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1 | AN ACT concerning regulation.
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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 Emergency Medical Services (EMS) Systems Act | |||||||||||||||||||||||
5 | is amended by changing Sections 3.116, 3.117, and 3.118 as | |||||||||||||||||||||||
6 | follows: | |||||||||||||||||||||||
7 | (210 ILCS 50/3.116) | |||||||||||||||||||||||
8 | Sec. 3.116. Hospital Stroke Care; definitions. As used in | |||||||||||||||||||||||
9 | Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this | |||||||||||||||||||||||
10 | Act: | |||||||||||||||||||||||
11 | "Acute Stroke-Ready Hospital" means a hospital that has | |||||||||||||||||||||||
12 | been designated by the Department as meeting the criteria for | |||||||||||||||||||||||
13 | providing emergent stroke care. Designation may be provided | |||||||||||||||||||||||
14 | after a hospital has been certified or through application and | |||||||||||||||||||||||
15 | designation as such. | |||||||||||||||||||||||
16 | "Certification" or "certified" means certification, using | |||||||||||||||||||||||
17 | evidence-based standards, from a nationally-recognized | |||||||||||||||||||||||
18 | certifying body approved by the Department. | |||||||||||||||||||||||
19 | "Comprehensive Stroke Center" means a hospital that has | |||||||||||||||||||||||
20 | been certified and has been designated as such. | |||||||||||||||||||||||
21 | "Designation" or "designated" means the Department's | |||||||||||||||||||||||
22 | recognition of a hospital as a Comprehensive Stroke Center, | |||||||||||||||||||||||
23 | Primary Stroke Center, or Acute Stroke-Ready Hospital. |
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1 | "Emergent stroke care" is emergency medical care that | ||||||
2 | includes diagnosis and emergency medical treatment of acute | ||||||
3 | stroke patients. | ||||||
4 | "Emergent Stroke Ready Hospital" means a hospital that has | ||||||
5 | been designated by the Department as meeting the criteria for | ||||||
6 | providing emergent stroke care. | ||||||
7 | "Primary Stroke Center" means a hospital that has been | ||||||
8 | certified by a Department-approved, nationally-recognized | ||||||
9 | certifying body and designated as such by the Department. | ||||||
10 | "Regional Stroke Advisory Subcommittee" means a | ||||||
11 | subcommittee formed within each Regional EMS Advisory | ||||||
12 | Committee to advise the Director and the Region's EMS Medical | ||||||
13 | Directors Committee on the triage, treatment, and transport of | ||||||
14 | possible acute stroke patients and to select the Region's | ||||||
15 | representative to the State Stroke Advisory Subcommittee. At | ||||||
16 | minimum, the Regional Stroke Advisory Subcommittee shall | ||||||
17 | consist of: one representative from the EMS Medical Directors | ||||||
18 | Committee; one EMS coordinator from a Resource Hospital; one | ||||||
19 | administrative representative or his or her designee from each | ||||||
20 | level of stroke care, including Comprehensive Stroke Centers | ||||||
21 | within the Region, if any, Primary Stroke Centers within the | ||||||
22 | Region, if any, and Acute Stroke-Ready Hospitals within the | ||||||
23 | Region, if any; one physician from each level of stroke care, | ||||||
24 | including one physician who is a neurologist or who provides | ||||||
25 | advanced stroke care at a Comprehensive Stroke Center in the | ||||||
26 | Region, if any, one physician who is a neurologist or who |
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1 | provides acute stroke care at a Primary Stroke Center in the | ||||||
2 | Region, if any, and one physician who provides acute stroke | ||||||
3 | care at an Acute Stroke-Ready Hospital in the Region, if any; | ||||||
4 | one nurse practicing in each level of stroke care, including | ||||||
5 | one nurse from a Comprehensive Stroke Center in the Region, if | ||||||
6 | any, one nurse from a Primary Stroke Center in the Region, if | ||||||
7 | any, and one nurse from an Acute Stroke-Ready Hospital in the | ||||||
8 | Region, if any; one representative from both a public and a | ||||||
9 | private vehicle service provider that transports possible | ||||||
10 | acute stroke patients within the Region; the State-designated | ||||||
11 | regional EMS Coordinator; and a fire chief or his or her | ||||||
12 | designee from the EMS Region, if the Region serves a population | ||||||
13 | of more than 2,000,000. The Regional Stroke Advisory | ||||||
14 | Subcommittee shall establish bylaws to ensure equal membership | ||||||
15 | that rotates and clearly delineates committee responsibilities | ||||||
16 | and structure. Of the members first appointed, one-third shall | ||||||
17 | be appointed for a term of one year, one-third shall be | ||||||
18 | appointed for a term of 2 years, and the remaining members | ||||||
19 | shall be appointed for a term of 3 years. The terms of | ||||||
20 | subsequent appointees shall be 3 years. | ||||||
21 | "State Stroke Advisory Subcommittee" means a standing | ||||||
22 | advisory body within the State Emergency Medical Services | ||||||
23 | Advisory Council. | ||||||
24 | "Stroke" means brain, spinal cord, or retinal cell death | ||||||
25 | attributable to ischemic or hemorrhagic infarction that is | ||||||
26 | consistent with the most current nationally-recognized, |
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1 | evidence-based stroke definitions.
