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Public Act 099-0828


 

Public Act 0828 99TH GENERAL ASSEMBLY

  
  
  

 


 
Public Act 099-0828
 
SB2403 EnrolledLRB099 18409 MJP 42785 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 1. This Act may be referred to as Gabby's Law.
 
    Section 5. The Department of Public Health Powers and
Duties Law of the Civil Administrative Code of Illinois is
amended by adding Section 2310-314 as follows:
 
    (20 ILCS 2310/2310-314 new)
    Sec. 2310-314. Sepsis screening protocols. The Department
shall adopt rules to implement Section 6.23a of the Hospital
Licensing Act.
 
    Section 10. The Hospital Licensing Act is amended by adding
Section 6.23a as follows:
 
    (210 ILCS 85/6.23a new)
    Sec. 6.23a. Sepsis screening protocols.
    (a) Each hospital shall adopt, implement, and periodically
update evidence-based protocols for the early recognition and
treatment of patients with sepsis, severe sepsis, or septic
shock (sepsis protocols) that are based on generally accepted
standards of care. Sepsis protocols must include components
specific to the identification, care, and treatment of adults
and of children, and must clearly identify where and when
components will differ for adults and for children seeking
treatment in the emergency department or as an inpatient. These
protocols must also include the following components:
        (1) a process for the screening and early recognition
    of patients with sepsis, severe sepsis, or septic shock;
        (2) a process to identify and document individuals
    appropriate for treatment through sepsis protocols,
    including explicit criteria defining those patients who
    should be excluded from the protocols, such as patients
    with certain clinical conditions or who have elected
    palliative care;
        (3) guidelines for hemodynamic support with explicit
    physiologic and treatment goals, methodology for invasive
    or non-invasive hemodynamic monitoring, and timeframe
    goals;
        (4) for infants and children, guidelines for fluid
    resuscitation consistent with current, evidence-based
    guidelines for severe sepsis and septic shock with defined
    therapeutic goals for children;
        (5) identification of the infectious source and
    delivery of early broad spectrum antibiotics with timely
    re-evaluation to adjust to narrow spectrum antibiotics
    targeted to identified infectious sources; and
        (6) criteria for use, based on accepted evidence of
    vasoactive agents.
    (b) Each hospital shall ensure that professional staff with
direct patient care responsibilities and, as appropriate,
staff with indirect patient care responsibilities, including,
but not limited to, laboratory and pharmacy staff, are
periodically trained to implement the sepsis protocols
required under subsection (a). The hospital shall ensure
updated training of staff if the hospital initiates substantive
changes to the sepsis protocols.
    (c) Each hospital shall be responsible for the collection
and utilization of quality measures related to the recognition
and treatment of severe sepsis for purposes of internal quality
improvement.
    (d) The evidence-based protocols adopted under this
Section shall be provided to the Department upon the
Department's request.
    (e) Hospitals submitting sepsis data as required by the
Centers for Medicare and Medicaid Services Hospital Inpatient
Quality Reporting program as of fiscal year 2016 are presumed
to meet the sepsis protocol requirements outlined in this
Section.
    (f) Subject to appropriation, the Department shall:
        (1) recommend evidence-based sepsis definitions and
    metrics that incorporate evidence-based findings,
    including appropriate antibiotic stewardship, and that
    align with the National Quality Forum, the Centers for
    Medicare and Medicaid Services, the Agency for Healthcare
    Research and Quality, and the Joint Commission;
        (2) establish and use a methodology for collecting,
    analyzing, and disclosing the information collected under
    this Section, including collection methods, formatting,
    and methods and means for aggregate data release and
    dissemination;
        (3) complete a digest of efforts and recommendations no
    later than 12 months after the effective date of this
    amendatory Act of the 99th General Assembly; the digest may
    include Illinois-specific data, trends, conditions, or
    other clinical factors; a summary shall be provided to the
    Governor and General Assembly and shall be publicly
    available on the Department's website; and
        (4) consult and seek input and feedback prior to the
    proposal, publication, or issuance of any guidance,
    methodologies, metrics, rulemaking, or any other
    information authorized under this Section from statewide
    organizations representing hospitals, physicians, advanced
    practice nurses, pharmacists, and long-term care
    facilities. Public and private hospitals, epidemiologists,
    infection prevention professionals, health care
    informatics and health care data professionals, and
    academic researchers may be consulted.
    If the Department receives an appropriation and carries out
the requirements of paragraphs (1), (2), (3), and (4), then the
Department may adopt rules concerning the collection of data
from hospitals regarding sepsis and requiring that each
hospital shall be responsible for reporting to the Department.
    Any publicly released hospital-specific information under
this Section is subject to data provisions specified in Section
25 of the Hospital Report Card Act.
 
    Section 99. Effective date. This Act takes effect upon
becoming law.

Effective Date: 08/18/2016