Florida Senate - 2017                      CS for CS for SB 1406
       
       
        
       By the Committees on Appropriations; and Health Policy; and
       Senators Powell, Passidomo, and Baxley
       
       
       
       
       576-04165-17                                          20171406c2
    1  
    2                        A bill to be entitled                      
    3         An act relating to stroke centers; amending s.
    4         395.3038, F.S.; directing the Agency for Health Care
    5         Administration to include hospitals that meet the
    6         criteria for acute stroke ready centers on a list of
    7         stroke centers; creating s. 395.30381, F.S.; requiring
    8         the department to contract with a private entity to
    9         establish and maintain a statewide stroke registry,
   10         subject to an appropriation; requiring stroke centers
   11         to provide certain information to the statewide stroke
   12         registry; requiring the contracted entity to use a
   13         nationally recognized platform to collect data;
   14         requiring the contracted entity to provide reports to
   15         the department on stroke performance measures;
   16         providing immunity from liability under certain
   17         circumstances; amending s. 395.3041, F.S.; conforming
   18         a provision to changes made by the act and deleting
   19         obsolete dates; providing an effective date.
   20          
   21  Be It Enacted by the Legislature of the State of Florida:
   22  
   23         Section 1. Section 395.3038, Florida Statutes, is amended
   24  to read:
   25         395.3038 State-listed primary stroke centers and
   26  comprehensive stroke centers; notification of hospitals.—
   27         (1) The agency shall make available on its website and to
   28  the department a list of the name and address of each hospital
   29  that meets the criteria for an acute stroke ready center, a
   30  primary stroke center, or and the name and address of each
   31  hospital that meets the criteria for a comprehensive stroke
   32  center. The list of primary and comprehensive stroke centers
   33  must include only those hospitals that attest in an affidavit
   34  submitted to the agency that the hospital meets the named
   35  criteria, or those hospitals that attest in an affidavit
   36  submitted to the agency that the hospital is certified as an
   37  acute stroke ready center, a primary stroke center, or a
   38  comprehensive stroke center by a nationally recognized an
   39  accrediting organization.
   40         (2)(a) If a hospital no longer chooses to meet the criteria
   41  for an acute stroke ready center, a primary stroke center, or a
   42  comprehensive stroke center, the hospital shall notify the
   43  agency and the agency shall immediately remove the hospital from
   44  the list of stroke centers.
   45         (b)1. This subsection does not apply if the hospital is
   46  unable to provide stroke treatment services for a period of time
   47  not to exceed 2 months. The hospital shall immediately notify
   48  all local emergency medical services providers when the
   49  temporary unavailability of stroke treatment services begins and
   50  when the services resume.
   51         2. If stroke treatment services are unavailable for more
   52  than 2 months, the agency shall remove the hospital from the
   53  list of primary or comprehensive stroke centers until the
   54  hospital notifies the agency that stroke treatment services have
   55  been resumed.
   56         (3) The agency shall adopt by rule criteria for an acute
   57  stroke ready center, a primary stroke center, and a
   58  comprehensive stroke center which are substantially similar to
   59  the certification standards for the same categories of primary
   60  stroke centers of a nationally recognized accrediting
   61  organization the Joint Commission.
   62         (4)The agency shall adopt by rule criteria for a
   63  comprehensive stroke center. However, if the Joint Commission
   64  establishes criteria for a comprehensive stroke center, agency
   65  rules shall be substantially similar.
   66         (4)(5) This act is not a medical practice guideline and may
   67  not be used to restrict the authority of a hospital to provide
   68  services for which it is licensed under chapter 395. The
   69  Legislature intends that all patients be treated individually
   70  based on each patient’s needs and circumstances.
   71         Section 2. Section 395.30381, Florida Statutes, is created
   72  to read:
   73         395.30381Statewide stroke registry.—
   74         (1)Subject to a specific appropriation, the department
   75  shall contract with a private entity to establish and maintain a
   76  statewide stroke registry to ensure that the stroke performance
   77  measures required to be submitted under subsection (2) are
   78  maintained and available for use to improve or modify the stroke
   79  care system, ensure compliance with standards, and monitor
   80  stroke patient outcomes.
   81         (2)Each acute ready stroke center, primary stroke center,
   82  and comprehensive stroke center shall regularly report to the
   83  statewide stroke registry information specified by the
   84  department, including nationally recognized stroke performance
   85  measures.
   86         (3)The department shall require the contracted entity to
   87  use a nationally recognized platform to collect data from each
   88  stroke center on the stroke performance measures required in
   89  subsection (2). The contracted entity shall provide regular
   90  reports to the department on the data collected.
   91         (4)No liability of any kind or character for damages or
   92  other relief shall arise or be enforced against any acute ready
   93  stroke center, primary stroke center, or comprehensive stroke
   94  center by reason of having provided such information to the
   95  statewide stroke registry.
   96         Section 3. Subsections (1), (2), and (4) of section
   97  395.3041, Florida Statutes, are amended to read:
   98         395.3041 Emergency medical services providers; triage and
   99  transportation of stroke victims to a stroke center.—
  100         (1) By June 1 of each year, the department shall send the
  101  list of acute stroke ready centers, primary stroke centers, and
  102  comprehensive stroke centers to the medical director of each
  103  licensed emergency medical services provider in this state.
  104         (2) The department shall develop a sample stroke-triage
  105  assessment tool. The department must post this sample assessment
  106  tool on its website and provide a copy of the assessment tool to
  107  each licensed emergency medical services provider no later than
  108  June 1, 2005. Each licensed emergency medical services provider
  109  must use a stroke-triage assessment tool that is substantially
  110  similar to the sample stroke-triage assessment tool provided by
  111  the department.
  112         (4) Each emergency medical services provider licensed under
  113  chapter 401 must comply with all sections of this act by July 1,
  114  2005.
  115         Section 4. This act shall take effect July 1, 2017.