Full Text of SB3548 103rd General Assembly
SB3548enr 103RD GENERAL ASSEMBLY | | | SB3548 Enrolled | | LRB103 38295 CES 68430 b |
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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 3.30, 3.90, 3.95, 3.100, | 6 | | 3.105, 3.110, 3.115, 3.140, 3.200, and 3.205 and by adding | 7 | | Sections 3.101, 3.102, and 3.106 as follows: | 8 | | (210 ILCS 50/3.30) | 9 | | Sec. 3.30. EMS Region Plan; Content. | 10 | | (a) The EMS Medical Directors Committee shall address at | 11 | | least the following: | 12 | | (1) Protocols for inter-System/inter-Region patient | 13 | | transports, including identifying the conditions of | 14 | | emergency patients which may not be transported to the | 15 | | different levels of emergency department, based on their | 16 | | Department classifications and relevant Regional | 17 | | considerations (e.g. transport times and distances); | 18 | | (2) Regional standing medical orders; | 19 | | (3) Patient transfer patterns, including criteria for | 20 | | determining whether a patient needs the specialized | 21 | | services of a trauma center, along with protocols for the | 22 | | bypassing of or diversion to any hospital, trauma center | 23 | | or regional trauma center which are consistent with |
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| 1 | | individual System bypass or diversion protocols and | 2 | | protocols for patient choice or refusal; | 3 | | (4) Protocols for resolving Regional or Inter-System | 4 | | conflict; | 5 | | (5) An EMS disaster preparedness plan which includes | 6 | | the actions and responsibilities of all EMS participants | 7 | | within the Region. Within 90 days of the effective date of | 8 | | this amendatory Act of 1996, an EMS System shall submit to | 9 | | the Department for review an internal disaster plan. At a | 10 | | minimum, the plan shall include contingency plans for the | 11 | | transfer of patients to other facilities if an evacuation | 12 | | of the hospital becomes necessary due to a catastrophe, | 13 | | including but not limited to, a power failure; | 14 | | (6) Regional standardization of continuing education | 15 | | requirements; | 16 | | (7) Regional standardization of Do Not Resuscitate | 17 | | (DNR) policies, and protocols for power of attorney for | 18 | | health care; | 19 | | (8) Protocols for disbursement of Department grants; | 20 | | (9) Protocols for the triage, treatment, and transport | 21 | | of possible acute stroke patients; and | 22 | | (10) Regional standing medical orders for the | 23 | | administration of opioid antagonists. | 24 | | (b) The Trauma Center Medical Directors or Trauma Center | 25 | | Medical Directors Committee shall address at least the | 26 | | following: |
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| 1 | | (1) The identification of Regional Trauma Centers; | 2 | | (2) Protocols for inter-System and inter-Region trauma | 3 | | patient transports, including identifying the conditions | 4 | | of emergency patients which may not be transported to the | 5 | | different levels of emergency department, based on their | 6 | | Department classifications and relevant Regional | 7 | | considerations (e.g. transport times and distances); | 8 | | (3) Regional trauma standing medical orders; | 9 | | (4) Trauma patient transfer patterns, including | 10 | | criteria for determining whether a patient needs the | 11 | | specialized services of a trauma center, along with | 12 | | protocols for the bypassing of or diversion to any | 13 | | hospital, trauma center or regional trauma center which | 14 | | are consistent with individual System bypass or diversion | 15 | | protocols and protocols for patient choice or refusal; | 16 | | (5) The identification of which types of patients can | 17 | | be cared for by Level I Trauma Centers, and Level II Trauma | 18 | | Centers , and Level III Trauma Centers ; | 19 | | (6) Criteria for inter-hospital transfer of trauma | 20 | | patients; | 21 | | (7) The treatment of trauma patients in each trauma | 22 | | center within the Region; | 23 | | (8) A program for conducting a quarterly conference | 24 | | which shall include at a minimum a discussion of morbidity | 25 | | and mortality between all professional staff involved in | 26 | | the care of trauma patients; |
