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| Public Act 103-0149 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. 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 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 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. | ||
"Primary Stroke Center Plus" 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, Thrombectomy Capable Stroke Centers | ||
within the Region, if any, Thrombectomy Ready Stroke Centers | ||
within the Region, if any, Primary Stroke Centers Plus 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 Thrombectomy Capable Stroke Center within the | ||
Region, if any, a Thrombectomy Ready Stroke Center within the | ||
Region, if any, or a Primary Stroke Center Plus 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 Thrombectomy Capable Stroke Center, if any, a | ||
Thrombectomy Ready Stroke Center within the Region, if any, or | ||
a Primary Stroke Center Plus 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. | ||
"State Stroke Advisory Subcommittee" means a standing | ||
advisory body within the State Emergency Medical Services | ||
Advisory Council.
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"Thrombectomy Capable Stroke Center" means a hospital that | ||
has been certified by a Department-approved, nationally | ||
recognized certifying body and designated as such by the | ||
Department. | ||
"Thrombectomy Ready Stroke Center" means a hospital that | ||
has been certified by a Department-approved, nationally | ||
recognized certifying body and designated as such by the | ||
Department. | ||
(Source: P.A. 102-687, eff. 12-17-21.) | ||
(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
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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 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
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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. | ||
(a-5) The Department shall attempt to designate | ||
Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke | ||
Centers, and Primary Stroke Centers Plus in all areas of the | ||
State according to the following requirements: | ||
(1) The Department shall designate as many certified
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Thrombectomy Capable Stroke Centers, Thrombectomy Ready | ||
Stroke Centers, and Primary Stroke Centers Plus as apply | ||
for that designation, provided that the body certifying | ||
the facility uses certification criteria consistent with | ||
the most current nationally recognized and evidence-based | ||
stroke guidelines for reducing the occurrence of strokes | ||
and the disabilities and death associated with strokes. | ||
(2) A Thrombectomy Capable Stroke Center, Thrombectomy | ||
Ready Stroke Center, or Primary Stroke Center Plus shall | ||
send a copy of the certificate of its designation and | ||
annual fee to the Department and shall be deemed, within | ||
30 business days after its receipt by the Department, to | ||
be a State-designated Thrombectomy Capable Stroke Center, | ||
Thrombectomy Ready Stroke Center, or Primary Stroke Center | ||
Plus. | ||
(3) A Thrombectomy Capable Stroke Center, Thrombectomy | ||
Ready Stroke Center, or Primary Stroke Center Plus shall | ||
pay an annual fee as determined by the Department that | ||
shall be no less than $100 and no greater than $500. All | ||
fees collected under this paragraph shall be deposited | ||
into the Stroke Data Collection Fund. | ||
(4) With respect to a Thrombectomy Capable Stroke | ||
Center, Thrombectomy Ready Stroke Center, or Primary | ||
Stroke Center Plus, the Department shall: | ||
(A) suspend or revoke the Thrombectomy Capable | ||
Stroke Center, Thrombectomy Ready Stroke Center, or | ||
Primary Stroke Center Plus designation upon receiving | ||
notice that the Thrombectomy Capable Stroke Center's, | ||
Thrombectomy Ready Stroke Center's, or Primary Stroke | ||
Center Plus's certification has lapsed or has been | ||
revoked by its certifying body; | ||
(B) in extreme circumstances in which patients may | ||
be at risk for immediate harm or death, suspend the | ||
Thrombectomy Capable Stroke Center's, Thrombectomy | ||
Ready Stroke Center's, or Primary Stroke Center Plus's | ||
designation until its certifying body investigates the | ||
circumstances and makes a final determination | ||
regarding its certification; | ||
(C) restore any previously suspended or revoked
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Department designation upon notice to the Department | ||
that the certifying body has confirmed or restored the | ||
Thrombectomy Capable Stroke Center's, Thrombectomy | ||
Ready Stroke Center's, or Primary Stroke Center Plus's | ||
certification; and | ||
(D) suspend the Thrombectomy Capable Stroke | ||
Center's, Thrombectomy Ready Stroke Center's, or | ||
Primary Stroke Center Plus's designation at the | ||
request of a facility seeking to suspend its own | ||
Department designation. | ||
(5) A Thrombectomy Capable Stroke Center, Thrombectomy | ||
