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| Public Act 103-0149
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| HB2238 Enrolled | LRB103 30630 CPF 57082 b |
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Emergency Medical Services (EMS) Systems |
Act is amended by changing Sections 3.116, 3.117, 3.117.5, |
3.118, 3.118.5, 3.119, and 3.226 as follows:
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(210 ILCS 50/3.116) |
Sec. 3.116. Hospital Stroke Care; definitions. As used in |
Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this |
Act: |
"Acute Stroke-Ready Hospital" means a hospital that has |
been designated by the Department as meeting the criteria for |
providing emergent stroke care. Designation may be provided |
after a hospital has been certified or through application and |
designation as such. |
"Certification" or "certified" means certification, using |
evidence-based standards, from a nationally recognized |
certifying body approved by the Department. |
"Comprehensive Stroke Center" means a hospital that has |
been certified and has been designated as such. |
"Designation" or "designated" means the Department's |
recognition of a hospital as a Comprehensive Stroke Center, |
Primary Stroke Center, or Acute Stroke-Ready Hospital. |
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"Emergent stroke care" is emergency medical care that |
includes diagnosis and emergency medical treatment of acute |
stroke patients. |
"Emergent Stroke Ready Hospital" means a hospital that has |
been designated by the Department as meeting the criteria for |
providing emergent stroke care. |
"Primary Stroke Center" means a hospital that has been |
certified by a Department-approved, nationally recognized |
certifying body and designated as such by the Department. |
"Primary Stroke Center Plus" means a hospital that has |
been certified by a Department-approved, nationally recognized |
certifying body and designated as such by the Department. |
"Regional Stroke Advisory Subcommittee" means a |
subcommittee formed within each Regional EMS Advisory |
Committee to advise the Director and the Region's EMS Medical |
Directors Committee on the triage, treatment, and transport of |
possible acute stroke patients and to select the Region's |
representative to the State Stroke Advisory Subcommittee. At |
minimum, the Regional Stroke Advisory Subcommittee shall |
consist of: one representative from the EMS Medical Directors |
Committee; one EMS coordinator from a Resource Hospital; one |
administrative representative or his or her designee from each |
level of stroke care, including Comprehensive Stroke Centers |
within the Region, if any, Thrombectomy Capable Stroke Centers |
within the Region, if any, Thrombectomy Ready Stroke Centers |
within the Region, if any, Primary Stroke Centers Plus within |
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the Region, if any, Primary Stroke Centers within the Region, |
if any, and Acute Stroke-Ready Hospitals within the Region, if |
any; one physician from each level of stroke care, including |
one physician who is a neurologist or who provides advanced |
stroke care at a Comprehensive Stroke Center in the Region, if |
any, one physician who is a neurologist or who provides acute |
stroke care at a Thrombectomy Capable Stroke Center within the |
Region, if any, a Thrombectomy Ready Stroke Center within the |
Region, if any, or a Primary Stroke Center Plus in the Region, |
if any, one physician who is a neurologist or who provides |
acute stroke care at a Primary Stroke Center in the Region, if |
any, and one physician who provides acute stroke care at an |
Acute Stroke-Ready Hospital in the Region, if any; one nurse |
practicing in each level of stroke care, including one nurse |
from a Comprehensive Stroke Center in the Region, if any, one |
nurse from a Thrombectomy Capable Stroke Center, if any, a |
Thrombectomy Ready Stroke Center within the Region, if any, or |
a Primary Stroke Center Plus in the Region, if any, one nurse |
from a Primary Stroke Center in the Region, if any, and one |
nurse from an Acute Stroke-Ready Hospital in the Region, if |
any; one representative from both a public and a private |
vehicle service provider that transports possible acute stroke |
patients within the Region; the State-designated regional EMS |
Coordinator; and a fire chief or his or her designee from the |
EMS Region, if the Region serves a population of more than |
2,000,000. The Regional Stroke Advisory Subcommittee shall |
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establish bylaws to ensure equal membership that rotates and |
clearly delineates committee responsibilities and structure. |
Of the members first appointed, one-third shall be appointed |
for a term of one year, one-third shall be appointed for a term |
of 2 years, and the remaining members shall be appointed for a |
term of 3 years. The terms of subsequent appointees shall be 3 |
years. |
"State Stroke Advisory Subcommittee" means a standing |
advisory body within the State Emergency Medical Services |
Advisory Council.
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"Thrombectomy Capable Stroke Center" means a hospital that |
has been certified by a Department-approved, nationally |
recognized certifying body and designated as such by the |
Department. |
"Thrombectomy Ready Stroke Center" means a hospital that |
has been certified by a Department-approved, nationally |
recognized certifying body and designated as such by the |
Department. |
(Source: P.A. 102-687, eff. 12-17-21.)
