Bill Text: FL S1200 | 2011 | Regular Session | Introduced


Bill Title: Treatment of Stroke

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2011-05-07 - Indefinitely postponed and withdrawn from consideration [S1200 Detail]

Download: Florida-2011-S1200-Introduced.html
       Florida Senate - 2011                                    SB 1200
       
       
       
       By Senator Jones
       
       
       
       
       13-00454A-11                                          20111200__
    1                        A bill to be entitled                      
    2         An act relating to the treatment of stroke; creating
    3         s. 395.3044, F.S.; providing legislative findings;
    4         providing definitions; providing duties for the Agency
    5         for Health Care Administration with regard to the
    6         statewide system for stroke response and treatment;
    7         requiring the agency to establish the Stroke Task
    8         Force; requiring the Secretary for Health Care
    9         Administration to appoint the members of the Stroke
   10         Task Force; providing the membership for the task
   11         force; requiring the agency and the task force to
   12         require specified health care facilities to report
   13         certain data; providing additional duties of the task
   14         force; requiring primary and comprehensive stroke
   15         centers and certain medical facilities to report
   16         certain data regarding stroke patients to a private,
   17         tier-one research university in this state; requiring
   18         that the private, tier-one research university store
   19         and maintain the reported data and compiled
   20         information and statistics in a registry; providing
   21         that the implementation of the registry is contingent
   22         upon the availability of funding; requiring the
   23         private tier-one research university to use a
   24         specified data platform for the registry; requiring
   25         the private tier-one research university to coordinate
   26         with national voluntary health organizations that are
   27         involved in quality improvement of stroke patients;
   28         providing for health care information collected in the
   29         registry to be released only under certain conditions;
   30         requiring the agency and the task force to submit a
   31         report to the Governor, the Legislature, and the State
   32         Surgeon General; providing that the act does not
   33         restrict a hospital from providing services for which
   34         it is licensed to provide; requiring the agency to
   35         adopt rules; providing an effective date.
   36  
   37         WHEREAS, stroke is the third leading killer in the United
   38  States and in Florida, and
   39         WHEREAS, stroke is a leading cause of serious long-term
   40  disability in this state, and
   41         WHEREAS, an estimated 780,000 new and recurrent strokes
   42  occur each year in this country, and
   43         WHEREAS, the number of persons having strokes is projected
   44  to increase as the population ages, and
   45         WHEREAS, this year in Florida more than 50,000 people will
   46  fall victim to a potentially treatable stroke, and
   47         WHEREAS, more than 8,000 Floridians will die from stroke
   48  related complications, and
   49         WHEREAS, increased quality improvement measures serve to
   50  provide for increased positive patient outcomes, and
   51         WHEREAS, understanding the care received by each stroke
   52  patient will assist in quickly achieving these improved patient
   53  outcomes, NOW, THEREFORE,
   54  
   55  Be It Enacted by the Legislature of the State of Florida:
   56  
   57         Section 1. Section 395.3044, Florida Statutes, is created
   58  to read:
   59         395.3044Stroke Prevention Act.—
   60         (1) LEGISLATIVE FINDINGS.—
   61         (a) The rapid identification, diagnosis, and treatment of a
   62  stroke can save the life of a stroke patient and, in some cases,
   63  can reverse neurological damage, such as paralysis and speech
   64  and language impairments, leaving the stroke patient with few or
   65  no neurological deficits.
   66         (b) The Legislature further finds that the large number of
   67  stroke-related loss of life and viability create an annual
   68  financial burden for the state of more than $1.2 billion in
   69  medical costs, supportive care, and lost productivity.
   70         (2) DEFINITIONS.—As used in this section, the term:
   71         (a) “National Quality Forum” means a nonprofit organization
   72  that operates under a three-part mission to improve the quality
   73  of health care in the United States by:
   74         1. Building consensus on national priorities and goals for
   75  performance improvement and working in partnership to achieve
   76  them;
   77         2. Endorsing national consensus standards for measuring and
   78  publicly reporting on performance; and
   79         3. Promoting the attainment of national goals through
   80  education and outreach programs.
   81         (b) “Statewide system for stroke response and treatment
   82  means the process in which a stroke patient in this state is
   83  quickly identified and transported to and treated in a primary
   84  stroke center, a comprehensive stroke center, or a medical
   85  facility that is licensed by the agency, except a pediatric
   86  hospital, a critical access hospital, a psychiatric hospital, or
   87  an agency that offers emergency medical services.
   88         (c) “Joint Commission” means an independent, not-for-profit
   89  organization that accredits and certifies health care
   90  organizations and programs in the United States. The Joint
   91  Commission’s accreditation and certification is recognized
   92  nationwide as a symbol of quality that reflects an
