Full Text of HB2238 103rd General Assembly
HB2238enr 103RD GENERAL ASSEMBLY |
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| 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 Emergency Medical Services (EMS) Systems | 5 | | Act is amended by changing Sections 3.116, 3.117, 3.117.5, | 6 | | 3.118, 3.118.5, 3.119, and 3.226 as 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 | | "Primary Stroke Center Plus" means a hospital that has | 11 | | been certified by a Department-approved, nationally recognized | 12 | | certifying body and designated as such by the Department. | 13 | | "Regional Stroke Advisory Subcommittee" means a | 14 | | subcommittee formed within each Regional EMS Advisory | 15 | | Committee to advise the Director and the Region's EMS Medical | 16 | | Directors Committee on the triage, treatment, and transport of | 17 | | possible acute stroke patients and to select the Region's | 18 | | representative to the State Stroke Advisory Subcommittee. At | 19 | | minimum, the Regional Stroke Advisory Subcommittee shall | 20 | | consist of: one representative from the EMS Medical Directors | 21 | | Committee; one EMS coordinator from a Resource Hospital; one | 22 | | administrative representative or his or her designee from each | 23 | | level of stroke care, including Comprehensive Stroke Centers | 24 | | within the Region, if any, Thrombectomy Capable Stroke Centers | 25 | | within the Region, if any, Thrombectomy Ready Stroke Centers | 26 | | within the Region, if any, Primary Stroke Centers Plus within |
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| 1 | | the Region, if any, Primary Stroke Centers within the Region, | 2 | | if any, and Acute Stroke-Ready Hospitals within the Region, if | 3 | | any; one physician from each level of stroke care, including | 4 | | one physician who is a neurologist or who provides advanced | 5 | | stroke care at a Comprehensive Stroke Center in the Region, if | 6 | | any, one physician who is a neurologist or who provides acute | 7 | | stroke care at a Thrombectomy Capable Stroke Center within the | 8 | | Region, if any, a Thrombectomy Ready Stroke Center within the | 9 | | Region, if any, or a Primary Stroke Center Plus in the Region, | 10 | | if any, one physician who is a neurologist or who provides | 11 | | acute stroke care at a Primary Stroke Center in the Region, if | 12 | | any, and one physician who provides acute stroke care at an | 13 | | Acute Stroke-Ready Hospital in the Region, if any; one nurse | 14 | | practicing in each level of stroke care, including one nurse | 15 | | from a Comprehensive Stroke Center in the Region, if any, one | 16 | | nurse from a Thrombectomy Capable Stroke Center, if any, a | 17 | | Thrombectomy Ready Stroke Center within the Region, if any, or | 18 | | a Primary Stroke Center Plus in the Region, if any, one nurse | 19 | | from a Primary Stroke Center in the Region, if any, and one | 20 | | nurse from an Acute Stroke-Ready Hospital in the Region, if | 21 | | any; one representative from both a public and a private | 22 | | vehicle service provider that transports possible acute stroke | 23 | | patients within the Region; the State-designated regional EMS | 24 | | Coordinator; and a fire chief or his or her designee from the | 25 | | EMS Region, if the Region serves a population of more than | 26 | | 2,000,000. The Regional Stroke Advisory Subcommittee shall |
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| 1 | | establish bylaws to ensure equal membership that rotates and | 2 | | clearly delineates committee responsibilities and structure. | 3 | | Of the members first appointed, one-third shall be appointed | 4 | | for a term of one year, one-third shall be appointed for a term | 5 | | of 2 years, and the remaining members shall be appointed for a | 6 | | term of 3 years. The terms of subsequent appointees shall be 3 | 7 | | years. | 8 | | "State Stroke Advisory Subcommittee" means a standing | 9 | | advisory body within the State Emergency Medical Services | 10 | | Advisory Council.
| 11 | | "Thrombectomy Capable Stroke Center" means a hospital that | 12 | | has been certified by a Department-approved, nationally | 13 | | recognized certifying body and designated as such by the | 14 | | Department. | 15 | | "Thrombectomy Ready Stroke Center" means a hospital that | 16 | | has been certified by a Department-approved, nationally | 17 | | recognized certifying body and designated as such by the | 18 | | Department. | 19 | | (Source: P.A. 102-687, eff. 12-17-21.) | 20 | | (210 ILCS 50/3.117) | 21 | | Sec. 3.117. Hospital designations. | 22 | | (a) The Department shall attempt to designate Primary | 23 | | Stroke Centers in all areas of the State. | 24 | | (1) The Department shall designate as many certified
| 25 | | Primary Stroke Centers as apply for that designation |
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| 1 | | provided they are certified by a nationally recognized | 2 | | certifying body, approved by the Department, and | 3 | | certification criteria are consistent with the most | 4 | | current nationally recognized, evidence-based stroke | 5 | | guidelines related to reducing the occurrence, | 6 | | disabilities, and death associated with stroke. | 7 | | (2) A hospital certified as a Primary Stroke Center by | 8 | | a nationally recognized certifying body approved by the | 9 | | Department, shall send a copy of the Certificate and | 10 | | annual fee to the Department and shall be deemed, within | 11 | | 30 business days of its receipt by the Department, to be a | 12 | | State-designated Primary Stroke Center. | 13 | | (3) A center designated as a Primary Stroke Center | 14 | | shall pay an annual fee as determined by the Department | 15 | | that shall be no less than $100 and no greater than $500. | 16 | | All fees shall be deposited into the Stroke Data | 17 | | Collection Fund. | 18 | | (3.5) With respect to a hospital that is a designated | 19 | | Primary Stroke Center, the Department shall have the | 20 | | authority and responsibility to do the following: | 21 | | (A) Suspend or revoke a hospital's Primary Stroke | 22 | | Center designation upon receiving notice that the | 23 | | hospital's Primary Stroke Center certification has | 24 | | lapsed or has been revoked by the State recognized | 25 | | certifying body. | 26 | | (B) Suspend a hospital's Primary Stroke Center |