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(210 ILCS 50/3.117) |
Sec. 3.117. Hospital designations. |
(a) The Department shall attempt to designate Primary |
Stroke Centers in all areas of the State. |
(1) The Department shall designate as many certified
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Primary Stroke Centers as apply for that designation |
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provided they are certified by a nationally recognized |
certifying body, approved by the Department, and |
certification criteria are consistent with the most |
current nationally recognized, evidence-based stroke |
guidelines related to reducing the occurrence, |
disabilities, and death associated with stroke. |
(2) A hospital certified as a Primary Stroke Center by |
a nationally recognized certifying body approved by the |
Department, shall send a copy of the Certificate and |
annual fee to the Department and shall be deemed, within |
30 business days of its receipt by the Department, to be a |
State-designated Primary Stroke Center. |
(3) A center designated as a Primary Stroke Center |
shall pay an annual fee as determined by the Department |
that shall be no less than $100 and no greater than $500. |
All fees shall be deposited into the Stroke Data |
Collection Fund. |
(3.5) With respect to a hospital that is a designated |
Primary Stroke Center, the Department shall have the |
authority and responsibility to do the following: |
(A) Suspend or revoke a hospital's Primary Stroke |
Center designation upon receiving notice that the |
hospital's Primary Stroke Center certification has |
lapsed or has been revoked by the State recognized |
certifying body. |
(B) Suspend a hospital's Primary Stroke Center |
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designation, in extreme circumstances where patients |
may be at risk for immediate harm or death, until such |
time as the certifying body investigates and makes a |
final determination regarding certification. |
(C) Restore any previously suspended or revoked |
Department designation upon notice to the Department |
that the certifying body has confirmed or restored the |
Primary Stroke Center certification of that previously |
designated hospital. |
(D) Suspend a hospital's Primary Stroke Center |
designation at the request of a hospital seeking to |
suspend its own Department designation. |
(4) Primary Stroke Center designation shall remain |
valid at all times while the hospital maintains its |
certification as a Primary Stroke Center, in good |
standing, with the certifying body. The duration of a |
Primary Stroke Center designation shall coincide with the |
duration of its Primary Stroke Center certification. Each |
designated Primary Stroke Center shall have its |
designation automatically renewed upon the Department's |
receipt of a copy of the accrediting body's certification |
renewal. |
(5) A hospital that no longer meets nationally |
recognized, evidence-based standards for Primary Stroke |
Centers, or loses its Primary Stroke Center certification, |
shall notify the Department and the Regional EMS Advisory |
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Committee within 5 business days. |
(a-5) The Department shall attempt to designate |
Comprehensive Stroke Centers in all areas of the State. |
(1) The Department shall designate as many certified |
Comprehensive Stroke Centers as apply for that |
designation, provided that the Comprehensive Stroke |
Centers are certified by a nationally recognized |
certifying body approved by the Department, and provided |
that the certifying body's certification criteria are |
consistent with the most current nationally recognized and |
evidence-based stroke guidelines for reducing the |
occurrence of stroke and the disabilities and death |
associated with stroke. |
(2) A hospital certified as a Comprehensive Stroke |
Center shall send a copy of the Certificate and annual
fee |
to the Department and shall be deemed, within 30
business |
days of its receipt by the Department, to be a
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State-designated Comprehensive Stroke Center. |
(3) A hospital designated as a Comprehensive Stroke |
Center shall pay an annual fee as determined by the |
Department that shall be no less than $100 and no greater |
than $500. All fees shall be deposited into the Stroke |
Data Collection Fund. |
(4) With respect to a hospital that is a designated |
Comprehensive Stroke Center, the Department shall have the |
authority and responsibility to do the following: |
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(A) Suspend or revoke the hospital's Comprehensive |
Stroke Center designation upon receiving notice that |
the hospital's Comprehensive Stroke Center |
certification has lapsed or has been revoked by the |
State recognized certifying body. |
(B) Suspend the hospital's Comprehensive Stroke |
Center designation, in extreme circumstances in which |
patients may be at risk
for immediate harm or death, |
until such time as the certifying body investigates |
and makes a final determination regarding |
certification. |
(C) Restore any previously suspended or revoked |
Department designation upon notice to the Department |
that the certifying body has confirmed or restored the |
Comprehensive Stroke Center certification of that |
previously designated hospital. |
(D) Suspend the hospital's Comprehensive Stroke |
Center designation at the request of a hospital |
