, and Acute
Stroke-Ready Hospitals Emergent Stroke Ready Hospitals.
    (d) The Department shall consult with the State Stroke
Advisory Subcommittee as subject matter experts at least
annually regarding stroke standards of care.
(Source: P.A. 96-514, eff. 1-1-10; revised 11-12-13.)
 
    (210 ILCS 50/3.117.5)
    Sec. 3.117.5. Hospital Stroke Care; grants.
    (a) In order to encourage the establishment and retention
of Comprehensive Stroke Centers, Primary Stroke Centers, and
Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
throughout the State, the Director may award, subject to
appropriation, matching grants to hospitals to be used for the
acquisition and maintenance of necessary infrastructure,
including personnel, equipment, and pharmaceuticals for the
diagnosis and treatment of acute stroke patients. Grants may be
used to pay the fee for certifications by Department approved
nationally-recognized certifying bodies or to provide
additional training for directors of stroke care or for
hospital staff.
    (b) The Director may award grant moneys to Comprehensive
Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
Hospitals Emergent Stroke Ready Hospitals for developing or
enlarging stroke networks, for stroke education, and to enhance
the ability of the EMS System to respond to possible acute
stroke patients.
    (c) A Comprehensive Stroke Center, Primary Stroke Center,
or Acute Stroke-Ready Hospital Emergent Stroke Ready Hospital,
or a hospital seeking certification as a Comprehensive Stroke
Center, Primary Stroke Center, or Acute Stroke-Ready Hospital
or designation as an Acute Stroke-Ready Hospital, Emergent
Stroke Ready Hospital may apply to the Director for a matching
grant in a manner and form specified by the Director and shall
provide information as the Director deems necessary to
determine whether the hospital is eligible for the grant.
    (d) Matching grant awards shall be made to Comprehensive
Stroke Centers, Primary Stroke Centers, Acute Stroke-Ready
Hospitals Emergent Stroke Ready Hospitals, or hospitals
seeking certification or designation as a Comprehensive Stroke
Center, Primary Stroke Center, or Acute Stroke-Ready Hospital
designation as an Emergent Stroke Ready Hospital. The
Department may consider prioritizing grant awards to hospitals
in areas with the highest incidence of stroke, taking into
account geographic diversity, where possible.
(Source: P.A. 96-514, eff. 1-1-10.)
 
    (210 ILCS 50/3.117.75 new)
    Sec. 3.117.75. Stroke Data Collection Fund.
    (a) The Stroke Data Collection Fund is created as a special
fund in the State treasury.
    (b) Moneys in the fund shall be used by the Department to
support the data collection provided for in Section 3.118 of
this Act. Any surplus funds beyond what are needed to support
the data collection provided for in Section 3.118 of this Act
shall be used by the Department to support the salary of the
Department Stroke Coordinator or for other stroke-care
initiatives, including administrative oversight of stroke
care.
 