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| 1 | | designation, in extreme circumstances where patients | 2 | | may be at risk for immediate harm or death, until such | 3 | | time as the certifying body investigates and makes a | 4 | | final determination regarding certification. | 5 | | (C) Restore any previously suspended or revoked | 6 | | Department designation upon notice to the Department | 7 | | that the certifying body has confirmed or restored the | 8 | | Primary Stroke Center certification of that previously | 9 | | designated hospital. | 10 | | (D) Suspend a hospital's Primary Stroke Center | 11 | | designation at the request of a hospital seeking to | 12 | | suspend its own Department designation. | 13 | | (4) Primary Stroke Center designation shall remain | 14 | | valid at all times while the hospital maintains its | 15 | | certification as a Primary Stroke Center, in good | 16 | | standing, with the certifying body. The duration of a | 17 | | Primary Stroke Center designation shall coincide with the | 18 | | duration of its Primary Stroke Center certification. Each | 19 | | designated Primary Stroke Center shall have its | 20 | | designation automatically renewed upon the Department's | 21 | | receipt of a copy of the accrediting body's certification | 22 | | renewal. | 23 | | (5) A hospital that no longer meets nationally | 24 | | recognized, evidence-based standards for Primary Stroke | 25 | | Centers, or loses its Primary Stroke Center certification, | 26 | | shall notify the Department and the Regional EMS Advisory |
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| 1 | | Committee within 5 business days. | 2 | | (a-5) The Department shall attempt to designate | 3 | | Comprehensive Stroke Centers in all areas of the State. | 4 | | (1) The Department shall designate as many certified | 5 | | Comprehensive Stroke Centers as apply for that | 6 | | designation, provided that the Comprehensive Stroke | 7 | | Centers are certified by a nationally recognized | 8 | | certifying body approved by the Department, and provided | 9 | | that the certifying body's certification criteria are | 10 | | consistent with the most current nationally recognized and | 11 | | evidence-based stroke guidelines for reducing the | 12 | | occurrence of stroke and the disabilities and death | 13 | | associated with stroke. | 14 | | (2) A hospital certified as a Comprehensive Stroke | 15 | | Center shall send a copy of the Certificate and annual
fee | 16 | | to the Department and shall be deemed, within 30
business | 17 | | days of its receipt by the Department, to be a
| 18 | | State-designated Comprehensive Stroke Center. | 19 | | (3) A hospital designated as a Comprehensive Stroke | 20 | | Center 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 | 23 | | Data Collection Fund. | 24 | | (4) With respect to a hospital that is a designated | 25 | | Comprehensive Stroke Center, the Department shall have the | 26 | | authority and responsibility to do the following: |
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| 1 | | (A) Suspend or revoke the hospital's Comprehensive | 2 | | Stroke Center designation upon receiving notice that | 3 | | the hospital's Comprehensive Stroke Center | 4 | | certification has lapsed or has been revoked by the | 5 | | State recognized certifying body. | 6 | | (B) Suspend the hospital's Comprehensive Stroke | 7 | | Center designation, in extreme circumstances in which | 8 | | patients may be at risk
for immediate harm or death, | 9 | | until such time as the certifying body investigates | 10 | | and makes a final determination regarding | 11 | | 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 | 19 | | seeking 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 nationally | 5 | | recognized, evidence-based standards for Comprehensive | 6 | | Stroke Centers, or loses its Comprehensive Stroke Center | 7 | | certification, shall notify the Department and the | 8 | | Regional EMS Advisory Committee within 5 business days. | 9 | | (a-5) The Department shall attempt to designate | 10 | | Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke | 11 | | Centers, and Primary Stroke Centers Plus in all areas of the | 12 | | State according to the following requirements: | 13 | | (1) The Department shall designate as many certified
| 14 | | Thrombectomy Capable Stroke Centers, Thrombectomy Ready | 15 | | Stroke Centers, and Primary Stroke Centers Plus as apply | 16 | | for that designation, provided that the body certifying | 17 | | the facility uses certification criteria consistent with | 18 | | the most current nationally recognized and evidence-based | 19 | | stroke guidelines for reducing the occurrence of strokes | 20 | | and the disabilities and death associated with strokes. | 21 | | (2) A Thrombectomy Capable Stroke Center, Thrombectomy | 22 | | Ready Stroke Center, or Primary Stroke Center Plus shall | 23 | | send a copy of the certificate of its designation and | 24 | | annual fee to the Department and shall be deemed, within | 25 | | 30 business days after its receipt by the Department, to | 26 | | be a State-designated Thrombectomy Capable Stroke Center, |