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2 | (Source: P.A. 98-1001, eff. 1-1-15 .) | ||||||
3 | (210 ILCS 50/3.117) | ||||||
4 | Sec. 3.117. Hospital Designations. | ||||||
5 | (a) The Department shall attempt to designate Primary | ||||||
6 | Stroke Centers in all areas of the State. | ||||||
7 | (1) The Department shall designate as many certified
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8 | Primary Stroke Centers as apply for that designation | ||||||
9 | provided they are certified by a nationally-recognized | ||||||
10 | certifying body, approved by the Department, and | ||||||
11 | certification criteria are consistent with the most | ||||||
12 | current nationally-recognized, evidence-based stroke | ||||||
13 | guidelines , including the use of thrombolytic therapy and | ||||||
14 | anticoagulation reversal medications related to reduce | ||||||
15 | reducing the occurrence, disabilities, and death | ||||||
16 | associated with ischemic and hemorrhagic stroke. | ||||||
17 | (2) A hospital certified as a Primary Stroke Center by | ||||||
18 | a nationally-recognized certifying body approved by the | ||||||
19 | Department, shall send a copy of the Certificate and annual | ||||||
20 | fee to the Department and shall be deemed, within 30 | ||||||
21 | business days of its receipt by the Department, to be a | ||||||
22 | State-designated Primary Stroke Center. | ||||||
23 | (3) A center designated as a Primary Stroke Center | ||||||
24 | shall pay an annual fee as determined by the Department | ||||||
25 | that shall be no less than $100 and no greater than $500. |
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1 | All fees shall be deposited into the Stroke Data Collection | ||||||
2 | Fund. | ||||||
3 | (3.5) With respect to a hospital that is a designated | ||||||
4 | Primary Stroke Center, the Department shall have the | ||||||
5 | authority and responsibility to do the following: | ||||||
6 | (A) Suspend or revoke a hospital's Primary Stroke | ||||||
7 | Center designation upon receiving notice that the | ||||||
8 | hospital's Primary Stroke Center certification has | ||||||
9 | lapsed or has been revoked by the State recognized | ||||||
10 | certifying body. | ||||||
11 | (B) Suspend a hospital's Primary Stroke Center | ||||||
12 | designation, in extreme circumstances where patients | ||||||
13 | may be at risk for immediate harm or death, until such | ||||||
14 | time as the certifying body investigates and makes a | ||||||
15 | final determination regarding certification. | ||||||
16 | (C) Restore any previously suspended or revoked | ||||||
17 | Department designation upon notice to the Department | ||||||
18 | that the certifying body has confirmed or restored the | ||||||
19 | Primary Stroke Center certification of that previously | ||||||
20 | designated hospital. | ||||||
21 | (D) Suspend a hospital's Primary Stroke Center | ||||||
22 | designation at the request of a hospital seeking to | ||||||
23 | suspend its own Department designation. | ||||||
24 | (4) Primary Stroke Center designation shall remain | ||||||
25 | valid at all times while the hospital maintains its | ||||||
26 | certification as a Primary Stroke Center, in good standing, |
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1 | with the certifying body. The duration of a Primary Stroke | ||||||
2 | Center designation shall coincide with the duration of its | ||||||
3 | Primary Stroke Center certification. Each designated | ||||||
4 | Primary Stroke Center shall have its designation | ||||||
5 | automatically renewed upon the Department's receipt of a | ||||||
6 | copy of the accrediting body's certification renewal. | ||||||
7 | (5) A hospital that no longer meets | ||||||
8 | nationally-recognized, evidence-based standards for | ||||||
9 | Primary Stroke Centers, or loses its Primary Stroke Center | ||||||
10 | certification, shall notify the Department and the | ||||||
11 | Regional EMS Advisory Committee within 5 business days. | ||||||
12 | (a-5) The Department shall attempt to designate | ||||||
13 | Comprehensive Stroke Centers in all areas of the State. | ||||||
14 | (1) The Department shall designate as many certified | ||||||