    (210 ILCS 50/3.118)
    Sec. 3.118. Reporting.
    (a) The Director shall, not later than July 1, 2012,
prepare and submit to the Governor and the General Assembly a
report indicating the total number of hospitals that have
applied for grants, the project for which the application was
submitted, the number of those applicants that have been found
eligible for the grants, the total number of grants awarded,
the name and address of each grantee, and the amount of the
award issued to each grantee.
    (b) By July 1, 2010, the Director shall send the list of
designated Comprehensive Stroke Centers, Primary Stroke
Centers, and Acute Stroke-Ready Hospitals designated Emergent
Stroke Ready Hospitals to all Resource Hospital EMS Medical
Directors in this State and shall post a list of designated
Comprehensive Stroke Centers, Primary Stroke Centers, and
Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
on the Department's website, which shall be continuously
updated.
    (c) The Department shall add the names of designated
Comprehensive Stroke Centers, Primary Stroke Centers, and
Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
to the website listing immediately upon designation and shall
immediately remove the name when a hospital loses its
designation after notice and a hearing.
    (d) Stroke data collection systems and all stroke-related
data collected from hospitals shall comply with the following
requirements:
        (1) The confidentiality of patient records shall be
    maintained in accordance with State and federal laws.
        (2) Hospital proprietary information and the names of
    any hospital administrator, health care professional, or
    employee shall not be subject to disclosure.
        (3) Information submitted to the Department shall be
    privileged and strictly confidential and shall be used only
    for the evaluation and improvement of hospital stroke care.
    Stroke data collected by the Department shall not be
    directly available to the public and shall not be subject
    to civil subpoena, nor discoverable or admissible in any
    civil, criminal, or administrative proceeding against a
    health care facility or health care professional.
    (e) The Department may administer a data collection system
to collect data that is already reported by designated
Comprehensive Stroke Centers, Primary Stroke Centers, and
Acute Stroke-Ready Hospitals to their certifying body, to
fulfill Primary Stroke Center certification requirements.
Comprehensive Stroke Centers, Primary Stroke Centers, and
Acute Stroke-Ready Hospitals may provide data used in
submission complete copies of the same reports that are
submitted to their certifying body, to satisfy any Department
reporting requirements. The Department may require submission
of data elements in a format that is used State-wide. In the
event the Department establishes reporting requirements for
designated Comprehensive Stroke Centers, Primary Stroke
Centers, and Acute Stroke-Ready Hospitals, the Department
shall permit each designated Comprehensive Stroke Center,
Primary Stroke Center, or Acute Stroke-Ready Hospital to
capture information using existing electronic reporting tools
used for certification purposes. Nothing in this Section shall
be construed to empower the Department to specify the form of
internal recordkeeping. Three years from the effective date of
this amendatory Act of the 96th General Assembly, the
Department may post stroke data submitted by Comprehensive
Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
Hospitals on its website, subject to the following:
        (1) Data collection and analytical methodologies shall
    be used that meet accepted standards of validity and
    reliability before any information is made available to the
    public.
        (2) The limitations of the data sources and analytic
    methodologies used to develop comparative hospital
    information shall be clearly identified and acknowledged,
    including, but not limited to, the appropriate and
    inappropriate uses of the data.
        (3) To the greatest extent possible, comparative
    hospital information initiatives shall use standard-based
    norms derived from widely accepted provider-developed
    practice guidelines.
        (4) Comparative hospital information and other
    information that the Department has compiled regarding
    hospitals shall be shared with the hospitals under review
    prior to public dissemination of the information.
    Hospitals have 30 days to make corrections and to add
    helpful explanatory comments about the information before
    the publication.
        (5) Comparisons among hospitals shall adjust for
    patient case mix and other relevant risk factors and
    control for provider peer groups, when appropriate.
        (6) Effective safeguards to protect against the
    unauthorized use or disclosure of hospital information
    shall be developed and implemented.
        (7) Effective safeguards to protect against the
    dissemination of inconsistent, incomplete, invalid,
    inaccurate, or subjective hospital data shall be developed
    and implemented.
        (8) The quality and accuracy of hospital information
    reported under this Act and its data collection, analysis,
    and dissemination methodologies shall be evaluated
    regularly.
        (9) None of the information the Department discloses to
    the public under this Act may be used to establish a
    standard of care in a private civil action.
        (10) The Department shall disclose information under
    this Section in accordance with provisions for inspection
    and copying of public records required by the Freedom of
    Information Act, provided that the information satisfies
    the provisions of this Section.
        (11) Notwithstanding any other provision of law, under
    no circumstances shall the Department disclose information
    obtained from a hospital that is confidential under Part 21
    of Article VIII of the Code of Civil Procedure.
        (12) No hospital report or Department disclosure may
    contain information identifying a patient, employee, or
    licensed professional.
(Source: P.A. 96-514, eff. 1-1-10.)
 