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| 1 | | Thrombectomy Ready Stroke Center, or Primary Stroke Center | 2 | | Plus. | 3 | | (3) A Thrombectomy Capable Stroke Center, Thrombectomy | 4 | | Ready Stroke Center, or Primary Stroke Center Plus shall | 5 | | pay an annual fee as determined by the Department that | 6 | | shall be no less than $100 and no greater than $500. All | 7 | | fees collected under this paragraph shall be deposited | 8 | | into the Stroke Data Collection Fund. | 9 | | (4) With respect to a Thrombectomy Capable Stroke | 10 | | Center, Thrombectomy Ready Stroke Center, or Primary | 11 | | Stroke Center Plus, the Department shall: | 12 | | (A) suspend or revoke the Thrombectomy Capable | 13 | | Stroke Center, Thrombectomy Ready Stroke Center, or | 14 | | Primary Stroke Center Plus designation upon receiving | 15 | | notice that the Thrombectomy Capable Stroke Center's, | 16 | | Thrombectomy Ready Stroke Center's, or Primary Stroke | 17 | | Center Plus's certification has lapsed or has been | 18 | | revoked by its certifying body; | 19 | | (B) in extreme circumstances in which patients may | 20 | | be at risk for immediate harm or death, suspend the | 21 | | Thrombectomy Capable Stroke Center's, Thrombectomy | 22 | | Ready Stroke Center's, or Primary Stroke Center Plus's | 23 | | designation until its certifying body investigates the | 24 | | circumstances and makes a final determination | 25 | | regarding its certification; | 26 | | (C) restore any previously suspended or revoked
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| 1 | | Department designation upon notice to the Department | 2 | | that the certifying body has confirmed or restored the | 3 | | Thrombectomy Capable Stroke Center's, Thrombectomy | 4 | | Ready Stroke Center's, or Primary Stroke Center Plus's | 5 | | certification; and | 6 | | (D) suspend the Thrombectomy Capable Stroke | 7 | | Center's, Thrombectomy Ready Stroke Center's, or | 8 | | Primary Stroke Center Plus's designation at the | 9 | | request of a facility seeking to suspend its own | 10 | | Department designation. | 11 | | (5) A Thrombectomy Capable Stroke Center, Thrombectomy | 12 | | Ready Stroke Center, or Primary Stroke Center Plus | 13 | | designation shall
remain valid at all times while the | 14 | | facility maintains its certification as a Thrombectomy | 15 | | Capable Stroke Center, Thrombectomy Ready Stroke Center, | 16 | | or Primary Stroke Center Plus and is in good standing with | 17 | | the certifying body. The duration of a Thrombectomy | 18 | | Capable Stroke Center, Thrombectomy Ready Stroke Center, | 19 | | or Primary Stroke Center Plus designation shall be the | 20 | | same as the duration of its Thrombectomy Capable Stroke | 21 | | Center, Thrombectomy Ready Stroke Center, or Primary | 22 | | Stroke Center Plus certification. Each designated | 23 | | Thrombectomy Capable Stroke Center, Thrombectomy Ready | 24 | | Stroke Center, or Primary Stroke Center Plus shall have | 25 | | its designation automatically renewed upon the | 26 | | Department's receipt of a copy of the certifying body's |
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| 1 | | renewal of the certification. | 2 | | (6) A hospital that no longer meets the criteria for | 3 | | Thrombectomy Capable Stroke Centers, Thrombectomy Ready | 4 | | Stroke Centers, or Primary Stroke Centers Plus, or loses | 5 | | its Thrombectomy Capable Stroke Center, Thrombectomy Ready | 6 | | Stroke Center, or Primary Stroke Center Plus | 7 | | certification, shall notify the Department and the | 8 | | Regional EMS Advisory Committee of the situation within 5 | 9 | | business days after being made aware of it. | 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 Department shall attempt to designate | 13 | | hospitals as Acute Stroke-Ready Hospitals in all areas of the | 14 | | State. Designation may be approved by the Department after a | 15 | | hospital has been certified as an Acute Stroke-Ready Hospital | 16 | | or through application and designation by the Department. For | 17 | | any hospital that is designated as an Emergent Stroke Ready | 18 | | Hospital at the time that the Department begins the | 19 | | designation of Acute Stroke-Ready Hospitals, the Emergent | 20 | | Stroke Ready designation shall remain intact for the duration | 21 | | of the 12-month period until that designation expires. Until | 22 | | the Department begins the designation of hospitals as Acute | 23 | | Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke | 24 | | Ready Hospital designation utilizing the processes and | 25 | | criteria provided in Public Act 96-514. | 26 | | (1) (Blank). |
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| 1 | | (2) Hospitals may apply for, and receive, Acute | 2 | | Stroke-Ready Hospital designation from the Department, | 3 | | provided that the hospital attests, on a form developed by | 4 | | the Department in consultation with the State Stroke | 5 | | Advisory Subcommittee, that it meets, and will continue to | 6 | | meet, the criteria for Acute Stroke-Ready Hospital | 7 | | designation and pays an annual fee. | 8 | | A hospital designated as an Acute Stroke-Ready | 9 | | Hospital shall pay an annual fee as determined by the | 10 | | Department that shall be no less than $100 and no greater | 11 | | than $500. All fees shall be deposited into the Stroke | 12 | | Data Collection Fund. | 13 | | (2.5) A hospital may apply for, and receive, Acute | 14 | | Stroke-Ready Hospital designation from the Department, | 15 | | provided that the hospital provides proof of current Acute | 16 | | Stroke-Ready Hospital certification and the hospital pays | 17 | | an annual fee. | 18 | | (A) Acute Stroke-Ready Hospital designation shall | 19 | | remain valid at all times while the hospital maintains | 20 | | its certification as an Acute Stroke-Ready Hospital, | 21 | | in good standing, with the certifying body. | 22 | | (B) The duration of an Acute Stroke-Ready Hospital | 23 | | designation shall coincide with the duration of its | 24 | | Acute Stroke-Ready Hospital certification. | 25 | | (C) Each designated Acute Stroke-Ready Hospital | 26 | | shall have its designation automatically renewed upon |
