HB5742 EnrolledLRB098 18125 RPS 53254 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The State Finance Act is amended by adding
5Section 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
9Act is amended by changing Sections 3.116, 3.117, 3.117.5,
103.118, 3.118.5, 3.119, and 3.226 and by adding Section 3.117.75
11as follows:
 
12    (210 ILCS 50/3.116)
13    Sec. 3.116. Hospital Stroke Care; definitions. As used in
14Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this
15Act:
16    "Acute Stroke-Ready Hospital" means a hospital that has
17been designated by the Department as meeting the criteria for
18providing emergent stroke care. Designation may be provided
19after a hospital has been certified or through application and
20designation as such.
21    "Certification" or "certified" means certification, using

 

 

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1evidence-based standards, from a nationally-recognized
2certifying body approved by the Department.
3    "Comprehensive Stroke Center" means a hospital that has
4been certified and has been designated as such.
5    "Designation" or "designated" means the Department's
6recognition of a hospital as a Comprehensive Stroke Center,
7Primary Stroke Center, or Acute Stroke-Ready Hospital Emergent
8Stroke Ready Hospital.
9    "Emergent stroke care" is emergency medical care that
10includes diagnosis and emergency medical treatment of acute
11stroke patients.
12    "Emergent Stroke Ready Hospital" means a hospital that has
13been designated by the Department as meeting the criteria for
14providing emergent stroke care.
15    "Primary Stroke Center" means a hospital that has been
16certified by a Department-approved, nationally-recognized
17certifying body and designated as such by the Department.
18    "Regional Stroke Advisory Subcommittee" means a
19subcommittee formed within each Regional EMS Advisory
20Committee to advise the Director and the Region's EMS Medical
21Directors Committee on the triage, treatment, and transport of
22possible acute stroke patients and to select the Region's
23representative to the State Stroke Advisory Subcommittee. At
24minimum, the Regional Stroke Advisory Subcommittee shall
25consist of: one representative from the EMS Medical Directors
26Committee; one EMS coordinator from a Resource Hospital; one

 

 

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1administrative representative or his or her designee from each
2level of stroke care, including Comprehensive Stroke Centers
3within the Region, if any, Primary Stroke Centers within the
4Region, if any, and Acute Stroke-Ready Hospitals within the
5Region, if any; one physician from each level of stroke care,
6including one physician who is a neurologist or who provides
7advanced stroke care at a Comprehensive Stroke Center in the
8Region, if any, one physician who is a neurologist or who
9provides acute stroke care at a Primary Stroke Center in the
10Region, if any, and one physician who provides acute stroke
11care at an Acute Stroke-Ready Hospital in the Region, if any;
12one nurse practicing in each level of stroke care, including
13one nurse from a Comprehensive Stroke Center in the Region, if
14any, one nurse from a Primary Stroke Center in the Region, if
15any, and one nurse from an Acute Stroke-Ready Hospital in the
16Region, if any; one representative from both a public and a
17private vehicle service provider that transports possible
18acute stroke patients within the Region; the State-designated
19regional EMS Coordinator; and a fire chief or his or her
20designee from the EMS Region, if the Region serves a population
21of more than 2,000,000. The Regional Stroke Advisory
22Subcommittee shall establish bylaws to ensure equal membership
23that rotates and clearly delineates committee responsibilities
24and structure. Of the members first appointed, one-third shall
25be appointed for a term of one year, one-third shall be
26appointed for a term of 2 years, and the remaining members

 

 

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1shall be appointed for a term of 3 years. The terms of
2subsequent appointees shall be 3 years. The Regional Stroke
3Advisory Subcommittee shall consist of one representative from
4the EMS Medical Directors Committee; equal numbers of
5administrative representatives, or their designees, from
6Primary Stroke Centers within the Region, if any, and from
7hospitals that are capable of providing emergent stroke care
8that are not Primary Stroke Centers within the Region; one
9neurologist from a Primary Stroke Center in the Region, if any;
10one nurse practicing in a Primary Stroke Center and one nurse
11from a hospital capable of providing emergent stroke care that
12is not a Primary Stroke Center; one representative from both a
13public and a private vehicle service provider which transports
14possible acute stroke patients within the Region; the State
15designated regional EMS Coordinator; and in regions that serve
16a population of over 2,000,000, a fire chief, or designee, from
17the EMS Region.
18    "State Stroke Advisory Subcommittee" means a standing
19advisory body within the State Emergency Medical Services
20Advisory 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
25Stroke Centers in all areas of the State.

