99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
HB4121

 

Introduced , by Rep. Robyn Gabel

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Amends the Emergency Medical Services (EMS) Systems Act and the State Finance Act. Provides that the Department of Public Health may designate a hospital as a STEMI Receiving Center or a STEMI Referring Center. Defines "STEMI" as a ST-elevated myocardial infarction. Provides certain requirements for designation as a STEMI Receiving Center. Establishes a State Acute Cardiac Event Advisory Subcommittee. Establishes Regional Acute Cardiac Event Advisory Subcommittees within each Regional EMS Advisory Committee. Creates the Acute Cardiac Event Data Collection Fund and provides that the moneys in the fund shall be used to support the collection of certain data and provides that any surplus fund shall be used to support the salary of the Department Stroke and Acute Cardiac Event Coordinator or for certain other purposes. In a provision concerning the Stroke Data Collection Fund, provides that any surplus funds shall be used by the Department to support the salary of the Department Stroke and Acute Cardiac Event Coordinator (instead of the Department Stroke Coordinator) or for certain other purposes. Contains provisions concerning definitions; rulemaking; annual fees for designation as a STEMI Receiving Center; suspension and revocation of a hospital's STEMI Receiving Center designation; and reporting of certain data. Makes other changes. Effective July 1, 2015.


LRB099 05550 RPS 25586 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB4121LRB099 05550 RPS 25586 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 State Finance Act is amended by adding
5Section 5.866 as follows:
 
6    (30 ILCS 105/5.866 new)
7    Sec. 5.866. The Acute Cardiac Event Data Collection Fund.
 
8    Section 10. The Emergency Medical Services (EMS) Systems
9Act is amended by changing Sections 3.25, 3.30, and 3.117.75
10and by adding Sections 3.121.1, 3.121.2, 3.121.3, 3.121.4,
113.121.5, and 3.121.6 as follows:
 
12    (210 ILCS 50/3.25)
13    Sec. 3.25. EMS Region Plan; Development.
14    (a) Within 6 months after designation of an EMS Region, an
15EMS Region Plan addressing at least the information prescribed
16in Section 3.30 shall be submitted to the Department for
17approval. The Plan shall be developed by the Region's EMS
18Medical Directors Committee with advice from the Regional EMS
19Advisory Committee; portions of the plan concerning trauma
20shall be developed jointly with the Region's Trauma Center
21Medical Directors or Trauma Center Medical Directors

 

 

HB4121- 2 -LRB099 05550 RPS 25586 b

1Committee, whichever is applicable, with advice from the
2Regional Trauma Advisory Committee, if such Advisory Committee
3has been established in the Region. Portions of the Plan
4concerning stroke shall be developed jointly with the Regional
5Stroke Advisory Subcommittee. Portions of the Plan concerning
6ST-elevated myocardial infarction shall be developed jointly
7with the Regional Acute Cardiac Event Advisory Subcommittee.
8        (1) A Region's EMS Medical Directors Committee shall be
9    comprised of the Region's EMS Medical Directors, along with
10    the medical advisor to a fire department vehicle service
11    provider. For regions which include a municipal fire
12    department serving a population of over 2,000,000 people,
13    that fire department's medical advisor shall serve on the
14    Committee. For other regions, the fire department vehicle
15    service providers shall select which medical advisor to
16    serve on the Committee on an annual basis.
17        (2) A Region's Trauma Center Medical Directors
18    Committee shall be comprised of the Region's Trauma Center
19    Medical Directors.
20    (b) A Region's Trauma Center Medical Directors may choose
21to participate in the development of the EMS Region Plan
22through membership on the Regional EMS Advisory Committee,
23rather than through a separate Trauma Center Medical Directors
24Committee. If that option is selected, the Region's Trauma
25Center Medical Director shall also determine whether a separate
26Regional Trauma Advisory Committee is necessary for the Region.