Ready Stroke Center, or Primary Stroke Center Plus | ||
designation shall
remain valid at all times while the | ||
facility maintains its certification as a Thrombectomy | ||
Capable Stroke Center, Thrombectomy Ready Stroke Center, | ||
or Primary Stroke Center Plus and is in good standing with | ||
the certifying body. The duration of a Thrombectomy | ||
Capable Stroke Center, Thrombectomy Ready Stroke Center, | ||
or Primary Stroke Center Plus designation shall be the | ||
same as the duration of its Thrombectomy Capable Stroke | ||
Center, Thrombectomy Ready Stroke Center, or Primary | ||
Stroke Center Plus certification. Each designated | ||
Thrombectomy Capable Stroke Center, Thrombectomy Ready | ||
Stroke Center, or Primary Stroke Center Plus shall have | ||
its designation automatically renewed upon the | ||
Department's receipt of a copy of the certifying body's | ||
renewal of the certification. | ||
(6) A hospital that no longer meets the criteria for | ||
Thrombectomy Capable Stroke Centers, Thrombectomy Ready | ||
Stroke Centers, or Primary Stroke Centers Plus, or loses | ||
its Thrombectomy Capable Stroke Center, Thrombectomy Ready | ||
Stroke Center, or Primary Stroke Center Plus | ||
certification, shall notify the Department and the | ||
Regional EMS Advisory Committee of the situation within 5 | ||
business days after being made aware of it. | ||
(b) Beginning on the first day of the month that begins 12 | ||
months after the adoption of rules authorized by this | ||
subsection, the Department shall attempt to designate | ||
hospitals as Acute Stroke-Ready Hospitals 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). | ||
(2) Hospitals may apply for, and receive, Acute | ||
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. | ||
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 | ||
designation that do not have certification shall develop | ||
policies and procedures that are consistent with | ||
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 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 registered nurse, or | ||
physician's assistant; | ||
(C-5) provide rapid access to an acute stroke | ||
team, as defined by the facility, that considers and | ||
reflects nationally recognized, evidence-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; | ||
(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; | ||
(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 | ||
designation, the Department shall have the authority and | ||
responsibility to do the following: | ||
(A) Require hospitals applying for Acute | ||
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 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 no more than 30 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 to indicate compliance with | ||
Acute Stroke-Ready Hospital criteria, as described in | ||
this Section, and automatically renew Acute | ||
Stroke-Ready Hospital designation of the hospital. | ||
(D) Issue an Emergency Suspension of Acute | ||
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 criteria and an immediate and serious danger | ||
to the public health, safety, and welfare exists. If | ||
the Acute 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 designation. The Acute | ||
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 designation, when | ||
the Department finds the hospital is not in | ||
substantial compliance with current Acute 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, Thrombectomy Capable Stroke Centers, | ||
Thrombectomy Ready Stroke Centers, Primary Stroke Centers | ||
Plus, Primary Stroke Centers, and Acute Stroke-Ready | ||
Hospitals.
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(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. 102-687, eff. 12-17-21.) | ||
(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, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, Primary Stroke Centers, and Acute 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, Thrombectomy Capable Stroke Centers, | ||
Thrombectomy Ready Stroke Centers, Primary Stroke Centers | ||
Plus, Primary Stroke Centers, and Acute 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, Thrombectomy Capable | ||
Stroke Center, Thrombectomy Ready Stroke Center, Primary | ||
Stroke Center Plus, Primary Stroke Center, or Acute | ||
Stroke-Ready Hospital, or a hospital seeking certification as | ||
a Comprehensive Stroke Center, Thrombectomy Capable Stroke | ||
Center, Thrombectomy Ready Stroke Center, Primary Stroke | ||
Center Plus, Primary Stroke Center, or Acute Stroke-Ready | ||
Hospital or designation as an Acute 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, Thrombectomy Capable Stroke Centers, | ||
Thrombectomy Ready Stroke Centers, Primary Stroke Centers | ||
Plus, Primary Stroke Centers, Acute Stroke-Ready Hospitals, or | ||
hospitals seeking certification or designation as a | ||
Comprehensive Stroke Center, Thrombectomy Capable Stroke | ||
Center, Thrombectomy Ready Stroke Center, Primary Stroke | ||
Center Plus, Primary Stroke Center, or Acute 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.