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| 1 | | (9) The establishment of a Regional trauma quality | 2 | | assurance and improvement subcommittee, consisting of | 3 | | trauma surgeons, which shall perform periodic medical | 4 | | audits of each trauma center's trauma services, and | 5 | | forward tabulated data from such reviews to the | 6 | | Department; and | 7 | | (10) The establishment , within 90 days of the | 8 | | effective date of this amendatory Act of 1996, of an | 9 | | internal disaster plan, which shall include, at a minimum, | 10 | | contingency plans for the transfer of patients to other | 11 | | facilities if an evacuation of the hospital becomes | 12 | | necessary due to a catastrophe, including but not limited | 13 | | to, a power failure. | 14 | | (c) The Region's EMS Medical Directors and Trauma Center | 15 | | Medical Directors Committees shall appoint any subcommittees | 16 | | which they deem necessary to address specific issues | 17 | | concerning Region activities. | 18 | | (Source: P.A. 99-480, eff. 9-9-15.) | 19 | | (210 ILCS 50/3.90) | 20 | | Sec. 3.90. Trauma Center Designations. | 21 | | (a) "Trauma Center" means a hospital which: (1) within | 22 | | designated capabilities provides optimal care to trauma | 23 | | patients; (2) participates in an approved EMS System; and (3) | 24 | | is duly designated pursuant to the provisions of this Act. | 25 | | Level I Trauma Centers shall provide all essential services |
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| 1 | | in-house, 24 hours per day, in accordance with rules adopted | 2 | | by the Department pursuant to this Act. Level II and Level III | 3 | | Trauma Centers shall have some essential services available | 4 | | in-house, 24 hours per day, and other essential services | 5 | | readily available, 24 hours per day, in accordance with rules | 6 | | adopted by the Department pursuant to this Act. | 7 | | (a-5) An Acute Injury Stabilization Center shall have a | 8 | | basic or comprehensive emergency department capable of initial | 9 | | management and transfer of the acutely injured in accordance | 10 | | with rules adopted by the Department pursuant to this Act. | 11 | | (b) The Department shall have the authority and | 12 | | responsibility to: | 13 | | (1) Establish and enforce minimum standards for | 14 | | designation and re-designation of 3 levels of trauma | 15 | | centers that meet trauma center national standards, as | 16 | | modified by the Department in administrative rules as a | 17 | | Level I or Level II Trauma Center, consistent with | 18 | | Sections 22 and 23 of this Act, through rules adopted | 19 | | pursuant to this Act ; | 20 | | (2) Require hospitals applying for trauma center | 21 | | designation to submit a plan for designation in a manner | 22 | | and form prescribed by the Department through rules | 23 | | adopted pursuant to this Act; | 24 | | (3) Upon receipt of a completed plan for designation, | 25 | | conduct a site visit to inspect the hospital for | 26 | | compliance with the Department's minimum standards. Such |
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| 1 | | visit shall be conducted by specially qualified personnel | 2 | | with experience in the delivery of emergency medical | 3 | | and/or trauma care. A report of the inspection shall be | 4 | | provided to the Director within 30 days of the completion | 5 | | of the site visit. The report shall note compliance or | 6 | | lack of compliance with the individual standards for | 7 | | designation, but shall not offer a recommendation on | 8 | | granting or denying designation; | 9 | | (4) Designate applicant hospitals as Level I , or Level | 10 | | II , or Level III Trauma Centers which meet the minimum | 11 | | standards established by this Act and the Department. The | 12 | | Beginning September 1, 1997 the Department shall designate | 13 | | a new trauma center only when a local or regional need for | 14 | | such trauma center has been identified. The Department | 15 | | shall request an assessment of local or regional need from | 16 | | the applicable EMS Region's Trauma Center Medical | 17 | | Directors Committee, with advice from the Regional Trauma | 18 | | Advisory Committee. This shall not be construed as a needs | 19 | | assessment for health planning or other purposes outside | 20 | | of this Act; | 21 | | (5) Attempt to designate trauma centers in all areas | 22 | | of the State. There shall be at least one Level I Trauma | 23 | | Center serving each EMS Region, unless waived by the | 24 | | Department. This subsection shall not be construed to | 25 | | require a Level I Trauma Center to be located in each EMS | 26 | | Region. Level I Trauma Centers shall serve as resources |
