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| 1 | AN ACT concerning health.
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| 2 | Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 | Section 5. The Illinois Adverse Health Care Events | ||||||||||||||||||||||||||||
| 5 | Reporting Law of 2005 is amended by changing Sections 10-20 and | ||||||||||||||||||||||||||||
| 6 | 10-35 and by adding Section 10-55 as follows: | ||||||||||||||||||||||||||||
| 7 | (410 ILCS 522/10-20)
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| 8 | Sec. 10-20. Root cause analysis; corrective action plan. | ||||||||||||||||||||||||||||
| 9 | Following the occurrence of an adverse health care event, the | ||||||||||||||||||||||||||||
| 10 | health care facility must conduct a root cause analysis of the | ||||||||||||||||||||||||||||
| 11 | event. Following the analysis, the health care facility must | ||||||||||||||||||||||||||||
| 12 | (i) implement a corrective action plan to address the findings | ||||||||||||||||||||||||||||
| 13 | of the analysis and (A) report to the Department any changes in | ||||||||||||||||||||||||||||
| 14 | the corrective action plan originally submitted to the | ||||||||||||||||||||||||||||
| 15 | Department, (B) report to the Department the result of the | ||||||||||||||||||||||||||||
| 16 | implementation of the corrective action plan or plans, and (C) | ||||||||||||||||||||||||||||
| 17 | report to the Department any revisions to the corrective action | ||||||||||||||||||||||||||||
| 18 | plan or plans necessary to overcome deficiencies or the failure | ||||||||||||||||||||||||||||
| 19 | of that original plan or (ii) report to the Department any | ||||||||||||||||||||||||||||
| 20 | reasons for not taking corrective action. A copy of the | ||||||||||||||||||||||||||||
| 21 | findings of the root cause analysis and a copy of the original | ||||||||||||||||||||||||||||
| 22 | corrective action plan must be filed with the Department within | ||||||||||||||||||||||||||||
| 23 | 90 days after the submission of the report to the Department | ||||||||||||||||||||||||||||
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| 1 | under Section 10-15. Revisions to the original corrective | ||||||
| 2 | action plan must be filed with the Department within 15 days | ||||||
| 3 | after the revision.
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| 4 | (Source: P.A. 94-242, eff. 7-18-05.) | ||||||
| 5 | (410 ILCS 522/10-35)
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| 6 | Sec. 10-35. Analysis of reports; response to reports; | ||||||
| 7 | communication of findings.
The Department shall do the | ||||||
| 8 | following: | ||||||
| 9 | (1) Analyze adverse event reports, corrective action | ||||||
| 10 | plans, and findings of the root cause analyses to determine | ||||||
| 11 | patterns of systemic failure in the health care system and | ||||||
| 12 | successful methods to correct these failures. | ||||||
| 13 | (1.2) Determine if the corrective action plans have | ||||||
| 14 | been implemented and resulted in successful corrections. | ||||||
| 15 | (1.3) Require the submission of changes to plans of | ||||||
| 16 | correction that have not been successful in correcting | ||||||
| 17 | systemic failures. | ||||||
| 18 | (1.4) Determine repeated adverse event reports and | ||||||
| 19 | require root cause analyses and plans of correction to | ||||||
| 20 | prevent recurrences. | ||||||
| 21 | (1.5) Determine if certain adverse event reports | ||||||
| 22 | constitute a substantial threat to the general public | ||||||
| 23 | health and welfare concerning which the Department shall | ||||||
| 24 | issue public health warnings. | ||||||
| 25 | (2) Communicate to individual health care facilities | ||||||
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| 1 | the Department's conclusions, if any, regarding an adverse | ||||||
| 2 | event reported by the health care facility. | ||||||
| 3 | (3) Communicate to relevant health care facilities any | ||||||
| 4 | recommendations for corrective action resulting from the | ||||||
| 5 | Department's analysis of submissions from facilities. | ||||||
| 6 | (4) Publish an annual report that does the following: | ||||||
| 7 | (i) Describes, by institution, adverse health care | ||||||
| 8 | events reported. | ||||||
| 9 | (ii) Summarizes, in aggregate form, the corrective | ||||||
| 10 | action plans and findings of root cause analyses | ||||||
| 11 | submitted by health care facilities. | ||||||
| 12 | (iii) Describes adopted recommendations for | ||||||
| 13 | quality improvement practices.
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| 14 | (Source: P.A. 94-242, eff. 7-18-05.) | ||||||
| 15 | (410 ILCS 522/10-55 new) | ||||||
| 16 | Sec. 10-55. Violations. The Department may issue a notice | ||||||
| 17 | of violation to any facility that does not comply with this | ||||||
| 18 | Law. Notwithstanding the provisions of Section 10-25 of this | ||||||
| 19 | Law, the identity of the facility and its violation of the Law | ||||||
| 20 | shall be subject to public disclosure. Standards and procedures | ||||||
| 21 | governing such notices and disclosure shall be determined by | ||||||
| 22 | administrative rule.
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