15 | Comprehensive Stroke Centers as apply for that | ||||||
16 | designation, provided that the Comprehensive Stroke | ||||||
17 | Centers are certified by a nationally-recognized | ||||||
18 | certifying body approved by the Department, and provided | ||||||
19 | that the certifying body's certification criteria are | ||||||
20 | consistent with the most current nationally-recognized and | ||||||
21 | evidence-based stroke guidelines , including the use of | ||||||
22 | thrombolytic therapy and anticoagulation reversal | ||||||
23 | medications to reduce for reducing the occurrence of | ||||||
24 | ischemic and hemorrhagic stroke and the disabilities and | ||||||
25 | death associated with ischemic and hemorrhagic stroke. | ||||||
26 | (2) A hospital certified as a Comprehensive Stroke |
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1 | Center shall send a copy of the Certificate and annual
fee | ||||||
2 | to the Department and shall be deemed, within 30
business | ||||||
3 | days of its receipt by the Department, to be a
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4 | State-designated Comprehensive Stroke Center. | ||||||
5 | (3) A hospital designated as a Comprehensive Stroke | ||||||
6 | Center shall pay an annual fee as determined by the | ||||||
7 | Department that shall be no less than $100 and no greater | ||||||
8 | than $500. All fees shall be deposited into the Stroke Data | ||||||
9 | Collection Fund. | ||||||
10 | (4) With respect to a hospital that is a designated | ||||||
11 | Comprehensive Stroke Center, the Department shall have the | ||||||
12 | authority and responsibility to do the following: | ||||||
13 | (A) Suspend or revoke the hospital's Comprehensive | ||||||
14 | Stroke Center designation upon receiving notice that | ||||||
15 | the hospital's Comprehensive Stroke Center | ||||||
16 | certification has lapsed or has been revoked by the | ||||||
17 | State recognized certifying body. | ||||||
18 | (B) Suspend the hospital's Comprehensive Stroke | ||||||
19 | Center designation, in extreme circumstances in which | ||||||
20 | patients may be at risk
for immediate harm or death, | ||||||
21 | until such time as the certifying body investigates and | ||||||
22 | makes a final determination regarding certification. | ||||||
23 | (C) Restore any previously suspended or revoked | ||||||
24 | Department designation upon notice to the Department | ||||||
25 | that the certifying body has confirmed or restored the | ||||||
26 | Comprehensive Stroke Center certification of that |
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1 | previously designated hospital. | ||||||
2 | (D) Suspend the hospital's Comprehensive Stroke | ||||||
3 | Center designation at the request of a hospital seeking | ||||||
4 | to suspend its own Department designation. | ||||||
5 | (5) Comprehensive Stroke Center designation shall | ||||||
6 | remain valid at all times while the hospital maintains its | ||||||
7 | certification as a Comprehensive Stroke Center, in good | ||||||
8 | standing, with the certifying body. The duration of a | ||||||
9 | Comprehensive Stroke Center designation shall coincide | ||||||
10 | with the duration of its Comprehensive Stroke Center | ||||||
11 | certification. Each designated Comprehensive Stroke Center | ||||||
12 | shall have its designation automatically renewed upon the | ||||||
13 | Department's receipt of a copy of the certifying body's | ||||||
14 | certification renewal. | ||||||
15 | (6) A hospital that no longer meets | ||||||
16 | nationally-recognized, evidence-based standards for | ||||||
17 | Comprehensive Stroke Centers, or loses its Comprehensive | ||||||
18 | Stroke Center certification, shall notify the Department | ||||||
19 | and the Regional EMS Advisory Committee within 5 business | ||||||
20 | days. | ||||||
21 | (b) Beginning on the first day of the month that begins 12 | ||||||
22 | months after the adoption of rules authorized by this | ||||||
23 | subsection, the Department shall attempt to designate | ||||||
24 | hospitals as Acute Stroke-Ready Hospitals in all areas of the | ||||||
25 | State. Designation may be approved by the Department after a | ||||||