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| 1 | | for the Level II and Level III Trauma Centers and Acute | 2 | | Injury Stabilization Centers in the EMS Regions. The | 3 | | extent of such relationships shall be defined in the EMS | 4 | | Region Plan; | 5 | | (6) Inspect designated trauma centers to assure | 6 | | compliance with the provisions of this Act and the rules | 7 | | adopted pursuant to this Act. Information received by the | 8 | | Department through filed reports, inspection, or as | 9 | | otherwise authorized under this Act shall not be disclosed | 10 | | publicly in such a manner as to identify individuals or | 11 | | hospitals, except in proceedings involving the denial, | 12 | | suspension or revocation of a trauma center designation or | 13 | | imposition of a fine on a trauma center; | 14 | | (7) Renew trauma center designations every 2 years, | 15 | | after an on-site inspection, based on compliance with | 16 | | renewal requirements and standards for continuing | 17 | | operation, as prescribed by the Department through rules | 18 | | adopted pursuant to this Act; | 19 | | (8) Refuse to issue or renew a trauma center | 20 | | designation, after providing an opportunity for a hearing, | 21 | | when findings show that it does not meet the standards and | 22 | | criteria prescribed by the Department; | 23 | | (9) Review and determine whether a trauma center's | 24 | | annual morbidity and mortality rates for trauma patients | 25 | | significantly exceed the State average for such rates, | 26 | | using a uniform recording methodology based on nationally |
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| 1 | | recognized standards. Such determination shall be | 2 | | considered as a factor in any decision by the Department | 3 | | to renew or refuse to renew a trauma center designation | 4 | | under this Act, but shall not constitute the sole basis | 5 | | for refusing to renew a trauma center designation; | 6 | | (10) Take the following action, as appropriate, after | 7 | | determining that a trauma center is in violation of this | 8 | | Act or any rule adopted pursuant to this Act: | 9 | | (A) If the Director determines that the violation | 10 | | presents a substantial probability that death or | 11 | | serious physical harm will result and if the trauma | 12 | | center fails to eliminate the violation immediately or | 13 | | within a fixed period of time, not exceeding 10 days, | 14 | | as determined by the Director, the Director may | 15 | | immediately revoke the trauma center designation. The | 16 | | trauma center may appeal the revocation within 15 days | 17 | | after receiving the Director's revocation order, by | 18 | | requesting a hearing as provided by Section 29 of this | 19 | | Act. The Director shall notify the chair of the | 20 | | Region's Trauma Center Medical Directors Committee and | 21 | | EMS Medical Directors for appropriate EMS Systems of | 22 | | such trauma center designation revocation; | 23 | | (B) If the Director determines that the violation | 24 | | does not present a substantial probability that death | 25 | | or serious physical harm will result, the Director | 26 | | shall issue a notice of violation and request a plan of |
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| 1 | | correction which shall be subject to the Department's | 2 | | approval. The trauma center shall have 10 days after | 3 | | receipt of the notice of violation in which to submit a | 4 | | plan of correction. The Department may extend this | 5 | | period for up to 30 days. The plan shall include a | 6 | | fixed time period not in excess of 90 days within which | 7 | | violations are to be corrected. The plan of correction | 8 | | and the status of its implementation by the trauma | 9 | | center shall be provided, as appropriate, to the EMS | 10 | | Medical Directors for appropriate EMS Systems. If the | 11 | | Department rejects a plan of correction, it shall send | 12 | | notice of the rejection and the reason for the | 13 | | rejection to the trauma center. The trauma center | 14 | | shall have 10 days after receipt of the notice of | 15 | | rejection in which to submit a modified plan. If the | 16 | | modified plan is not timely submitted, or if the | 17 | | modified plan is rejected, the trauma center shall | 18 | | follow an approved plan of correction imposed by the | 19 | | Department. If, after notice and opportunity for | 20 | | hearing, the Director determines that a trauma center | 21 | | has failed to comply with an approved plan of | 22 | | correction, the Director may suspend or revoke the | 23 | | trauma center designation. The trauma center shall | 24 | | have 15 days after receiving the Director's notice in | 25 | | which to request a hearing. Such hearing shall conform | 26 | | to the provisions of Section 3.135 30 of this Act; |
