HB2238 EnrolledLRB103 30630 CPF 57082 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Emergency Medical Services (EMS) Systems
5Act is amended by changing Sections 3.116, 3.117, 3.117.5,
63.118, 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
9Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this
10Act:
11    "Acute Stroke-Ready Hospital" means a hospital that has
12been designated by the Department as meeting the criteria for
13providing emergent stroke care. Designation may be provided
14after a hospital has been certified or through application and
15designation as such.
16    "Certification" or "certified" means certification, using
17evidence-based standards, from a nationally recognized
18certifying body approved by the Department.
19    "Comprehensive Stroke Center" means a hospital that has
20been certified and has been designated as such.
21    "Designation" or "designated" means the Department's
22recognition of a hospital as a Comprehensive Stroke Center,
23Primary Stroke Center, or Acute Stroke-Ready Hospital.

 

 

HB2238 Enrolled- 2 -LRB103 30630 CPF 57082 b

1    "Emergent stroke care" is emergency medical care that
2includes diagnosis and emergency medical treatment of acute
3stroke patients.
4    "Emergent Stroke Ready Hospital" means a hospital that has
5been designated by the Department as meeting the criteria for
6providing emergent stroke care.
7    "Primary Stroke Center" means a hospital that has been
8certified by a Department-approved, nationally recognized
9certifying body and designated as such by the Department.
10    "Primary Stroke Center Plus" means a hospital that has
11been certified by a Department-approved, nationally recognized
12certifying body and designated as such by the Department.
13    "Regional Stroke Advisory Subcommittee" means a
14subcommittee formed within each Regional EMS Advisory
15Committee to advise the Director and the Region's EMS Medical
16Directors Committee on the triage, treatment, and transport of
17possible acute stroke patients and to select the Region's
18representative to the State Stroke Advisory Subcommittee. At
19minimum, the Regional Stroke Advisory Subcommittee shall
20consist of: one representative from the EMS Medical Directors
21Committee; one EMS coordinator from a Resource Hospital; one
22administrative representative or his or her designee from each
23level of stroke care, including Comprehensive Stroke Centers
24within the Region, if any, Thrombectomy Capable Stroke Centers
25within the Region, if any, Thrombectomy Ready Stroke Centers
26within the Region, if any, Primary Stroke Centers Plus within

 

 

HB2238 Enrolled- 3 -LRB103 30630 CPF 57082 b

1the Region, if any, Primary Stroke Centers within the Region,
2if any, and Acute Stroke-Ready Hospitals within the Region, if
3any; one physician from each level of stroke care, including
4one physician who is a neurologist or who provides advanced
5stroke care at a Comprehensive Stroke Center in the Region, if
6any, one physician who is a neurologist or who provides acute
7stroke care at a Thrombectomy Capable Stroke Center within the
8Region, if any, a Thrombectomy Ready Stroke Center within the
9Region, if any, or a Primary Stroke Center Plus in the Region,
10if any, one physician who is a neurologist or who provides
11acute stroke care at a Primary Stroke Center in the Region, if
12any, and one physician who provides acute stroke care at an
13Acute Stroke-Ready Hospital in the Region, if any; one nurse
14practicing in each level of stroke care, including one nurse
15from a Comprehensive Stroke Center in the Region, if any, one
16nurse from a Thrombectomy Capable Stroke Center, if any, a
17Thrombectomy Ready Stroke Center within the Region, if any, or
18a Primary Stroke Center Plus in the Region, if any, one nurse
19from a Primary Stroke Center in the Region, if any, and one
20nurse from an Acute Stroke-Ready Hospital in the Region, if
21any; one representative from both a public and a private
22vehicle service provider that transports possible acute stroke
23patients within the Region; the State-designated regional EMS
24Coordinator; and a fire chief or his or her designee from the
25EMS Region, if the Region serves a population of more than
262,000,000. The Regional Stroke Advisory Subcommittee shall

 

 

HB2238 Enrolled- 4 -LRB103 30630 CPF 57082 b

1establish bylaws to ensure equal membership that rotates and
2clearly delineates committee responsibilities and structure.
3Of the members first appointed, one-third shall be appointed
4for a term of one year, one-third shall be appointed for a term
5of 2 years, and the remaining members shall be appointed for a
6term of 3 years. The terms of subsequent appointees shall be 3
7years.
8    "State Stroke Advisory Subcommittee" means a standing
9advisory body within the State Emergency Medical Services
10Advisory Council.
11    "Thrombectomy Capable Stroke Center" means a hospital that
12has been certified by a Department-approved, nationally
13recognized certifying body and designated as such by the
14Department.
15    "Thrombectomy Ready Stroke Center" means a hospital that
16has been certified by a Department-approved, nationally
17recognized certifying body and designated as such by the
18Department.
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
23Stroke 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