26 | hospital has been certified as an Acute Stroke-Ready Hospital |
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1 | or through application and designation by the Department. For | ||||||
2 | any hospital that is designated as an Emergent Stroke Ready | ||||||
3 | Hospital at the time that the Department begins the designation | ||||||
4 | of Acute Stroke-Ready Hospitals, the Emergent Stroke Ready | ||||||
5 | designation shall remain intact for the duration of the | ||||||
6 | 12-month period until that designation expires. Until the | ||||||
7 | Department begins the designation of hospitals as Acute | ||||||
8 | Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke | ||||||
9 | Ready Hospital designation utilizing the processes and | ||||||
10 | criteria provided in Public Act 96-514. | ||||||
11 | (1) (Blank). | ||||||
12 | (2) Hospitals may apply for, and receive, Acute | ||||||
13 | Stroke-Ready Hospital designation from the Department, | ||||||
14 | provided that the hospital attests, on a form developed by | ||||||
15 | the Department in consultation with the State Stroke | ||||||
16 | Advisory Subcommittee, that it meets, and will continue to | ||||||
17 | meet, the criteria for Acute Stroke-Ready Hospital | ||||||
18 | designation and pays an annual fee. | ||||||
19 | A hospital designated as an Acute Stroke-Ready | ||||||
20 | Hospital shall pay an annual fee as determined by the | ||||||
21 | Department that shall be no less than $100 and no greater | ||||||
22 | than $500. All fees shall be deposited into the Stroke Data | ||||||
23 | Collection Fund. | ||||||
24 | (2.5) A hospital may apply for, and receive, Acute | ||||||
25 | Stroke-Ready Hospital designation from the Department, | ||||||
26 | provided that the hospital provides proof of current Acute |
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1 | Stroke-Ready Hospital certification and the hospital pays | ||||||
2 | an annual fee. | ||||||
3 | (A) Acute Stroke-Ready Hospital designation shall | ||||||
4 | remain valid at all times while the hospital maintains | ||||||
5 | its certification as an Acute Stroke-Ready Hospital, | ||||||
6 | in good standing, with the certifying body. | ||||||
7 | (B) The duration of an Acute Stroke-Ready Hospital | ||||||
8 | designation shall coincide with the duration of its | ||||||
9 | Acute Stroke-Ready Hospital certification. | ||||||
10 | (C) Each designated Acute Stroke-Ready Hospital | ||||||
11 | shall have its designation automatically renewed upon | ||||||
12 | the Department's receipt of a copy of the certifying | ||||||
13 | body's certification renewal and Application for | ||||||
14 | Stroke Center Designation form. | ||||||
15 | (D) A hospital must submit a copy of its | ||||||
16 | certification renewal from the certifying body as soon | ||||||
17 | as practical but no later than 30 business days after | ||||||
18 | that certification is received by the hospital. Upon | ||||||
19 | the Department's receipt of the renewal certification, | ||||||
20 | the Department shall renew the hospital's Acute | ||||||
21 | Stroke-Ready Hospital designation. | ||||||
22 | (E) A hospital designated as an Acute Stroke-Ready | ||||||
23 | Hospital shall pay an annual fee as determined by the | ||||||
24 | Department that shall be no less than $100 and no | ||||||
25 | greater than $500. All fees shall be deposited into the | ||||||
26 | Stroke Data Collection Fund. |
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1 | (3) Hospitals seeking Acute Stroke-Ready Hospital | ||||||
2 | designation that do not have certification shall develop | ||||||
3 | policies and procedures that are consistent with | ||||||
4 | nationally-recognized, evidence-based protocols for the | ||||||
5 | provision of emergent stroke care. Hospital policies | ||||||
6 | relating to emergent stroke care and stroke patient | ||||||
7 | outcomes shall be reviewed at least annually, or more often | ||||||
8 | as needed, by a hospital committee that oversees quality | ||||||
9 | improvement. Adjustments shall be made as necessary to | ||||||
10 | advance the quality of stroke care delivered. Criteria for | ||||||
11 | Acute Stroke-Ready Hospital designation of hospitals shall | ||||||
