| |||||||
| |||||||
| |||||||
1 | AN ACT concerning regulation.
| ||||||
2 | Be it enacted by the People of the State of Illinois,
| ||||||
3 | represented in the General Assembly:
| ||||||
4 | Section 5. The State Finance Act is amended by adding | ||||||
5 | Section 5.855 as follows: | ||||||
6 | (30 ILCS 105/5.855 new) | ||||||
7 | Sec. 5.855. The Stroke Data Collection Fund. | ||||||
8 | Section 10. The Emergency Medical Services (EMS) Systems | ||||||
9 | Act is amended by changing Sections 3.116, 3.117, 3.117.5, | ||||||
10 | 3.118, 3.118.5, 3.119, and 3.226 and by adding Section 3.117.75 | ||||||
11 | as follows: | ||||||
12 | (210 ILCS 50/3.116) | ||||||
13 | Sec. 3.116. Hospital Stroke Care; definitions. As used in | ||||||
14 | Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this | ||||||
15 | Act: | ||||||
16 | "Acute Stroke-Ready Hospital" means a hospital that has | ||||||
17 | been designated by the Department as meeting the criteria for | ||||||
18 | providing emergent stroke care. Designation may be provided | ||||||
19 | after a hospital has been certified or through application and | ||||||
20 | designation as such. | ||||||
21 | "Certification" or "certified" means certification, using |
| |||||||
| |||||||
1 | evidence-based standards, from a nationally-recognized | ||||||
2 | certifying body approved by the Department. | ||||||
3 | "Comprehensive Stroke Center" means a hospital that has | ||||||
4 | been certified and has been designated as such. | ||||||
5 | "Designation" or "designated" means the Department's | ||||||
6 | recognition of a hospital as a Comprehensive Stroke Center, | ||||||
7 | Primary Stroke Center , or Acute Stroke-Ready Hospital Emergent | ||||||
8 | Stroke Ready Hospital . | ||||||
9 | "Emergent stroke care" is emergency medical care that | ||||||
10 | includes diagnosis and emergency medical treatment of acute | ||||||
11 | stroke patients. | ||||||
12 | "Emergent Stroke Ready Hospital" means a hospital that has | ||||||
13 | been designated by the Department as meeting the criteria for | ||||||
14 | providing emergent stroke care. | ||||||
15 | "Primary Stroke Center" means a hospital that has been | ||||||
16 | certified by a Department-approved, nationally-recognized | ||||||
17 | certifying body and designated as such by the Department. | ||||||
18 | "Regional Stroke Advisory Subcommittee" means a | ||||||
19 | subcommittee formed within each Regional EMS Advisory | ||||||
20 | Committee to advise the Director and the Region's EMS Medical | ||||||
21 | Directors Committee on the triage, treatment, and transport of | ||||||
22 | possible acute stroke patients and to select the Region's | ||||||
23 | representative to the State Stroke Advisory Subcommittee. At | ||||||
24 | minimum, the Regional Stroke Advisory Subcommittee shall | ||||||
25 | consist of: one representative from the EMS Medical Directors | ||||||
26 | Committee; one EMS coordinator from a Resource Hospital; one |
| |||||||
| |||||||
1 | administrative representative or his or her designee from each | ||||||
2 | level of stroke care, including Comprehensive Stroke Centers | ||||||
3 | within the Region, if any, Primary Stroke Centers within the | ||||||
4 | Region, if any, and Acute Stroke-Ready Hospitals within the | ||||||
5 | Region, if any; one physician from each level of stroke care, | ||||||
6 | including one physician who is a neurologist or who provides | ||||||
7 | advanced stroke care at a Comprehensive Stroke Center in the | ||||||
8 | Region, if any, one physician who is a neurologist or who | ||||||
9 | provides acute stroke care at a Primary Stroke Center in the | ||||||
10 | Region, if any, and one physician who provides acute stroke | ||||||
11 | care at an Acute Stroke-Ready Hospital in the Region, if any; | ||||||
12 | one nurse practicing in each level of stroke care, including | ||||||
13 | one nurse from a Comprehensive Stroke Center in the Region, if | ||||||
14 | any, one nurse from a Primary Stroke Center in the Region, if | ||||||
15 | any, and one nurse from an Acute Stroke-Ready Hospital in the | ||||||
16 | Region, if any; one representative from both a public and a | ||||||
17 | private vehicle service provider that transports possible | ||||||
18 | acute stroke patients within the Region; the State-designated | ||||||
19 | regional EMS Coordinator; and a fire chief or his or her | ||||||
20 | designee from the EMS Region, if the Region serves a population | ||||||
21 | of more than 2,000,000. The Regional Stroke Advisory | ||||||
22 | Subcommittee shall establish bylaws to ensure equal membership | ||||||
23 | that rotates and clearly delineates committee responsibilities | ||||||
24 | and structure. Of the members first appointed, one-third shall | ||||||
25 | be appointed for a term of one year, one-third shall be | ||||||
26 | appointed for a term of 2 years, and the remaining members |
| |||||||
| |||||||
1 | shall be appointed for a term of 3 years. The terms of | ||||||
2 | subsequent appointees shall be 3 years. The Regional Stroke | ||||||
3 | Advisory Subcommittee shall consist of one representative from | ||||||
4 | the EMS Medical Directors Committee; equal numbers of | ||||||
5 | administrative representatives, or their designees, from | ||||||
6 | Primary Stroke Centers within the Region, if any, and from | ||||||
7 | hospitals that are capable of providing emergent stroke care | ||||||
8 | that are not Primary Stroke Centers within the Region; one | ||||||
9 | neurologist from a Primary Stroke Center in the Region, if any; | ||||||
10 | one nurse practicing in a Primary Stroke Center and one nurse | ||||||
11 | from a hospital capable of providing emergent stroke care that | ||||||
12 | is not a Primary Stroke Center; one representative from both a | ||||||
13 | public and a private vehicle service provider which transports | ||||||
14 | possible acute stroke patients within the Region; the State | ||||||
15 | designated regional EMS Coordinator; and in regions that serve | ||||||
16 | a population of over 2,000,000, a fire chief, or designee, from | ||||||
17 | the EMS Region. | ||||||
18 | "State Stroke Advisory Subcommittee" means a standing | ||||||
19 | advisory body within the State Emergency Medical Services | ||||||
20 | Advisory Council.