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(Source: P.A. 102-687, eff. 12-17-21.) | ||
(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, Thrombectomy Capable | ||
Stroke Centers, Thrombectomy Ready Stroke Centers, Primary | ||
Stroke Centers Plus, Primary Stroke Centers, and Acute | ||
Stroke-Ready Hospitals to all Resource Hospital EMS Medical | ||
Directors in this State and shall post a list of designated | ||
Comprehensive Stroke Centers, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, Primary Stroke Centers, and Acute 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, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, Primary Stroke Centers, and Acute 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, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | ||
Hospitals to their certifying body, to fulfill certification | ||
requirements. Comprehensive Stroke Centers, Thrombectomy | ||
Capable Stroke Centers, Thrombectomy Ready Stroke Centers, | ||
Primary Stroke Centers Plus, Primary Stroke Centers, and Acute | ||
Stroke-Ready Hospitals may provide data used in submission 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, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | ||
Hospitals, the Department shall permit each designated | ||
Comprehensive Stroke Center, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, 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, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, 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. 98-1001, eff. 1-1-15.) | ||
(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; | ||
(2.5) a hospital administrator, or designee, from a | ||
Thrombectomy Capable Stroke Center, Thrombectomy Ready | ||
Stroke Center, or Primary Stroke Center Plus; | ||
(3) a hospital administrator, or designee, from 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; | ||
(3.15) a registered nurse from a Thrombectomy Capable | ||
Stroke Center, Thrombectomy Ready Stroke Center, or | ||
Primary Stroke Center Plus; | ||
(4) a registered nurse from a Primary Stroke Center; | ||
(5) a registered nurse from an Acute Stroke-Ready | ||
Hospital; | ||
(5.5) a physician providing advanced stroke care from | ||
a Comprehensive Stroke center; | ||
(5.10) a physician providing stroke care from a | ||
Thrombectomy Capable Stroke Center, Thrombectomy Ready | ||
Stroke Center, or Primary Stroke Center Plus; | ||
(6) a physician providing stroke care from a Primary | ||
Stroke Center; | ||
(7) a physician providing stroke care from an Acute | ||
Stroke-Ready Hospital; | ||
(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; | ||
(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 members shall be | ||
appointed for a term of one year, 9 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, Thrombectomy Capable Stroke Center, Thrombectomy Ready | ||
Stroke Center, Primary Stroke Center Plus, Primary Stroke | ||
Center, or Acute Stroke-Ready Hospital, unless circumstances | ||
warrant otherwise.
| ||
(Source: P.A. 98-1001, eff. 1-1-15.) | ||
(210 ILCS 50/3.119) | ||
Sec. 3.119. Stroke Care; restricted practices. Sections in | ||
this Act pertaining to Comprehensive Stroke Centers, | ||
Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke | ||
Centers, Primary Stroke Centers Plus, Primary Stroke Centers, | ||
and Acute 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. 98-1001, eff. 1-1-15.) | ||
(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, Thrombectomy | ||
Capable Stroke Centers, Thrombectomy Ready Stroke Centers, | ||
Primary Stroke Centers Plus, Primary Stroke Centers, and Acute | ||
Stroke-Ready Hospitals. All moneys collected by the Department | ||
pursuant to its authority to designate Comprehensive Stroke | ||
Centers, Thrombectomy Capable Stroke Centers, Thrombectomy | ||
Ready Stroke Centers, Primary Stroke Centers Plus, Primary | ||
Stroke Centers, and Acute 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, Thrombectomy Capable Stroke | ||
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | ||
Centers Plus, Primary Stroke Centers, or Acute | ||
Stroke-Ready Hospitals; | ||
(2) to hospitals that seek certification or | ||
designation or both as Comprehensive Stroke Centers, | ||
Thrombectomy Capable Stroke Centers, Thrombectomy Ready | ||
Stroke Centers, Primary Stroke Centers Plus, 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. | ||
(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. 98-1001, eff. 1-1-15.)
| ||