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| 1 | | the Department's receipt of a copy of the certifying | 2 | | body's certification renewal and Application for | 3 | | Stroke Center Designation form. | 4 | | (D) A hospital must submit a copy of its | 5 | | certification renewal from the certifying body as soon | 6 | | as practical but no later than 30 business days after | 7 | | that certification is received by the hospital. Upon | 8 | | the Department's receipt of the renewal certification, | 9 | | the Department shall renew the hospital's Acute | 10 | | Stroke-Ready Hospital designation. | 11 | | (E) A hospital designated as an Acute Stroke-Ready | 12 | | Hospital shall pay an annual fee as determined by the | 13 | | Department that shall be no less than $100 and no | 14 | | greater than $500. All fees shall be deposited into | 15 | | the Stroke Data Collection Fund. | 16 | | (3) Hospitals seeking Acute Stroke-Ready Hospital | 17 | | designation that do not have certification shall develop | 18 | | policies and procedures that are consistent with | 19 | | nationally recognized, evidence-based protocols for the | 20 | | provision of emergent stroke care. Hospital policies | 21 | | relating to emergent stroke care and stroke patient | 22 | | outcomes shall be reviewed at least annually, or more | 23 | | often as needed, by a hospital committee that oversees | 24 | | quality improvement. Adjustments shall be made as | 25 | | necessary to advance the quality of stroke care delivered. | 26 | | Criteria for Acute Stroke-Ready Hospital designation of |
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| 1 | | hospitals shall be limited to the ability of a hospital | 2 | | to: | 3 | | (A) create written acute care protocols related to | 4 | | emergent stroke care; | 5 | | (A-5) participate in the data collection system | 6 | | provided in Section 3.118, if available; | 7 | | (B) maintain a written transfer agreement with one | 8 | | or more hospitals that have neurosurgical expertise; | 9 | | (C) designate a Clinical Director of Stroke Care | 10 | | who shall be a clinical member of the hospital staff | 11 | | with training or experience, as defined by the | 12 | | facility, in the care of patients with cerebrovascular | 13 | | disease. This training or experience may include, but | 14 | | is not limited to, completion of a fellowship or other | 15 | | specialized training in the area of cerebrovascular | 16 | | disease, attendance at national courses, or prior | 17 | | experience in neuroscience intensive care units. The | 18 | | Clinical Director of Stroke Care may be a neurologist, | 19 | | neurosurgeon, emergency medicine physician, internist, | 20 | | radiologist, advanced practice registered nurse, or | 21 | | physician's assistant; | 22 | | (C-5) provide rapid access to an acute stroke | 23 | | team, as defined by the facility, that considers and | 24 | | reflects nationally recognized, evidence-based | 25 | | protocols or guidelines; | 26 | | (D) administer thrombolytic therapy, or |
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| 1 | | subsequently developed medical therapies that meet | 2 | | nationally recognized, evidence-based stroke | 3 | | guidelines; | 4 | | (E) conduct brain image tests at all times; | 5 | | (F) conduct blood coagulation studies at all | 6 | | times; | 7 | | (G) maintain a log of stroke patients, which shall | 8 | | be available for review upon request by the Department | 9 | | or any hospital that has a written transfer agreement | 10 | | with the Acute Stroke-Ready Hospital; | 11 | | (H) admit stroke patients to a unit that can | 12 | | provide appropriate care that considers and reflects | 13 | | nationally recognized, evidence-based protocols or | 14 | | guidelines or transfer stroke patients to an Acute | 15 | | Stroke-Ready Hospital, Primary Stroke Center, or | 16 | | Comprehensive Stroke Center, or another facility that | 17 | | can provide the appropriate care that considers and | 18 | | reflects nationally recognized, evidence-based | 19 | | protocols or guidelines; and | 20 | | (I) demonstrate compliance with nationally | 21 | | recognized quality indicators. | 22 | | (4) With respect to Acute Stroke-Ready Hospital | 23 | | designation, the Department shall have the authority and | 24 | | responsibility to do the following: | 25 | | (A) Require hospitals applying for Acute | 26 | | Stroke-Ready Hospital designation to attest, on a form |
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| 1 | | developed by the Department in consultation with the | 2 | | State Stroke Advisory Subcommittee, that the hospital | 3 | | meets, and will continue to meet, the criteria for an | 4 | | Acute Stroke-Ready Hospital. | 5 | | (A-5) Require hospitals applying for Acute | 6 | | Stroke-Ready Hospital designation via national Acute | 7 | | Stroke-Ready Hospital certification to provide proof | 8 | | of current Acute Stroke-Ready Hospital certification, | 9 | | in good standing. | 10 | | The Department shall require a hospital that is | 11 | | already certified as an Acute Stroke-Ready Hospital to | 12 | | send a copy of the Certificate to the Department. | 13 | | Within 30 business days of the Department's | 14 | | receipt of a hospital's Acute Stroke-Ready Certificate | 15 | | and Application for Stroke Center Designation form | 16 | | that indicates that the hospital is a certified Acute | 17 | | Stroke-Ready Hospital, in good standing, the hospital | 18 | | shall be deemed a State-designated Acute Stroke-Ready | 19 | | Hospital. The Department shall send a designation | 20 | | notice to each hospital that it designates as an Acute | 21 | | Stroke-Ready Hospital and shall add the names of | 22 | | designated Acute Stroke-Ready Hospitals to the website | 23 | | listing immediately upon designation. The Department | 24 | | shall immediately remove the name of a hospital from | 25 | | the website listing when a hospital loses its | 26 | | designation after notice and, if requested by the |