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| 1 | | (11) The Department may delegate authority to local | 2 | | health departments in jurisdictions which include a | 3 | | substantial number of trauma centers. The delegated | 4 | | authority to those local health departments shall include, | 5 | | but is not limited to, the authority to designate trauma | 6 | | centers with final approval by the Department, maintain a | 7 | | regional data base with concomitant reporting of trauma | 8 | | registry data, and monitor, inspect and investigate trauma | 9 | | centers within their jurisdiction, in accordance with the | 10 | | requirements of this Act and the rules promulgated by the | 11 | | Department; | 12 | | (A) The Department shall monitor the performance | 13 | | of local health departments with authority delegated | 14 | | pursuant to this Section, based upon performance | 15 | | criteria established in rules promulgated by the | 16 | | Department; | 17 | | (B) Delegated authority may be revoked for | 18 | | substantial non-compliance with the Act or the | 19 | | Department's rules. Notice of an intent to revoke | 20 | | shall be served upon the local health department by | 21 | | certified mail, stating the reasons for revocation and | 22 | | offering an opportunity for an administrative hearing | 23 | | to contest the proposed revocation. The request for a | 24 | | hearing must be in writing and received by the | 25 | | Department within 10 working days of the local health | 26 | | department's receipt of notification; |
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| 1 | | (C) The director of a local health department may | 2 | | relinquish its delegated authority upon 60 days | 3 | | written notification to the Director of Public Health. | 4 | | (Source: P.A. 89-177, eff. 7-19-95.) | 5 | | (210 ILCS 50/3.95) | 6 | | Sec. 3.95. Level I Trauma Center Minimum Standards. The | 7 | | Department shall establish, through rules adopted pursuant to | 8 | | this Act, standards for Level I Trauma Centers which shall | 9 | | include, but need not be limited to: | 10 | | (a) The designation by the trauma center of a Trauma | 11 | | Center Medical Director and specification of his | 12 | | qualifications; | 13 | | (b) The types of surgical services the trauma center must | 14 | | have available for trauma patients, including but not limited | 15 | | to a twenty-four hour in-house surgeon with operating | 16 | | privileges and ancillary staff necessary for immediate | 17 | | surgical intervention; | 18 | | (c) The types of nonsurgical services the trauma center | 19 | | must have available for trauma patients; | 20 | | (d) The numbers and qualifications of emergency medical | 21 | | personnel; | 22 | | (e) The types of equipment that must be available to | 23 | | trauma patients; | 24 | | (f) Requiring the trauma center to be affiliated with an | 25 | | EMS System; |
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| 1 | | (g) Requiring the trauma center to have a communications | 2 | | system that is fully integrated with all Level II Trauma | 3 | | Centers , Level III Trauma Centers, Acute Injury Stabilization | 4 | | Centers, and EMS Systems with which it is affiliated; | 5 | | (h) The types of data the trauma center must collect and | 6 | | submit to the Department relating to the trauma services it | 7 | | provides. Such data may include information on post-trauma | 8 | | care directly related to the initial traumatic injury provided | 9 | | to trauma patients until their discharge from the facility and | 10 | | information on discharge plans; | 11 | | (i) Requiring the trauma center to have helicopter landing | 12 | | capabilities approved by appropriate State and federal | 13 | | authorities, if the trauma center is located within a | 14 | | municipality having a population of less than two million | 15 | | people; and | 16 | | (j) Requiring written agreements with Level II Trauma | 17 | | Centers , Level III Trauma Centers, and Acute Injury | 18 | | Stabilization Centers in the EMS Regions it serves, executed | 19 | | within a reasonable time designated by the Department. | 20 | | (Source: P.A. 89-177, eff. 7-19-95.) | 21 | | (210 ILCS 50/3.100) | 22 | | Sec. 3.100. Level II Trauma Center Minimum Standards. The | 23 | | Department shall establish, through rules adopted pursuant to | 24 | | this Act, standards for Level II Trauma Centers which shall | 25 | | include, but need not be limited to: |
