99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB2591

 

Introduced 2/16/2016, by Sen. Linda Holmes

 

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 or STEMI Referring Center. Establishes a State Acute Cardiac Advisory Council. Establishes Regional Acute Cardiac Subcommittees within each Regional EMS Advisory Committee. Provides that the Regional Acute Cardiac Subcommittees shall develop protocols concerning patients with STEMI. 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 January 1, 2017.


LRB099 18558 MJP 42937 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB2591LRB099 18558 MJP 42937 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 5.875 as follows:
 
6    (30 ILCS 105/5.875 new)
7    Sec. 5.875. 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, 3.121.6, and 3.121.7 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

 

 

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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 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.

 

 

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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

 

 

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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

 

 

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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

 

 

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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        (9) Protocols for the triage, treatment, and transport
22    of possible acute stroke patients; and
23        (10) Regional standing medical orders for the
24    administration of opioid antagonists.
25        (11) Protocols for the triage, treatment,
26    identification, and transport of possible ST-elevated

 

 

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

 

 

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1    center within the Region;
2        (8) A program for conducting a quarterly conference
3    which shall include at a minimum a discussion of morbidity
4    and mortality between all professional staff involved in
5    the care of trauma patients;
6        (9) The establishment of a Regional trauma quality
7    assurance and improvement subcommittee, consisting of
8    trauma surgeons, which shall perform periodic medical
9    audits of each trauma center's trauma services, and forward
10    tabulated data from such reviews to the Department; and
11        (10) The establishment, within 90 days of the effective
12    date of this amendatory Act of 1996, of an internal
13    disaster plan, which shall include, at a minimum,
14    contingency plans for the transfer of patients to other
15    facilities if an evacuation of the hospital becomes
16    necessary due to a catastrophe, including but not limited
17    to, a power failure.
18    (c) The Region's EMS Medical Directors and Trauma Center
19Medical Directors Committees shall appoint any subcommittees
20which they deem necessary to address specific issues concerning
21Region activities.
22(Source: P.A. 99-480, eff. 9-9-15.)
 
23    (210 ILCS 50/3.117.75)
24    Sec. 3.117.75. Stroke Data Collection Fund.
25    (a) The Stroke Data Collection Fund is created as a special

 

 

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

 

 

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

 

 

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1Region, if any; one administrative representative, or his or
2her designee, from a STEMI Referring Center within the Region,
3if any; one physician from a STEMI Receiving Center within the
4Region, if any, and one physician from a STEMI Referring Center
5within the Region, if any, one of whom shall be an
6interventional cardiologist; one catheterization lab nurse
7from a STEMI Receiving Center within the Region, if any; one
8representative from a public vehicle service provider that
9transports possible STEMI patients within the Region; one
10representative from a private vehicle service provider that
11transports possible STEMI patients within the Region; the
12State-designated regional EMS Coordinator; and one fire chief,
13or his or her designee, from the EMS Region if the EMS Region
14serves a population of more than 2,000,000. The Regional Acute
15Cardiac Subcommittee shall establish bylaws to ensure equal
16membership that rotates and clearly delineates committee
17responsibilities and structure. Of the members first
18appointed, one-third shall be appointed for a term of one year,
19one-third shall be appointed for a term of 2 years, and the
20remaining members shall be appointed for a term of 3 years. The
21terms of subsequent appointees shall be 3 years.
22    Each Regional Acute Cardiac Subcommittee shall develop
23protocols that include plans for the identification, triage,
24treatment, and transport of possible STEMI patients to the most
25appropriate STEMI Receiving Center or STEMI Referring Center,
26if available. Such protocols must follow evidence-based

 

 

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1science.
 