| ||||||
21 | (Source: P.A. 96-514, eff. 1-1-10.) | ||||||
22 | (210 ILCS 50/3.117) | ||||||
23 | Sec. 3.117. Hospital Designations. | ||||||
24 | (a) The Department shall attempt to designate Primary | ||||||
25 | Stroke Centers in all areas of the State. |
| |||||||
| |||||||
1 | (1) The Department shall designate as many certified
| ||||||
2 | Primary Stroke Centers as apply for that designation | ||||||
3 | provided they are certified by a nationally-recognized | ||||||
4 | certifying body, approved by the Department, and | ||||||
5 | certification criteria are consistent with the most | ||||||
6 | current nationally-recognized, evidence-based stroke | ||||||
7 | guidelines related to reducing the occurrence, | ||||||
8 | disabilities, and death associated with stroke. | ||||||
9 | (2) A hospital certified as a Primary Stroke Center by | ||||||
10 | a nationally-recognized certifying body approved by the | ||||||
11 | Department, shall send a copy of the Certificate and annual | ||||||
12 | fee to the Department and shall be deemed, within 30 | ||||||
13 | business days of its receipt by the Department, to be a | ||||||
14 | State-designated Primary Stroke Center. | ||||||
15 | (3) A center designated as a Primary Stroke Center | ||||||
16 | shall pay an annual fee as determined by the Department | ||||||
17 | that shall be no less than $100 and no greater than $500. | ||||||
18 | All fees shall be deposited into the Stroke Data Collection | ||||||
19 | Fund. | ||||||
20 | (3.5) With respect to a hospital that is a designated | ||||||
21 | Primary Stroke Center, the Department shall have the | ||||||
22 | authority and responsibility to do the following: | ||||||
23 | (A) Suspend or revoke a hospital's Primary Stroke | ||||||
24 | Center designation upon receiving notice that the | ||||||
25 | hospital's Primary Stroke Center certification has | ||||||
26 | lapsed or has been revoked by the State recognized |
| |||||||
| |||||||
1 | certifying body. | ||||||
2 | (B) Suspend a hospital's Primary Stroke Center | ||||||
3 | designation, in extreme circumstances where patients | ||||||
4 | may be at risk for immediate harm or death, until such | ||||||
5 | time as the certifying body investigates and makes a | ||||||
6 | final determination regarding certification. | ||||||
7 | (C) Restore any previously suspended or revoked | ||||||
8 | Department designation upon notice to the Department | ||||||
9 | that the certifying body has confirmed or restored the | ||||||
10 | Primary Stroke Center certification of that previously | ||||||
11 | designated hospital. | ||||||
12 | (D) Suspend a hospital's Primary Stroke Center | ||||||
13 | designation at the request of a hospital seeking to | ||||||
14 | suspend its own Department designation. | ||||||
15 | (4) Primary Stroke Center designation shall remain | ||||||
16 | valid at all times while the hospital maintains its | ||||||
17 | certification as a Primary Stroke Center, in good standing, | ||||||
18 | with the certifying body. The duration of a Primary Stroke | ||||||
19 | Center designation shall coincide with the duration of its | ||||||
20 | Primary Stroke Center certification. Each designated | ||||||
21 | Primary Stroke Center shall have its designation | ||||||
22 | automatically renewed upon the Department's receipt of a | ||||||
23 | copy of the accrediting body's certification renewal. | ||||||
24 | (5) A hospital that no longer meets | ||||||
25 | nationally-recognized, evidence-based standards for | ||||||
26 | Primary Stroke Centers, or loses its Primary Stroke Center |
| |||||||
| |||||||
1 | certification, shall immediately notify the Department and | ||||||
2 | the Regional EMS Advisory Committee within 5 business days . | ||||||
3 | (a-5) The Department shall attempt to designate | ||||||
4 | Comprehensive Stroke Centers in all areas of the State. | ||||||
5 | (1) The Department shall designate as many certified | ||||||
6 | Comprehensive Stroke Centers as apply for that | ||||||
7 | designation, provided that the Comprehensive Stroke | ||||||
8 | Centers are certified by a nationally-recognized | ||||||
9 | certifying body approved by the Department, and provided | ||||||
10 | that the certifying body's certification criteria are | ||||||
11 | consistent with the most current nationally-recognized and | ||||||
12 | evidence-based stroke guidelines for reducing the | ||||||
13 | occurrence of stroke and the disabilities and death | ||||||
14 | associated with stroke. | ||||||
15 | (2) A hospital certified as a Comprehensive Stroke | ||||||
16 | Center shall send a copy of the Certificate and annual
fee | ||||||
17 | to the Department and shall be deemed, within 30
business | ||||||
18 | days of its receipt by the Department, to be a
| ||||||
19 | State-designated Comprehensive Stroke Center. | ||||||
20 | (3) A hospital designated as a Comprehensive Stroke | ||||||
21 | Center shall pay an annual fee as determined by the | ||||||
22 | Department that shall be no less than $100 and no greater | ||||||
23 | than $500. All fees shall be deposited into the Stroke Data | ||||||
24 | Collection Fund. | ||||||
25 | (4) With respect to a hospital that is a designated | ||||||
26 | Comprehensive Stroke Center, the Department shall have the |
| |||||||
| |||||||
1 | authority and responsibility to do the following: | ||||||
2 | (A) Suspend or revoke the hospital's Comprehensive | ||||||
3 | Stroke Center designation upon receiving notice that | ||||||
4 | the hospital's Comprehensive Stroke Center | ||||||
5 | certification has lapsed or has been revoked by the | ||||||
6 | State recognized certifying body. | ||||||
7 | (B) Suspend the hospital's Comprehensive Stroke | ||||||
8 | Center designation, in extreme circumstances in which | ||||||
9 | patients may be at risk
for immediate harm or death, | ||||||
10 | until such time as the certifying body investigates and | ||||||
11 | makes a final determination regarding certification. | ||||||
12 | (C) Restore any previously suspended or revoked | ||||||
13 | Department designation upon notice to the Department | ||||||