12 | be limited to the ability of a hospital to: | ||||||
13 | (A) create written acute care protocols related to | ||||||
14 | emergent ischemic and hemorrhagic stroke care; | ||||||
15 | (A-5) participate in the data collection system | ||||||
16 | provided in Section 3.118, if available; | ||||||
17 | (B) maintain a written transfer agreement with one | ||||||
18 | or more hospitals that have neurosurgical expertise; | ||||||
19 | (C) designate a Clinical Director of Stroke Care | ||||||
20 | who shall be a clinical member of the hospital staff | ||||||
21 | with training or experience, as defined by the | ||||||
22 | facility, in the care of patients with cerebrovascular | ||||||
23 | disease. This training or experience may include, but | ||||||
24 | is not limited to, completion of a fellowship or other | ||||||
25 | specialized training in the area of cerebrovascular | ||||||
26 | disease, attendance at national courses, or prior |
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1 | experience in neuroscience intensive care units. The | ||||||
2 | Clinical Director of Stroke Care may be a neurologist, | ||||||
3 | neurosurgeon, emergency medicine physician, internist, | ||||||
4 | radiologist, advanced practice nurse, or physician's | ||||||
5 | assistant; | ||||||
6 | (C-5) provide rapid access to an acute stroke team, | ||||||
7 | as defined by the facility, that considers and reflects | ||||||
8 | nationally-recognized, evidenced-based protocols or | ||||||
9 | guidelines; | ||||||
10 | (D) administer thrombolytic therapy and | ||||||
11 | anticoagulation reversal medications , or subsequently | ||||||
12 | developed medical therapies that meet | ||||||
13 | nationally-recognized, evidence-based stroke | ||||||
14 | guidelines; | ||||||
15 | (E) conduct brain image tests at all times; | ||||||
16 | (F) conduct blood coagulation studies at all | ||||||
17 | times; | ||||||
18 | (G) maintain a log of stroke patients, which shall | ||||||
19 | be available for review upon request by the Department | ||||||
20 | or any hospital that has a written transfer agreement | ||||||
21 | with the Acute Stroke-Ready Hospital; | ||||||
22 | (H) admit stroke patients to a unit that can | ||||||
23 | provide appropriate care that considers and reflects | ||||||
24 | nationally-recognized, evidence-based protocols or | ||||||
25 | guidelines or transfer stroke patients to an Acute | ||||||
26 | Stroke-Ready Hospital, Primary Stroke Center, or |
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1 | Comprehensive Stroke Center, or another facility that | ||||||
2 | can provide the appropriate care that considers and | ||||||
3 | reflects nationally-recognized, evidence-based | ||||||
4 | protocols or guidelines; and | ||||||
5 | (I) demonstrate compliance with | ||||||
6 | nationally-recognized quality indicators. | ||||||
7 | (4) With respect to Acute Stroke-Ready Hospital | ||||||
8 | designation, the Department shall have the authority and | ||||||
9 | responsibility to do the following: | ||||||
10 | (A) Require hospitals applying for Acute | ||||||
11 | Stroke-Ready Hospital designation to attest, on a form | ||||||
12 | developed by the Department in consultation with the | ||||||
13 | State Stroke Advisory Subcommittee, that the hospital | ||||||
14 | meets, and will continue to meet, the criteria for an | ||||||
15 | Acute Stroke-Ready Hospital. | ||||||
16 | (A-5) Require hospitals applying for Acute | ||||||
17 | Stroke-Ready Hospital designation via national Acute | ||||||
18 | Stroke-Ready Hospital certification to provide proof | ||||||
19 | of current Acute Stroke-Ready Hospital certification, | ||||||
20 | in good standing. | ||||||
21 | The Department shall require a hospital that is | ||||||
22 | already certified as an Acute Stroke-Ready Hospital to | ||||||
23 | send a copy of the Certificate to the Department. | ||||||
24 | Within 30 business days of the Department's | ||||||
25 | receipt of a hospital's Acute Stroke-Ready Certificate | ||||||
26 | and Application for Stroke Center Designation form |
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1 | that indicates that the hospital is a certified Acute | ||||||
