Florida Senate - 2017 SB 58 By Senator Grimsley 26-00099-17 201758__ 1 A bill to be entitled 2 An act relating to adult cardiovascular services; 3 amending s. 408.0361, F.S.; establishing additional 4 criteria that must be included by the Agency for 5 Health Care Administration in rules relating to adult 6 cardiovascular services at hospitals seeking licensure 7 for a Level I program; providing an effective date. 8 9 Be It Enacted by the Legislature of the State of Florida: 10 11 Section 1. Paragraph (b) of subsection (3) of section 12 408.0361, Florida Statutes, is amended to read: 13 408.0361 Cardiovascular services and burn unit licensure.— 14 (3) In establishing rules for adult cardiovascular 15 services, the agency shall include provisions that allow for: 16 (b) For a hospital seeking a Level I program, demonstration 17 that, for the most recent 12-month period as reported to the 18 agency, it has provided a minimum of 300 adult inpatient and 19 outpatient diagnostic cardiac catheterizations or, for the most 20 recent 12-month period, has discharged or transferred at least 21 300 inpatients with the principal diagnosis of ischemic heart 22 disease and that it has a formalized, written transfer agreement 23 with a hospital that has a Level II program, including written 24 transport protocols to ensure safe and efficient transfer of a 25 patient within 60 minutes. However, a hospital located more than 26 100 road miles from the closest Level II adult cardiovascular 27 services program does not need to meet the 60-minute transfer 28 time protocol if the hospital demonstrates that it has a 29 formalized, written transfer agreement with a hospital that has 30 a Level II program. The agreement must include written transport 31 protocols to ensure the safe and efficient transfer of a 32 patient, taking into consideration the patient’s clinical and 33 physical characteristics, road and weather conditions, and 34 viability of ground and air ambulance service to transfer the 35 patient. At a minimum, the rules for adult cardiovascular 36 services must require nursing and technical staff to have 37 demonstrated experience in handling acutely ill patients 38 requiring percutaneous cardiac intervention in dedicated cardiac 39 interventional laboratories or surgical centers. If a staff 40 member’s previous experience was in a dedicated cardiac 41 interventional laboratory at a hospital that did not have an 42 approved adult open-heart-surgery program, the staff member’s 43 previous experience does not qualify unless, at the time the 44 staff member acquired his or her experience, the dedicated 45 cardiac interventional laboratory: 46 1. Had an annual volume of 500 or more percutaneous cardiac 47 intervention procedures; 48 2. Achieved a demonstrated success rate of 95 percent or 49 greater for percutaneous cardiac intervention procedures; 50 3. Experienced a complication rate of less than 5 percent 51 for percutaneous cardiac intervention procedures; and 52 4. Performed diverse cardiac procedures, including, but not 53 limited to, balloon angioplasty and stenting, rotational 54 atherectomy, cutting balloon atheroma remodeling, and procedures 55 relating to left ventricular support capability. 56 Section 2. This act shall take effect July 1, 2017.