Florida Senate - 2016                        COMMITTEE AMENDMENT
       Bill No. SB 1518
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  02/09/2016           .                                

       The Committee on Health Policy (Grimsley) recommended the
    1         Senate Amendment (with title amendment)
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Paragraph (b) of subsection (3) of section
    6  408.0361, Florida Statutes, is amended to read:
    7         408.0361 Cardiovascular services and burn unit licensure.—
    8         (3) In establishing rules for adult cardiovascular
    9  services, the agency shall include provisions that allow for:
   10         (b) For a hospital seeking a Level I program, demonstration
   11  that, for the most recent 12-month period as reported to the
   12  agency, it has provided a minimum of 300 adult inpatient and
   13  outpatient diagnostic cardiac catheterizations or, for the most
   14  recent 12-month period, has discharged or transferred at least
   15  300 inpatients with the principal diagnosis of ischemic heart
   16  disease and that it has a formalized, written transfer agreement
   17  with a hospital that has a Level II program, including written
   18  transport protocols to ensure safe and efficient transfer of a
   19  patient within 60 minutes. However, a hospital located more than
   20  100 road miles from the closest Level II adult cardiovascular
   21  services program does not need to meet the 60-minute transfer
   22  time protocol if the hospital demonstrates that it has a
   23  formalized, written transfer agreement with a hospital that has
   24  a Level II program. The agreement must include written transport
   25  protocols to ensure the safe and efficient transfer of a
   26  patient, taking into consideration the patient’s clinical and
   27  physical characteristics, road and weather conditions, and
   28  viability of ground and air ambulance service to transfer the
   29  patient. At a minimum, the rules for adult cardiovascular
   30  services must require nursing and technical staff to have
   31  demonstrated experience in handling acutely ill patients
   32  requiring intervention based on the staff members’ previous
   33  experience in dedicated cardiac interventional laboratories or
   34  surgical centers. If a staff member’s previous experience is in
   35  a dedicated cardiac interventional laboratory at a hospital that
   36  does not have an approved adult open-heart-surgery program, the
   37  staff member’s previous experience qualifies only if, at the
   38  time the staff member acquired his or her experience, the
   39  dedicated cardiac interventional laboratory:
   40         1. Had an annual volume of 500 or more percutaneous cardiac
   41  intervention procedures;
   42         2. Achieved a demonstrated success rate of 95 percent or
   43  greater for percutaneous cardiac intervention procedures;
   44         3. Experienced a complication rate of less than 5 percent
   45  for percutaneous cardiac intervention procedures; and
   46         4. Performed diverse cardiac procedures, including, but not
   47  limited to, balloon angioplasty and stenting, rotational
   48  atherectomy, cutting balloon atheroma remodeling, and procedures
   49  relating to left ventricular support capability.
   50         Section 2. This act shall take effect July 1, 2016.
   52  ================= T I T L E  A M E N D M E N T ================
   53  And the title is amended as follows:
   54         Delete everything before the enacting clause
   55  and insert:
   56                        A bill to be entitled                      
   57         An act relating to adult cardiovascular services;
   58         amending s. 408.0361, F.S.; expanding rulemaking
   59         criteria for the Agency for Health Care Administration
   60         for licensure of hospitals performing percutaneous
   61         cardiac intervention procedures; providing an
   62         effective date.