Florida Senate - 2017 CS for SB 1406
By the Committee on Health Policy; and Senators Powell,
Passidomo, and Baxley
588-02959A-17 20171406c1
1 A bill to be entitled
2 An act relating to stroke centers; amending s.
3 395.3038, F.S.; directing the Agency for Health Care
4 Administration to include hospitals that meet the
5 criteria for acute stroke ready centers on a list of
6 stroke centers; directing the agency to adopt rules
7 governing such criteria and the development of certain
8 electronic forms to provide reports to the Department
9 of Health; creating s. 395.30381, F.S.; requiring
10 stroke centers to provide certain information to the
11 department; requiring the department to establish a
12 statewide stroke registry; providing immunity from
13 liability under certain circumstances; requiring the
14 department to adopt rules; amending s. 395.3041, F.S.;
15 conforming a provision and deleting obsolete dates;
16 providing an effective date.
17
18 Be It Enacted by the Legislature of the State of Florida:
19
20 Section 1. Section 395.3038, Florida Statutes, is amended
21 to read:
22 395.3038 State-listed primary stroke centers and
23 comprehensive stroke centers; notification of hospitals.—
24 (1) The agency shall make available on its website and to
25 the department a list of the name and address of each hospital
26 that meets the criteria for an acute stroke ready center, a
27 primary stroke center, or and the name and address of each
28 hospital that meets the criteria for a comprehensive stroke
29 center. The list of primary and comprehensive stroke centers
30 must include only those hospitals that attest in an affidavit
31 submitted to the agency that the hospital meets the named
32 criteria, or those hospitals that attest in an affidavit
33 submitted to the agency that the hospital is certified as an
34 acute stroke ready center, a primary stroke center, or a
35 comprehensive stroke center by a nationally recognized an
36 accrediting organization.
37 (2)(a) If a hospital no longer chooses to meet the criteria
38 for an acute stroke ready center, a primary stroke center, or a
39 comprehensive stroke center, the hospital shall notify the
40 agency and the agency shall immediately remove the hospital from
41 the list of stroke centers.
42 (b)1. This subsection does not apply if the hospital is
43 unable to provide stroke treatment services for a period of time
44 not to exceed 2 months. The hospital shall immediately notify
45 all local emergency medical services providers when the
46 temporary unavailability of stroke treatment services begins and
47 when the services resume.
48 2. If stroke treatment services are unavailable for more
49 than 2 months, the agency shall remove the hospital from the
50 list of primary or comprehensive stroke centers until the
51 hospital notifies the agency that stroke treatment services have
52 been resumed.
53 (3) The agency shall adopt by rule criteria for an acute
54 stroke ready center, a primary stroke center, and a
55 comprehensive stroke center which are substantially similar to
56 the certification standards for the same categories of primary
57 stroke centers of a nationally recognized accrediting
58 organization the Joint Commission.
59 (4) The agency shall adopt by rule criteria for a
60 comprehensive stroke center. However, if the Joint Commission
61 establishes criteria for a comprehensive stroke center, agency
62 rules shall be substantially similar.
63 (4)(5) This act is not a medical practice guideline and may
64 not be used to restrict the authority of a hospital to provide
65 services for which it is licensed under chapter 395. The
66 Legislature intends that all patients be treated individually
67 based on each patient’s needs and circumstances.
68 (5) The agency shall adopt by rule standardized electronic
69 forms for each acute stroke ready center, primary stroke center,
70 and comprehensive stroke center to report to the department such
71 information as required in s. 395.30381.
72 Section 2. Section 395.30381, Florida Statutes, is created
73 to read:
74 395.30381 Statewide stroke registry.—
75 (1) Each acute ready stroke center, primary stroke center,
76 and comprehensive stroke center shall submit to the department
77 patient care quality assurance proceedings, records, or reports
78 associated with any treatment or service provided to a person
79 suffering a stroke. Such information shall be used to evaluate
80 stroke care system effectiveness, ensure compliance with
81 standards established pursuant to s. 395.3038, and monitor
82 patient outcomes.
83 (2) The department shall establish a statewide stroke
84 registry to ensure that patient care quality assurance
85 proceedings, records, and reports required to be submitted under
86 subsection (1) are maintained and available for use to improve
87 or modify the stroke care system, ensure compliance with
88 standards, and monitor stroke patient outcomes. The department
89 may contract with a private entity to establish and maintain the
90 registry. No liability of any kind or character for damages or
91 other relief shall arise or be enforced against any acute ready
92 stroke center, primary stroke center, or comprehensive stroke
93 center by reason of having provided such information to the
94 department.
95 (3) The department shall adopt rules to administer this
96 section.
97 Section 3. Subsections (1), (2), and (4) of section
98 395.3041, Florida Statutes, are amended to read:
99 395.3041 Emergency medical services providers; triage and
100 transportation of stroke victims to a stroke center.—
101 (1) By June 1 of each year, the department shall send the
102 list of acute stroke ready centers, primary stroke centers, and
103 comprehensive stroke centers to the medical director of each
104 licensed emergency medical services provider in this state.
105 (2) The department shall develop a sample stroke-triage
106 assessment tool. The department must post this sample assessment
107 tool on its website and provide a copy of the assessment tool to
108 each licensed emergency medical services provider no later than
109 June 1, 2005. Each licensed emergency medical services provider
110 must use a stroke-triage assessment tool that is substantially
111 similar to the sample stroke-triage assessment tool provided by
112 the department.
113 (4) Each emergency medical services provider licensed under
114 chapter 401 must comply with all sections of this act by July 1,
115 2005.
116 Section 4. This act shall take effect July 1, 2017.