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| 1 | | (a) The designation by the trauma center of a Trauma | 2 | | Center Medical Director and specification of his | 3 | | qualifications; | 4 | | (b) The types of surgical services the trauma center must | 5 | | have available for trauma patients. The Department shall not | 6 | | require the availability of all surgical services required of | 7 | | Level I Trauma Centers; | 8 | | (c) The types of nonsurgical services the trauma center | 9 | | must have available for trauma patients; | 10 | | (d) The numbers and qualifications of emergency medical | 11 | | personnel, taking into consideration the more limited trauma | 12 | | services available in a Level II Trauma Center; | 13 | | (e) The types of equipment that must be available for | 14 | | trauma patients; | 15 | | (f) Requiring the trauma center to have a written | 16 | | agreement with a Level I Trauma Centers, Level III Trauma | 17 | | Centers, and Acute Injury Stabilization Centers Center serving | 18 | | the EMS Region outlining their respective responsibilities in | 19 | | providing trauma services, executed within a reasonable time | 20 | | designated by the Department, unless the requirement for a | 21 | | Level I Trauma Center to serve that EMS Region has been waived | 22 | | by the Department; | 23 | | (g) Requiring the trauma center to be affiliated with an | 24 | | EMS System; | 25 | | (h) Requiring the trauma center to have a communications | 26 | | system that is fully integrated with the Level I Trauma |
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| 1 | | Centers , Level III Trauma Centers, Acute Injury Stabilization | 2 | | Centers, and the EMS Systems with which it is affiliated; | 3 | | (i) The types of data the trauma center must collect and | 4 | | submit to the Department relating to the trauma services it | 5 | | provides. Such data may include information on post-trauma | 6 | | care directly related to the initial traumatic injury provided | 7 | | to trauma patients until their discharge from the facility and | 8 | | information on discharge plans; | 9 | | (j) Requiring the trauma center to have helicopter landing | 10 | | capabilities approved by appropriate State and federal | 11 | | authorities, if the trauma center is located within a | 12 | | municipality having a population of less than two million | 13 | | people. | 14 | | (Source: P.A. 89-177, eff. 7-19-95.) | 15 | | (210 ILCS 50/3.101 new) | 16 | | Sec. 3.101. Level III Trauma Center Minimum Standards. The | 17 | | Department shall establish, through rules adopted under this | 18 | | Act, standards for Level III Trauma Centers that shall | 19 | | include, but need not be limited to: | 20 | | (1) The designation by the trauma center of a Trauma | 21 | | Center Medical Director and specification of his or her | 22 | | qualifications; | 23 | | (2) The types of surgical services the trauma center | 24 | | must have available for trauma patients; the Department | 25 | | shall not require the availability of all surgical |
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| 1 | | services required of Level I or Level II Trauma Centers; | 2 | | (3) The types of nonsurgical services the trauma | 3 | | center must have available for trauma patients; | 4 | | (4) The numbers and qualifications of emergency | 5 | | medical personnel, taking into consideration the more | 6 | | limited trauma services available in a Level III Trauma | 7 | | Center; | 8 | | (5) The types of equipment that must be available for | 9 | | trauma patients; | 10 | | (6) Requiring the trauma center to have a written | 11 | | agreement with Level I Trauma Centers, Level II Trauma | 12 | | Centers, and Acute Injury Stabilization Centers serving | 13 | | the EMS Region outlining their respective responsibilities | 14 | | in providing trauma services, executed within a reasonable | 15 | | time designated by the Department, unless the requirement | 16 | | for a Level I Trauma Center to serve that EMS Region has | 17 | | been waived by the Department; | 18 | | (7) Requiring the trauma center to be affiliated with | 19 | | an EMS System; | 20 | | (8) Requiring the trauma center to have a | 21 | | communications system that is fully integrated with the | 22 | | Level I Trauma Centers, Level II Trauma Centers, Acute | 23 | | Injury Stabilization Centers, and the EMS Systems with | 24 | | which it is affiliated; | 25 | | (9) The types of data the trauma center must collect | 26 | | and submit to the Department relating to the trauma |
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| 1 | | services it provides; such data may include information on | 2 | | post-trauma care directly related to the initial traumatic | 3 | | injury provided to trauma patients until their discharge | 4 | | from the facility and information on discharge plans; and | 5 | | (10) Requiring the trauma center to have helicopter | 6 | | landing capabilities approved by appropriate State and | 7 | | federal authorities if the trauma center is located within | 8 | | a municipality having a population of less than 2,000,000 | 9 | | people. | 10 | | (210 ILCS 50/3.102 new) | 11 | | Sec. 3.102. Acute Injury Stabilization Center minimum | 12 | | standards. The Department shall establish, through rules | 13 | | adopted pursuant to this Act, standards for Acute Injury | 14 | | Stabilization Centers, which shall include, but need not be | 15 | | limited to, Comprehensive or Basic Emergency Department | 16 | | services pursuant to the Hospital Licensing Act. | 17 | | (210 ILCS 50/3.105) | 18 | | Sec. 3.105. Trauma Center Misrepresentation. No After the | 19 | | effective date of this amendatory Act of 1995, no facility | 20 | | shall use the phrase "trauma center" or words of similar | 21 | | meaning in relation to itself or hold itself out as a trauma | 22 | | center without first obtaining designation pursuant to this | 23 | | Act. | 24 | | (Source: P.A. 89-177, eff. 7-19-95.) |