 

 

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1        (1) The Department shall designate as many certified
2    Primary Stroke Centers as apply for that designation
3    provided they are certified by a nationally-recognized
4    certifying body, approved by the Department, and
5    certification criteria are consistent with the most
6    current nationally-recognized, evidence-based stroke
7    guidelines related to reducing the occurrence,
8    disabilities, and death associated with stroke.
9        (2) A hospital certified as a Primary Stroke Center by
10    a nationally-recognized certifying body approved by the
11    Department, shall send a copy of the Certificate and annual
12    fee to the Department and shall be deemed, within 30
13    business days of its receipt by the Department, to be a
14    State-designated Primary Stroke Center.
15        (3) A center designated as a Primary Stroke Center
16    shall pay an annual fee as determined by the Department
17    that shall be no less than $100 and no greater than $500.
18    All fees shall be deposited into the Stroke Data Collection
19    Fund.
20        (3.5) With respect to a hospital that is a designated
21    Primary Stroke Center, the Department shall have the
22    authority and responsibility to do the following:
23            (A) Suspend or revoke a hospital's Primary Stroke
24        Center designation upon receiving notice that the
25        hospital's Primary Stroke Center certification has
26        lapsed or has been revoked by the State recognized

 

 

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1        certifying body.
2            (B) Suspend a hospital's Primary Stroke Center
3        designation, in extreme circumstances where patients
4        may be at risk for immediate harm or death, until such
5        time as the certifying body investigates and makes a
6        final determination regarding certification.
7            (C) Restore any previously suspended or revoked
8        Department designation upon notice to the Department
9        that the certifying body has confirmed or restored the
10        Primary Stroke Center certification of that previously
11        designated hospital.
12            (D) Suspend a hospital's Primary Stroke Center
13        designation at the request of a hospital seeking to
14        suspend its own Department designation.
15        (4) Primary Stroke Center designation shall remain
16    valid at all times while the hospital maintains its
17    certification as a Primary Stroke Center, in good standing,
18    with the certifying body. The duration of a Primary Stroke
19    Center designation shall coincide with the duration of its
20    Primary Stroke Center certification. Each designated
21    Primary Stroke Center shall have its designation
22    automatically renewed upon the Department's receipt of a
23    copy of the accrediting body's certification renewal.
24        (5) A hospital that no longer meets
25    nationally-recognized, evidence-based standards for
26    Primary Stroke Centers, or loses its Primary Stroke Center

 

 

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1    certification, shall immediately notify the Department and
2    the Regional EMS Advisory Committee within 5 business days.
3    (a-5) The Department shall attempt to designate
4Comprehensive Stroke Centers in all areas of the State.
5        (1) The Department shall designate as many certified
6    Comprehensive Stroke Centers as apply for that
7    designation, provided that the Comprehensive Stroke
8    Centers are certified by a nationally-recognized
9    certifying body approved by the Department, and provided
10    that the certifying body's certification criteria are
11    consistent with the most current nationally-recognized and
12    evidence-based stroke guidelines for reducing the
13    occurrence of stroke and the disabilities and death
14    associated with stroke.
15        (2) A hospital certified as a Comprehensive Stroke
16    Center shall send a copy of the Certificate and annual fee
17    to the Department and shall be deemed, within 30 business
18    days of its receipt by the Department, to be a
19    State-designated Comprehensive Stroke Center.
20        (3) A hospital designated as a Comprehensive Stroke
21    Center shall pay an annual fee as determined by the
22    Department that shall be no less than $100 and no greater
23    than $500. All fees shall be deposited into the Stroke Data
24    Collection Fund.
25        (4) With respect to a hospital that is a designated
26    Comprehensive Stroke Center, the Department shall have the