 

 

HB4121- 3 -LRB099 05550 RPS 25586 b

1    (c) In the event of disputes over content of the Plan
2between the Region's EMS Medical Directors Committee and the
3Region's Trauma Center Medical Directors or Trauma Center
4Medical Directors Committee, whichever is applicable, the
5Director of the Illinois Department of Public Health shall
6intervene through a mechanism established by the Department
7through rules adopted pursuant to this Act.
8    (d) "Regional EMS Advisory Committee" means a committee
9formed within an Emergency Medical Services (EMS) Region to
10advise the Region's EMS Medical Directors Committee and to
11select the Region's representative to the State Emergency
12Medical Services Advisory Council, consisting of at least the
13members of the Region's EMS Medical Directors Committee, the
14Chair of the Regional Trauma Committee, the EMS System
15Coordinators from each Resource Hospital within the Region, one
16administrative representative from an Associate Hospital
17within the Region, one administrative representative from a
18Participating Hospital within the Region, one administrative
19representative from the vehicle service provider which
20responds to the highest number of calls for emergency service
21within the Region, one administrative representative of a
22vehicle service provider from each System within the Region,
23one individual from each level of license provided in Section
243.50 of this Act, one Pre-Hospital Registered Nurse practicing
25within the Region, and one registered professional nurse
26currently practicing in an emergency department within the

 

 

HB4121- 4 -LRB099 05550 RPS 25586 b

1Region. Of the 2 administrative representatives of vehicle
2service providers, at least one shall be an administrative
3representative of a private vehicle service provider. The
4Department's Regional EMS Coordinator for each Region shall
5serve as a non-voting member of that Region's EMS Advisory
6Committee.
7    Every 2 years, the members of the Region's EMS Medical
8Directors Committee shall rotate serving as Committee Chair,
9and select the Associate Hospital, Participating Hospital and
10vehicle service providers which shall send representatives to
11the Advisory Committee, and the EMS personnel and nurse who
12shall serve on the Advisory Committee.
13    (e) "Regional Trauma Advisory Committee" means a committee
14formed within an Emergency Medical Services (EMS) Region, to
15advise the Region's Trauma Center Medical Directors Committee,
16consisting of at least the Trauma Center Medical Directors and
17Trauma Coordinators from each Trauma Center within the Region,
18one EMS Medical Director from a resource hospital within the
19Region, one EMS System Coordinator from another resource
20hospital within the Region, one representative each from a
21public and private vehicle service provider which transports
22trauma patients within the Region, an administrative
23representative from each trauma center within the Region, one
24EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN
25representing the highest level of EMS personnel practicing
26within the Region, one emergency physician and one Trauma Nurse

 

 

HB4121- 5 -LRB099 05550 RPS 25586 b

1Specialist (TNS) currently practicing in a trauma center. The
2Department's Regional EMS Coordinator for each Region shall
3serve as a non-voting member of that Region's Trauma Advisory
4Committee.
5    Every 2 years, the members of the Trauma Center Medical
6Directors Committee shall rotate serving as Committee Chair,
7and select the vehicle service providers, EMS personnel,
8emergency physician, EMS System Coordinator and TNS who shall
9serve on the Advisory Committee.
10(Source: P.A. 98-973, eff. 8-15-14.)
 
11    (210 ILCS 50/3.30)
12    Sec. 3.30. EMS Region Plan; Content.
13    (a) The EMS Medical Directors Committee shall address at
14least the following:
15        (1) Protocols for inter-System/inter-Region patient
16    transports, including identifying the conditions of
17    emergency patients which may not be transported to the
18    different levels of emergency department, based on their
19    Department classifications and relevant Regional
20    considerations (e.g. transport times and distances);
21        (2) Regional standing medical orders;
22        (3) Patient transfer patterns, including criteria for
23    determining whether a patient needs the specialized
24    services of a trauma center, along with protocols for the
25    bypassing of or diversion to any hospital, trauma center or

 

 