2    (210 ILCS 50/3.121.3 new)
3    Sec. 3.121.3. State Acute Cardiac Advisory Council; triage
4and transport of possible STEMI patients.
5    (a) There shall be established within the State Emergency
6Medical Services Advisory Council, or other statewide body
7responsible for emergency health care, a standing State Acute
8Cardiac Advisory Council, which shall serve as an advisory body
9to the State Emergency Medical Services Advisory Council and
10the Department on matters related to the triage, treatment, and
11transport of possible STEMI patients. Membership on the State
12Acute Cardiac Advisory Council shall be as geographically
13diverse as possible and include one representative from each
14Regional Acute Cardiac Subcommittee, to be chosen by each
15Regional Acute Cardiac Subcommittee. The Director shall
16appoint additional members, as needed, to ensure there is
17adequate representation from the following:
18        (1) an EMS Medical Director;
19        (2) a hospital administrator, or his or her designee,
20    from a STEMI Receiving Center;
21        (3) a hospital administrator, or his or her designee,
22    from a STEMI Referring Center;
23        (4) a registered nurse from a STEMI Receiving Center;
24        (5) a registered nurse from a STEMI Referring Center;
25        (6) an interventional cardiologist from a STEMI

 

 

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1    Receiving Center;
2        (7) a cardiologist from a STEMI Referring Center;
3        (8) an EMS Coordinator;
4        (9) an acute cardiac event patient advocate;
5        (10) a fire chief, or his or her designee, from an EMS
6    Region that serves a population of more than 2,000,000
7    people;
8        (11) a fire chief, or his or her designee, from a rural
9    EMS Region;
10        (12) a representative of a private ambulance provider;
11        (13) a representative of a municipal EMS provider; and
12        (14) a representative of the State Emergency Medical
13    Services Advisory Council.
14    (b) Of the members first appointed, 9 members shall be
15appointed for a term of one year, 9 members shall be appointed
16for a term of 2 years, and the remaining members shall be
17appointed for a term of 3 years. The terms of subsequent
18appointees shall be 3 years.
19    (c) The State Acute Cardiac Advisory Council shall be
20provided a 90-day period in which to review and comment upon
21all rules proposed by the Department pursuant to this Act
22concerning STEMI care, except for emergency rules adopted
23pursuant to Section 5-45 of the Illinois Administrative
24Procedure Act. The 90-day review and comment period shall
25commence prior to publication of the proposed rules and upon
26the Department's submission of the proposed rules to the

 

 

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1individual Council members, if the Council is not meeting at
2the time the proposed rules are ready for Council review.
3    (d) Nothing in this Section shall preclude the State Acute
4Cardiac Advisory Council from reviewing and commenting on
5proposed rules which fall under the purview of the State
6Emergency Medical Services Advisory Council. Nothing in this
7Section shall preclude the Emergency Medical Services Advisory
8Council from reviewing and commenting on proposed rules which
9fall under the purview of the State Acute Cardiac Advisory
10Council.
11    (e) The Director shall coordinate with and assist the EMS
12System Medical Directors and Regional Acute Cardiac
13Subcommittee within each EMS Region to establish protocols
14related to the identification, triage, treatment, and
15transport of possible acute cardiac event patients by licensed
16emergency medical services providers.
 
17    (210 ILCS 50/3.121.4 new)
18    Sec. 3.121.4. Hospital designations; STEMI Receiving
19Centers.
20    (a) The Department shall attempt to designate STEMI
21Receiving Centers in all areas of the State.
22        (1) The Department shall designate as many accredited
23    STEMI Receiving Centers as apply for that designation
24    provided they are accredited by a nationally recognized
25    accrediting body and approved by the Department, and the

 

 

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

 

 

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

 

 

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1    (b) The Department shall consult with the State Acute
2Cardiac Advisory Council for developing the designation,
3re-designation, and de-designation processes for STEMI
4Receiving Centers.
5    (c) The Department shall consult with the State Acute
6Cardiac Advisory Council as subject matter experts at least
7annually regarding STEMI standards of care.
 