14 | that the certifying body has confirmed or restored the | ||||||
15 | Comprehensive Stroke Center certification of that | ||||||
16 | previously designated hospital. | ||||||
17 | (D) Suspend the hospital's Comprehensive Stroke | ||||||
18 | Center designation at the request of a hospital seeking | ||||||
19 | to suspend its own Department designation. | ||||||
20 | (5) Comprehensive Stroke Center designation shall | ||||||
21 | remain valid at all times while the hospital maintains its | ||||||
22 | certification as a Comprehensive Stroke Center, in good | ||||||
23 | standing, with the certifying body. The duration of a | ||||||
24 | Comprehensive Stroke Center designation shall coincide | ||||||
25 | with the duration of its Comprehensive Stroke Center | ||||||
26 | certification. Each designated Comprehensive Stroke Center |
| |||||||
| |||||||
1 | shall have its designation automatically renewed upon the | ||||||
2 | Department's receipt of a copy of the certifying body's | ||||||
3 | certification renewal. | ||||||
4 | (6) A hospital that no longer meets | ||||||
5 | nationally-recognized, evidence-based standards for | ||||||
6 | Comprehensive Stroke Centers, or loses its Comprehensive | ||||||
7 | Stroke Center certification, shall notify the Department | ||||||
8 | and the Regional EMS Advisory Committee within 5 business | ||||||
9 | days. | ||||||
10 | (b) Beginning on the first day of the month that begins 12 | ||||||
11 | months after the adoption of rules authorized by this | ||||||
12 | subsection, the The Department shall attempt to designate | ||||||
13 | hospitals as Acute Stroke-Ready Hospitals Emergent Stroke | ||||||
14 | Ready Hospitals capable of providing emergent stroke care in | ||||||
15 | all areas of the State. Designation may be approved by the | ||||||
16 | Department after a hospital has been certified as an Acute | ||||||
17 | Stroke-Ready Hospital or through application and designation | ||||||
18 | by the Department. For any hospital that is designated as an | ||||||
19 | Emergent Stroke Ready Hospital at the time that the Department | ||||||
20 | begins the designation of Acute Stroke-Ready Hospitals, the | ||||||
21 | Emergent Stroke Ready designation shall remain intact for the | ||||||
22 | duration of the 12-month period until that designation expires. | ||||||
23 | Until the Department begins the designation of hospitals as | ||||||
24 | Acute Stroke-Ready Hospitals, hospitals may achieve Emergent | ||||||
25 | Stroke Ready Hospital designation utilizing the processes and | ||||||
26 | criteria provided in Public Act 96-514. |
| |||||||
| |||||||
1 | (1) (Blank). The Department shall designate as many | ||||||
2 | Emergent Stroke Ready Hospitals as apply for that | ||||||
3 | designation as long as they meet the criteria in this Act. | ||||||
4 | (2) Hospitals may apply for, and receive, Acute | ||||||
5 | Stroke-Ready Hospital Emergent Stroke Ready Hospital | ||||||
6 | designation from the Department, provided that the | ||||||
7 | hospital attests, on a form developed by the Department in | ||||||
8 | consultation with the State Stroke Advisory Subcommittee, | ||||||
9 | that it meets, and will continue to meet, the criteria for | ||||||
10 | Acute Stroke-Ready Hospital designation and pays an annual | ||||||
11 | fee Emergent Stroke Ready Hospital designation . | ||||||
12 | A hospital designated as an Acute Stroke-Ready | ||||||
13 | Hospital shall pay an annual fee as determined by the | ||||||
14 | Department that shall be no less than $100 and no greater | ||||||
15 | than $500. All fees shall be deposited into the Stroke Data | ||||||
16 | Collection Fund. | ||||||
17 | (2.5) A hospital may apply for, and receive, Acute | ||||||
18 | Stroke-Ready Hospital designation from the Department, | ||||||
19 | provided that the hospital provides proof of current Acute | ||||||
20 | Stroke-Ready Hospital certification and the hospital pays | ||||||
21 | an annual fee. | ||||||
22 | (A) Acute Stroke-Ready Hospital designation shall | ||||||
23 | remain valid at all times while the hospital maintains | ||||||
24 | its certification as an Acute Stroke-Ready Hospital, | ||||||
25 | in good standing, with the certifying body. | ||||||
26 | (B) The duration of an Acute Stroke-Ready Hospital |
| |||||||
| |||||||
1 | designation shall coincide with the duration of its | ||||||
2 | Acute Stroke-Ready Hospital certification. | ||||||
3 | (C) Each designated Acute Stroke-Ready Hospital | ||||||
4 | shall have its designation automatically renewed upon | ||||||
5 | the Department's receipt of a copy of the certifying | ||||||
6 | body's certification renewal and Application for | ||||||
7 | Stroke Center Designation form. | ||||||
8 | (D) A hospital must submit a copy of its | ||||||
9 | certification renewal from the certifying body as soon | ||||||
10 | as practical but no later than 30 business days after | ||||||
11 | that certification is received by the hospital. Upon | ||||||
12 | the Department's receipt of the renewal certification, | ||||||
13 | the Department shall renew the hospital's Acute | ||||||
14 | Stroke-Ready Hospital designation. | ||||||
15 | (E) A hospital designated as an Acute Stroke-Ready | ||||||
16 | Hospital shall pay an annual fee as determined by the | ||||||
17 | Department that shall be no less than $100 and no | ||||||
18 | greater than $500. All fees shall be deposited into the | ||||||
19 | Stroke Data Collection Fund. | ||||||
20 | (3) Hospitals seeking Acute Stroke-Ready Hospital | ||||||
21 | Emergent Stroke Ready Hospital designation that do not have | ||||||
22 | certification shall develop policies and procedures that | ||||||
23 | are consistent with consider nationally-recognized, | ||||||
24 | evidence-based protocols for the provision of emergent | ||||||
25 | stroke care. Hospital policies relating to emergent stroke | ||||||
26 | care and stroke patient outcomes shall be reviewed at least |
| |||||||
| |||||||
1 | annually, or more often as needed, by a hospital committee | ||||||
2 | that oversees quality improvement. Adjustments shall be | ||||||
3 | made as necessary to advance the quality of stroke care | ||||||