 

 

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1    authority and responsibility to do the following:
2            (A) Suspend or revoke the hospital's Comprehensive
3        Stroke Center designation upon receiving notice that
4        the hospital's Comprehensive Stroke Center
5        certification has lapsed or has been revoked by the
6        State recognized certifying body.
7            (B) Suspend the hospital's Comprehensive Stroke
8        Center designation, in extreme circumstances in which
9        patients may be at risk for immediate harm or death,
10        until such time as the certifying body investigates and
11        makes a final determination regarding certification.
12            (C) Restore any previously suspended or revoked
13        Department designation upon notice to the Department
14        that the certifying body has confirmed or restored the
15        Comprehensive Stroke Center certification of that
16        previously designated hospital.
17            (D) Suspend the hospital's Comprehensive Stroke
18        Center designation at the request of a hospital seeking
19        to suspend its own Department designation.
20        (5) Comprehensive Stroke Center designation shall
21    remain valid at all times while the hospital maintains its
22    certification as a Comprehensive Stroke Center, in good
23    standing, with the certifying body. The duration of a
24    Comprehensive Stroke Center designation shall coincide
25    with the duration of its Comprehensive Stroke Center
26    certification. Each designated Comprehensive Stroke Center

 

 

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1    shall have its designation automatically renewed upon the
2    Department's receipt of a copy of the certifying body's
3    certification renewal.
4        (6) A hospital that no longer meets
5    nationally-recognized, evidence-based standards for
6    Comprehensive Stroke Centers, or loses its Comprehensive
7    Stroke Center certification, shall notify the Department
8    and the Regional EMS Advisory Committee within 5 business
9    days.
10    (b) Beginning on the first day of the month that begins 12
11months after the adoption of rules authorized by this
12subsection, the The Department shall attempt to designate
13hospitals as Acute Stroke-Ready Hospitals Emergent Stroke
14Ready Hospitals capable of providing emergent stroke care in
15all areas of the State. Designation may be approved by the
16Department after a hospital has been certified as an Acute
17Stroke-Ready Hospital or through application and designation
18by the Department. For any hospital that is designated as an
19Emergent Stroke Ready Hospital at the time that the Department
20begins the designation of Acute Stroke-Ready Hospitals, the
21Emergent Stroke Ready designation shall remain intact for the
22duration of the 12-month period until that designation expires.
23Until the Department begins the designation of hospitals as
24Acute Stroke-Ready Hospitals, hospitals may achieve Emergent
25Stroke Ready Hospital designation utilizing the processes and
26criteria provided in Public Act 96-514.

 

 

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1        (1) (Blank). The Department shall designate as many
2    Emergent Stroke Ready Hospitals as apply for that
3    designation as long as they meet the criteria in this Act.
4        (2) Hospitals may apply for, and receive, Acute
5    Stroke-Ready Hospital Emergent Stroke Ready Hospital
6    designation from the Department, provided that the
7    hospital attests, on a form developed by the Department in
8    consultation with the State Stroke Advisory Subcommittee,
9    that it meets, and will continue to meet, the criteria for
10    Acute Stroke-Ready Hospital designation and pays an annual
11    fee Emergent Stroke Ready Hospital designation.
12        A hospital designated as an Acute Stroke-Ready
13    Hospital shall pay an annual fee as determined by the
14    Department that shall be no less than $100 and no greater
15    than $500. All fees shall be deposited into the Stroke Data
16    Collection Fund.
17        (2.5) A hospital may apply for, and receive, Acute
18    Stroke-Ready Hospital designation from the Department,
19    provided that the hospital provides proof of current Acute
20    Stroke-Ready Hospital certification and the hospital pays
21    an annual fee.
22            (A) Acute Stroke-Ready Hospital designation shall
23        remain valid at all times while the hospital maintains
24        its certification as an Acute Stroke-Ready Hospital,
25        in good standing, with the certifying body.
26            (B) The duration of an Acute Stroke-Ready Hospital