HB4121- 6 -LRB099 05550 RPS 25586 b

1    regional trauma center which are consistent with
2    individual System bypass or diversion protocols and
3    protocols for patient choice or refusal;
4        (4) Protocols for resolving Regional or Inter-System
5    conflict;
6        (5) An EMS disaster preparedness plan which includes
7    the actions and responsibilities of all EMS participants
8    within the Region. Within 90 days of the effective date of
9    this amendatory Act of 1996, an EMS System shall submit to
10    the Department for review an internal disaster plan. At a
11    minimum, the plan shall include contingency plans for the
12    transfer of patients to other facilities if an evacuation
13    of the hospital becomes necessary due to a catastrophe,
14    including but not limited to, a power failure;
15        (6) Regional standardization of continuing education
16    requirements;
17        (7) Regional standardization of Do Not Resuscitate
18    (DNR) policies, and protocols for power of attorney for
19    health care;
20        (8) Protocols for disbursement of Department grants;
21    and
22        (9) Protocols for the triage, treatment, and transport
23    of possible acute stroke patients.
24        (10) Protocols for the triage, treatment,
25    identification, and transport of possible ST-elevated
26    myocardial infarction patients to STEMI Receiving Centers

 

 

HB4121- 7 -LRB099 05550 RPS 25586 b

1    or STEMI Referring Centers as defined in Section 3.121.1 of
2    this Act.
3    (b) The Trauma Center Medical Directors or Trauma Center
4Medical Directors Committee shall address at least the
5following:
6        (1) The identification of Regional Trauma Centers;
7        (2) Protocols for inter-System and inter-Region trauma
8    patient transports, including identifying the conditions
9    of emergency patients which may not be transported to the
10    different levels of emergency department, based on their
11    Department classifications and relevant Regional
12    considerations (e.g. transport times and distances);
13        (3) Regional trauma standing medical orders;
14        (4) Trauma patient transfer patterns, including
15    criteria for determining whether a patient needs the
16    specialized services of a trauma center, along with
17    protocols for the bypassing of or diversion to any
18    hospital, trauma center or regional trauma center which are
19    consistent with individual System bypass or diversion
20    protocols and protocols for patient choice or refusal;
21        (5) The identification of which types of patients can
22    be cared for by Level I and Level II Trauma Centers;
23        (6) Criteria for inter-hospital transfer of trauma
24    patients;
25        (7) The treatment of trauma patients in each trauma
26    center within the Region;

 

 

HB4121- 8 -LRB099 05550 RPS 25586 b

1        (8) A program for conducting a quarterly conference
2    which shall include at a minimum a discussion of morbidity
3    and mortality between all professional staff involved in
4    the care of trauma patients;
5        (9) The establishment of a Regional trauma quality
6    assurance and improvement subcommittee, consisting of
7    trauma surgeons, which shall perform periodic medical
8    audits of each trauma center's trauma services, and forward
9    tabulated data from such reviews to the Department; and
10        (10) The establishment, within 90 days of the effective
11    date of this amendatory Act of 1996, of an internal
12    disaster plan, which shall include, at a minimum,
13    contingency plans for the transfer of patients to other
14    facilities if an evacuation of the hospital becomes
15    necessary due to a catastrophe, including but not limited
16    to, a power failure.
17    (c) The Region's EMS Medical Directors and Trauma Center
18Medical Directors Committees shall appoint any subcommittees
19which they deem necessary to address specific issues concerning
20Region activities.
21(Source: P.A. 96-514, eff. 1-1-10.)
 
22    (210 ILCS 50/3.117.75)
23    Sec. 3.117.75. Stroke Data Collection Fund.
24    (a) The Stroke Data Collection Fund is created as a special
25fund in the State treasury.

 

 

HB4121- 9 -LRB099 05550 RPS 25586 b

1    (b) Moneys in the fund shall be used by the Department to
2support the data collection provided for in Section 3.118 of
3this Act. Any surplus funds beyond what are needed to support
4the data collection provided for in Section 3.118 of this Act
5shall be used by the Department to support the salary of the
6Department Stroke and Acute Cardiac Event Coordinator or for
7other stroke-care initiatives, including administrative
8oversight of stroke care.
9(Source: P.A. 98-1001, eff. 1-1-15.)
 