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| 1 | | (210 ILCS 50/3.106 new) | 2 | | Sec. 3.106. Acute Injury Stabilization Center | 3 | | Misrepresentation. No facility shall use the phrase "Acute | 4 | | Injury Stabilization Center" or words of similar meaning in | 5 | | relation to itself or hold itself out as an Acute Injury | 6 | | Stabilization Center without first obtaining designation | 7 | | pursuant to this Act. | 8 | | (210 ILCS 50/3.110) | 9 | | Sec. 3.110. EMS system and trauma center confidentiality | 10 | | and immunity. | 11 | | (a) All information contained in or relating to any | 12 | | medical audit performed of a trauma center's trauma services | 13 | | or an Acute Injury Stabilization Center pursuant to this Act | 14 | | or by an EMS Medical Director or his designee of medical care | 15 | | rendered by System personnel, shall be afforded the same | 16 | | status as is provided information concerning medical studies | 17 | | in Article VIII, Part 21 of the Code of Civil Procedure. | 18 | | Disclosure of such information to the Department pursuant to | 19 | | this Act shall not be considered a violation of Article VIII, | 20 | | Part 21 of the Code of Civil Procedure. | 21 | | (b) Hospitals, trauma centers and individuals that perform | 22 | | or participate in medical audits pursuant to this Act shall be | 23 | | immune from civil liability to the same extent as provided in | 24 | | Section 10.2 of the Hospital Licensing Act. |
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| 1 | | (c) All information relating to the State Emergency | 2 | | Medical Services Disciplinary Review Board or a local review | 3 | | board, except final decisions, shall be afforded the same | 4 | | status as is provided information concerning medical studies | 5 | | in Article VIII, Part 21 of the Code of Civil Procedure. | 6 | | Disclosure of such information to the Department pursuant to | 7 | | this Act shall not be considered a violation of Article VIII, | 8 | | Part 21 of the Code of Civil Procedure. | 9 | | (Source: P.A. 92-651, eff. 7-11-02.) | 10 | | (210 ILCS 50/3.115) | 11 | | Sec. 3.115. Pediatric care; emergency medical services for | 12 | | children. Pediatric Trauma. The Director shall appoint an | 13 | | advisory council to make recommendations for pediatric care | 14 | | needs and develop strategies to address areas of need as | 15 | | defined in rules adopted by the Department. | 16 | | The Department shall: | 17 | | (1) develop or promote recommendations for continuing | 18 | | medical education, treatment guidelines, and other | 19 | | programs for health practitioners and organizations | 20 | | involved in pediatric care; | 21 | | (2) support existing pediatric care programs and | 22 | | assist in establishing new pediatric care initiatives | 23 | | throughout the State; | 24 | | (3) designate applicant hospitals that meet the | 25 | | minimum standards established by the Department for their |
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| 1 | | pediatric emergency and critical care capabilities. | 2 | | Upon the availability of federal funds for pediatric care | 3 | | demonstration projects, the Department shall: | 4 | | (a) Convene a work group which will be charged with | 5 | | conducting a needs assessment of pediatric trauma care and | 6 | | with developing strategies to correct areas of need; | 7 | | (b) Contract with the University of Illinois School of | 8 | | Public Health to develop a secondary prevention program for | 9 | | parents; | 10 | | (c) Contract with an Illinois medical school to develop | 11 | | training and continuing medical education programs for | 12 | | physicians and nurses in treatment of pediatric trauma; | 13 | | (d) Contract with an Illinois medical school to develop | 14 | | and test triage and field scoring for pediatric trauma if the | 15 | | needs assessment by the work group indicates that current | 16 | | scoring is inadequate; | 17 | | (e) Support existing pediatric trauma programs and assist | 18 | | in establishing new pediatric trauma programs throughout the | 19 | | State; | 20 | | (f) Provide grants to EMS systems for special pediatric | 21 | | equipment for prehospital care based on needs identified by | 22 | | the work group; and | 23 | | (g) Provide grants to EMS systems and trauma centers for | 24 | | specialized training in pediatric trauma based on needs | 25 | | identified by the work group. | 26 | | (Source: P.A. 89-177, eff. 7-19-95.) |