 

 

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1        designation shall coincide with the duration of its
2        Acute Stroke-Ready Hospital certification.
3            (C) Each designated Acute Stroke-Ready Hospital
4        shall have its designation automatically renewed upon
5        the Department's receipt of a copy of the certifying
6        body's certification renewal and Application for
7        Stroke Center Designation form.
8            (D) A hospital must submit a copy of its
9        certification renewal from the certifying body as soon
10        as practical but no later than 30 business days after
11        that certification is received by the hospital. Upon
12        the Department's receipt of the renewal certification,
13        the Department shall renew the hospital's Acute
14        Stroke-Ready Hospital designation.
15            (E) A hospital designated as an Acute Stroke-Ready
16        Hospital shall pay an annual fee as determined by the
17        Department that shall be no less than $100 and no
18        greater than $500. All fees shall be deposited into the
19        Stroke Data Collection Fund.
20        (3) Hospitals seeking Acute Stroke-Ready Hospital
21    Emergent Stroke Ready Hospital designation that do not have
22    certification shall develop policies and procedures that
23    are consistent with consider nationally-recognized,
24    evidence-based protocols for the provision of emergent
25    stroke care. Hospital policies relating to emergent stroke
26    care and stroke patient outcomes shall be reviewed at least

 

 

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1    annually, or more often as needed, by a hospital committee
2    that oversees quality improvement. Adjustments shall be
3    made as necessary to advance the quality of stroke care
4    delivered. Criteria for Acute Stroke-Ready Hospital
5    Emergent Stroke Ready Hospital designation of hospitals
6    shall be limited to the ability of a hospital to:
7            (A) create written acute care protocols related to
8        emergent stroke care;
9            (A-5) participate in the data collection system
10        provided in Section 3.118, if available;
11            (B) maintain a written transfer agreement with one
12        or more hospitals that have neurosurgical expertise;
13            (C) designate a Clinical Director of Stroke Care
14        who shall be a clinical member of the hospital staff
15        with training or experience, as defined by the
16        facility, in the care of patients with cerebrovascular
17        disease. This training or experience may include, but
18        is not limited to, completion of a fellowship or other
19        specialized training in the area of cerebrovascular
20        disease, attendance at national courses, or prior
21        experience in neuroscience intensive care units. The
22        Clinical Director of Stroke Care may be a neurologist,
23        neurosurgeon, emergency medicine physician, internist,
24        radiologist, advanced practice nurse, or physician's
25        assistant director of stroke care, which may be a
26        clinical member of the hospital staff or the designee

 

 

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1        of the hospital administrator, to oversee the
2        hospital's stroke care policies and procedures;
3            (C-5) provide rapid access to an acute stroke team,
4        as defined by the facility, that considers and reflects
5        nationally-recognized, evidenced-based protocols or
6        guidelines;
7            (D) administer thrombolytic therapy, or
8        subsequently developed medical therapies that meet
9        nationally-recognized, evidence-based stroke
10        guidelines;
11            (E) conduct brain image tests at all times;
12            (F) conduct blood coagulation studies at all
13        times; and
14            (G) maintain a log of stroke patients, which shall
15        be available for review upon request by the Department
16        or any hospital that has a written transfer agreement
17        with the Acute Stroke-Ready Hospital; Emergent Stroke
18        Ready Hospital.
19            (H) admit stroke patients to a unit that can
20        provide appropriate care that considers and reflects
21        nationally-recognized, evidence-based protocols or
22        guidelines or transfer stroke patients to an Acute
23        Stroke-Ready Hospital, Primary Stroke Center, or
24        Comprehensive Stroke Center, or another facility that
25        can provide the appropriate care that considers and
26        reflects nationally-recognized, evidence-based