 

 

HB2238 Enrolled- 5 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 6 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 7 -LRB103 30630 CPF 57082 b

1    Committee within 5 business days.
2    (a-5) The Department shall attempt to designate
3Comprehensive 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:

 

 

HB2238 Enrolled- 8 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 9 -LRB103 30630 CPF 57082 b

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
10Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke
11Centers, and Primary Stroke Centers Plus in all areas of the
12State 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,

 

 

HB2238 Enrolled- 10 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 11 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 12 -LRB103 30630 CPF 57082 b

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
11months after the adoption of rules authorized by this
12subsection, the Department shall attempt to designate
13hospitals as Acute Stroke-Ready Hospitals in all areas of the
14State. Designation may be approved by the Department after a
15hospital has been certified as an Acute Stroke-Ready Hospital
16or through application and designation by the Department. For
17any hospital that is designated as an Emergent Stroke Ready
18Hospital at the time that the Department begins the
19designation of Acute Stroke-Ready Hospitals, the Emergent
20Stroke Ready designation shall remain intact for the duration
21of the 12-month period until that designation expires. Until
22the Department begins the designation of hospitals as Acute
23Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke
24Ready Hospital designation utilizing the processes and
25criteria provided in Public Act 96-514.
26        (1) (Blank).

 

 

HB2238 Enrolled- 13 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 14 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 15 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 16 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 17 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 18 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 19 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 20 -LRB103 30630 CPF 57082 b

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
5Advisory Subcommittee for developing the designation,
6re-designation, and de-designation processes for Comprehensive
7Stroke Centers, Thrombectomy Capable Stroke Centers,
8Thrombectomy Ready Stroke Centers, Primary Stroke Centers
9Plus, Primary Stroke Centers, and Acute Stroke-Ready
10Hospitals.
11    (d) The Department shall consult with the State Stroke
12Advisory Subcommittee as subject matter experts at least
13annually 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
18of Comprehensive Stroke Centers, Thrombectomy Capable Stroke
19Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
20Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
21Hospitals throughout the State, the Director may award,
22subject to appropriation, matching grants to hospitals to be
23used for the acquisition and maintenance of necessary
24infrastructure, including personnel, equipment, and
25pharmaceuticals for the diagnosis and treatment of acute

 

 

HB2238 Enrolled- 21 -LRB103 30630 CPF 57082 b

1stroke patients. Grants may be used to pay the fee for
2certifications by Department approved nationally recognized
3certifying bodies or to provide additional training for
4directors of stroke care or for hospital staff.
5    (b) The Director may award grant moneys to Comprehensive
6Stroke Centers, Thrombectomy Capable Stroke Centers,
7Thrombectomy Ready Stroke Centers, Primary Stroke Centers
8Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals
9for developing or enlarging stroke networks, for stroke
10education, and to enhance the ability of the EMS System to
11respond to possible acute stroke patients.
12    (c) A Comprehensive Stroke Center, Thrombectomy Capable
13Stroke Center, Thrombectomy Ready Stroke Center, Primary
14Stroke Center Plus, Primary Stroke Center, or Acute
15Stroke-Ready Hospital, or a hospital seeking certification as
16a Comprehensive Stroke Center, Thrombectomy Capable Stroke
17Center, Thrombectomy Ready Stroke Center, Primary Stroke
18Center Plus, Primary Stroke Center, or Acute Stroke-Ready
19Hospital or designation as an Acute Stroke-Ready Hospital, may
20apply to the Director for a matching grant in a manner and form
21specified by the Director and shall provide information as the
22Director deems necessary to determine whether the hospital is
23eligible for the grant.
24    (d) Matching grant awards shall be made to Comprehensive
25Stroke Centers, Thrombectomy Capable Stroke Centers,
26Thrombectomy Ready Stroke Centers, Primary Stroke Centers

 

 