seeking to suspend its own Department designation. |
(5) Comprehensive Stroke Center designation shall |
remain valid at all times while the hospital maintains its |
certification as a Comprehensive Stroke Center, in good |
standing, with the certifying body. The duration of a |
Comprehensive Stroke Center designation shall coincide |
with the duration of its Comprehensive Stroke Center |
certification. Each designated Comprehensive Stroke Center |
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shall have its designation automatically renewed upon the |
Department's receipt of a copy of the certifying body's |
certification renewal. |
(6) A hospital that no longer meets nationally |
recognized, evidence-based standards for Comprehensive |
Stroke Centers, or loses its Comprehensive Stroke Center |
certification, shall notify the Department and the |
Regional EMS Advisory Committee within 5 business days. |
(a-5) The Department shall attempt to designate |
Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke |
Centers, and Primary Stroke Centers Plus in all areas of the |
State according to the following requirements: |
(1) The Department shall designate as many certified
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Thrombectomy Capable Stroke Centers, Thrombectomy Ready |
Stroke Centers, and Primary Stroke Centers Plus as apply |
for that designation, provided that the body certifying |
the facility uses certification criteria consistent with |
the most current nationally recognized and evidence-based |
stroke guidelines for reducing the occurrence of strokes |
and the disabilities and death associated with strokes. |
(2) A Thrombectomy Capable Stroke Center, Thrombectomy |
Ready Stroke Center, or Primary Stroke Center Plus shall |
send a copy of the certificate of its designation and |
annual fee to the Department and shall be deemed, within |
30 business days after its receipt by the Department, to |
be a State-designated Thrombectomy Capable Stroke Center, |
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Thrombectomy Ready Stroke Center, or Primary Stroke Center |
Plus. |
(3) A Thrombectomy Capable Stroke Center, Thrombectomy |
Ready Stroke Center, or Primary Stroke Center Plus shall |
pay an annual fee as determined by the Department that |
shall be no less than $100 and no greater than $500. All |
fees collected under this paragraph shall be deposited |
into the Stroke Data Collection Fund. |
(4) With respect to a Thrombectomy Capable Stroke |
Center, Thrombectomy Ready Stroke Center, or Primary |
Stroke Center Plus, the Department shall: |
(A) suspend or revoke the Thrombectomy Capable |
Stroke Center, Thrombectomy Ready Stroke Center, or |
Primary Stroke Center Plus designation upon receiving |
notice that the Thrombectomy Capable Stroke Center's, |
Thrombectomy Ready Stroke Center's, or Primary Stroke |
Center Plus's certification has lapsed or has been |
revoked by its certifying body; |
(B) in extreme circumstances in which patients may |
be at risk for immediate harm or death, suspend the |
Thrombectomy Capable Stroke Center's, Thrombectomy |
Ready Stroke Center's, or Primary Stroke Center Plus's |
designation until its certifying body investigates the |
circumstances and makes a final determination |
regarding its certification; |
(C) restore any previously suspended or revoked
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Department designation upon notice to the Department |
that the certifying body has confirmed or restored the |
Thrombectomy Capable Stroke Center's, Thrombectomy |
Ready Stroke Center's, or Primary Stroke Center Plus's |
certification; and |
(D) suspend the Thrombectomy Capable Stroke |
Center's, Thrombectomy Ready Stroke Center's, or |
Primary Stroke Center Plus's designation at the |
request of a facility seeking to suspend its own |
Department designation. |
(5) A Thrombectomy Capable Stroke Center, Thrombectomy |
Ready Stroke Center, or Primary Stroke Center Plus |
designation shall
remain valid at all times while the |
facility maintains its certification as a Thrombectomy |
Capable Stroke Center, Thrombectomy Ready Stroke Center, |
or Primary Stroke Center Plus and is in good standing with |
the certifying body. The duration of a Thrombectomy |
Capable Stroke Center, Thrombectomy Ready Stroke Center, |
or Primary Stroke Center Plus designation shall be the |
same as the duration of its Thrombectomy Capable Stroke |
Center, Thrombectomy Ready Stroke Center, or Primary |
Stroke Center Plus certification. Each designated |
Thrombectomy Capable Stroke Center, Thrombectomy Ready |
Stroke Center, or Primary Stroke Center Plus shall have |
its designation automatically renewed upon the |
Department's receipt of a copy of the certifying body's |
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renewal of the certification. |
(6) A hospital that no longer meets the criteria for |
Thrombectomy Capable Stroke Centers, Thrombectomy Ready |
Stroke Centers, or Primary Stroke Centers Plus, or loses |
its Thrombectomy Capable Stroke Center, Thrombectomy Ready |
Stroke Center, or Primary Stroke Center Plus |
certification, shall notify the Department and the |
Regional EMS Advisory Committee of the situation within 5 |
business days after being made aware of it. |
(b) Beginning on the first day of the month that begins 12 |
months after the adoption of rules authorized by this |
subsection, the Department shall attempt to designate |