4 | delivered. Criteria for Acute Stroke-Ready Hospital | ||||||
5 | Emergent Stroke Ready Hospital designation of hospitals | ||||||
6 | shall be limited to the ability of a hospital to: | ||||||
7 | (A) create written acute care protocols related to | ||||||
8 | emergent stroke care; | ||||||
9 | (A-5) participate in the data collection system | ||||||
10 | provided in Section 3.118, if available; | ||||||
11 | (B) maintain a written transfer agreement with one | ||||||
12 | or more hospitals that have neurosurgical expertise; | ||||||
13 | (C) designate a Clinical Director of Stroke Care | ||||||
14 | who shall be a clinical member of the hospital staff | ||||||
15 | with training or experience, as defined by the | ||||||
16 | facility, in the care of patients with cerebrovascular | ||||||
17 | disease. This training or experience may include, but | ||||||
18 | is not limited to, completion of a fellowship or other | ||||||
19 | specialized training in the area of cerebrovascular | ||||||
20 | disease, attendance at national courses, or prior | ||||||
21 | experience in neuroscience intensive care units. The | ||||||
22 | Clinical Director of Stroke Care may be a neurologist, | ||||||
23 | neurosurgeon, emergency medicine physician, internist, | ||||||
24 | radiologist, advanced practice nurse, or physician's | ||||||
25 | assistant director of stroke care, which may be a | ||||||
26 | clinical member of the hospital staff or the designee |
| |||||||
| |||||||
1 | of the hospital administrator, to oversee the | ||||||
2 | hospital's stroke care policies and procedures ; | ||||||
3 | (C-5) provide rapid access to an acute stroke team, | ||||||
4 | as defined by the facility, that considers and reflects | ||||||
5 | nationally-recognized, evidenced-based protocols or | ||||||
6 | guidelines; | ||||||
7 | (D) administer thrombolytic therapy, or | ||||||
8 | subsequently developed medical therapies that meet | ||||||
9 | nationally-recognized, evidence-based stroke | ||||||
10 | guidelines; | ||||||
11 | (E) conduct brain image tests at all times; | ||||||
12 | (F) conduct blood coagulation studies at all | ||||||
13 | times; and | ||||||
14 | (G) maintain a log of stroke patients, which shall | ||||||
15 | be available for review upon request by the Department | ||||||
16 | or any hospital that has a written transfer agreement | ||||||
17 | with the Acute Stroke-Ready Hospital; Emergent Stroke | ||||||
18 | Ready Hospital. | ||||||
19 | (H) admit stroke patients to a unit that can | ||||||
20 | provide appropriate care that considers and reflects | ||||||
21 | nationally-recognized, evidence-based protocols or | ||||||
22 | guidelines or transfer stroke patients to an Acute | ||||||
23 | Stroke-Ready Hospital, Primary Stroke Center, or | ||||||
24 | Comprehensive Stroke Center, or another facility that | ||||||
25 | can provide the appropriate care that considers and | ||||||
26 | reflects nationally-recognized, evidence-based |
| |||||||
| |||||||
1 | protocols or guidelines; and | ||||||
2 | (I) demonstrate compliance with | ||||||
3 | nationally-recognized quality indicators. | ||||||
4 | (4) With respect to Acute Stroke-Ready Hospital | ||||||
5 | Emergent Stroke Ready Hospital designation, the Department | ||||||
6 | shall have the authority and responsibility to do the | ||||||
7 | following: | ||||||
8 | (A) Require hospitals applying for Acute | ||||||
9 | Stroke-Ready Hospital Emergent Stroke Ready Hospital | ||||||
10 | designation to attest, on a form developed by the | ||||||
11 | Department in consultation with the State Stroke | ||||||
12 | Advisory Subcommittee, that the hospital meets, and | ||||||
13 | will continue to meet, the criteria for an Acute | ||||||
14 | Stroke-Ready a Emergent Stroke Ready Hospital. | ||||||
15 | (A-5) Require hospitals applying for Acute | ||||||
16 | Stroke-Ready Hospital designation via national Acute | ||||||
17 | Stroke-Ready Hospital certification to provide proof | ||||||
18 | of current Acute Stroke-Ready Hospital certification, | ||||||
19 | in good standing. | ||||||
20 | The Department shall require a hospital that is | ||||||
21 | already certified as an Acute Stroke-Ready Hospital to | ||||||
22 | send a copy of the Certificate to the Department. | ||||||
23 | Within 30 business days of the Department's | ||||||
24 | receipt of a hospital's Acute Stroke-Ready Certificate | ||||||
25 | and Application for Stroke Center Designation form | ||||||
26 | that indicates that the hospital is a certified Acute |
| |||||||
| |||||||
1 | Stroke-Ready Hospital, in good standing, the hospital | ||||||
2 | shall be deemed a State-designated Acute Stroke-Ready | ||||||
3 | Hospital. The Department shall send a designation | ||||||
4 | notice to each hospital that it designates as an Acute | ||||||
5 | Stroke-Ready Hospital and shall add the names of | ||||||
6 | designated Acute Stroke-Ready Hospitals to the website | ||||||
7 | listing immediately upon designation. The Department | ||||||
8 | shall immediately remove the name of a hospital from | ||||||
9 | the website listing when a hospital loses its | ||||||
10 | designation after notice and, if requested by the | ||||||
11 | hospital, a hearing. | ||||||
12 | The Department shall develop an Application for | ||||||
13 | Stroke Center Designation form that contains a | ||||||
14 | statement that "The above named facility meets the | ||||||
15 | requirements for Acute Stroke-Ready Hospital | ||||||
16 | Designation as provided in Section 3.117 of the | ||||||
17 | Emergency Medical Services (EMS) Systems Act" and | ||||||
18 | shall instruct the applicant facility to provide: the | ||||||
19 | hospital name and address; the hospital CEO or | ||||||
20 | Administrator's typed name and signature; the hospital | ||||||
21 | Clinical Director of Stroke Care's typed name and | ||||||
22 | signature; and a contact person's typed name, email | ||||||
23 | address, and phone number. | ||||||
24 | The Application for Stroke Center Designation form | ||||||
25 | shall contain a statement that instructs the hospital | ||||||
26 | to "Provide proof of current Acute Stroke-Ready |