2 | Stroke-Ready Hospital, in good standing, the hospital | ||||||
3 | shall be deemed a State-designated Acute Stroke-Ready | ||||||
4 | Hospital. The Department shall send a designation | ||||||
5 | notice to each hospital that it designates as an Acute | ||||||
6 | Stroke-Ready Hospital and shall add the names of | ||||||
7 | designated Acute Stroke-Ready Hospitals to the website | ||||||
8 | listing immediately upon designation. The Department | ||||||
9 | shall immediately remove the name of a hospital from | ||||||
10 | the website listing when a hospital loses its | ||||||
11 | designation after notice and, if requested by the | ||||||
12 | hospital, a hearing. | ||||||
13 | The Department shall develop an Application for | ||||||
14 | Stroke Center Designation form that contains a | ||||||
15 | statement that "The above named facility meets the | ||||||
16 | requirements for Acute Stroke-Ready Hospital | ||||||
17 | Designation as provided in Section 3.117 of the | ||||||
18 | Emergency Medical Services (EMS) Systems Act" and | ||||||
19 | shall instruct the applicant facility to provide: the | ||||||
20 | hospital name and address; the hospital CEO or | ||||||
21 | Administrator's typed name and signature; the hospital | ||||||
22 | Clinical Director of Stroke Care's typed name and | ||||||
23 | signature; and a contact person's typed name, email | ||||||
24 | address, and phone number. | ||||||
25 | The Application for Stroke Center Designation form | ||||||
26 | shall contain a statement that instructs the hospital |
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1 | to "Provide proof of current Acute Stroke-Ready | ||||||
2 | Hospital certification from a nationally-recognized | ||||||
3 | certifying body approved by the Department". | ||||||
4 | (B) Designate a hospital as an Acute Stroke-Ready | ||||||
5 | Hospital no more than 30 business days after receipt of | ||||||
6 | an attestation that meets the requirements for | ||||||
7 | attestation, unless the Department, within 30 days of | ||||||
8 | receipt of the attestation, chooses to conduct an | ||||||
9 | onsite survey prior to designation. If the Department | ||||||
10 | chooses to conduct an onsite survey prior to | ||||||
11 | designation, then the onsite survey shall be conducted | ||||||
12 | within 90 days of receipt of 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 to indicate compliance with | ||||||
17 | Acute Stroke-Ready Hospital criteria, as described in | ||||||
18 | this Section, and automatically renew Acute | ||||||
19 | Stroke-Ready Hospital designation of the hospital. | ||||||
20 | (D) Issue an Emergency Suspension of Acute | ||||||
21 | Stroke-Ready Hospital designation when the Director, | ||||||
22 | or his or her designee, has determined that the | ||||||
23 | hospital no longer meets the Acute Stroke-Ready | ||||||
24 | Hospital criteria and an immediate and serious danger | ||||||
25 | to the public health, safety, and welfare exists. If | ||||||
26 | the Acute Stroke-Ready Hospital fails to eliminate the |
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1 | violation immediately or within a fixed period of time, | ||||||
2 | not exceeding 10 days, as determined by the Director, | ||||||
3 | the Director may immediately revoke the Acute | ||||||
4 | Stroke-Ready Hospital designation. The Acute | ||||||
5 | Stroke-Ready Hospital may appeal the revocation within | ||||||
6 | 15 business days after receiving the Director's | ||||||
7 | revocation order, by requesting an administrative | ||||||
8 | hearing. | ||||||
9 | (E) After notice and an opportunity for an | ||||||
10 | administrative hearing, suspend, revoke, or refuse to | ||||||
11 | renew an Acute Stroke-Ready Hospital designation, when | ||||||
12 | the Department finds the hospital is not in substantial | ||||||
13 | compliance with current Acute Stroke-Ready Hospital | ||||||
14 | criteria. | ||||||
15 | (c) The Department shall consult with the State Stroke | ||||||
16 | Advisory Subcommittee for developing the designation, | ||||||
17 | re-designation, and de-designation processes for Comprehensive | ||||||
18 | Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready | ||||||
19 | Hospitals.