hospitals as Acute Stroke-Ready Hospitals in all areas of the |
State. Designation may be approved by the Department after a |
hospital has been certified as an Acute Stroke-Ready Hospital |
or through application and designation by the Department. For |
any hospital that is designated as an Emergent Stroke Ready |
Hospital at the time that the Department begins the |
designation of Acute Stroke-Ready Hospitals, the Emergent |
Stroke Ready designation shall remain intact for the duration |
of the 12-month period until that designation expires. Until |
the Department begins the designation of hospitals as Acute |
Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke |
Ready Hospital designation utilizing the processes and |
criteria provided in Public Act 96-514. |
(1) (Blank). |
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(2) Hospitals may apply for, and receive, Acute |
Stroke-Ready Hospital designation from the Department, |
provided that the hospital attests, on a form developed by |
the Department in consultation with the State Stroke |
Advisory Subcommittee, that it meets, and will continue to |
meet, the criteria for Acute Stroke-Ready Hospital |
designation and pays an annual fee. |
A hospital designated as an Acute Stroke-Ready |
Hospital shall pay an annual fee as determined by the |
Department that shall be no less than $100 and no greater |
than $500. All fees shall be deposited into the Stroke |
Data Collection Fund. |
(2.5) A hospital may apply for, and receive, Acute |
Stroke-Ready Hospital designation from the Department, |
provided that the hospital provides proof of current Acute |
Stroke-Ready Hospital certification and the hospital pays |
an annual fee. |
(A) Acute Stroke-Ready Hospital designation shall |
remain valid at all times while the hospital maintains |
its certification as an Acute Stroke-Ready Hospital, |
in good standing, with the certifying body. |
(B) The duration of an Acute Stroke-Ready Hospital |
designation shall coincide with the duration of its |
Acute Stroke-Ready Hospital certification. |
(C) Each designated Acute Stroke-Ready Hospital |
shall have its designation automatically renewed upon |
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the Department's receipt of a copy of the certifying |
body's certification renewal and Application for |
Stroke Center Designation form. |
(D) A hospital must submit a copy of its |
certification renewal from the certifying body as soon |
as practical but no later than 30 business days after |
that certification is received by the hospital. Upon |
the Department's receipt of the renewal certification, |
the Department shall renew the hospital's Acute |
Stroke-Ready Hospital designation. |
(E) A hospital designated as an Acute Stroke-Ready |
Hospital shall pay an annual fee as determined by the |
Department that shall be no less than $100 and no |
greater than $500. All fees shall be deposited into |
the Stroke Data Collection Fund. |
(3) Hospitals seeking Acute Stroke-Ready Hospital |
designation that do not have certification shall develop |
policies and procedures that are consistent with |
nationally recognized, evidence-based protocols for the |
provision of emergent stroke care. Hospital policies |
relating to emergent stroke care and stroke patient |
outcomes shall be reviewed at least annually, or more |
often as needed, by a hospital committee that oversees |
quality improvement. Adjustments shall be made as |
necessary to advance the quality of stroke care delivered. |
Criteria for Acute Stroke-Ready Hospital designation of |
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hospitals shall be limited to the ability of a hospital |
to: |
(A) create written acute care protocols related to |
emergent stroke care; |
(A-5) participate in the data collection system |
provided in Section 3.118, if available; |
(B) maintain a written transfer agreement with one |
or more hospitals that have neurosurgical expertise; |
(C) designate a Clinical Director of Stroke Care |
who shall be a clinical member of the hospital staff |
with training or experience, as defined by the |
facility, in the care of patients with cerebrovascular |
disease. This training or experience may include, but |
is not limited to, completion of a fellowship or other |
specialized training in the area of cerebrovascular |
disease, attendance at national courses, or prior |
experience in neuroscience intensive care units. The |
Clinical Director of Stroke Care may be a neurologist, |
neurosurgeon, emergency medicine physician, internist, |
radiologist, advanced practice registered nurse, or |
physician's assistant; |
(C-5) provide rapid access to an acute stroke |
team, as defined by the facility, that considers and |
reflects nationally recognized, evidence-based |
protocols or guidelines; |
(D) administer thrombolytic therapy, or |
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subsequently developed medical therapies that meet |
nationally recognized, evidence-based stroke |
guidelines; |
(E) conduct brain image tests at all times; |
(F) conduct blood coagulation studies at all |
times; |
(G) maintain a log of stroke patients, which shall |
be available for review upon request by the Department |
or any hospital that has a written transfer agreement |
with the Acute Stroke-Ready Hospital; |
(H) admit stroke patients to a unit that can |
provide appropriate care that considers and reflects |
nationally recognized, evidence-based protocols or |