 

 

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1        protocols or guidelines; and
2            (I) demonstrate compliance with
3        nationally-recognized quality indicators.
4        (4) With respect to Acute Stroke-Ready Hospital
5    Emergent Stroke Ready Hospital designation, the Department
6    shall have the authority and responsibility to do the
7    following:
8            (A) Require hospitals applying for Acute
9        Stroke-Ready Hospital Emergent Stroke Ready Hospital
10        designation to attest, on a form developed by the
11        Department in consultation with the State Stroke
12        Advisory Subcommittee, that the hospital meets, and
13        will continue to meet, the criteria for an Acute
14        Stroke-Ready a Emergent Stroke Ready Hospital.
15            (A-5) Require hospitals applying for Acute
16        Stroke-Ready Hospital designation via national Acute
17        Stroke-Ready Hospital certification to provide proof
18        of current Acute Stroke-Ready Hospital certification,
19        in good standing.
20            The Department shall require a hospital that is
21        already certified as an Acute Stroke-Ready Hospital to
22        send a copy of the Certificate to the Department.
23            Within 30 business days of the Department's
24        receipt of a hospital's Acute Stroke-Ready Certificate
25        and Application for Stroke Center Designation form
26        that indicates that the hospital is a certified Acute

 

 

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1        Stroke-Ready Hospital, in good standing, the hospital
2        shall be deemed a State-designated Acute Stroke-Ready
3        Hospital. The Department shall send a designation
4        notice to each hospital that it designates as an Acute
5        Stroke-Ready Hospital and shall add the names of
6        designated Acute Stroke-Ready Hospitals to the website
7        listing immediately upon designation. The Department
8        shall immediately remove the name of a hospital from
9        the website listing when a hospital loses its
10        designation after notice and, if requested by the
11        hospital, a hearing.
12            The Department shall develop an Application for
13        Stroke Center Designation form that contains a
14        statement that "The above named facility meets the
15        requirements for Acute Stroke-Ready Hospital
16        Designation as provided in Section 3.117 of the
17        Emergency Medical Services (EMS) Systems Act" and
18        shall instruct the applicant facility to provide: the
19        hospital name and address; the hospital CEO or
20        Administrator's typed name and signature; the hospital
21        Clinical Director of Stroke Care's typed name and
22        signature; and a contact person's typed name, email
23        address, and phone number.
24            The Application for Stroke Center Designation form
25        shall contain a statement that instructs the hospital
26        to "Provide proof of current Acute Stroke-Ready

 

 

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1        Hospital certification from a nationally-recognized
2        certifying body approved by the Department".
3            (B) Designate a hospital as an Acute Stroke-Ready
4        Hospital Emergent Stroke Ready Hospital no more than 30
5        20 business days after receipt of an attestation that
6        meets the requirements for attestation, unless the
7        Department, within 30 days of receipt of the
8        attestation, chooses to conduct an onsite survey prior
9        to designation. If the Department chooses to conduct an
10        onsite survey prior to designation, then the onsite
11        survey shall be conducted within 90 days of receipt of
12        the attestation.
13            (C) Require annual written attestation, on a form
14        developed by the Department in consultation with the
15        State Stroke Advisory Subcommittee, by Acute
16        Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
17        to indicate compliance with Acute Stroke-Ready
18        Hospital Emergent Stroke Ready Hospital criteria, as
19        described in this Section, and automatically renew
20        Acute Stroke-Ready Hospital Emergent Stroke Ready
21        Hospital designation of the hospital.
22            (D) Issue an Emergency Suspension of Acute
23        Stroke-Ready Hospital Emergent Stroke Ready Hospital
24        designation when the Director, or his or her designee,
25        has determined that the hospital no longer meets the
26        Acute Stroke-Ready Hospital Emergent Stroke Ready