| |||||||
| |||||||
1 | Hospital certification from a nationally-recognized | ||||||
2 | certifying body approved by the Department". | ||||||
3 | (B) Designate a hospital as an Acute Stroke-Ready | ||||||
4 | Hospital Emergent Stroke Ready Hospital no more than 30 | ||||||
5 | 20 business days after receipt of an attestation that | ||||||
6 | meets the requirements for attestation , unless the | ||||||
7 | Department, within 30 days of receipt of the | ||||||
8 | attestation, chooses to conduct an onsite survey prior | ||||||
9 | to designation. If the Department chooses to conduct an | ||||||
10 | onsite survey prior to designation, then the onsite | ||||||
11 | survey shall be conducted within 90 days of receipt of | ||||||
12 | the attestation . | ||||||
13 | (C) Require annual written attestation, on a form | ||||||
14 | developed by the Department in consultation with the | ||||||
15 | State Stroke Advisory Subcommittee, by Acute | ||||||
16 | Stroke-Ready Hospitals Emergent Stroke Ready Hospitals | ||||||
17 | to indicate compliance with Acute Stroke-Ready | ||||||
18 | Hospital Emergent Stroke Ready Hospital criteria, as | ||||||
19 | described in this Section, and automatically renew | ||||||
20 | Acute Stroke-Ready Hospital Emergent Stroke Ready | ||||||
21 | Hospital designation of the hospital. | ||||||
22 | (D) Issue an Emergency Suspension of Acute | ||||||
23 | Stroke-Ready Hospital Emergent Stroke Ready Hospital | ||||||
24 | designation when the Director, or his or her designee, | ||||||
25 | has determined that the hospital no longer meets the | ||||||
26 | Acute Stroke-Ready Hospital Emergent Stroke Ready |
| |||||||
| |||||||
1 | Hospital criteria and an immediate and serious danger | ||||||
2 | to the public health, safety, and welfare exists. If | ||||||
3 | the Acute Stroke-Ready Hospital Emergent Stroke Ready | ||||||
4 | Hospital fails to eliminate the violation immediately | ||||||
5 | or within a fixed period of time, not exceeding 10 | ||||||
6 | days, as determined by the Director, the Director may | ||||||
7 | immediately revoke the Acute Stroke-Ready Hospital | ||||||
8 | Emergent Stroke Ready Hospital designation. The Acute | ||||||
9 | Stroke-Ready Hospital Emergent Stroke Ready Hospital | ||||||
10 | may appeal the revocation within 15 business days after | ||||||
11 | receiving the Director's revocation order, by | ||||||
12 | requesting an administrative hearing. | ||||||
13 | (E) After notice and an opportunity for an | ||||||
14 | administrative hearing, suspend, revoke, or refuse to | ||||||
15 | renew an Acute Stroke-Ready Hospital Emergent Stroke | ||||||
16 | Ready Hospital designation, when the Department finds | ||||||
17 | the hospital is not in substantial compliance with | ||||||
18 | current Acute Stroke-Ready Hospital Emergent Stroke | ||||||
19 | Ready Hospital criteria. | ||||||
20 | (c) The Department shall consult with the State Stroke | ||||||
21 | Advisory Subcommittee for developing the designation , | ||||||
22 | re-designation, and de-designation processes for Comprehensive | ||||||
23 | Stroke Centers, for Primary Stroke Centers , and Acute | ||||||
24 | Stroke-Ready Hospitals Emergent Stroke Ready Hospitals .
| ||||||
25 | (d) The Department shall consult with the State Stroke | ||||||
26 | Advisory Subcommittee as subject matter experts at least |
| |||||||
| |||||||
1 | annually regarding stroke standards of care. | ||||||
2 | (Source: P.A. 96-514, eff. 1-1-10; revised 11-12-13.) | ||||||
3 | (210 ILCS 50/3.117.5) | ||||||
4 | Sec. 3.117.5. Hospital Stroke Care; grants. | ||||||
5 | (a) In order to encourage the establishment and retention | ||||||
6 | of Comprehensive Stroke Centers, Primary Stroke Centers , and | ||||||
7 | Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals | ||||||
8 | throughout the State, the Director may award, subject to | ||||||
9 | appropriation, matching grants to hospitals to be used for the | ||||||
10 | acquisition and maintenance of necessary infrastructure, | ||||||
11 | including personnel, equipment, and pharmaceuticals for the | ||||||
12 | diagnosis and treatment of acute stroke patients. Grants may be | ||||||
13 | used to pay the fee for certifications by Department approved | ||||||
14 | nationally-recognized certifying bodies or to provide | ||||||
15 | additional training for directors of stroke care or for | ||||||
16 | hospital staff. | ||||||
17 | (b) The Director may award grant moneys to Comprehensive | ||||||
18 | Stroke Centers, Primary Stroke Centers , and Acute Stroke-Ready | ||||||
19 | Hospitals Emergent Stroke Ready Hospitals for developing or | ||||||
20 | enlarging stroke networks, for stroke education, and to enhance | ||||||
21 | the ability of the EMS System to respond to possible acute | ||||||
22 | stroke patients. | ||||||
23 | (c) A Comprehensive Stroke Center, Primary Stroke Center, | ||||||
24 | or Acute Stroke-Ready Hospital Emergent Stroke Ready Hospital , | ||||||
25 | or a hospital seeking certification as a Comprehensive Stroke |
| |||||||
| |||||||
1 | Center, Primary Stroke Center , or Acute Stroke-Ready Hospital | ||||||
2 | or designation as an Acute Stroke-Ready Hospital, Emergent | ||||||
3 | Stroke Ready Hospital may apply to the Director for a matching | ||||||
4 | grant in a manner and form specified by the Director and shall | ||||||
5 | provide information as the Director deems necessary to | ||||||
6 | determine whether the hospital is eligible for the grant. | ||||||
7 | (d) Matching grant awards shall be made to Comprehensive | ||||||
8 | Stroke Centers, Primary Stroke Centers, Acute Stroke-Ready | ||||||
9 | Hospitals Emergent Stroke Ready Hospitals , or hospitals | ||||||
10 | seeking certification or designation as a Comprehensive Stroke | ||||||
11 | Center, Primary Stroke Center , or Acute Stroke-Ready Hospital | ||||||
12 | designation as an Emergent Stroke Ready Hospital . The | ||||||
13 | Department may consider prioritizing grant awards to hospitals | ||||||
14 | in areas with the highest incidence of stroke, taking into | ||||||
15 | account geographic diversity, where possible.