   93  organization’s commitment to meeting certain standards of
   94  performance. The Joint Commission was formerly the Joint
   95  Commission on Accreditation of Healthcare Organizations.
   96         (3) DUTIES.—The agency shall establish and implement a plan
   97  for achieving continuous improvement in the quality of care
   98  provided under the statewide system for stroke response and
   99  treatment. In implementing this plan, the agency shall:
  100         (a) Require the application of guidelines for evidenced
  101  based treatment which align with guidelines of the nationally
  102  approved National Quality Forum for the treatment and discharge
  103  of patients.
  104         (b) Establish a Stroke Task Force to assist in implementing
  105  the plan for achieving continuous improvement in the quality of
  106  care provided under the statewide system for stroke response and
  107  treatment.
  108         1. The Secretary for Health Care Administration shall
  109  appoint the following 13 members to the Stroke Task Force:
  110         a. The State Surgeon General or his or her designee;
  111         b. The director of the Office of Public Health Research
  112  within the Department of Health or his or her designee;
  113         c. A neurologist licensed to practice medicine in this
  114  state;
  115         d. A designee from the American Stroke Association;
  116         e. A member of the Florida College of Emergency Physicians;
  117         f. A member of the Florida Hospital Association;
  118         g. A member of a large metropolitan hospital in this state;
  119         h. A representative from the Rural Health Association or
  120  the Rural Hospital Association;
  121         i. A designee from the Medicare Quality Improvement
  122  Organization for this state;
  123         j. A person who is certified in this state as an emergency
  124  medical technician or paramedic;
  125         k. An epidemiologist from a state college or university;
  126         l. A registered nurse who treats stroke patients; and
  127         m. A person who represents rehabilitative services for
  128  stroke survivors.
  129         2. The Stroke Task Force shall:
  130         a. Analyze the data and information maintained and stored
  131  by the private, tier-one research university in a registry as
  132  provided in subsection (4).
  133         b. Identify potential interventions to improve care for
  134  stroke patients who live in certain geographic areas or regions
  135  of the state.
  136         c. Provide recommendations to the agency and the
  137  Legislature for improving the delivery of health care services
  138  to former and current stroke patients in the state.
  139         (4) REGISTRY.—
  140         (a)1. Each primary and comprehensive stroke center and each
  141  medical facility that is licensed by the agency, except a
  142  pediatric hospital, a critical access hospital, a psychiatric
  143  hospital, or an agency that offers emergency medical services,
  144  shall report to a private, tier-one research university in this
  145  state data, including, but not limited to, discharge
  146  destinations, which are consistent with nationally recognized
  147  guidelines on the treatment of individuals who suffered a
  148  confirmed stroke within the statewide system for stroke response
  149  and treatment. The private, tier-one research university shall
  150  compile information and statistics on care for stroke patients
  151  which align with the stroke consensus metrics developed and
  152  approved by the American Heart Association/American Stroke
  153  Association, the Centers for Disease Control and Prevention, and
  154  the Joint Commission and shall store and maintain this compiled
  155  information and statistics and the reported data in a registry.
  156         2. The registry and the private, tier-one research
  157  university’s implementation thereof are contingent upon the
  158  availability of funds.
  159         (b) The private, tier-one research university shall use the
  160  American Heart Association’s program known as “Get With The
  161  Guidelines-Stroke” as the data platform for the registry or
  162  another nationally recognized data platform that has standards
  163  for confidentiality that are equally secure.
  164         (c) To the extent possible, the private, tier-one research
  165  university shall coordinate with national voluntary health
  166  organizations involved in quality improvement of stroke patients
  167  in order to avoid duplication of efforts.
  168         (5)RELEASE OF INFORMATION.—Health care data and other
  169  information collected in the registry may be released only in
  170  accordance with written agreements and subject to the
  171  confidentiality provisions required under s. 25(b), Art. X of
  172  the State Constitution, s. 381.028(6), and by other relevant
  173  state and federal laws.
  174         (6) ANNUAL REPORT.—By July 1, 2012, and annually
  175  thereafter, the agency and the Stroke Task Force shall submit a
  176  report to the Governor, the President of the Senate, the Speaker
  177  of the House of Representatives, and the State Surgeon General
  178  on the progress made toward improving the quality of care and
  179  patient outcomes under the statewide system for stroke response
  180  and treatment.
  181         (7) MEDICAL TREATMENT OF PATIENTS.—This section is not a
  182  guideline for medical practice and does not restrict the
  183  authority of a hospital to provide services for which it has
  184  received a license under state law. The Legislature intends that
  185  all patients be treated individually based on each patient’s
  186  needs and circumstances.
  187         (8) RULES.—The agency shall adopt rules to administer this
  188  section.
  189         Section 2. This act shall take effect upon becoming a law.

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