 

 

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1        Hospital criteria and an immediate and serious danger
2        to the public health, safety, and welfare exists. If
3        the Acute Stroke-Ready Hospital Emergent Stroke Ready
4        Hospital fails to eliminate the violation immediately
5        or within a fixed period of time, not exceeding 10
6        days, as determined by the Director, the Director may
7        immediately revoke the Acute Stroke-Ready Hospital
8        Emergent Stroke Ready Hospital designation. The Acute
9        Stroke-Ready Hospital Emergent Stroke Ready Hospital
10        may appeal the revocation within 15 business days after
11        receiving the Director's revocation order, by
12        requesting an administrative hearing.
13            (E) After notice and an opportunity for an
14        administrative hearing, suspend, revoke, or refuse to
15        renew an Acute Stroke-Ready Hospital Emergent Stroke
16        Ready Hospital designation, when the Department finds
17        the hospital is not in substantial compliance with
18        current Acute Stroke-Ready Hospital Emergent Stroke
19        Ready Hospital criteria.
20    (c) The Department shall consult with the State Stroke
21Advisory Subcommittee for developing the designation,
22re-designation, and de-designation processes for Comprehensive
23Stroke Centers, for Primary Stroke Centers, and Acute
24Stroke-Ready Hospitals Emergent Stroke Ready Hospitals.
25    (d) The Department shall consult with the State Stroke
26Advisory Subcommittee as subject matter experts at least

 

 

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1annually 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
6of Comprehensive Stroke Centers, Primary Stroke Centers, and
7Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
8throughout the State, the Director may award, subject to
9appropriation, matching grants to hospitals to be used for the
10acquisition and maintenance of necessary infrastructure,
11including personnel, equipment, and pharmaceuticals for the
12diagnosis and treatment of acute stroke patients. Grants may be
13used to pay the fee for certifications by Department approved
14nationally-recognized certifying bodies or to provide
15additional training for directors of stroke care or for
16hospital staff.
17    (b) The Director may award grant moneys to Comprehensive
18Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
19Hospitals Emergent Stroke Ready Hospitals for developing or
20enlarging stroke networks, for stroke education, and to enhance
21the ability of the EMS System to respond to possible acute
22stroke patients.
23    (c) A Comprehensive Stroke Center, Primary Stroke Center,
24or Acute Stroke-Ready Hospital Emergent Stroke Ready Hospital,
25or a hospital seeking certification as a Comprehensive Stroke

 

 

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1Center, Primary Stroke Center, or Acute Stroke-Ready Hospital
2or designation as an Acute Stroke-Ready Hospital, Emergent
3Stroke Ready Hospital may apply to the Director for a matching
4grant in a manner and form specified by the Director and shall
5provide information as the Director deems necessary to
6determine whether the hospital is eligible for the grant.
7    (d) Matching grant awards shall be made to Comprehensive
8Stroke Centers, Primary Stroke Centers, Acute Stroke-Ready
9Hospitals Emergent Stroke Ready Hospitals, or hospitals
10seeking certification or designation as a Comprehensive Stroke
11Center, Primary Stroke Center, or Acute Stroke-Ready Hospital
12designation as an Emergent Stroke Ready Hospital. The
13Department may consider prioritizing grant awards to hospitals
14in areas with the highest incidence of stroke, taking into
15account 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
20fund in the State treasury.
21    (b) Moneys in the fund shall be used by the Department to
22support the data collection provided for in Section 3.118 of
23this Act. Any surplus funds beyond what are needed to support
24the data collection provided for in Section 3.118 of this Act
25shall be used by the Department to support the salary of the

 

 

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1Department Stroke Coordinator or for other stroke-care
2initiatives, including administrative oversight of stroke
3care.
 
