Florida Senate - 2018                                     SB 144
       By Senator Grimsley
       26-00116-18                                            2018144__
    1                        A bill to be entitled                      
    2         An act relating to adult cardiovascular services;
    3         amending s. 408.0361, F.S.; establishing criteria that
    4         must be included by the Agency for Health Care
    5         Administration in rules relating to the licensure of
    6         certain hospitals performing percutaneous coronary
    7         intervention procedures; providing an effective date.
    9  Be It Enacted by the Legislature of the State of Florida:
   11         Section 1. Paragraphs (a) and (b) of subsection (3) of
   12  section 408.0361, Florida Statutes, are amended to read:
   13         408.0361 Cardiovascular services and burn unit licensure.—
   14         (3) In establishing rules for adult cardiovascular
   15  services, the agency shall include provisions that allow for:
   16         (a) Establishment of two hospital program licensure levels:
   17  a Level I program authorizing the performance of adult
   18  percutaneous coronary cardiac intervention without onsite
   19  cardiac surgery and a Level II program authorizing the
   20  performance of percutaneous coronary cardiac intervention with
   21  onsite cardiac surgery.
   22         (b) For a hospital seeking a Level I program, demonstration
   23  that, for the most recent 12-month period as reported to the
   24  agency, it has provided a minimum of 300 adult inpatient and
   25  outpatient diagnostic cardiac catheterizations or, for the most
   26  recent 12-month period, has discharged or transferred at least
   27  300 inpatients with the principal diagnosis of ischemic heart
   28  disease and that it has a formalized, written transfer agreement
   29  with a hospital that has a Level II program, including written
   30  transport protocols to ensure safe and efficient transfer of a
   31  patient within 60 minutes. However, a hospital located more than
   32  100 road miles from the closest Level II adult cardiovascular
   33  services program does not need to meet the 60-minute transfer
   34  time protocol if the hospital demonstrates that it has a
   35  formalized, written transfer agreement with a hospital that has
   36  a Level II program. The agreement must include written transport
   37  protocols to ensure the safe and efficient transfer of a
   38  patient, taking into consideration the patient’s clinical and
   39  physical characteristics, road and weather conditions, and
   40  viability of ground and air ambulance service to transfer the
   41  patient. At a minimum, the rules for adult cardiovascular
   42  services must require nursing and technical staff to have
   43  demonstrated experience in handling acutely ill patients
   44  requiring intervention based on the staff members’ previous
   45  experience in dedicated cardiovascular interventional
   46  laboratories or surgical centers. If a staff member’s previous
   47  experience is in a dedicated cardiovascular interventional
   48  laboratory at a hospital that does not have an approved adult
   49  open-heart surgery program, the staff member’s previous
   50  experience qualifies only if, at the time the staff member
   51  acquired his or her experience, the dedicated cardiovascular
   52  interventional laboratory:
   53         1. Had an annual volume of 500 or more percutaneous
   54  coronary intervention procedures;
   55         2. Achieved a demonstrated success rate of 95 percent or
   56  greater for percutaneous coronary intervention procedures;
   57         3. Experienced a complication rate of less than 5 percent
   58  for percutaneous coronary intervention procedures; and
   59         4. Performed diverse cardiac procedures, including, but not
   60  limited to, balloon angioplasty and stenting, rotational
   61  atherectomy, cutting balloon atheroma remodeling, and procedures
   62  relating to left ventricular support capability.
   63         Section 2. This act shall take effect July 1, 2018.