10    (210 ILCS 50/3.121.1 new)
11    Sec. 3.121.1. Hospital acute cardiac event care;
12definitions. As used in the Sections following this Section and
13preceding Section 3.125:
14    "Acute cardiac event" means any acute cardiovascular
15condition, including acute myocardial infarction and sudden
16cardiac arrest.
17    "Catheterization lab" means an examination room in a
18hospital or clinic with diagnostic imaging equipment used to
19visualize the arteries of the heart and the chambers of the
20heart and treat any stenosis or abnormality found.
21    "Designation" or "designated" means the Department's
22recognition of a hospital as a STEMI Receiving Center or a
23STEMI Referring Center.
24    "Regional Acute Cardiac Event Advisory Subcommittee" means
25a subcommittee established under Section 3.121.2 of this Act.

 

 

HB4121- 10 -LRB099 05550 RPS 25586 b

1    "State Acute Cardiac Event Advisory Subcommittee" means a
2standing advisory body within the State Emergency Medical
3Services Advisory Council.
4    "STEMI" means ST-elevated myocardial infarction.
5    "STEMI Receiving Center" means a hospital that has been
6accredited by a Department-approved, nationally recognized
7accrediting body and designated as such by the Department.
8    "STEMI Referring Center" means a hospital that has not been
9accredited as a STEMI Receiving Center by a
10Department-approved, nationally recognized accrediting body
11and has been designated by the Department as a STEMI Referring
12Center.
 
13    (210 ILCS 50/3.121.2 new)
14    Sec. 3.121.2. Regional Acute Cardiac Event Advisory
15Subcommittee. There shall be a subcommittee formed within each
16Regional EMS Advisory Committee to advise the Director and the
17Region's EMS Medical Directors Committee on the
18identification, triage, treatment, and transport of possible
19STEMI patients and to select the Region's representative to the
20State Acute Cardiac Advisory Subcommittee. At minimum, the
21Regional Acute Cardiac Advisory Subcommittee shall consist of:
22one representative from the EMS Medical Directors Committee;
23one EMS coordinator from a Resource Hospital; one
24administrative representative, or his or her designee, from a
25STEMI Receiving Center within the Region, if any; one

 

 

HB4121- 11 -LRB099 05550 RPS 25586 b

1administrative representative, or his or her designee, from a
2STEMI Referring Center within the Region, if any; one physician
3from a STEMI Receiving Center within the Region, if any, and
4one physician from a STEMI Referring Center within the Region,
5if any, one of whom shall be an interventional cardiologist;
6one catheterization lab nurse from a STEMI Receiving Center
7within the Region, if any; one representative from a public
8vehicle service provider that transports possible STEMI
9patients within the Region; one representative from a private
10vehicle service provider that transports possible STEMI
11patients within the Region; the State-designated regional EMS
12Coordinator; and one fire chief, or his or her designee, from
13the EMS Region if the EMS Region serves a population of more
14than 2,000,000. The Regional Acute Cardiac Event Advisory
15Subcommittee shall establish bylaws to ensure equal membership
16that rotates and clearly delineates committee responsibilities
17and structure. Of the members first appointed, one-third shall
18be appointed for a term of one year, one-third shall be
19appointed for a term of 2 years, and the remaining members
20shall be appointed for a term of 3 years. The terms of
21subsequent appointees shall be 3 years.
 
22    (210 ILCS 50/3.121.3 new)
23    Sec. 3.121.3. State Acute Cardiac Event Advisory
24Subcommittee; triage and transport of possible STEMI patients.
25    (a) There shall be established within the State Emergency

 

 

