Full Text of HB3660 102nd General Assembly
HB3660 102ND GENERAL ASSEMBLY |
| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022 HB3660 Introduced 2/22/2021, by Rep. Janet Yang Rohr SYNOPSIS AS INTRODUCED: |
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Amends the Hospital Licensing Act. Provides that hospital-wide staffing plans shall include consideration of infant acuity and the number of infants for whom care is being provided. Effective immediately.
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| | A BILL FOR |
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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 Hospital Licensing Act is amended by | 5 | | changing Section 10.10 as follows: | 6 | | (210 ILCS 85/10.10) | 7 | | Sec. 10.10. Nurse Staffing by Patient Acuity.
| 8 | | (a) Findings. The Legislature finds and declares all of | 9 | | the following: | 10 | | (1) The State of Illinois has a substantial interest | 11 | | in promoting quality care and improving the delivery of | 12 | | health care services. | 13 | | (2) Evidence-based studies have shown that the basic | 14 | | principles of staffing in the acute care setting should be | 15 | | based on the complexity of patients' care needs aligned | 16 | | with available nursing skills to promote quality patient | 17 | | care consistent with professional nursing standards. | 18 | | (3) Compliance with this Section promotes an | 19 | | organizational climate that values registered nurses' | 20 | | input in meeting the health care needs of hospital | 21 | | patients. | 22 | | (b) Definitions. As used in this Section: | 23 | | "Acuity model" means an assessment tool selected and |
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| 1 | | implemented by a hospital, as recommended by a nursing care | 2 | | committee, that assesses the complexity of patient care needs | 3 | | requiring professional nursing care and skills and aligns | 4 | | patient care needs and nursing skills consistent with | 5 | | professional nursing standards. | 6 | | "Department" means the Department of Public Health. | 7 | | "Direct patient care" means care provided by a registered | 8 | | professional nurse with direct responsibility to oversee or | 9 | | carry out medical regimens or nursing care for one or more | 10 | | patients. | 11 | | "Nursing care committee" means an existing or newly | 12 | | created hospital-wide committee or committees of nurses whose | 13 | | functions, in part or in whole, contribute to the development, | 14 | | recommendation, and review of the hospital's nurse staffing | 15 | | plan established pursuant to subsection (d). | 16 | | "Registered professional nurse" means a person licensed as | 17 | | a Registered Nurse under the Nurse
Practice Act. | 18 | | "Written staffing plan for nursing care services" means a | 19 | | written plan for guiding the assignment of patient care | 20 | | nursing staff based on multiple nurse and patient | 21 | | considerations that yield minimum staffing levels for | 22 | | inpatient care units and the adopted acuity model aligning | 23 | | patient care needs with nursing skills required for quality | 24 | | patient care consistent with professional nursing standards. | 25 | | (c) Written staffing plan. | 26 | | (1) Every hospital shall implement a written |
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| 1 | | hospital-wide staffing plan, recommended by a nursing care | 2 | | committee or committees, that provides for minimum direct | 3 | | care professional registered nurse-to-patient staffing | 4 | | needs for each inpatient care unit. The written | 5 | | hospital-wide staffing plan shall include, but need not be | 6 | | limited to, the following considerations: | 7 | | (A) The complexity of complete care, assessment on | 8 | | patient admission, volume of patient admissions, | 9 | | discharges and transfers, evaluation of the progress | 10 | | of a patient's problems, ongoing physical assessments, | 11 | | planning for a patient's discharge, assessment after a | 12 | | change in patient condition, and assessment of the | 13 | | need for patient referrals. | 14 | | (B) The complexity of clinical professional | 15 | | nursing judgment needed to design and implement a | 16 | | patient's nursing care plan, the need for specialized | 17 | | equipment and technology, the skill mix of other | 18 | | personnel providing or supporting direct patient care, | 19 | | and involvement in quality improvement activities, | 20 | | professional preparation, and experience. | 21 | | (C) Patient acuity and the number of patients for | 22 | | whom care is being provided. | 23 | | (D) The ongoing assessments of a unit's patient | 24 | | acuity levels and nursing staff needed shall be | 25 | | routinely made by the unit nurse manager or his or her | 26 | | designee. |
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| 1 | | (E) The identification of additional registered | 2 | | nurses available for direct patient care when | 3 | | patients' unexpected needs exceed the planned workload | 4 | | for direct care staff. | 5 | | (F) Infant acuity and the number of infants for | 6 | | whom care is being provided. | 7 | | (2) In order to provide staffing flexibility to meet | 8 | | patient needs, every hospital shall identify an acuity | 9 | | model for adjusting the staffing plan for each inpatient | 10 | | care unit. | 11 | | (3) The written staffing plan shall be posted in a | 12 | | conspicuous and accessible location for both patients and | 13 | | direct care staff, as required under the Hospital Report | 14 | | Card Act. A copy of the written staffing plan shall be | 15 | | provided to any member of the general public upon request. | 16 | | (d) Nursing care committee. | 17 | | (1) Every hospital shall have a nursing care | 18 | | committee. A hospital shall appoint members of a committee | 19 | | whereby at least 50% of the members are registered | 20 | | professional nurses providing direct patient care. | 21 | | (2) A nursing care committee's recommendations must be | 22 | | given significant regard and weight in the hospital's | 23 | | adoption and implementation of a written staffing plan.
| 24 | | (3) A nursing care committee or committees shall | 25 | | recommend a written staffing plan for the hospital based | 26 | | on the principles from the staffing components set forth |
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| 1 | | in subsection (c). In particular, a committee or | 2 | | committees shall provide input and feedback on the | 3 | | following: | 4 | | (A) Selection, implementation, and evaluation of | 5 | | minimum staffing levels for inpatient care units. | 6 | | (B) Selection, implementation, and evaluation of | 7 | | an acuity model to provide staffing flexibility that | 8 | | aligns changing patient acuity with nursing skills | 9 | | required. | 10 | | (C) Selection, implementation, and evaluation of a | 11 | | written staffing plan incorporating the items | 12 | | described in subdivisions (c)(1) and (c)(2) of this | 13 | | Section. | 14 | | (D) Review the following: nurse-to-patient | 15 | | staffing guidelines for all inpatient areas; and | 16 | | current acuity tools and measures in use. | 17 | | (4) A nursing care committee must address the items | 18 | | described in subparagraphs (A) through (D) of paragraph | 19 | | (3) semi-annually. | 20 | | (e) Nothing in this Section 10.10 shall be construed to | 21 | | limit, alter, or modify any of the terms, conditions, or | 22 | | provisions of a collective bargaining agreement entered into | 23 | | by the hospital.
| 24 | | (Source: P.A. 96-328, eff. 8-11-09; 97-423, eff. 1-1-12; | 25 | | 97-813, eff. 7-13-12.)
| 26 | | Section 99. Effective date. This Act takes effect upon |
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| 1 | | becoming law.
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