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20 | (d) The Department shall consult with the State Stroke | ||||||
21 | Advisory Subcommittee as subject matter experts at least | ||||||
22 | annually regarding stroke standards of care. | ||||||
23 | (Source: P.A. 98-756, eff. 7-16-14; 98-1001, eff. 1-1-15 .) | ||||||
24 | (210 ILCS 50/3.118) | ||||||
25 | Sec. 3.118. Reporting. |
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1 | (a) The Director shall, not later than July 1, 2012, | ||||||
2 | prepare and submit to the Governor and the General Assembly a | ||||||
3 | report indicating the total number of hospitals that have | ||||||
4 | applied for grants, the project for which the application was | ||||||
5 | submitted, the number of those applicants that have been found | ||||||
6 | eligible for the grants, the total number of grants awarded, | ||||||
7 | the name and address of each grantee, and the amount of the | ||||||
8 | award issued to each grantee. | ||||||
9 | (b) By July 1, 2010, the Director shall send the list of | ||||||
10 | designated Comprehensive Stroke Centers, Primary Stroke | ||||||
11 | Centers, and Acute Stroke-Ready Hospitals to all Resource | ||||||
12 | Hospital EMS Medical Directors in this State and shall post a | ||||||
13 | list of designated Comprehensive Stroke Centers, Primary | ||||||
14 | Stroke Centers, and Acute Stroke-Ready Hospitals on the | ||||||
15 | Department's website, which shall be continuously updated. | ||||||
16 | (c) The Department shall add the names of designated | ||||||
17 | Comprehensive Stroke Centers, Primary Stroke Centers, and | ||||||
18 | Acute Stroke-Ready Hospitals to the website listing | ||||||
19 | immediately upon designation and shall immediately remove the | ||||||
20 | name when a hospital loses its designation after notice and a | ||||||
21 | hearing. | ||||||
22 | (c-5) The Department shall maintain an educational | ||||||
23 | reference on the Department's website with the most current | ||||||
24 | nationally-recognized and evidence-based guidelines for the | ||||||
25 | management of hemorrhagic stroke and anticoagulation reversal. | ||||||
26 | (d) Stroke data collection systems and all stroke-related |
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1 | data collected from hospitals shall comply with the following | ||||||
2 | requirements: | ||||||
3 | (1) The confidentiality of patient records shall be | ||||||
4 | maintained in accordance with State and federal laws. | ||||||
5 | (2) Hospital proprietary information and the names of | ||||||
6 | any hospital administrator, health care professional, or | ||||||
7 | employee shall not be subject to disclosure. | ||||||
8 | (3) Information submitted to the Department shall be | ||||||
9 | privileged and strictly confidential and shall be used only | ||||||
10 | for the evaluation and improvement of hospital stroke care. | ||||||
11 | Stroke data collected by the Department shall not be | ||||||
12 | directly available to the public and shall not be subject | ||||||
13 | to civil subpoena, nor discoverable or admissible in any | ||||||
14 | civil, criminal, or administrative proceeding against a | ||||||
15 | health care facility or health care professional. | ||||||
16 | (e) The Department may administer a data collection system | ||||||
17 | to collect data that is already reported by designated | ||||||
18 | Comprehensive Stroke Centers, Primary Stroke Centers, and | ||||||
19 | Acute Stroke-Ready Hospitals to their certifying body, to | ||||||
20 | fulfill certification requirements. Comprehensive Stroke | ||||||
21 | Centers, Primary Stroke Centers, and Acute Stroke-Ready | ||||||
22 | Hospitals may provide data used in submission to their | ||||||
23 | certifying body, to satisfy any Department reporting | ||||||
24 | requirements. The Department may require submission of data | ||||||
25 | elements in a format that is used State-wide. In the event the | ||||||
26 | Department establishes reporting requirements for designated |