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| 1 | | hospital, a hearing. | 2 | | The Department shall develop an Application for | 3 | | Stroke Center Designation form that contains a | 4 | | statement that "The above named facility meets the | 5 | | requirements for Acute Stroke-Ready Hospital | 6 | | Designation as provided in Section 3.117 of the | 7 | | Emergency Medical Services (EMS) Systems Act" and | 8 | | shall instruct the applicant facility to provide: the | 9 | | hospital name and address; the hospital CEO or | 10 | | Administrator's typed name and signature; the hospital | 11 | | Clinical Director of Stroke Care's typed name and | 12 | | signature; and a contact person's typed name, email | 13 | | address, and phone number. | 14 | | The Application for Stroke Center Designation form | 15 | | shall contain a statement that instructs the hospital | 16 | | to "Provide proof of current Acute Stroke-Ready | 17 | | Hospital certification from a nationally recognized | 18 | | certifying body approved by the Department". | 19 | | (B) Designate a hospital as an Acute Stroke-Ready | 20 | | Hospital no more than 30 business days after receipt | 21 | | of an attestation that meets the requirements for | 22 | | attestation, unless the Department, within 30 days of | 23 | | receipt of the attestation, chooses to conduct an | 24 | | onsite survey prior to designation. If the Department | 25 | | chooses to conduct an onsite survey prior to | 26 | | designation, then the onsite survey shall be conducted |
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| 1 | | within 90 days of receipt of the attestation. | 2 | | (C) Require annual written attestation, on a form | 3 | | developed by the Department in consultation with the | 4 | | State Stroke Advisory Subcommittee, by Acute | 5 | | Stroke-Ready Hospitals to indicate compliance with | 6 | | Acute Stroke-Ready Hospital criteria, as described in | 7 | | this Section, and automatically renew Acute | 8 | | Stroke-Ready Hospital designation of the hospital. | 9 | | (D) Issue an Emergency Suspension of Acute | 10 | | Stroke-Ready Hospital designation when the Director, | 11 | | or his or her designee, has determined that the | 12 | | hospital no longer meets the Acute Stroke-Ready | 13 | | Hospital criteria and an immediate and serious danger | 14 | | to the public health, safety, and welfare exists. If | 15 | | the Acute Stroke-Ready Hospital fails to eliminate the | 16 | | violation immediately or within a fixed period of | 17 | | time, not exceeding 10 days, as determined by the | 18 | | Director, the Director may immediately revoke the | 19 | | Acute Stroke-Ready Hospital designation. The Acute | 20 | | Stroke-Ready Hospital may appeal the revocation within | 21 | | 15 business days after receiving the Director's | 22 | | revocation order, by requesting an administrative | 23 | | hearing. | 24 | | (E) After notice and an opportunity for an | 25 | | administrative hearing, suspend, revoke, or refuse to | 26 | | renew an Acute Stroke-Ready Hospital designation, when |
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| 1 | | the Department finds the hospital is not in | 2 | | substantial compliance with current Acute Stroke-Ready | 3 | | Hospital criteria. | 4 | | (c) The Department shall consult with the State Stroke | 5 | | Advisory Subcommittee for developing the designation, | 6 | | re-designation, and de-designation processes for Comprehensive | 7 | | Stroke Centers, Thrombectomy Capable Stroke Centers, | 8 | | Thrombectomy Ready Stroke Centers, Primary Stroke Centers | 9 | | Plus, Primary Stroke Centers, and Acute Stroke-Ready | 10 | | Hospitals.
| 11 | | (d) The Department shall consult with the State Stroke | 12 | | Advisory Subcommittee as subject matter experts at least | 13 | | annually regarding stroke standards of care. | 14 | | (Source: P.A. 102-687, eff. 12-17-21.) | 15 | | (210 ILCS 50/3.117.5) | 16 | | Sec. 3.117.5. Hospital Stroke Care; grants. | 17 | | (a) In order to encourage the establishment and retention | 18 | | of Comprehensive Stroke Centers, Thrombectomy Capable Stroke | 19 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 20 | | Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | 21 | | Hospitals throughout the State, the Director may award, | 22 | | subject to appropriation, matching grants to hospitals to be | 23 | | used for the acquisition and maintenance of necessary | 24 | | infrastructure, including personnel, equipment, and | 25 | | pharmaceuticals for the diagnosis and treatment of acute |
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| 1 | | stroke patients. Grants may be used to pay the fee for | 2 | | certifications by Department approved nationally recognized | 3 | | certifying bodies or to provide additional training for | 4 | | directors of stroke care or for hospital staff. | 5 | | (b) The Director may award grant moneys to Comprehensive | 6 | | Stroke Centers, Thrombectomy Capable Stroke Centers, | 7 | | Thrombectomy Ready Stroke Centers, Primary Stroke Centers | 8 | | Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals | 9 | | for developing or enlarging stroke networks, for stroke | 10 | | education, and to enhance the ability of the EMS System to | 11 | | respond to possible acute stroke patients. | 12 | | (c) A Comprehensive Stroke Center, Thrombectomy Capable | 13 | | Stroke Center, Thrombectomy Ready Stroke Center, Primary | 14 | | Stroke Center Plus, Primary Stroke Center, or Acute | 15 | | Stroke-Ready Hospital, or a hospital seeking certification as | 16 | | a Comprehensive Stroke Center, Thrombectomy Capable Stroke | 17 | | Center, Thrombectomy Ready Stroke Center, Primary Stroke | 18 | | Center Plus, Primary Stroke Center, or Acute Stroke-Ready | 19 | | Hospital or designation as an Acute Stroke-Ready Hospital, may | 20 | | apply to the Director for a matching grant in a manner and form | 21 | | specified by the Director and shall provide information as the | 22 | | Director deems necessary to determine whether the hospital is | 23 | | eligible for the grant. | 24 | | (d) Matching grant awards shall be made to Comprehensive | 25 | | Stroke Centers, Thrombectomy Capable Stroke Centers, | 26 | | Thrombectomy Ready Stroke Centers, Primary Stroke Centers |
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| 1 | | Plus, Primary Stroke Centers, Acute Stroke-Ready Hospitals, or | 2 | | hospitals seeking certification or designation as a | 3 | | Comprehensive Stroke Center, Thrombectomy Capable Stroke | 4 | | Center, Thrombectomy Ready Stroke Center, Primary Stroke | 5 | | Center Plus, Primary Stroke Center, or Acute Stroke-Ready | 6 | | Hospital. The Department may consider prioritizing grant | 7 | | awards to hospitals in areas with the highest incidence of | 8 | | stroke, taking into account geographic diversity, where | 9 | | possible.