HB2238 Enrolled- 22 -LRB103 30630 CPF 57082 b

1Plus, Primary Stroke Centers, Acute Stroke-Ready Hospitals, or
2hospitals seeking certification or designation as a
3Comprehensive Stroke Center, Thrombectomy Capable Stroke
4Center, Thrombectomy Ready Stroke Center, Primary Stroke
5Center Plus, Primary Stroke Center, or Acute Stroke-Ready
6Hospital. The Department may consider prioritizing grant
7awards to hospitals in areas with the highest incidence of
8stroke, taking into account geographic diversity, where
9possible.
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,
14prepare and submit to the Governor and the General Assembly a
15report indicating the total number of hospitals that have
16applied for grants, the project for which the application was
17submitted, the number of those applicants that have been found
18eligible for the grants, the total number of grants awarded,
19the name and address of each grantee, and the amount of the
20award issued to each grantee.
21    (b) By July 1, 2010, the Director shall send the list of
22designated Comprehensive Stroke Centers, Thrombectomy Capable
23Stroke Centers, Thrombectomy Ready Stroke Centers, Primary
24Stroke Centers Plus, Primary Stroke Centers, and Acute
25Stroke-Ready Hospitals to all Resource Hospital EMS Medical

 

 

HB2238 Enrolled- 23 -LRB103 30630 CPF 57082 b

1Directors in this State and shall post a list of designated
2Comprehensive Stroke Centers, Thrombectomy Capable Stroke
3Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
4Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
5Hospitals on the Department's website, which shall be
6continuously updated.
7    (c) The Department shall add the names of designated
8Comprehensive Stroke Centers, Thrombectomy Capable Stroke
9Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
10Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
11Hospitals to the website listing immediately upon designation
12and shall immediately remove the name when a hospital loses
13its designation after notice and a hearing.
14    (d) Stroke data collection systems and all stroke-related
15data collected from hospitals shall comply with the following
16requirements:
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

 

 

HB2238 Enrolled- 24 -LRB103 30630 CPF 57082 b

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
5to collect data that is already reported by designated
6Comprehensive Stroke Centers, Thrombectomy Capable Stroke
7Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
8Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
9Hospitals to their certifying body, to fulfill certification
10requirements. Comprehensive Stroke Centers, Thrombectomy
11Capable Stroke Centers, Thrombectomy Ready Stroke Centers,
12Primary Stroke Centers Plus, Primary Stroke Centers, and Acute
13Stroke-Ready Hospitals may provide data used in submission to
14their certifying body, to satisfy any Department reporting
15requirements. The Department may require submission of data
16elements in a format that is used State-wide. In the event the
17Department establishes reporting requirements for designated
18Comprehensive Stroke Centers, Thrombectomy Capable Stroke
19Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
20Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
21Hospitals, the Department shall permit each designated
22Comprehensive Stroke Center, Thrombectomy Capable Stroke
23Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
24Centers Plus, Primary Stroke Center, or Acute Stroke-Ready
25Hospital to capture information using existing electronic
26reporting tools used for certification purposes. Nothing in

 

 

HB2238 Enrolled- 25 -LRB103 30630 CPF 57082 b

1this Section shall be construed to empower the Department to
2specify the form of internal recordkeeping. Three years from
3the effective date of this amendatory Act of the 96th General
4Assembly, the Department may post stroke data submitted by
5Comprehensive Stroke Centers, Thrombectomy Capable Stroke
6Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
7Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
8Hospitals 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

 

 

HB2238 Enrolled- 26 -LRB103 30630 CPF 57082 b

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

 

 

HB2238 Enrolled- 27 -LRB103 30630 CPF 57082 b

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
9and transport of possible acute stroke patients.
10    (a) There shall be established within the State Emergency
11Medical Services Advisory Council, or other statewide body
12responsible for emergency health care, a standing State Stroke
13Advisory Subcommittee, which shall serve as an advisory body
14to the Council and the Department on matters related to the
15triage, treatment, and transport of possible acute stroke
16patients. Membership on the Committee shall be as
17geographically diverse as possible and include one
18representative from each Regional Stroke Advisory
19Subcommittee, to be chosen by each Regional Stroke Advisory
20Subcommittee. The Director shall appoint additional members,
21as needed, to ensure there is adequate representation from the
22following:
23        (1) an EMS Medical Director;
24        (2) a hospital administrator, or designee, from a
25    Comprehensive Stroke Center;

 

 

HB2238 Enrolled- 28 -LRB103 30630 CPF 57082 b

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;

 

 