guidelines or transfer stroke patients to an Acute |
Stroke-Ready Hospital, Primary Stroke Center, or |
Comprehensive Stroke Center, or another facility that |
can provide the appropriate care that considers and |
reflects nationally recognized, evidence-based |
protocols or guidelines; and |
(I) demonstrate compliance with nationally |
recognized quality indicators. |
(4) With respect to Acute Stroke-Ready Hospital |
designation, the Department shall have the authority and |
responsibility to do the following: |
(A) Require hospitals applying for Acute |
Stroke-Ready Hospital designation to attest, on a form |
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developed by the Department in consultation with the |
State Stroke Advisory Subcommittee, that the hospital |
meets, and will continue to meet, the criteria for an |
Acute Stroke-Ready Hospital. |
(A-5) Require hospitals applying for Acute |
Stroke-Ready Hospital designation via national Acute |
Stroke-Ready Hospital certification to provide proof |
of current Acute Stroke-Ready Hospital certification, |
in good standing. |
The Department shall require a hospital that is |
already certified as an Acute Stroke-Ready Hospital to |
send a copy of the Certificate to the Department. |
Within 30 business days of the Department's |
receipt of a hospital's Acute Stroke-Ready Certificate |
and Application for Stroke Center Designation form |
that indicates that the hospital is a certified Acute |
Stroke-Ready Hospital, in good standing, the hospital |
shall be deemed a State-designated Acute Stroke-Ready |
Hospital. The Department shall send a designation |
notice to each hospital that it designates as an Acute |
Stroke-Ready Hospital and shall add the names of |
designated Acute Stroke-Ready Hospitals to the website |
listing immediately upon designation. The Department |
shall immediately remove the name of a hospital from |
the website listing when a hospital loses its |
designation after notice and, if requested by the |
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hospital, a hearing. |
The Department shall develop an Application for |
Stroke Center Designation form that contains a |
statement that "The above named facility meets the |
requirements for Acute Stroke-Ready Hospital |
Designation as provided in Section 3.117 of the |
Emergency Medical Services (EMS) Systems Act" and |
shall instruct the applicant facility to provide: the |
hospital name and address; the hospital CEO or |
Administrator's typed name and signature; the hospital |
Clinical Director of Stroke Care's typed name and |
signature; and a contact person's typed name, email |
address, and phone number. |
The Application for Stroke Center Designation form |
shall contain a statement that instructs the hospital |
to "Provide proof of current Acute Stroke-Ready |
Hospital certification from a nationally recognized |
certifying body approved by the Department". |
(B) Designate a hospital as an Acute Stroke-Ready |
Hospital no more than 30 business days after receipt |
of an attestation that meets the requirements for |
attestation, unless the Department, within 30 days of |
receipt of the attestation, chooses to conduct an |
onsite survey prior to designation. If the Department |
chooses to conduct an onsite survey prior to |
designation, then the onsite survey shall be conducted |
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within 90 days of receipt of the attestation. |
(C) Require annual written attestation, on a form |
developed by the Department in consultation with the |
State Stroke Advisory Subcommittee, by Acute |
Stroke-Ready Hospitals to indicate compliance with |
Acute Stroke-Ready Hospital criteria, as described in |
this Section, and automatically renew Acute |
Stroke-Ready Hospital designation of the hospital. |
(D) Issue an Emergency Suspension of Acute |
Stroke-Ready Hospital designation when the Director, |
or his or her designee, has determined that the |
hospital no longer meets the Acute Stroke-Ready |
Hospital criteria and an immediate and serious danger |
to the public health, safety, and welfare exists. If |
the Acute Stroke-Ready Hospital fails to eliminate the |
violation immediately or within a fixed period of |
time, not exceeding 10 days, as determined by the |
Director, the Director may immediately revoke the |
Acute Stroke-Ready Hospital designation. The Acute |
Stroke-Ready Hospital may appeal the revocation within |
15 business days after receiving the Director's |
revocation order, by requesting an administrative |
hearing. |
(E) After notice and an opportunity for an |
administrative hearing, suspend, revoke, or refuse to |
renew an Acute Stroke-Ready Hospital designation, when |
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the Department finds the hospital is not in |
substantial compliance with current Acute Stroke-Ready |
Hospital criteria. |
(c) The Department shall consult with the State Stroke |
Advisory Subcommittee for developing the designation, |
re-designation, and de-designation processes for Comprehensive |
Stroke Centers, Thrombectomy Capable Stroke Centers, |
Thrombectomy Ready Stroke Centers, Primary Stroke Centers |
Plus, Primary Stroke Centers, and Acute Stroke-Ready |
Hospitals.
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(d) The Department shall consult with the State Stroke |
Advisory Subcommittee as subject matter experts at least |
annually regarding stroke standards of care. |
(Source: P.A. 102-687, eff. 12-17-21.)