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| 1 | | (210 ILCS 50/3.140) | 2 | | Sec. 3.140. Violations; Fines. | 3 | | (a) The Department shall have the authority to impose | 4 | | fines on any licensed vehicle service provider, stretcher van | 5 | | provider, designated trauma center, Acute Injury Stabilization | 6 | | Center, resource hospital, associate hospital, or | 7 | | participating hospital. | 8 | | (b) The Department shall adopt rules pursuant to this Act | 9 | | which establish a system of fines related to the type and level | 10 | | of violation or repeat violation, including , but not limited | 11 | | to: | 12 | | (1) A fine not exceeding $10,000 for each a violation | 13 | | which created a condition or occurrence presenting a | 14 | | substantial probability that death or serious harm to an | 15 | | individual will or did result therefrom; and | 16 | | (2) A fine not exceeding $5,000 for each a violation | 17 | | which creates or created a condition or occurrence which | 18 | | threatens the health, safety or welfare of an individual. | 19 | | (c) A Notice of Intent to Impose Fine may be issued in | 20 | | conjunction with or in lieu of a Notice of Intent to Suspend, | 21 | | Revoke, Nonrenew or Deny, and shall conform to the | 22 | | requirements specified in Section 3.130(d) of this Act. All | 23 | | Hearings conducted pursuant to a Notice of Intent to Impose | 24 | | Fine shall conform to the requirements specified in Section | 25 | | 3.135 of this Act. |
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| 1 | | (d) All fines collected pursuant to this Section shall be | 2 | | deposited into the EMS Assistance Fund. | 3 | | (Source: P.A. 98-973, eff. 8-15-14.) | 4 | | (210 ILCS 50/3.200) | 5 | | Sec. 3.200. State Emergency Medical Services Advisory | 6 | | Council. | 7 | | (a) There shall be established within the Department of | 8 | | Public Health a State Emergency Medical Services Advisory | 9 | | Council, which shall serve as an advisory body to the | 10 | | Department on matters related to this Act. | 11 | | (b) Membership of the Council shall include one | 12 | | representative from each EMS Region, to be appointed by each | 13 | | region's EMS Regional Advisory Committee. The Governor shall | 14 | | appoint additional members to the Council as necessary to | 15 | | insure that the Council includes one representative from each | 16 | | of the following categories: | 17 | | (1) EMS Medical Director, | 18 | | (2) Trauma Center Medical Director, | 19 | | (3) Licensed, practicing physician with regular and | 20 | | frequent involvement in the provision of emergency care, | 21 | | (4) Licensed, practicing physician with special | 22 | | expertise in the surgical care of the trauma patient, | 23 | | (5) EMS System Coordinator, | 24 | | (6) TNS, | 25 | | (7) Paramedic, |
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| 1 | | (7.5) A-EMT, | 2 | | (8) EMT-I, | 3 | | (9) EMT, | 4 | | (10) Private vehicle service provider, | 5 | | (11) Law enforcement officer, | 6 | | (12) Chief of a public vehicle service provider, | 7 | | (13) Statewide firefighters' union member affiliated | 8 | | with a vehicle service provider, | 9 | | (14) Administrative representative from a fire | 10 | | department vehicle service provider in a municipality with | 11 | | a population of over 2 million people , ; | 12 | | (15) Administrative representative from a Resource | 13 | | Hospital or EMS System Administrative Director , and . | 14 | | (16) Representative from a pediatric critical care | 15 | | center. | 16 | | (c) Members shall be appointed for a term of 3 years. All | 17 | | appointees shall serve until their successors are appointed | 18 | | and qualified. | 19 | | (d) The Council shall be provided a 90-day period in which | 20 | | to review and comment, in consultation with the subcommittee | 21 | | to which the rules are relevant, upon all rules proposed by the | 22 | | Department pursuant to this Act, except for rules adopted | 23 | | pursuant to Section 3.190(a) of this Act, rules submitted to | 24 | | the State Trauma Advisory Council and emergency rules adopted | 25 | | pursuant to Section 5-45 of the Illinois Administrative | 26 | | Procedure Act. The 90-day review and comment period may |
