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.
    9  Be It Enacted by the Legislature of the State of Florida:
   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.