HB4121- 12 -LRB099 05550 RPS 25586 b

1Medical Services Advisory Council, or other statewide body
2responsible for emergency health care, a standing State Acute
3Cardiac Event Advisory Subcommittee, which shall serve as an
4advisory body to the Council and the Department on matters
5related to the triage, treatment, and transport of possible
6STEMI patients. Membership on the Committee shall be as
7geographically diverse as possible and include one
8representative from each Regional Acute Cardiac Event Advisory
9Subcommittee, to be chosen by each Regional Acute Cardiac Event
10Advisory Subcommittee. The Director shall appoint additional
11members, as needed, to ensure there is adequate representation
12from the following:
13        (1) an EMS Medical Director;
14        (2) a hospital administrator, or his or her designee,
15    from a STEMI Receiving Center;
16        (3) a hospital administrator, or his or her designee,
17    from a STEMI Referring Center;
18        (4) a registered nurse from a STEMI Receiving Center;
19        (5) a registered nurse from a STEMI Referring Center;
20        (6) an interventional cardiologist from a STEMI
21    Receiving Center;
22        (7) a cardiologist from a STEMI Referring Center;
23        (8) an EMS Coordinator;
24        (9) an acute cardiac event patient advocate;
25        (10) a fire chief, or his or her designee, from an EMS
26    Region that serves a population of more than 2,000,000

 

 

HB4121- 13 -LRB099 05550 RPS 25586 b

1    people;
2        (11) a fire chief, or his or her designee, from a rural
3    EMS Region;
4        (12) a representative of a private ambulance provider;
5        (13) a representative of a municipal EMS provider; and
6        (14) a representative of the State Emergency Medical
7    Services Advisory Council.
8    (b) Of the members first appointed, 9 members shall be
9appointed for a term of one year, 9 members shall be appointed
10for a term of 2 years, and the remaining members shall be
11appointed for a term of 3 years. The terms of subsequent
12appointees shall be 3 years.
13    (c) The State Acute Cardiac Event Advisory Subcommittee
14shall be provided a 90-day period in which to review and
15comment upon all rules proposed by the Department pursuant to
16this Act concerning STEMI care, except for emergency rules
17adopted pursuant to Section 5-45 of the Illinois Administrative
18Procedure Act. The 90-day review and comment period shall
19commence prior to publication of the proposed rules and upon
20the Department's submission of the proposed rules to the
21individual Subcommittee members, if the Subcommittee is not
22meeting at the time the proposed rules are ready for
23Subcommittee review.
24    (d) Nothing in this Section shall preclude the State Acute
25Cardiac Event Advisory Subcommittee from reviewing and
26commenting on proposed rules which fall under the purview of

 

 

HB4121- 14 -LRB099 05550 RPS 25586 b

1the State Emergency Medical Services Advisory Council. Nothing
2in this Section shall preclude the Emergency Medical Services
3Advisory Council from reviewing and commenting on proposed
4rules which fall under the purview of the State Acute Cardiac
5Event Advisory Subcommittee.
6    (e) The Director shall coordinate with and assist the EMS
7System Medical Directors and Regional Acute Cardiac Event
8Advisory Subcommittee within each EMS Region to establish
9protocols related to the assessment, treatment, and transport
10of possible acute cardiac event patients by licensed emergency
11medical services providers. These protocols shall include
12regional transport plans for the triage and transport of
13possible STEMI patients to the most appropriate STEMI Receiving
14Center, unless circumstances warrant otherwise.
 
15    (210 ILCS 50/3.121.4 new)
16    Sec. 3.121.4. Hospital designations; STEMI Receiving
17Centers.
18    (a) The Department shall attempt to designate STEMI
19Receiving Centers in all areas of the State.
20        (1) The Department shall designate as many accredited
21    STEMI Receiving Centers as apply for that designation
22    provided they are accredited by a nationally recognized
23    accrediting body and approved by the Department, and the
24    accreditation criteria are consistent with the most
25    current nationally recognized, evidence-based STEMI

 

 