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1 | Comprehensive Stroke Centers, Primary Stroke Centers, and | ||||||
2 | Acute Stroke-Ready Hospitals, the Department shall permit each | ||||||
3 | designated Comprehensive Stroke Center, Primary Stroke Center, | ||||||
4 | or Acute Stroke-Ready Hospital to capture information using | ||||||
5 | existing electronic reporting tools used for certification | ||||||
6 | purposes. Nothing in this Section shall be construed to empower | ||||||
7 | the Department to specify the form of internal recordkeeping. | ||||||
8 | Three years from the effective date of this amendatory Act of | ||||||
9 | the 96th General Assembly, the Department may post stroke data | ||||||
10 | submitted by Comprehensive Stroke Centers, Primary Stroke | ||||||
11 | Centers, and Acute Stroke-Ready Hospitals on its website, | ||||||
12 | subject to the following: | ||||||
13 | (1) Data collection and analytical methodologies shall | ||||||
14 | be used that meet accepted standards of validity and | ||||||
15 | reliability before any information is made available to the | ||||||
16 | public. | ||||||
17 | (2) The limitations of the data sources and analytic | ||||||
18 | methodologies used to develop comparative hospital | ||||||
19 | information shall be clearly identified and acknowledged, | ||||||
20 | including, but not limited to, the appropriate and | ||||||
21 | inappropriate uses of the data. | ||||||
22 | (3) To the greatest extent possible, comparative | ||||||
23 | hospital information initiatives shall use standard-based | ||||||
24 | norms derived from widely accepted provider-developed | ||||||
25 | practice guidelines. | ||||||
26 | (4) Comparative hospital information and other |
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1 | information that the Department has compiled regarding | ||||||
2 | hospitals shall be shared with the hospitals under review | ||||||
3 | prior to public dissemination of the information. | ||||||
4 | Hospitals have 30 days to make corrections and to add | ||||||
5 | helpful explanatory comments about the information before | ||||||
6 | the publication. | ||||||
7 | (5) Comparisons among hospitals shall adjust for | ||||||
8 | patient case mix and other relevant risk factors and | ||||||
9 | control for provider peer groups, when appropriate. | ||||||
10 | (6) Effective safeguards to protect against the | ||||||
11 | unauthorized use or disclosure of hospital information | ||||||
12 | shall be developed and implemented. | ||||||
13 | (7) Effective safeguards to protect against the | ||||||
14 | dissemination of inconsistent, incomplete, invalid, | ||||||
15 | inaccurate, or subjective hospital data shall be developed | ||||||
16 | and implemented. | ||||||
17 | (8) The quality and accuracy of hospital information | ||||||
18 | reported under this Act and its data collection, analysis, | ||||||
19 | and dissemination methodologies shall be evaluated | ||||||
20 | regularly. | ||||||
21 | (9) None of the information the Department discloses to | ||||||
22 | the public under this Act may be used to establish a | ||||||
23 | standard of care in a private civil action. | ||||||
24 | (10) The Department shall disclose information under | ||||||
25 | this Section in accordance with provisions for inspection | ||||||
26 | and copying of public records required by the Freedom of |
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1 | Information Act, provided that the information satisfies | ||||||
2 | the provisions of this Section. | ||||||
3 | (11) Notwithstanding any other provision of law, under | ||||||
4 | no circumstances shall the Department disclose information | ||||||
5 | obtained from a hospital that is confidential under Part 21 | ||||||
6 | of Article VIII of the Code of Civil Procedure. | ||||||
7 | (12) No hospital report or Department disclosure may | ||||||
8 | contain information identifying a patient, employee, or | ||||||
9 | licensed professional.
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10 | (Source: P.A. 98-1001, eff. 1-1-15 .)
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