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(210 ILCS 50/3.117.5) |
Sec. 3.117.5. Hospital Stroke Care; grants. |
(a) In order to encourage the establishment and retention |
of Comprehensive Stroke Centers, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready |
Hospitals throughout the State, the Director may award, |
subject to appropriation, matching grants to hospitals to be |
used for the acquisition and maintenance of necessary |
infrastructure, including personnel, equipment, and |
pharmaceuticals for the diagnosis and treatment of acute |
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stroke patients. Grants may be used to pay the fee for |
certifications by Department approved nationally recognized |
certifying bodies or to provide additional training for |
directors of stroke care or for hospital staff. |
(b) The Director may award grant moneys to Comprehensive |
Stroke Centers, Thrombectomy Capable Stroke Centers, |
Thrombectomy Ready Stroke Centers, Primary Stroke Centers |
Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals |
for developing or enlarging stroke networks, for stroke |
education, and to enhance the ability of the EMS System to |
respond to possible acute stroke patients. |
(c) A Comprehensive Stroke Center, Thrombectomy Capable |
Stroke Center, Thrombectomy Ready Stroke Center, Primary |
Stroke Center Plus, Primary Stroke Center, or Acute |
Stroke-Ready Hospital, or a hospital seeking certification as |
a Comprehensive Stroke Center, Thrombectomy Capable Stroke |
Center, Thrombectomy Ready Stroke Center, Primary Stroke |
Center Plus, Primary Stroke Center, or Acute Stroke-Ready |
Hospital or designation as an Acute Stroke-Ready Hospital, may |
apply to the Director for a matching grant in a manner and form |
specified by the Director and shall provide information as the |
Director deems necessary to determine whether the hospital is |
eligible for the grant. |
(d) Matching grant awards shall be made to Comprehensive |
Stroke Centers, Thrombectomy Capable Stroke Centers, |
Thrombectomy Ready Stroke Centers, Primary Stroke Centers |
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Plus, Primary Stroke Centers, Acute Stroke-Ready Hospitals, or |
hospitals seeking certification or designation as a |
Comprehensive Stroke Center, Thrombectomy Capable Stroke |
Center, Thrombectomy Ready Stroke Center, Primary Stroke |
Center Plus, Primary Stroke Center, or Acute Stroke-Ready |
Hospital. The Department may consider prioritizing grant |
awards to hospitals in areas with the highest incidence of |
stroke, taking into account geographic diversity, where |
possible.
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(Source: P.A. 102-687, eff. 12-17-21.)
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(210 ILCS 50/3.118) |
Sec. 3.118. Reporting. |
(a) The Director shall, not later than July 1, 2012, |
prepare and submit to the Governor and the General Assembly a |
report indicating the total number of hospitals that have |
applied for grants, the project for which the application was |
submitted, the number of those applicants that have been found |
eligible for the grants, the total number of grants awarded, |
the name and address of each grantee, and the amount of the |
award issued to each grantee. |
(b) By July 1, 2010, the Director shall send the list of |
designated Comprehensive Stroke Centers, Thrombectomy Capable |
Stroke Centers, Thrombectomy Ready Stroke Centers, Primary |
Stroke Centers Plus, Primary Stroke Centers, and Acute |
Stroke-Ready Hospitals to all Resource Hospital EMS Medical |
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Directors in this State and shall post a list of designated |
Comprehensive Stroke Centers, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready |
Hospitals on the Department's website, which shall be |
continuously updated. |
(c) The Department shall add the names of designated |
Comprehensive Stroke Centers, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready |
Hospitals to the website listing immediately upon designation |
and shall immediately remove the name when a hospital loses |
its designation after notice and a hearing. |
(d) Stroke data collection systems and all stroke-related |
data collected from hospitals shall comply with the following |
requirements: |
(1) The confidentiality of patient records shall be |
maintained in accordance with State and federal laws. |
(2) Hospital proprietary information and the names of |
any hospital administrator, health care professional, or |
employee shall not be subject to disclosure. |
(3) Information submitted to the Department shall be |
privileged and strictly confidential and shall be used |
only for the evaluation and improvement of hospital stroke |
care. Stroke data collected by the Department shall not be |
directly available to the public and shall not be subject |
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to civil subpoena, nor discoverable or admissible in any |
civil, criminal, or administrative proceeding against a |
health care facility or health care professional. |
(e) The Department may administer a data collection system |
to collect data that is already reported by designated |
Comprehensive Stroke Centers, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready |
Hospitals to their certifying body, to fulfill certification |
requirements. Comprehensive Stroke Centers, Thrombectomy |
Capable Stroke Centers, Thrombectomy Ready Stroke Centers, |
Primary Stroke Centers Plus, Primary Stroke Centers, and Acute |
Stroke-Ready Hospitals may provide data used in submission to |
their certifying body, to satisfy any Department reporting |