| ||||||
16 | (Source: P.A. 96-514, eff. 1-1-10.) | ||||||
17 | (210 ILCS 50/3.117.75 new) | ||||||
18 | Sec. 3.117.75. Stroke Data Collection Fund. | ||||||
19 | (a) The Stroke Data Collection Fund is created as a special | ||||||
20 | fund in the State treasury. | ||||||
21 | (b) Moneys in the fund shall be used by the Department to | ||||||
22 | support the data collection provided for in Section 3.118 of | ||||||
23 | this Act. Any surplus funds beyond what are needed to support | ||||||
24 | the data collection provided for in Section 3.118 of this Act | ||||||
25 | shall be used by the Department to support the salary of the |
| |||||||
| |||||||
1 | Department Stroke Coordinator or for other stroke-care | ||||||
2 | initiatives, including administrative oversight of stroke | ||||||
3 | care. | ||||||
4 | (210 ILCS 50/3.118) | ||||||
5 | Sec. 3.118. Reporting. | ||||||
6 | (a) The Director shall, not later than July 1, 2012, | ||||||
7 | prepare and submit to the Governor and the General Assembly a | ||||||
8 | report indicating the total number of hospitals that have | ||||||
9 | applied for grants, the project for which the application was | ||||||
10 | submitted, the number of those applicants that have been found | ||||||
11 | eligible for the grants, the total number of grants awarded, | ||||||
12 | the name and address of each grantee, and the amount of the | ||||||
13 | award issued to each grantee. | ||||||
14 | (b) By July 1, 2010, the Director shall send the list of | ||||||
15 | designated Comprehensive Stroke Centers, Primary Stroke | ||||||
16 | Centers , and Acute Stroke-Ready Hospitals designated Emergent | ||||||
17 | Stroke Ready Hospitals to all Resource Hospital EMS Medical | ||||||
18 | Directors in this State and shall post a list of designated | ||||||
19 | Comprehensive Stroke Centers, Primary Stroke Centers , and | ||||||
20 | Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals | ||||||
21 | on the Department's website, which shall be continuously | ||||||
22 | updated. | ||||||
23 | (c) The Department shall add the names of designated | ||||||
24 | Comprehensive Stroke Centers, Primary Stroke Centers , and | ||||||
25 | Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals |
| |||||||
| |||||||
1 | to the website listing immediately upon designation and shall | ||||||
2 | immediately remove the name when a hospital loses its | ||||||
3 | designation after notice and a hearing. | ||||||
4 | (d) Stroke data collection systems and all stroke-related | ||||||
5 | data collected from hospitals shall comply with the following | ||||||
6 | requirements: | ||||||
7 | (1) The confidentiality of patient records shall be | ||||||
8 | maintained in accordance with State and federal laws. | ||||||
9 | (2) Hospital proprietary information and the names of | ||||||
10 | any hospital administrator, health care professional, or | ||||||
11 | employee shall not be subject to disclosure. | ||||||
12 | (3) Information submitted to the Department shall be | ||||||
13 | privileged and strictly confidential and shall be used only | ||||||
14 | for the evaluation and improvement of hospital stroke care. | ||||||
15 | Stroke data collected by the Department shall not be | ||||||
16 | directly available to the public and shall not be subject | ||||||
17 | to civil subpoena, nor discoverable or admissible in any | ||||||
18 | civil, criminal, or administrative proceeding against a | ||||||
19 | health care facility or health care professional. | ||||||
20 | (e) The Department may administer a data collection system | ||||||
21 | to collect data that is already reported by designated | ||||||
22 | Comprehensive Stroke Centers, Primary Stroke Centers , and | ||||||
23 | Acute Stroke-Ready Hospitals to their certifying body, to | ||||||
24 | fulfill Primary Stroke Center certification requirements. | ||||||
25 | Comprehensive Stroke Centers, Primary Stroke Centers , and | ||||||
26 | Acute Stroke-Ready Hospitals may provide data used in |
| |||||||
| |||||||
1 | submission complete copies of the same reports that are | ||||||
2 | submitted to their certifying body, to satisfy any Department | ||||||
3 | reporting requirements. The Department may require submission | ||||||
4 | of data elements in a format that is used State-wide. In the | ||||||
5 | event the Department establishes reporting requirements for | ||||||
6 | designated Comprehensive Stroke Centers, Primary Stroke | ||||||
7 | Centers, and Acute Stroke-Ready Hospitals, the Department | ||||||
8 | shall permit each designated Comprehensive Stroke Center, | ||||||
9 | Primary Stroke Center , or Acute Stroke-Ready Hospital to | ||||||
10 | capture information using existing electronic reporting tools | ||||||
11 | used for certification purposes. Nothing in this Section shall | ||||||
12 | be construed to empower the Department to specify the form of | ||||||
13 | internal recordkeeping. Three years from the effective date of | ||||||
14 | this amendatory Act of the 96th General Assembly, the | ||||||
15 | Department may post stroke data submitted by Comprehensive | ||||||
16 | Stroke Centers, Primary Stroke Centers , and Acute Stroke-Ready | ||||||
17 | Hospitals on its website, subject to the following: | ||||||
18 | (1) Data collection and analytical methodologies shall | ||||||
19 | be used that meet accepted standards of validity and | ||||||
20 | reliability before any information is made available to the | ||||||
21 | public. | ||||||
22 | (2) The limitations of the data sources and analytic | ||||||
23 | methodologies used to develop comparative hospital | ||||||
24 | information shall be clearly identified and acknowledged, | ||||||
25 | including, but not limited to, the appropriate and | ||||||
26 | inappropriate uses of the data. |
| |||||||
| |||||||
1 | (3) To the greatest extent possible, comparative | ||||||
2 | hospital information initiatives shall use standard-based | ||||||
3 | norms derived from widely accepted provider-developed | ||||||