4    (210 ILCS 50/3.118)
5    Sec. 3.118. Reporting.
6    (a) The Director shall, not later than July 1, 2012,
7prepare and submit to the Governor and the General Assembly a
8report indicating the total number of hospitals that have
9applied for grants, the project for which the application was
10submitted, the number of those applicants that have been found
11eligible for the grants, the total number of grants awarded,
12the name and address of each grantee, and the amount of the
13award issued to each grantee.
14    (b) By July 1, 2010, the Director shall send the list of
15designated Comprehensive Stroke Centers, Primary Stroke
16Centers, and Acute Stroke-Ready Hospitals designated Emergent
17Stroke Ready Hospitals to all Resource Hospital EMS Medical
18Directors in this State and shall post a list of designated
19Comprehensive Stroke Centers, Primary Stroke Centers, and
20Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
21on the Department's website, which shall be continuously
22updated.
23    (c) The Department shall add the names of designated
24Comprehensive Stroke Centers, Primary Stroke Centers, and
25Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals

 

 

HB5742 Enrolled- 21 -LRB098 18125 RPS 53254 b

1to the website listing immediately upon designation and shall
2immediately remove the name when a hospital loses its
3designation after notice and a hearing.
4    (d) Stroke data collection systems and all stroke-related
5data collected from hospitals shall comply with the following
6requirements:
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
21to collect data that is already reported by designated
22Comprehensive Stroke Centers, Primary Stroke Centers, and
23Acute Stroke-Ready Hospitals to their certifying body, to
24fulfill Primary Stroke Center certification requirements.
25Comprehensive Stroke Centers, Primary Stroke Centers, and
26Acute Stroke-Ready Hospitals may provide data used in

 

 

HB5742 Enrolled- 22 -LRB098 18125 RPS 53254 b

1submission complete copies of the same reports that are
2submitted to their certifying body, to satisfy any Department
3reporting requirements. The Department may require submission
4of data elements in a format that is used State-wide. In the
5event the Department establishes reporting requirements for
6designated Comprehensive Stroke Centers, Primary Stroke
7Centers, and Acute Stroke-Ready Hospitals, the Department
8shall permit each designated Comprehensive Stroke Center,
9Primary Stroke Center, or Acute Stroke-Ready Hospital to
10capture information using existing electronic reporting tools
11used for certification purposes. Nothing in this Section shall
12be construed to empower the Department to specify the form of
13internal recordkeeping. Three years from the effective date of
14this amendatory Act of the 96th General Assembly, the
15Department may post stroke data submitted by Comprehensive
16Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
17Hospitals 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.

 

 

HB5742 Enrolled- 23 -LRB098 18125 RPS 53254 b

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

 

 

HB5742 Enrolled- 24 -LRB098 18125 RPS 53254 b

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
18and transport of possible acute stroke patients.
19    (a) There shall be established within the State Emergency
20Medical Services Advisory Council, or other statewide body
21responsible for emergency health care, a standing State Stroke
22Advisory Subcommittee, which shall serve as an advisory body to
23the Council and the Department on matters related to the
24triage, treatment, and transport of possible acute stroke
25patients. Membership on the Committee shall be as

 

 

HB5742 Enrolled- 25 -LRB098 18125 RPS 53254 b

1geographically diverse as possible and include one
2representative from each Regional Stroke Advisory
3Subcommittee, to be chosen by each Regional Stroke Advisory
4Subcommittee. The Director shall appoint additional members,
5as needed, to ensure there is adequate representation from the
6following:
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

 

 

HB5742 Enrolled- 26 -LRB098 18125 RPS 53254 b

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
16appointed for a term of one year, 9 7 members shall be
17appointed for a term of 2 years, and the remaining members
18shall be appointed for a term of 3 years. The terms of
19subsequent appointees shall be 3 years.
20    (c) The State Stroke Advisory Subcommittee shall be
21provided a 90-day period in which to review and comment upon
22all rules proposed by the Department pursuant to this Act
23concerning stroke care, except for emergency rules adopted
24pursuant to Section 5-45 of the Illinois Administrative
25Procedure Act. The 90-day review and comment period shall
26commence prior to publication of the proposed rules and upon