HB4121- 15 -LRB099 05550 RPS 25586 b

1    guidelines related to reducing the occurrence,
2    disabilities, and death associated with STEMI.
3        (2) A hospital accredited as a STEMI Receiving Center
4    by a nationally recognized accrediting body approved by the
5    Department shall send a copy of the accreditation
6    certificate and annual fee to the Department and shall be
7    deemed, within 30 business days after its receipt by the
8    Department, to be a State-designated STEMI Receiving
9    Center.
10        (3) A hospital designated as a STEMI Receiving Center
11    shall pay an annual fee as determined by the Department
12    that shall be no less than $100 and no greater than $500.
13    All fees shall be deposited into the Acute Cardiac Event
14    Data Collection Fund.
15        (4) With respect to a hospital that is a designated
16    STEMI Receiving Center, the Department shall have the
17    authority and responsibility to do the following:
18            (A) Suspend or revoke a hospital's STEMI Receiving
19        Center designation upon receiving notice that the
20        hospital's STEMI Receiving Center accreditation has
21        lapsed or has been revoked by the State-recognized
22        accrediting body.
23            (B) Suspend a hospital's STEMI Receiving Center
24        designation in extreme circumstances where patients
25        may be at risk for immediate harm or death until such
26        time as the accrediting body investigates and makes a

 

 

HB4121- 16 -LRB099 05550 RPS 25586 b

1        final determination regarding accreditation.
2            (C) Restore any previously suspended or revoked
3        Department designation upon notice to the Department
4        that the accrediting body has confirmed or restored the
5        STEMI Receiving Center accreditation of that
6        previously designated hospital.
7            (D) Suspend a hospital's STEMI Receiving Center
8        accreditation at the request of a hospital seeking to
9        suspend its own Department designation.
10        (5) STEMI Receiving Center designation shall remain
11    valid at all times while the hospital maintains its
12    accreditation as a STEMI Receiving Center, in good
13    standing, with the accrediting body. The duration of a
14    STEMI Receiving Center designation shall coincide with the
15    duration of its STEMI Receiving Center accreditation. Each
16    designated STEMI Receiving Center shall have its
17    designation automatically renewed upon the Department's
18    receipt of a copy of the accrediting body's STEMI Receiving
19    Center accreditation renewal.
20        (6) A hospital that no longer meets nationally
21    recognized, evidence-based standards for STEMI Receiving
22    Centers or loses its STEMI Receiving Center accreditation
23    shall notify the Department and the Regional EMS Advisory
24    Committee within 5 business days.
25    (b) The Department shall consult with the State Acute
26Cardiac Event Advisory Subcommittee for developing the

 

 

HB4121- 17 -LRB099 05550 RPS 25586 b

1designation, re-designation, and de-designation processes for
2STEMI Receiving Centers.
3    (c) The Department shall consult with the State Acute
4Cardiac Event Advisory Subcommittee as subject matter experts
5at least annually regarding STEMI standards of care.
 
6    (210 ILCS 50/3.121.5 new)
7    Sec. 3.121.5. Acute Cardiac Event Data Collection Fund.
8    (a) The Acute Cardiac Event Data Collection Fund is created
9as a special fund in the State treasury.
10    (b) Moneys in the fund shall be used by the Department to
11support the data collection provided for in Section 3.121.6 of
12this Act. Any surplus funds beyond what are needed to support
13the data collection provided for in Section 3.121.6 of this Act
14shall be used by the Department to support the salary of the
15Department Stroke and Acute Cardiac Event Coordinator or for
16other STEMI and acute cardiac event-care initiatives,
17including administrative oversight.
 
18    (210 ILCS 50/3.121.6 new)
19    Sec. 3.121.6. Reporting; STEMI Receiving Centers.
20    (a) By July 1, 2016, the Director shall send the list of
21designated STEMI Receiving Centers to all Resource Hospital EMS
22Medical Directors in this State and shall post a list of
23designated STEMI Receiving Centers on the Department's
24website, which shall be continuously updated.

 

 

HB4121- 18 -LRB099 05550 RPS 25586 b

1    (b) The Department shall add the names of designated STEMI
2Receiving Centers to the website listing immediately upon
3designation and shall immediately remove the name when a
4hospital loses its designation after notice and a hearing.
5    (c) STEMI data collection systems and all STEMI-related
6data collected from hospitals shall comply with the following
7requirements:
8        (1) The confidentiality of patient records shall be
9    maintained in accordance with State and federal laws.
10        (2) Hospital proprietary information and the names of
11    any hospital administrator, health care professional, or
12    employee shall not be subject to disclosure.
13        (3) Information submitted to the Department shall be
14    privileged and strictly confidential and shall be used only
15    for the evaluation and improvement of hospital STEMI care.
16    STEMI data collected by the Department shall not be
17    directly available to the public and shall not be subject
18    to civil subpoena, nor discoverable or admissible in any
19    civil, criminal, or administrative proceeding against a
20    health care facility or health care professional.
21    (d) The Department may administer a data collection system
22to collect data that is already reported by designated STEMI
23Receiving Centers to their accrediting body, to fulfill
24accreditation requirements. STEMI Receiving Centers may
25provide data used in submission to their accrediting body to
26satisfy any Department reporting requirements. The Department