| 10 | | (Source: P.A. 102-687, eff. 12-17-21.) | 11 | | (210 ILCS 50/3.118) | 12 | | Sec. 3.118. Reporting. | 13 | | (a) The Director shall, not later than July 1, 2012, | 14 | | prepare and submit to the Governor and the General Assembly a | 15 | | report indicating the total number of hospitals that have | 16 | | applied for grants, the project for which the application was | 17 | | submitted, the number of those applicants that have been found | 18 | | eligible for the grants, the total number of grants awarded, | 19 | | the name and address of each grantee, and the amount of the | 20 | | award issued to each grantee. | 21 | | (b) By July 1, 2010, the Director shall send the list of | 22 | | designated Comprehensive Stroke Centers, Thrombectomy Capable | 23 | | Stroke Centers, Thrombectomy Ready Stroke Centers, Primary | 24 | | Stroke Centers Plus, Primary Stroke Centers, and Acute | 25 | | Stroke-Ready Hospitals to all Resource Hospital EMS Medical |
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| 1 | | Directors in this State and shall post a list of designated | 2 | | Comprehensive Stroke Centers, Thrombectomy Capable Stroke | 3 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 4 | | Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | 5 | | Hospitals on the Department's website, which shall be | 6 | | continuously updated. | 7 | | (c) The Department shall add the names of designated | 8 | | Comprehensive Stroke Centers, Thrombectomy Capable Stroke | 9 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 10 | | Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | 11 | | Hospitals to the website listing immediately upon designation | 12 | | and shall immediately remove the name when a hospital loses | 13 | | its designation after notice and a hearing. | 14 | | (d) Stroke data collection systems and all stroke-related | 15 | | data collected from hospitals shall comply with the following | 16 | | requirements: | 17 | | (1) The confidentiality of patient records shall be | 18 | | maintained in accordance with State and federal laws. | 19 | | (2) Hospital proprietary information and the names of | 20 | | any hospital administrator, health care professional, or | 21 | | employee shall not be subject to disclosure. | 22 | | (3) Information submitted to the Department shall be | 23 | | privileged and strictly confidential and shall be used | 24 | | only for the evaluation and improvement of hospital stroke | 25 | | care. Stroke data collected by the Department shall not be | 26 | | directly available to the public and shall not be subject |
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| 1 | | to civil subpoena, nor discoverable or admissible in any | 2 | | civil, criminal, or administrative proceeding against a | 3 | | health care facility or health care professional. | 4 | | (e) The Department may administer a data collection system | 5 | | to collect data that is already reported by designated | 6 | | Comprehensive Stroke Centers, Thrombectomy Capable Stroke | 7 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 8 | | Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | 9 | | Hospitals to their certifying body, to fulfill certification | 10 | | requirements. Comprehensive Stroke Centers, Thrombectomy | 11 | | Capable Stroke Centers, Thrombectomy Ready Stroke Centers, | 12 | | Primary Stroke Centers Plus, Primary Stroke Centers, and Acute | 13 | | Stroke-Ready Hospitals may provide data used in submission to | 14 | | their certifying body, to satisfy any Department reporting | 15 | | requirements. The Department may require submission of data | 16 | | elements in a format that is used State-wide. In the event the | 17 | | Department establishes reporting requirements for designated | 18 | | Comprehensive Stroke Centers, Thrombectomy Capable Stroke | 19 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 20 | | Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | 21 | | Hospitals, the Department shall permit each designated | 22 | | Comprehensive Stroke Center, Thrombectomy Capable Stroke | 23 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 24 | | Centers Plus, Primary Stroke Center, or Acute Stroke-Ready | 25 | | Hospital to capture information using existing electronic | 26 | | reporting tools used for certification purposes. Nothing in |
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| 1 | | this Section shall be construed to empower the Department to | 2 | | specify the form of internal recordkeeping. Three years from | 3 | | the effective date of this amendatory Act of the 96th General | 4 | | Assembly, the Department may post stroke data submitted by | 5 | | Comprehensive Stroke Centers, Thrombectomy Capable Stroke | 6 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 7 | | Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready | 8 | | Hospitals on its website, subject to the following: | 9 | | (1) Data collection and analytical methodologies shall | 10 | | be used that meet accepted standards of validity and | 11 | | reliability before any information is made available to | 12 | | the public. | 13 | | (2) The limitations of the data sources and analytic | 14 | | methodologies used to develop comparative hospital | 15 | | information shall be clearly identified and acknowledged, | 16 | | including, but not limited to, the appropriate and | 17 | | inappropriate uses of the data. | 18 | | (3) To the greatest extent possible, comparative | 19 | | hospital information initiatives shall use standard-based | 20 | | norms derived from widely accepted provider-developed | 21 | | practice guidelines. | 22 | | (4) Comparative hospital information and other | 23 | | information that the Department has compiled regarding | 24 | | hospitals shall be shared with the hospitals under review | 25 | | prior to public dissemination of the information. | 26 | | Hospitals have 30 days to make corrections and to add |