HB2238 Enrolled- 29 -LRB103 30630 CPF 57082 b

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
12appointed for a term of one year, 9 members shall be appointed
13for a term of 2 years, and the remaining members shall be
14appointed for a term of 3 years. The terms of subsequent
15appointees shall be 3 years.
16    (c) The State Stroke Advisory Subcommittee shall be
17provided a 90-day period in which to review and comment upon
18all rules proposed by the Department pursuant to this Act
19concerning stroke care, except for emergency rules adopted
20pursuant to Section 5-45 of the Illinois Administrative
21Procedure Act. The 90-day review and comment period shall
22commence prior to publication of the proposed rules and upon
23the Department's submission of the proposed rules to the
24individual Committee members, if the Committee is not meeting
25at the time the proposed rules are ready for Committee review.
26    (d) The State Stroke Advisory Subcommittee shall develop

 

 

HB2238 Enrolled- 30 -LRB103 30630 CPF 57082 b

1and submit an evidence-based statewide stroke assessment tool
2to clinically evaluate potential stroke patients to the
3Department for final approval. Upon approval, the Department
4shall disseminate the tool to all EMS Systems for adoption.
5The Director shall post the Department-approved stroke
6assessment tool on the Department's website. The State Stroke
7Advisory Subcommittee shall review the Department-approved
8stroke assessment tool at least annually to ensure its
9clinical relevancy and to make changes when clinically
10warranted.
11    (d-5) Each EMS Regional Stroke Advisory Subcommittee shall
12submit recommendations for continuing education for
13pre-hospital personnel to that Region's EMS Medical Directors
14Committee.
15    (e) Nothing in this Section shall preclude the State
16Stroke Advisory Subcommittee from reviewing and commenting on
17proposed rules which fall under the purview of the State
18Emergency Medical Services Advisory Council. Nothing in this
19Section shall preclude the Emergency Medical Services Advisory
20Council from reviewing and commenting on proposed rules which
21fall under the purview of the State Stroke Advisory
22Subcommittee.
23    (f) The Director shall coordinate with and assist the EMS
24System Medical Directors and Regional Stroke Advisory
25Subcommittee within each EMS Region to establish protocols
26related to the assessment, treatment, and transport of

 

 

HB2238 Enrolled- 31 -LRB103 30630 CPF 57082 b

1possible acute stroke patients by licensed emergency medical
2services providers. These protocols shall include regional
3transport plans for the triage and transport of possible acute
4stroke patients to the most appropriate Comprehensive Stroke
5Center, Thrombectomy Capable Stroke Center, Thrombectomy Ready
6Stroke Center, Primary Stroke Center Plus, Primary Stroke
7Center, or Acute Stroke-Ready Hospital, unless circumstances
8warrant 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
12this Act pertaining to Comprehensive Stroke Centers,
13Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke
14Centers, Primary Stroke Centers Plus, Primary Stroke Centers,
15and Acute Stroke-Ready Hospitals are not medical practice
16guidelines and shall not be used to restrict the authority of a
17hospital to provide services for which it has received a
18license 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
23fund in the State treasury for the purpose of receiving
24appropriations, donations, and grants collected by the

 

 

HB2238 Enrolled- 32 -LRB103 30630 CPF 57082 b

1Illinois Department of Public Health pursuant to Department
2designation of Comprehensive Stroke Centers, Thrombectomy
3Capable Stroke Centers, Thrombectomy Ready Stroke Centers,
4Primary Stroke Centers Plus, Primary Stroke Centers, and Acute
5Stroke-Ready Hospitals. All moneys collected by the Department
6pursuant to its authority to designate Comprehensive Stroke
7Centers, Thrombectomy Capable Stroke Centers, Thrombectomy
8Ready Stroke Centers, Primary Stroke Centers Plus, Primary
9Stroke Centers, and Acute Stroke-Ready Hospitals shall be
10deposited into the Fund, to be used for the purposes in
11subsection (b).
12    (b) The purpose of the Fund is to allow the Director of the
13Department 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

 

 

HB2238 Enrolled- 33 -LRB103 30630 CPF 57082 b

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
4to improve outcomes of possible acute stroke patients.
5    (c) Moneys deposited in the Hospital Stroke Care Fund
6shall be allocated according to the hospital needs within each
7EMS region and used solely for the purposes described in this
8Act.
9    (d) Interfund transfers from the Hospital Stroke Care Fund
10shall be prohibited.
11(Source: P.A. 98-1001, eff. 1-1-15.)