4 | practice guidelines. | ||||||
5 | (4) Comparative hospital information and other | ||||||
6 | information that the Department has compiled regarding | ||||||
7 | hospitals shall be shared with the hospitals under review | ||||||
8 | prior to public dissemination of the information. | ||||||
9 | Hospitals have 30 days to make corrections and to add | ||||||
10 | helpful explanatory comments about the information before | ||||||
11 | the publication. | ||||||
12 | (5) Comparisons among hospitals shall adjust for | ||||||
13 | patient case mix and other relevant risk factors and | ||||||
14 | control for provider peer groups, when appropriate. | ||||||
15 | (6) Effective safeguards to protect against the | ||||||
16 | unauthorized use or disclosure of hospital information | ||||||
17 | shall be developed and implemented. | ||||||
18 | (7) Effective safeguards to protect against the | ||||||
19 | dissemination of inconsistent, incomplete, invalid, | ||||||
20 | inaccurate, or subjective hospital data shall be developed | ||||||
21 | and implemented. | ||||||
22 | (8) The quality and accuracy of hospital information | ||||||
23 | reported under this Act and its data collection, analysis, | ||||||
24 | and dissemination methodologies shall be evaluated | ||||||
25 | regularly. | ||||||
26 | (9) None of the information the Department discloses to |
| |||||||
| |||||||
1 | the public under this Act may be used to establish a | ||||||
2 | standard of care in a private civil action. | ||||||
3 | (10) The Department shall disclose information under | ||||||
4 | this Section in accordance with provisions for inspection | ||||||
5 | and copying of public records required by the Freedom of | ||||||
6 | Information Act, provided that the information satisfies | ||||||
7 | the provisions of this Section. | ||||||
8 | (11) Notwithstanding any other provision of law, under | ||||||
9 | no circumstances shall the Department disclose information | ||||||
10 | obtained from a hospital that is confidential under Part 21 | ||||||
11 | of Article VIII of the Code of Civil Procedure. | ||||||
12 | (12) No hospital report or Department disclosure may | ||||||
13 | contain information identifying a patient, employee, or | ||||||
14 | licensed professional.
| ||||||
15 | (Source: P.A. 96-514, eff. 1-1-10.) | ||||||
16 | (210 ILCS 50/3.118.5) | ||||||
17 | Sec. 3.118.5. State Stroke Advisory Subcommittee; triage | ||||||
18 | and transport of possible acute stroke patients. | ||||||
19 | (a) There shall be established within the State Emergency | ||||||
20 | Medical Services Advisory Council, or other statewide body | ||||||
21 | responsible for emergency health care, a standing State Stroke | ||||||
22 | Advisory Subcommittee, which shall serve as an advisory body to | ||||||
23 | the Council and the Department on matters related to the | ||||||
24 | triage, treatment, and transport of possible acute stroke | ||||||
25 | patients. Membership on the Committee shall be as |
| |||||||
| |||||||
1 | geographically diverse as possible and include one | ||||||
2 | representative from each Regional Stroke Advisory | ||||||
3 | Subcommittee, to be chosen by each Regional Stroke Advisory | ||||||
4 | Subcommittee. The Director shall appoint additional members, | ||||||
5 | as needed, to ensure there is adequate representation from the | ||||||
6 | following: | ||||||
7 | (1) an EMS Medical Director; | ||||||
8 | (2) a hospital administrator, or designee, from a | ||||||
9 | Comprehensive Stroke Center Primary Stroke Center ; | ||||||
10 | (3) a hospital administrator, or designee, from a | ||||||
11 | hospital capable of providing emergent stroke care that is | ||||||
12 | not a Primary Stroke Center; | ||||||
13 | (3.5) a hospital administrator, or designee, from an | ||||||
14 | Acute Stroke-Ready Hospital; | ||||||
15 | (3.10) a registered nurse from a Comprehensive Stroke | ||||||
16 | Center; | ||||||
17 | (4) a registered nurse from a Primary Stroke Center; | ||||||
18 | (5) a registered nurse from an Acute Stroke-Ready | ||||||
19 | Hospital a hospital capable of providing emergent stroke | ||||||
20 | care that is not a Primary Stroke Center ; | ||||||
21 | (5.5) a physician providing advanced stroke care from a | ||||||
22 | Comprehensive Stroke center; | ||||||
23 | (6) a physician providing stroke care neurologist from | ||||||
24 | a Primary Stroke Center; | ||||||
25 | (7) a physician providing stroke care from an Acute | ||||||
26 | Stroke-Ready Hospital an emergency department physician |
| |||||||
| |||||||
1 | from a hospital, capable of providing emergent stroke care, | ||||||
2 | that is not a Primary Stroke Center ; | ||||||
3 | (8) an EMS Coordinator; | ||||||
4 | (9) an acute stroke patient advocate; | ||||||
5 | (10) a fire chief, or designee, from an EMS Region that | ||||||
6 | serves a population of over 2,000,000 people; | ||||||
7 | (11) a fire chief, or designee, from a rural EMS | ||||||
8 | Region; | ||||||
9 | (12) a representative from a private ambulance | ||||||
10 | provider; and | ||||||
11 | (12.5) a representative from a municipal EMS provider; | ||||||
12 | and | ||||||
13 | (13) a representative from the State Emergency Medical | ||||||
14 | Services Advisory Council. | ||||||
15 | (b) Of the members first appointed, 9 7 members shall be | ||||||
16 | appointed for a term of one year, 9 7 members shall be | ||||||
17 | appointed for a term of 2 years, and the remaining members | ||||||
18 | shall be appointed for a term of 3 years. The terms of | ||||||
19 | subsequent appointees shall be 3 years. | ||||||
20 | (c) The State Stroke Advisory Subcommittee shall be | ||||||
21 | provided a 90-day period in which to review and comment upon | ||||||
22 | all rules proposed by the Department pursuant to this Act | ||||||
23 | concerning stroke care, except for emergency rules adopted | ||||||
24 | pursuant to Section 5-45 of the Illinois Administrative | ||||||