 

 

HB4121- 19 -LRB099 05550 RPS 25586 b

1may require submission of data elements in a format that is
2used Statewide. In the event the Department establishes
3reporting requirements for designated STEMI Receiving Centers,
4the Department shall permit each designated STEMI Receiving
5Center to capture information using existing electronic
6reporting tools used for accreditation purposes. Nothing in
7this Section shall be construed to empower the Department to
8specify the form of internal recordkeeping. Beginning 3 years
9after the effective date of this amendatory Act of the 99th
10General Assembly, the Department may post STEMI data submitted
11by STEMI Receiving Centers on its website, subject to the
12following:
13        (1) Data collection and analytical methodologies shall
14    be used that meet accepted standards of validity and
15    reliability before any information is made available to the
16    public.
17        (2) The limitations of the data sources and analytic
18    methodologies used to develop comparative hospital
19    information shall be clearly identified and acknowledged,
20    including, but not limited to, the appropriate and
21    inappropriate uses of the data.
22        (3) To the greatest extent possible, comparative
23    hospital information initiatives shall use standard-based
24    norms derived from widely accepted provider-developed
25    practice guidelines.
26        (4) Comparative hospital information and other

 

 

HB4121- 20 -LRB099 05550 RPS 25586 b

1    information that the Department has compiled regarding
2    hospitals shall be shared with the hospitals under review
3    prior to public dissemination of the information.
4    Hospitals have 30 days to make corrections and to add
5    helpful explanatory comments about the information before
6    the publication.
7        (5) Comparisons among hospitals shall adjust for
8    patient case mix and other relevant risk factors and
9    control for provider peer groups, when appropriate.
10        (6) Effective safeguards to protect against the
11    unauthorized use or disclosure of hospital information
12    shall be developed and implemented.
13        (7) Effective safeguards to protect against the
14    dissemination of inconsistent, incomplete, invalid,
15    inaccurate, or subjective hospital data shall be developed
16    and implemented.
17        (8) The quality and accuracy of hospital information
18    reported under this Act and its data collection, analysis,
19    and dissemination methodologies shall be evaluated
20    regularly.
21        (9) None of the information the Department discloses to
22    the public under this Act may be used to establish a
23    standard of care in a private civil action.
24        (10) The Department shall disclose information under
25    this Section in accordance with provisions for inspection
26    and copying of public records required by the Freedom of

 

 

HB4121- 21 -LRB099 05550 RPS 25586 b

1    Information Act, provided that the information satisfies
2    the provisions of this Section.
3        (11) Notwithstanding any other provision of law, under
4    no circumstances shall the Department disclose information
5    obtained from a hospital that is confidential under Part 21
6    of Article VIII of the Code of Civil Procedure.
7        (12) No hospital report or Department disclosure may
8    contain information identifying a patient, employee, or
9    licensed professional.
 
10    Section 99. Effective date. This Act takes effect July 1,
112015.

 

 

HB4121- 22 -LRB099 05550 RPS 25586 b

1 INDEX
2 Statutes amended in order of appearance
3    30 ILCS 105/5.866 new
4    210 ILCS 50/3.25
5    210 ILCS 50/3.30
6    210 ILCS 50/3.117.75
7    210 ILCS 50/3.121.1 new
8    210 ILCS 50/3.121.2 new
9    210 ILCS 50/3.121.3 new
10    210 ILCS 50/3.121.4 new
11    210 ILCS 50/3.121.5 new
12    210 ILCS 50/3.121.6 new