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| 1 | | commence upon the Department's submission of the proposed | 2 | | rules to the individual Council members, if the Council is not | 3 | | meeting at the time the proposed rules are ready for Council | 4 | | review. Any non-emergency rules adopted prior to the Council's | 5 | | 90-day review and comment period shall be null and void. If the | 6 | | Council fails to advise the Department within its 90-day | 7 | | review and comment period, the rule shall be considered acted | 8 | | upon. | 9 | | (e) Council members shall be reimbursed for reasonable | 10 | | travel expenses incurred during the performance of their | 11 | | duties under this Section. | 12 | | (f) The Department shall provide administrative support to | 13 | | the Council for the preparation of the agenda and minutes for | 14 | | Council meetings and distribution of proposed rules to Council | 15 | | members. | 16 | | (g) The Council shall act pursuant to bylaws which it | 17 | | adopts, which shall include the annual election of a Chair and | 18 | | Vice-Chair. | 19 | | (h) The Director or his designee shall be present at all | 20 | | Council meetings. | 21 | | (i) Nothing in this Section shall preclude the Council | 22 | | from reviewing and commenting on proposed rules which fall | 23 | | under the purview of the State Trauma Advisory Council. | 24 | | (Source: P.A. 98-973, eff. 8-15-14.) | 25 | | (210 ILCS 50/3.205) |
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| 1 | | Sec. 3.205. State Trauma Advisory Council. | 2 | | (a) There shall be established within the Department of | 3 | | Public Health a State Trauma Advisory Council, which shall | 4 | | serve as an advisory body to the Department on matters related | 5 | | to trauma care and trauma centers. | 6 | | (b) Membership of the Council shall include one | 7 | | representative from each Regional Trauma Advisory Committee, | 8 | | to be appointed by each Committee. The Governor shall appoint | 9 | | the following additional members: | 10 | | (1) An EMS Medical Director, | 11 | | (2) A trauma center medical director, | 12 | | (3) A trauma surgeon, | 13 | | (4) A trauma nurse coordinator, | 14 | | (5) A representative from a private vehicle service | 15 | | provider, | 16 | | (6) A representative from a public vehicle service | 17 | | provider, | 18 | | (7) A member of the State EMS Advisory Council , ;and and | 19 | | (8) A neurosurgeon . | 20 | | (8) A burn care medical representative. | 21 | | The Governor may also appoint, as an additional member | 22 | | of the Council, a neurosurgeon. | 23 | | (c) Members shall be appointed for a term of 3 years. All | 24 | | appointees shall serve until their successors are appointed | 25 | | and qualified. | 26 | | (d) The Council shall be provided a 90-day period in which |
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| 1 | | to review and comment upon all rules proposed by the | 2 | | Department pursuant to this Act concerning trauma care, except | 3 | | for emergency rules adopted pursuant to Section 5-45 of the | 4 | | Illinois Administrative Procedure Act. The 90-day review and | 5 | | comment period may commence upon the Department's submission | 6 | | of the proposed rules to the individual Council members, if | 7 | | the Council is not meeting at the time the proposed rules are | 8 | | ready for Council review. Any non-emergency rules adopted | 9 | | prior to the Council's 90-day review and comment period shall | 10 | | be null and void. If the Council fails to advise the Department | 11 | | within its 90-day review and comment period, the rule shall be | 12 | | considered acted upon; | 13 | | (e) Council members shall be reimbursed for reasonable | 14 | | travel expenses incurred during the performance of their | 15 | | duties under this Section. | 16 | | (f) The Department shall provide administrative support to | 17 | | the Council for the preparation of the agenda and minutes for | 18 | | Council meetings and distribution of proposed rules to Council | 19 | | members. | 20 | | (g) The Council shall act pursuant to bylaws which it | 21 | | adopts, which shall include the annual election of a Chair and | 22 | | Vice-Chair. | 23 | | (h) The Director or his designee shall be present at all | 24 | | Council meetings. | 25 | | (i) Nothing in this Section shall preclude the Council | 26 | | from reviewing and commenting on proposed rules which fall |
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| 1 | | under the purview of the State EMS Advisory Council. | 2 | | (Source: P.A. 98-973, eff. 8-15-14.) | 3 | | Section 99. Effective date. This Act takes effect upon | 4 | | becoming law. |
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