8    (210 ILCS 50/3.121.5 new)
9    Sec. 3.121.5. Hospital designations; STEMI Referring
10Centers.
11    (a) The Department shall attempt to designate STEMI
12Referring Centers in all areas of the State.
13        (1) The Department shall designate as many accredited
14    STEMI Referring Centers as apply for that designation
15    provided they are accredited by a nationally recognized
16    accrediting body and approved by the Department, and the
17    accreditation criteria are consistent with the most
18    current nationally recognized, evidence-based STEMI
19    guidelines related to reducing the occurrence,
20    disabilities, and death associated with STEMI.
21        (2) A hospital accredited as a STEMI Referring Center
22    by a nationally recognized accrediting body approved by the
23    Department shall send a copy of the accreditation
24    certificate and annual fee to the Department and shall be
25    deemed, within 30 business days after its receipt by the

 

 

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1    Department, to be a State-designated STEMI Referring
2    Center.
3        (3) A hospital designated as a STEMI Referring Center
4    shall pay an annual fee as determined by the Department
5    that shall be no less than $100 and no greater than $500.
6    All fees shall be deposited into the Acute Cardiac Event
7    Data Collection Fund.
8        (4) With respect to a hospital that is a designated
9    STEMI Referring Center, the Department shall have the
10    authority and responsibility to do the following:
11            (A) Suspend or revoke a hospital's STEMI Referring
12        Center designation upon receiving notice that the
13        hospital's STEMI Referring Center accreditation has
14        lapsed or has been revoked by the State-recognized
15        accrediting body.
16            (B) Suspend a hospital's STEMI Referring Center
17        designation in extreme circumstances where patients
18        may be at risk for immediate harm or death until such
19        time as the accrediting body investigates and makes a
20        final determination regarding accreditation.
21            (C) Restore any previously suspended or revoked
22        Department designation upon notice to the Department
23        that the accrediting body has confirmed or restored the
24        STEMI Referring Center accreditation of that
25        previously designated hospital.
26            (D) Suspend a hospital's STEMI Referring Center

 

 

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1        accreditation at the request of a hospital seeking to
2        suspend its own Department designation.
3        (5) STEMI Referring Center designation shall remain
4    valid at all times while the hospital maintains its
5    accreditation as a STEMI Referring Center, in good
6    standing, with the accrediting body. The duration of a
7    STEMI Referring Center designation shall coincide with the
8    duration of its STEMI Referring Center accreditation. Each
9    designated STEMI Referring Center shall have its
10    designation automatically renewed upon the Department's
11    receipt of a copy of the accrediting body's STEMI Referring
12    Center accreditation renewal.
13        (6) A hospital that no longer meets nationally
14    recognized, evidence-based standards for STEMI Referring
15    Centers or loses its STEMI Referring Center accreditation
16    shall notify the Department and the Regional EMS Advisory
17    Committee within 5 business days.
18    (b) The Department shall consult with the State Acute
19Cardiac Advisory Council for developing the designation,
20re-designation, and de-designation processes for STEMI
21Referring Centers.
22    (c) The Department shall consult with the State Acute
23Cardiac Advisory Council as subject matter experts at least
24annually regarding STEMI standards of care.
 
25    (210 ILCS 50/3.121.6 new)

 

 

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1    Sec. 3.121.6. Acute Cardiac Event Data Collection Fund.
2    (a) The Acute Cardiac Event Data Collection Fund is created
3as a special fund in the State treasury.
4    (b) Moneys in the fund shall be used by the Department to
5support the data collection provided for in Section 3.121.7 of
6this Act. Any surplus funds beyond what are needed to support
7the data collection provided for in Section 3.121.7 of this Act
8shall be used by the Department to support the salary of the
9Department Stroke and Acute Cardiac Event Coordinator or for
10other STEMI and acute cardiac event-care initiatives,
11including administrative oversight.
 