requirements. The Department may require submission of data |
elements in a format that is used State-wide. In the event the |
Department establishes reporting requirements for designated |
Comprehensive Stroke Centers, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready |
Hospitals, the Department shall permit each designated |
Comprehensive Stroke Center, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Center, or Acute Stroke-Ready |
Hospital to capture information using existing electronic |
reporting tools used for certification purposes. Nothing in |
|
this Section shall be construed to empower the Department to |
specify the form of internal recordkeeping. Three years from |
the effective date of this amendatory Act of the 96th General |
Assembly, the Department may post stroke data submitted by |
Comprehensive Stroke Centers, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready |
Hospitals on its website, subject to the following: |
(1) Data collection and analytical methodologies shall |
be used that meet accepted standards of validity and |
reliability before any information is made available to |
the public. |
(2) The limitations of the data sources and analytic |
methodologies used to develop comparative hospital |
information shall be clearly identified and acknowledged, |
including, but not limited to, the appropriate and |
inappropriate uses of the data. |
(3) To the greatest extent possible, comparative |
hospital information initiatives shall use standard-based |
norms derived from widely accepted provider-developed |
practice guidelines. |
(4) Comparative hospital information and other |
information that the Department has compiled regarding |
hospitals shall be shared with the hospitals under review |
prior to public dissemination of the information. |
Hospitals have 30 days to make corrections and to add |
|
helpful explanatory comments about the information before |
the publication. |
(5) Comparisons among hospitals shall adjust for |
patient case mix and other relevant risk factors and |
control for provider peer groups, when appropriate. |
(6) Effective safeguards to protect against the |
unauthorized use or disclosure of hospital information |
shall be developed and implemented. |
(7) Effective safeguards to protect against the |
dissemination of inconsistent, incomplete, invalid, |
inaccurate, or subjective hospital data shall be developed |
and implemented. |
(8) The quality and accuracy of hospital information |
reported under this Act and its data collection, analysis, |
and dissemination methodologies shall be evaluated |
regularly. |
(9) None of the information the Department discloses |
to the public under this Act may be used to establish a |
standard of care in a private civil action. |
(10) The Department shall disclose information under |
this Section in accordance with provisions for inspection |
and copying of public records required by the Freedom of |
Information Act, provided that the information satisfies |
the provisions of this Section. |
(11) Notwithstanding any other provision of law, under |
no circumstances shall the Department disclose information |
|
obtained from a hospital that is confidential under Part |
21 of Article VIII of the Code of Civil Procedure. |
(12) No hospital report or Department disclosure may |
contain information identifying a patient, employee, or |
licensed professional.
|
(Source: P.A. 98-1001, eff. 1-1-15.)
|
(210 ILCS 50/3.118.5) |
Sec. 3.118.5. State Stroke Advisory Subcommittee; triage |
and transport of possible acute stroke patients. |
(a) There shall be established within the State Emergency |
Medical Services Advisory Council, or other statewide body |
responsible for emergency health care, a standing State Stroke |
Advisory Subcommittee, which shall serve as an advisory body |
to the Council and the Department on matters related to the |
triage, treatment, and transport of possible acute stroke |
patients. Membership on the Committee shall be as |
geographically diverse as possible and include one |
representative from each Regional Stroke Advisory |
Subcommittee, to be chosen by each Regional Stroke Advisory |
Subcommittee. The Director shall appoint additional members, |
as needed, to ensure there is adequate representation from the |
following: |
(1) an EMS Medical Director; |
(2) a hospital administrator, or designee, from a |
Comprehensive Stroke Center; |
|
(2.5) a hospital administrator, or designee, from a |
Thrombectomy Capable Stroke Center, Thrombectomy Ready |
Stroke Center, or Primary Stroke Center Plus; |
(3) a hospital administrator, or designee, from a |
Primary Stroke Center; |
(3.5) a hospital administrator, or designee, from an |
Acute Stroke-Ready Hospital; |
(3.10) a registered nurse from a Comprehensive Stroke |
Center; |
(3.15) a registered nurse from a Thrombectomy Capable |
Stroke Center, Thrombectomy Ready Stroke Center, or |
Primary Stroke Center Plus; |
(4) a registered nurse from a Primary Stroke Center; |
(5) a registered nurse from an Acute Stroke-Ready |
Hospital; |
(5.5) a physician providing advanced stroke care from |
a Comprehensive Stroke center; |
(5.10) a physician providing stroke care from a |
Thrombectomy Capable Stroke Center, Thrombectomy Ready |
Stroke Center, or Primary Stroke Center Plus; |
(6) a physician providing stroke care from a Primary |
Stroke Center; |
(7) a physician providing stroke care from an Acute |
Stroke-Ready Hospital; |
(8) an EMS Coordinator; |
(9) an acute stroke patient advocate; |
|
(10) a fire chief, or designee, from an EMS Region |
that serves a population of over 2,000,000 people; |
(11) a fire chief, or designee, from a rural EMS |