25 | Procedure Act. The 90-day review and comment period shall | ||||||
26 | commence prior to publication of the proposed rules and upon |
| |||||||
| |||||||
1 | the Department's submission of the proposed rules to the | ||||||
2 | individual Committee members, if the Committee is not meeting | ||||||
3 | at the time the proposed rules are ready for Committee review. | ||||||
4 | (d) The State Stroke Advisory Subcommittee shall develop | ||||||
5 | and submit an evidence-based statewide stroke assessment tool | ||||||
6 | to clinically evaluate potential stroke patients to the | ||||||
7 | Department for final approval. Upon approval, the Department | ||||||
8 | shall disseminate the tool to all EMS Systems for adoption. The | ||||||
9 | Director shall post the Department-approved stroke assessment | ||||||
10 | tool on the Department's website. The State Stroke Advisory | ||||||
11 | Subcommittee shall review the Department-approved stroke | ||||||
12 | assessment tool at least annually to ensure its clinical | ||||||
13 | relevancy and to make changes when clinically warranted. | ||||||
14 | (d-5) Each EMS Regional Stroke Advisory Subcommittee shall | ||||||
15 | submit recommendations for continuing education for | ||||||
16 | pre-hospital personnel to that Region's EMS Medical Directors | ||||||
17 | Committee. | ||||||
18 | (e) Nothing in this Section shall preclude the State Stroke | ||||||
19 | Advisory Subcommittee from reviewing and commenting on | ||||||
20 | proposed rules which fall under the purview of the State | ||||||
21 | Emergency Medical Services Advisory Council. Nothing in this | ||||||
22 | Section shall preclude the Emergency Medical Services Advisory | ||||||
23 | Council from reviewing and commenting on proposed rules which | ||||||
24 | fall under the purview of the State Stroke Advisory | ||||||
25 | Subcommittee. | ||||||
26 | (f) The Director shall coordinate with and assist the EMS |
| |||||||
| |||||||
1 | System Medical Directors and Regional Stroke Advisory | ||||||
2 | Subcommittee within each EMS Region to establish protocols | ||||||
3 | related to the assessment, treatment, and transport of possible | ||||||
4 | acute stroke patients by licensed emergency medical services | ||||||
5 | providers. These protocols shall include regional transport | ||||||
6 | plans for the triage and transport of possible acute stroke | ||||||
7 | patients to the most appropriate Comprehensive Stroke Center, | ||||||
8 | Primary Stroke Center , or Acute Stroke-Ready Hospital Emergent | ||||||
9 | Stroke Ready Hospital , unless circumstances warrant otherwise.
| ||||||
10 | (Source: P.A. 96-514, eff. 1-1-10.) | ||||||
11 | (210 ILCS 50/3.119) | ||||||
12 | Sec. 3.119. Stroke Care; restricted practices. Sections in | ||||||
13 | this Act pertaining to Comprehensive Stroke Centers, Primary | ||||||
14 | Stroke Centers , and Acute Stroke-Ready Hospitals Emergent | ||||||
15 | Stroke Ready Hospitals are not medical practice guidelines and | ||||||
16 | shall not be used to restrict the authority of a hospital to | ||||||
17 | provide services for which it has received a license under | ||||||
18 | State law.
| ||||||
19 | (Source: P.A. 96-514, eff. 1-1-10.) | ||||||
20 | (210 ILCS 50/3.226) | ||||||
21 | Sec. 3.226. Hospital Stroke Care Fund. | ||||||
22 | (a) The Hospital Stroke Care Fund is created as a special | ||||||
23 | fund in the State treasury for the purpose of receiving | ||||||
24 | appropriations, donations, and grants collected by the |
| |||||||
| |||||||
1 | Illinois Department of Public Health pursuant to Department | ||||||
2 | designation of Comprehensive Stroke Centers, Primary Stroke | ||||||
3 | Centers , and Acute Stroke-Ready Hospitals Emergent Stroke | ||||||
4 | Ready Hospitals . All moneys collected by the Department | ||||||
5 | pursuant to its authority to designate Comprehensive Stroke | ||||||
6 | Centers, Primary Stroke Centers , and Acute Stroke-Ready | ||||||
7 | Hospitals Emergent Stroke Ready Hospitals shall be deposited | ||||||
8 | into the Fund, to be used for the purposes in subsection (b). | ||||||
9 | (b) The purpose of the Fund is to allow the Director of the | ||||||
10 | Department to award matching grants: | ||||||
11 | (1) to hospitals that have been certified as | ||||||
12 | Comprehensive Stroke Centers, Primary Stroke Centers, or | ||||||
13 | Acute Stroke-Ready Hospitals; | ||||||
14 | (2) to hospitals that seek certification or | ||||||
15 | designation or both as Comprehensive Stroke Centers, | ||||||
16 | Primary Stroke Centers, or Acute Stroke-Ready Hospitals; | ||||||
17 | (3) to hospitals that have been designated Acute | ||||||
18 | Stroke-Ready Hospitals; | ||||||
19 | (4) to hospitals that seek designation as Acute | ||||||
20 | Stroke-Ready Hospitals; and | ||||||
21 | (5) for the development of stroke networks. | ||||||
22 | Hospitals may use grant funds to work with the EMS System | ||||||
23 | to improve outcomes of possible acute stroke patients. | ||||||
24 | (b) The purpose of the Fund is to allow the Director of the | ||||||
25 | Department to award matching grants to hospitals that have been | ||||||
26 | certified Primary Stroke Centers, that seek certification or |
| |||||||
| |||||||
1 | designation or both as Primary Stroke Centers, that have been | ||||||
2 | designated Emergent Stroke Ready Hospitals, that seek | ||||||
3 | designation as Emergent Stroke Ready Hospitals, and for the | ||||||
4 | development of stroke networks. Hospitals may use grant funds | ||||||
5 | to work with the EMS System to improve outcomes of possible | ||||||
6 | acute stroke patients. | ||||||
7 | (c) Moneys deposited in the Hospital Stroke Care Fund shall | ||||||
8 | be allocated according to the hospital needs within each EMS | ||||||
9 | region and used solely for the purposes described in this Act. | ||||||
10 | (d) Interfund transfers from the Hospital Stroke Care Fund | ||||||
11 | shall be prohibited.
| ||||||
12 | (Source: P.A. 96-514, eff. 1-1-10.)
|