12    (210 ILCS 50/3.121.7 new)
13    Sec. 3.121.7. Reporting; STEMI Receiving Centers.
14    (a) By July 1, 2017, the Director shall send the list of
15designated STEMI Receiving Centers to all Resource Hospital EMS
16Medical Directors in this State and shall post a list of
17designated STEMI Receiving Centers on the Department's
18website, which shall be continuously updated.
19    (b) The Department shall add the names of designated STEMI
20Receiving Centers to the website listing immediately upon
21designation and shall immediately remove the name when a
22hospital loses its designation after notice and a hearing.
23    (c) STEMI data collection systems and all STEMI-related
24data collected from hospitals shall comply with the following
25requirements:

 

 

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1        (1) The confidentiality of patient records shall be
2    maintained in accordance with State and federal laws.
3        (2) Hospital proprietary information and the names of
4    any hospital administrator, health care professional, or
5    employee shall not be subject to disclosure.
6        (3) Information submitted to the Department shall be
7    privileged and strictly confidential and shall be used only
8    for the evaluation and improvement of hospital STEMI care.
9    STEMI data collected by the Department shall not be
10    directly available to the public and shall not be subject
11    to civil subpoena, nor discoverable or admissible in any
12    civil, criminal, or administrative proceeding against a
13    health care facility or health care professional.
14    (d) The Department may administer a data collection system
15to collect data that is already reported by designated STEMI
16Receiving Centers to their accrediting body, to fulfill
17accreditation requirements. STEMI Receiving Centers may
18provide data used in submission to their accrediting body to
19satisfy any Department reporting requirements. The Department
20may require submission of data elements in a format that is
21used Statewide. In the event the Department establishes
22reporting requirements for designated STEMI Receiving Centers,
23the Department shall permit each designated STEMI Receiving
24Center to capture information using existing electronic
25reporting tools used for accreditation purposes. Nothing in
26this Section shall be construed to empower the Department to

 

 

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1specify the form of internal recordkeeping. Beginning 3 years
2after the effective date of this amendatory Act of the 99th
3General Assembly, the Department may post STEMI data submitted
4by STEMI Receiving Centers on its website, subject to the
5following:
6        (1) Data collection and analytical methodologies shall
7    be used that meet accepted standards of validity and
8    reliability before any information is made available to the
9    public.
10        (2) The limitations of the data sources and analytic
11    methodologies used to develop comparative hospital
12    information shall be clearly identified and acknowledged,
13    including, but not limited to, the appropriate and
14    inappropriate uses of the data.
15        (3) To the greatest extent possible, comparative
16    hospital information initiatives shall use standard-based
17    norms derived from widely accepted provider-developed
18    practice guidelines.
19        (4) Comparative hospital information and other
20    information that the Department has compiled regarding
21    hospitals shall be shared with the hospitals under review
22    prior to public dissemination of the information.
23    Hospitals have 30 days to make corrections and to add
24    helpful explanatory comments about the information before
25    the publication.
26        (5) Comparisons among hospitals shall adjust for

 

 

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1    patient case mix and other relevant risk factors and
2    control for provider peer groups, when appropriate.
3        (6) Effective safeguards to protect against the
4    unauthorized use or disclosure of hospital information
5    shall be developed and implemented.
6        (7) Effective safeguards to protect against the
7    dissemination of inconsistent, incomplete, invalid,
8    inaccurate, or subjective hospital data shall be developed
9    and implemented.
10        (8) The quality and accuracy of hospital information
11    reported under this Act and its data collection, analysis,
12    and dissemination methodologies shall be evaluated
13    regularly.
14        (9) None of the information the Department discloses to
15    the public under this Act may be used to establish a
16    standard of care in a private civil action.
17        (10) The Department shall disclose information under
18    this Section in accordance with provisions for inspection
19    and copying of public records required by the Freedom of
20    Information Act, provided that the information satisfies
21    the provisions of this Section.
22        (11) Notwithstanding any other provision of law, under
23    no circumstances shall the Department disclose information
24    obtained from a hospital that is confidential under Part 21
25    of Article VIII of the Code of Civil Procedure.
26        (12) No hospital report or Department disclosure may

 

 

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1    contain information identifying a patient, employee, or
2    licensed professional.
 
3    Section 99. Effective date. This Act takes effect January
41, 2017.

 

 

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1 INDEX
2 Statutes amended in order of appearance
3    30 ILCS 105/5.875 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
13    210 ILCS 50/3.121.7 new