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| 1 | | helpful explanatory comments about the information before | 2 | | the publication. | 3 | | (5) Comparisons among hospitals shall adjust for | 4 | | patient case mix and other relevant risk factors and | 5 | | control for provider peer groups, when appropriate. | 6 | | (6) Effective safeguards to protect against the | 7 | | unauthorized use or disclosure of hospital information | 8 | | shall be developed and implemented. | 9 | | (7) Effective safeguards to protect against the | 10 | | dissemination of inconsistent, incomplete, invalid, | 11 | | inaccurate, or subjective hospital data shall be developed | 12 | | and implemented. | 13 | | (8) The quality and accuracy of hospital information | 14 | | reported under this Act and its data collection, analysis, | 15 | | and dissemination methodologies shall be evaluated | 16 | | regularly. | 17 | | (9) None of the information the Department discloses | 18 | | to the public under this Act may be used to establish a | 19 | | standard of care in a private civil action. | 20 | | (10) The Department shall disclose information under | 21 | | this Section in accordance with provisions for inspection | 22 | | and copying of public records required by the Freedom of | 23 | | Information Act, provided that the information satisfies | 24 | | the provisions of this Section. | 25 | | (11) Notwithstanding any other provision of law, under | 26 | | no circumstances shall the Department disclose information |
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| 1 | | obtained from a hospital that is confidential under Part | 2 | | 21 of Article VIII of the Code of Civil Procedure. | 3 | | (12) No hospital report or Department disclosure may | 4 | | contain information identifying a patient, employee, or | 5 | | licensed professional.
| 6 | | (Source: P.A. 98-1001, eff. 1-1-15 .) | 7 | | (210 ILCS 50/3.118.5) | 8 | | Sec. 3.118.5. State Stroke Advisory Subcommittee; triage | 9 | | and transport of possible acute stroke patients. | 10 | | (a) There shall be established within the State Emergency | 11 | | Medical Services Advisory Council, or other statewide body | 12 | | responsible for emergency health care, a standing State Stroke | 13 | | Advisory Subcommittee, which shall serve as an advisory body | 14 | | to the Council and the Department on matters related to the | 15 | | triage, treatment, and transport of possible acute stroke | 16 | | patients. Membership on the Committee shall be as | 17 | | geographically diverse as possible and include one | 18 | | representative from each Regional Stroke Advisory | 19 | | Subcommittee, to be chosen by each Regional Stroke Advisory | 20 | | Subcommittee. The Director shall appoint additional members, | 21 | | as needed, to ensure there is adequate representation from the | 22 | | following: | 23 | | (1) an EMS Medical Director; | 24 | | (2) a hospital administrator, or designee, from a | 25 | | Comprehensive Stroke Center; |
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| 1 | | (2.5) a hospital administrator, or designee, from a | 2 | | Thrombectomy Capable Stroke Center, Thrombectomy Ready | 3 | | Stroke Center, or Primary Stroke Center Plus; | 4 | | (3) a hospital administrator, or designee, from a | 5 | | Primary Stroke Center; | 6 | | (3.5) a hospital administrator, or designee, from an | 7 | | Acute Stroke-Ready Hospital; | 8 | | (3.10) a registered nurse from a Comprehensive Stroke | 9 | | Center; | 10 | | (3.15) a registered nurse from a Thrombectomy Capable | 11 | | Stroke Center, Thrombectomy Ready Stroke Center, or | 12 | | Primary Stroke Center Plus; | 13 | | (4) a registered nurse from a Primary Stroke Center; | 14 | | (5) a registered nurse from an Acute Stroke-Ready | 15 | | Hospital; | 16 | | (5.5) a physician providing advanced stroke care from | 17 | | a Comprehensive Stroke center; | 18 | | (5.10) a physician providing stroke care from a | 19 | | Thrombectomy Capable Stroke Center, Thrombectomy Ready | 20 | | Stroke Center, or Primary Stroke Center Plus; | 21 | | (6) a physician providing stroke care from a Primary | 22 | | Stroke Center; | 23 | | (7) a physician providing stroke care from an Acute | 24 | | Stroke-Ready Hospital; | 25 | | (8) an EMS Coordinator; | 26 | | (9) an acute stroke patient advocate; |
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| 1 | | (10) a fire chief, or designee, from an EMS Region | 2 | | that serves a population of over 2,000,000 people; | 3 | | (11) a fire chief, or designee, from a rural EMS | 4 | | Region; | 5 | | (12) a representative from a private ambulance | 6 | | provider; | 7 | | (12.5) a representative from a municipal EMS provider; | 8 | | and | 9 | | (13) a representative from the State Emergency Medical | 10 | | Services Advisory Council. | 11 | | (b) Of the members first appointed, 9 members shall be | 12 | | appointed for a term of one year, 9 members shall be appointed | 13 | | for a term of 2 years, and the remaining members shall be | 14 | | appointed for a term of 3 years. The terms of subsequent | 15 | | appointees shall be 3 years. | 16 | | (c) The State Stroke Advisory Subcommittee shall be | 17 | | provided a 90-day period in which to review and comment upon | 18 | | all rules proposed by the Department pursuant to this Act | 19 | | concerning stroke care, except for emergency rules adopted | 20 | | pursuant to Section 5-45 of the Illinois Administrative | 21 | | Procedure Act. The 90-day review and comment period shall | 22 | | commence prior to publication of the proposed rules and upon | 23 | | the Department's submission of the proposed rules to the | 24 | | individual Committee members, if the Committee is not meeting | 25 | | at the time the proposed rules are ready for Committee review. | 26 | | (d) The State Stroke Advisory Subcommittee shall develop |