    (210 ILCS 50/3.118.5)
    Sec. 3.118.5. State Stroke Advisory Subcommittee; triage
and transport of possible acute stroke patients.
    (a) There shall be established within the State Emergency
Medical Services Advisory Council, or other statewide body
responsible for emergency health care, a standing State Stroke
Advisory Subcommittee, which shall serve as an advisory body to
the Council and the Department on matters related to the
triage, treatment, and transport of possible acute stroke
patients. Membership on the Committee shall be as
geographically diverse as possible and include one
representative from each Regional Stroke Advisory
Subcommittee, to be chosen by each Regional Stroke Advisory
Subcommittee. The Director shall appoint additional members,
as needed, to ensure there is adequate representation from the
following:
        (1) an EMS Medical Director;
        (2) a hospital administrator, or designee, from a
    Comprehensive Stroke Center Primary Stroke Center;
        (3) a hospital administrator, or designee, from a
    hospital capable of providing emergent stroke care that is
    not a Primary Stroke Center;
        (3.5) a hospital administrator, or designee, from an
    Acute Stroke-Ready Hospital;
        (3.10) a registered nurse from a Comprehensive Stroke
    Center;
        (4) a registered nurse from a Primary Stroke Center;
        (5) a registered nurse from an Acute Stroke-Ready
    Hospital a hospital capable of providing emergent stroke
    care that is not a Primary Stroke Center;
        (5.5) a physician providing advanced stroke care from a
    Comprehensive Stroke center;
        (6) a physician providing stroke care neurologist from
    a Primary Stroke Center;
        (7) a physician providing stroke care from an Acute
    Stroke-Ready Hospital an emergency department physician
    from a hospital, capable of providing emergent stroke care,
    that is not a Primary Stroke Center;
        (8) an EMS Coordinator;
        (9) an acute stroke patient advocate;
        (10) a fire chief, or designee, from an EMS Region that
    serves a population of over 2,000,000 people;
        (11) a fire chief, or designee, from a rural EMS
    Region;
        (12) a representative from a private ambulance
    provider; and
        (12.5) a representative from a municipal EMS provider;
    and
        (13) a representative from the State Emergency Medical
    Services Advisory Council.
    (b) Of the members first appointed, 9 7 members shall be
appointed for a term of one year, 9 7 members shall be
appointed for a term of 2 years, and the remaining members
shall be appointed for a term of 3 years. The terms of
subsequent appointees shall be 3 years.
    (c) The State Stroke Advisory Subcommittee shall be
provided a 90-day period in which to review and comment upon
all rules proposed by the Department pursuant to this Act
concerning stroke care, except for emergency rules adopted
pursuant to Section 5-45 of the Illinois Administrative
Procedure Act. The 90-day review and comment period shall
commence prior to publication of the proposed rules and upon
the Department's submission of the proposed rules to the
individual Committee members, if the Committee is not meeting
at the time the proposed rules are ready for Committee review.
    (d) The State Stroke Advisory Subcommittee shall develop
and submit an evidence-based statewide stroke assessment tool
to clinically evaluate potential stroke patients to the
Department for final approval. Upon approval, the Department
shall disseminate the tool to all EMS Systems for adoption. The
Director shall post the Department-approved stroke assessment
tool on the Department's website. The State Stroke Advisory
Subcommittee shall review the Department-approved stroke
assessment tool at least annually to ensure its clinical
relevancy and to make changes when clinically warranted.
    (d-5) Each EMS Regional Stroke Advisory Subcommittee shall
submit recommendations for continuing education for
pre-hospital personnel to that Region's EMS Medical Directors
Committee.
    (e) Nothing in this Section shall preclude the State Stroke
Advisory Subcommittee from reviewing and commenting on
proposed rules which fall under the purview of the State
Emergency Medical Services Advisory Council. Nothing in this
Section shall preclude the Emergency Medical Services Advisory
Council from reviewing and commenting on proposed rules which
fall under the purview of the State Stroke Advisory
Subcommittee.
    (f) The Director shall coordinate with and assist the EMS
System Medical Directors and Regional Stroke Advisory
Subcommittee within each EMS Region to establish protocols
related to the assessment, treatment, and transport of possible
acute stroke patients by licensed emergency medical services
providers. These protocols shall include regional transport
plans for the triage and transport of possible acute stroke
patients to the most appropriate Comprehensive Stroke Center,
Primary Stroke Center, or Acute Stroke-Ready Hospital Emergent
Stroke Ready Hospital, unless circumstances warrant otherwise.
(Source: P.A. 96-514, eff. 1-1-10.)
 
    (210 ILCS 50/3.119)
    Sec. 3.119. Stroke Care; restricted practices. Sections in
this Act pertaining to Comprehensive Stroke Centers, Primary
Stroke Centers, and Acute Stroke-Ready Hospitals Emergent
Stroke Ready Hospitals are not medical practice guidelines and
shall not be used to restrict the authority of a hospital to
provide services for which it has received a license under
State law.
(Source: P.A. 96-514, eff. 1-1-10.)
 
    (210 ILCS 50/3.226)
    Sec. 3.226. Hospital Stroke Care Fund.
    (a) The Hospital Stroke Care Fund is created as a special
fund in the State treasury for the purpose of receiving
appropriations, donations, and grants collected by the
Illinois Department of Public Health pursuant to Department
designation of Comprehensive Stroke Centers, Primary Stroke
Centers, and Acute Stroke-Ready Hospitals Emergent Stroke
Ready Hospitals. All moneys collected by the Department
pursuant to its authority to designate Comprehensive Stroke
Centers, Primary Stroke Centers, and Acute Stroke-Ready
Hospitals Emergent Stroke Ready Hospitals shall be deposited
into the Fund, to be used for the purposes in subsection (b).
    (b) The purpose of the Fund is to allow the Director of the
Department to award matching grants:
        (1) to hospitals that have been certified as
    Comprehensive Stroke Centers, Primary Stroke Centers, or
    Acute Stroke-Ready Hospitals;
        (2) to hospitals that seek certification or
    designation or both as Comprehensive Stroke Centers,
    Primary Stroke Centers, or Acute Stroke-Ready Hospitals;
        (3) to hospitals that have been designated Acute
    Stroke-Ready Hospitals;
        (4) to hospitals that seek designation as Acute
    Stroke-Ready Hospitals; and
        (5) for the development of stroke networks.
    Hospitals may use grant funds to work with the EMS System
to improve outcomes of possible acute stroke patients.
    (b) The purpose of the Fund is to allow the Director of the
Department to award matching grants to hospitals that have been
certified Primary Stroke Centers, that seek certification or
designation or both as Primary Stroke Centers, that have been
designated Emergent Stroke Ready Hospitals, that seek
designation as Emergent Stroke Ready Hospitals, and for the
development of stroke networks. Hospitals may use grant funds
to work with the EMS System to improve outcomes of possible
acute stroke patients.
    (c) Moneys deposited in the Hospital Stroke Care Fund shall
be allocated according to the hospital needs within each EMS
region and used solely for the purposes described in this Act.
    (d) Interfund transfers from the Hospital Stroke Care Fund
shall be prohibited.
(Source: P.A. 96-514, eff. 1-1-10.)