Bill Text: FL S0260 | 2019 | Regular Session | Introduced
Bill Title: STEMI Registry
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2019-05-03 - Died in Health Policy [S0260 Detail]
Download: Florida-2019-S0260-Introduced.html
Florida Senate - 2019 SB 260
By Senator Baxley
12-00601A-19 2019260__
1 A bill to be entitled
2 An act relating to a STEMI registry; creating s.
3 381.8175, F.S.; directing the Agency for Health Care
4 Administration to establish a statewide, centralized
5 registry of persons who have symptoms associated with
6 ST-elevation myocardial infarctions (STEMI); requiring
7 certain health care facilities to report to the
8 registry specified data on the treatment of STEMI
9 patients; defining the term “PCI-capable”; requiring
10 the agency to contract with an entity to maintain the
11 registry, subject to a specific appropriation;
12 requiring the contracted entity to collect certain
13 data using a nationally recognized platform; requiring
14 the contracted entity to provide annual reports to the
15 agency; providing immunity from liability and
16 disciplinary action; requiring the agency to adopt
17 rules; amending s. 401.30, F.S.; authorizing the
18 appropriate limited disclosure of records of emergency
19 calls containing patient information to the agency and
20 the contracted entity; requiring the Department of
21 Health, the agency, and the contracted entity to share
22 information related to the transport of specified
23 patients; providing an effective date.
24
25 Be It Enacted by the Legislature of the State of Florida:
26
27 Section 1. Section 381.8175, Florida Statutes, is created
28 to read:
29 381.8175 STEMI registry.—The Agency for Health Care
30 Administration shall establish a statewide, centralized registry
31 of persons who have symptoms associated with ST-elevation
32 myocardial infarctions (STEMI).
33 (1)(a) All percutaneous coronary intervention capable (PCI
34 capable) health care facilities in this state shall report data
35 consistent with nationally recognized guidelines on the
36 treatment of STEMI patients to the registry as required by the
37 agency. All other trauma centers, acute care hospitals, and
38 health care facilities that are not PCI-capable are encouraged
39 to and may report such data, as applicable. For purposes of this
40 paragraph, the term “PCI-capable” means that a health care
41 facility has the equipment, expertise, and facilities to
42 administer percutaneous coronary intervention (PCI), a
43 mechanical means of treating heart attack patients.
44 (b) The statewide STEMI registry shall collect and maintain
45 data consistent with nationally recognized guidelines and
46 measures for STEMI patients.
47 (2) Subject to a specific legislative appropriation, the
48 agency shall contract with a public or private entity to
49 maintain the statewide STEMI registry to ensure that the
50 information required under subsection (1) is maintained and
51 available for use to improve or modify the STEMI care system,
52 ensure compliance with guidelines and standards, and monitor
53 STEMI patient outcomes.
54 (3) The agency shall require the contracted entity to use a
55 nationally recognized platform to collect data on the
56 information required under subsection (1). Each January 1, the
57 contracted entity shall provide an annual report to the agency
58 on the data collected.
59 (4) A civil, criminal, or administrative action may not be
60 brought against a person or health care provider participating
61 in good faith in the reporting of information pursuant to this
62 section. A person or health care provider reporting information
63 pursuant to this section is immune from civil or criminal
64 liability and from any professional disciplinary action that may
65 arise from reporting such information.
66 (5) The agency shall adopt rules to administer this
67 section.
68 Section 2. Present subsection (5) of section 401.30,
69 Florida Statutes, is redesignated as subsection (6), subsection
70 (4) of that section is amended, and a new subsection (5) is
71 added to that section, to read:
72 401.30 Records.—
73 (4) Records of emergency calls which contain patient
74 examination or treatment information are confidential and exempt
75 from the provisions of s. 119.07(1) and may not be disclosed
76 without the consent of the person to whom they pertain, but
77 appropriate limited disclosure may be made without such consent:
78 (a) To the person’s guardian, to the next of kin if the
79 person is deceased, or to a parent if the person is a minor;
80 (b) To hospital personnel for use in conjunction with the
81 treatment of the patient;
82 (c) To the department;
83 (d) To the service medical director;
84 (e) For use in a critical incident stress debriefing. Any
85 such discussions during a critical incident stress debriefing
86 shall be considered privileged communication under s. 90.503;
87 (f) In any civil or criminal action, unless otherwise
88 prohibited by law, upon the issuance of a subpoena from a court
89 of competent jurisdiction and proper notice by the party seeking
90 such records, to the patient or his or her legal representative;
91 or
92 (g) To a local trauma agency or a regional trauma agency,
93 or a panel or committee assembled by such an agency to assist
94 the agency in performing quality assurance activities in
95 accordance with a plan approved under s. 395.401. Records
96 obtained under this paragraph are confidential and exempt from
97 s. 119.07(1) and s. 24(a), Art. I of the State Constitution; or
98 (h) To the Agency for Health Care Administration and the
99 entity under contract with the agency to maintain the statewide
100 STEMI registry pursuant to s. 381.8175.
101
102 This subsection does not prohibit the department or a licensee
103 from providing information to any law enforcement agency or any
104 other regulatory agency responsible for the regulation or
105 supervision of emergency medical services and personnel.
106 (5) To improve patient care and provide for best medical
107 practices, the department, the agency, and the entity under
108 contract with the Agency for Health Care Administration to
109 maintain the statewide STEMI registry pursuant to s. 381.8175
110 shall, to the maximum extent feasible, share information
111 relating to the transport of patients suspected of having a
112 STEMI heart attack.
113 (6)(5) The department shall adopt and enforce all rules
114 necessary to administer this section.
115 Section 3. This act shall take effect July 1, 2019.