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| 1 | | and submit an evidence-based statewide stroke assessment tool | 2 | | to clinically evaluate potential stroke patients to the | 3 | | Department for final approval. Upon approval, the Department | 4 | | shall disseminate the tool to all EMS Systems for adoption. | 5 | | The Director shall post the Department-approved stroke | 6 | | assessment tool on the Department's website. The State Stroke | 7 | | Advisory Subcommittee shall review the Department-approved | 8 | | stroke assessment tool at least annually to ensure its | 9 | | clinical relevancy and to make changes when clinically | 10 | | warranted. | 11 | | (d-5) Each EMS Regional Stroke Advisory Subcommittee shall | 12 | | submit recommendations for continuing education for | 13 | | pre-hospital personnel to that Region's EMS Medical Directors | 14 | | Committee. | 15 | | (e) Nothing in this Section shall preclude the State | 16 | | Stroke Advisory Subcommittee from reviewing and commenting on | 17 | | proposed rules which fall under the purview of the State | 18 | | Emergency Medical Services Advisory Council. Nothing in this | 19 | | Section shall preclude the Emergency Medical Services Advisory | 20 | | Council from reviewing and commenting on proposed rules which | 21 | | fall under the purview of the State Stroke Advisory | 22 | | Subcommittee. | 23 | | (f) The Director shall coordinate with and assist the EMS | 24 | | System Medical Directors and Regional Stroke Advisory | 25 | | Subcommittee within each EMS Region to establish protocols | 26 | | related to the assessment, treatment, and transport of |
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| 1 | | possible acute stroke patients by licensed emergency medical | 2 | | services providers. These protocols shall include regional | 3 | | transport plans for the triage and transport of possible acute | 4 | | stroke patients to the most appropriate Comprehensive Stroke | 5 | | Center, Thrombectomy Capable Stroke Center, Thrombectomy Ready | 6 | | Stroke Center, Primary Stroke Center Plus, Primary Stroke | 7 | | Center, or Acute Stroke-Ready Hospital, unless circumstances | 8 | | warrant otherwise.
| 9 | | (Source: P.A. 98-1001, eff. 1-1-15 .) | 10 | | (210 ILCS 50/3.119) | 11 | | Sec. 3.119. Stroke Care; restricted practices. Sections in | 12 | | this Act pertaining to Comprehensive Stroke Centers, | 13 | | Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke | 14 | | Centers, Primary Stroke Centers Plus, Primary Stroke Centers, | 15 | | and Acute Stroke-Ready Hospitals are not medical practice | 16 | | guidelines and shall not be used to restrict the authority of a | 17 | | hospital to provide services for which it has received a | 18 | | license under State law.
| 19 | | (Source: P.A. 98-1001, eff. 1-1-15 .) | 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 |
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| 1 | | Illinois Department of Public Health pursuant to Department | 2 | | designation of Comprehensive Stroke Centers, Thrombectomy | 3 | | Capable Stroke Centers, Thrombectomy Ready Stroke Centers, | 4 | | Primary Stroke Centers Plus, Primary Stroke Centers, and Acute | 5 | | Stroke-Ready Hospitals. All moneys collected by the Department | 6 | | pursuant to its authority to designate Comprehensive Stroke | 7 | | Centers, Thrombectomy Capable Stroke Centers, Thrombectomy | 8 | | Ready Stroke Centers, Primary Stroke Centers Plus, Primary | 9 | | Stroke Centers, and Acute Stroke-Ready Hospitals shall be | 10 | | deposited into the Fund, to be used for the purposes in | 11 | | subsection (b). | 12 | | (b) The purpose of the Fund is to allow the Director of the | 13 | | Department to award matching grants: | 14 | | (1) to hospitals that have been certified as | 15 | | Comprehensive Stroke Centers, Thrombectomy Capable Stroke | 16 | | Centers, Thrombectomy Ready Stroke Centers, Primary Stroke | 17 | | Centers Plus, Primary Stroke Centers, or Acute | 18 | | Stroke-Ready Hospitals; | 19 | | (2) to hospitals that seek certification or | 20 | | designation or both as Comprehensive Stroke Centers, | 21 | | Thrombectomy Capable Stroke Centers, Thrombectomy Ready | 22 | | Stroke Centers, Primary Stroke Centers Plus, Primary | 23 | | Stroke Centers, or Acute Stroke-Ready Hospitals; | 24 | | (3) to hospitals that have been designated Acute | 25 | | Stroke-Ready Hospitals; | 26 | | (4) to hospitals that seek designation as Acute |
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| 1 | | Stroke-Ready Hospitals; and | 2 | | (5) for the development of stroke networks. | 3 | | Hospitals may use grant funds to work with the EMS System | 4 | | to improve outcomes of possible acute stroke patients. | 5 | | (c) Moneys deposited in the Hospital Stroke Care Fund | 6 | | shall be allocated according to the hospital needs within each | 7 | | EMS region and used solely for the purposes described in this | 8 | | Act. | 9 | | (d) Interfund transfers from the Hospital Stroke Care Fund | 10 | | shall be prohibited.
| 11 | | (Source: P.A. 98-1001, eff. 1-1-15 .)
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