 

 

HB5742 Enrolled- 27 -LRB098 18125 RPS 53254 b

1the Department's submission of the proposed rules to the
2individual Committee members, if the Committee is not meeting
3at the time the proposed rules are ready for Committee review.
4    (d) The State Stroke Advisory Subcommittee shall develop
5and submit an evidence-based statewide stroke assessment tool
6to clinically evaluate potential stroke patients to the
7Department for final approval. Upon approval, the Department
8shall disseminate the tool to all EMS Systems for adoption. The
9Director shall post the Department-approved stroke assessment
10tool on the Department's website. The State Stroke Advisory
11Subcommittee shall review the Department-approved stroke
12assessment tool at least annually to ensure its clinical
13relevancy and to make changes when clinically warranted.
14    (d-5) Each EMS Regional Stroke Advisory Subcommittee shall
15submit recommendations for continuing education for
16pre-hospital personnel to that Region's EMS Medical Directors
17Committee.
18    (e) Nothing in this Section shall preclude the State Stroke
19Advisory Subcommittee from reviewing and commenting on
20proposed rules which fall under the purview of the State
21Emergency Medical Services Advisory Council. Nothing in this
22Section shall preclude the Emergency Medical Services Advisory
23Council from reviewing and commenting on proposed rules which
24fall under the purview of the State Stroke Advisory
25Subcommittee.
26    (f) The Director shall coordinate with and assist the EMS

 

 

HB5742 Enrolled- 28 -LRB098 18125 RPS 53254 b

1System Medical Directors and Regional Stroke Advisory
2Subcommittee within each EMS Region to establish protocols
3related to the assessment, treatment, and transport of possible
4acute stroke patients by licensed emergency medical services
5providers. These protocols shall include regional transport
6plans for the triage and transport of possible acute stroke
7patients to the most appropriate Comprehensive Stroke Center,
8Primary Stroke Center, or Acute Stroke-Ready Hospital Emergent
9Stroke 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
13this Act pertaining to Comprehensive Stroke Centers, Primary
14Stroke Centers, and Acute Stroke-Ready Hospitals Emergent
15Stroke Ready Hospitals are not medical practice guidelines and
16shall not be used to restrict the authority of a hospital to
17provide services for which it has received a license under
18State 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
23fund in the State treasury for the purpose of receiving
24appropriations, donations, and grants collected by the

 

 

HB5742 Enrolled- 29 -LRB098 18125 RPS 53254 b

1Illinois Department of Public Health pursuant to Department
2designation of Comprehensive Stroke Centers, Primary Stroke
3Centers, and Acute Stroke-Ready Hospitals Emergent Stroke
4Ready Hospitals. All moneys collected by the Department
5pursuant to its authority to designate Comprehensive Stroke
6Centers, Primary Stroke Centers, and Acute Stroke-Ready
7Hospitals Emergent Stroke Ready Hospitals shall be deposited
8into 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
10Department 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
23to improve outcomes of possible acute stroke patients.
24    (b) The purpose of the Fund is to allow the Director of the
25Department to award matching grants to hospitals that have been
26certified Primary Stroke Centers, that seek certification or

 

 

HB5742 Enrolled- 30 -LRB098 18125 RPS 53254 b

1designation or both as Primary Stroke Centers, that have been
2designated Emergent Stroke Ready Hospitals, that seek
3designation as Emergent Stroke Ready Hospitals, and for the
4development of stroke networks. Hospitals may use grant funds
5to work with the EMS System to improve outcomes of possible
6acute stroke patients.
7    (c) Moneys deposited in the Hospital Stroke Care Fund shall
8be allocated according to the hospital needs within each EMS
9region and used solely for the purposes described in this Act.
10    (d) Interfund transfers from the Hospital Stroke Care Fund
11shall be prohibited.
12(Source: P.A. 96-514, eff. 1-1-10.)