Region; |
(12) a representative from a private ambulance |
provider; |
(12.5) a representative from a municipal EMS provider; |
and |
(13) a representative from the State Emergency Medical |
Services Advisory Council. |
(b) Of the members first appointed, 9 members shall be |
appointed for a term of one year, 9 members shall be appointed |
for a term of 2 years, and the remaining members shall be |
appointed for a term of 3 years. The terms of subsequent |
appointees shall be 3 years. |
(c) The State Stroke Advisory Subcommittee shall be |
provided a 90-day period in which to review and comment upon |
all rules proposed by the Department pursuant to this Act |
concerning stroke care, except for emergency rules adopted |
pursuant to Section 5-45 of the Illinois Administrative |
Procedure Act. The 90-day review and comment period shall |
commence prior to publication of the proposed rules and upon |
the Department's submission of the proposed rules to the |
individual Committee members, if the Committee is not meeting |
at the time the proposed rules are ready for Committee review. |
(d) The State Stroke Advisory Subcommittee shall develop |
|
and submit an evidence-based statewide stroke assessment tool |
to clinically evaluate potential stroke patients to the |
Department for final approval. Upon approval, the Department |
shall disseminate the tool to all EMS Systems for adoption. |
The Director shall post the Department-approved stroke |
assessment tool on the Department's website. The State Stroke |
Advisory Subcommittee shall review the Department-approved |
stroke assessment tool at least annually to ensure its |
clinical relevancy and to make changes when clinically |
warranted. |
(d-5) Each EMS Regional Stroke Advisory Subcommittee shall |
submit recommendations for continuing education for |
pre-hospital personnel to that Region's EMS Medical Directors |
Committee. |
(e) Nothing in this Section shall preclude the State |
Stroke Advisory Subcommittee from reviewing and commenting on |
proposed rules which fall under the purview of the State |
Emergency Medical Services Advisory Council. Nothing in this |
Section shall preclude the Emergency Medical Services Advisory |
Council from reviewing and commenting on proposed rules which |
fall under the purview of the State Stroke Advisory |
Subcommittee. |
(f) The Director shall coordinate with and assist the EMS |
System Medical Directors and Regional Stroke Advisory |
Subcommittee within each EMS Region to establish protocols |
related to the assessment, treatment, and transport of |
|
possible acute stroke patients by licensed emergency medical |
services providers. These protocols shall include regional |
transport plans for the triage and transport of possible acute |
stroke patients to the most appropriate Comprehensive Stroke |
Center, Thrombectomy Capable Stroke Center, Thrombectomy Ready |
Stroke Center, Primary Stroke Center Plus, Primary Stroke |
Center, or Acute Stroke-Ready Hospital, unless circumstances |
warrant otherwise.
|
(Source: P.A. 98-1001, eff. 1-1-15.)
|
(210 ILCS 50/3.119) |
Sec. 3.119. Stroke Care; restricted practices. Sections in |
this Act pertaining to Comprehensive Stroke Centers, |
Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke |
Centers, Primary Stroke Centers Plus, Primary Stroke Centers, |
and Acute Stroke-Ready Hospitals are not medical practice |
guidelines and shall not be used to restrict the authority of a |
hospital to provide services for which it has received a |
license under State law.
|
(Source: P.A. 98-1001, eff. 1-1-15.)
|
(210 ILCS 50/3.226) |
Sec. 3.226. Hospital Stroke Care Fund. |
(a) The Hospital Stroke Care Fund is created as a special |
fund in the State treasury for the purpose of receiving |
appropriations, donations, and grants collected by the |
|
Illinois Department of Public Health pursuant to Department |
designation of Comprehensive Stroke Centers, Thrombectomy |
Capable Stroke Centers, Thrombectomy Ready Stroke Centers, |
Primary Stroke Centers Plus, Primary Stroke Centers, and Acute |
Stroke-Ready Hospitals. All moneys collected by the Department |
pursuant to its authority to designate Comprehensive Stroke |
Centers, Thrombectomy Capable Stroke Centers, Thrombectomy |
Ready Stroke Centers, Primary Stroke Centers Plus, Primary |
Stroke Centers, and Acute Stroke-Ready Hospitals shall be |
deposited into the Fund, to be used for the purposes in |
subsection (b). |
(b) The purpose of the Fund is to allow the Director of the |
Department to award matching grants: |
(1) to hospitals that have been certified as |
Comprehensive Stroke Centers, Thrombectomy Capable Stroke |
Centers, Thrombectomy Ready Stroke Centers, Primary Stroke |
Centers Plus, Primary Stroke Centers, or Acute |
Stroke-Ready Hospitals; |
(2) to hospitals that seek certification or |
designation or both as Comprehensive Stroke Centers, |
Thrombectomy Capable Stroke Centers, Thrombectomy Ready |
Stroke Centers, Primary Stroke Centers Plus, Primary |
Stroke Centers, or Acute Stroke-Ready Hospitals; |
(3) to hospitals that have been designated Acute |
Stroke-Ready Hospitals; |
(4) to hospitals that seek designation as Acute |
|
Stroke-Ready Hospitals; and |
(5) for the development of stroke networks. |
Hospitals may use grant funds to work with the EMS System |
to improve outcomes of possible acute stroke patients. |
(c) Moneys deposited in the Hospital Stroke Care Fund |
shall be allocated according to the hospital needs within each |
EMS region and used solely for the purposes described in this |
Act. |
(d) Interfund transfers from the Hospital Stroke Care Fund |
shall be prohibited.
|
(Source: P.A. 98-1001, eff. 1-1-15.)
|
