Relates to the designation of comprehensive stroke centers, primary stroke centers and acute stroke ready hospitals; relates to communication between centers; relates to emergency services providers; relates to assessment and transportation of stroke patients to a comprehensive stroke center, primary stroke center or acute stroke ready hospital; relates to continuous improvement of the quality of care for individuals with strokes; relates to coverage for telemedicine services; relates to the use and designation in advertising.
STATE OF NEW YORK
________________________________________________________________________
7410--A
2015-2016 Regular Sessions
IN ASSEMBLY
May 8, 2015
___________
Introduced by M. of A. SIMANOWITZ, RIVERA, HEVESI, SANTABARBARA, QUART,
ORTIZ, STIRPE, KEARNS, CYMBROWITZ, OTIS, RAIA, LUPARDO, SIMON,
O'DONNELL, TITONE, ROSENTHAL, MONTESANO, RA, RICHARDSON -- Multi-Spon-
sored by -- M. of A. BLAKE, GLICK, McKEVITT, McLAUGHLIN, SCHIMEL --
read once and referred to the Committee on Housing -- reference
changed to the Committee on Health -- recommitted to the Committee on
Health in accordance with Assembly Rule 3, sec. 2 -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the public health law, in relation to stroke centers
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The public health law is amended by adding a new article
2 28-F to read as follows:
3 ARTICLE 28-F
4 STROKE CENTERS
5 Section 2899-d. Designation of comprehensive stroke centers, primary
6 stroke centers and acute stroke ready hospitals.
7 2899-e. Communication between centers.
8 2899-f. Emergency services providers; assessment and transporta-
9 tion of stroke patients to a comprehensive stroke
10 center, primary stroke center or acute stroke ready
11 hospital.
12 2899-g. Continuous improvement of the quality of care for indi-
13 viduals with strokes.
14 2899-h. Use of designation in advertising.
15 2899-i. Disclaimer.
16 § 2899-d. Designation of comprehensive stroke centers, primary stroke
17 centers and acute stroke ready hospitals. 1. Hospitals may apply to the
18 department for a designation as a comprehensive stroke center, primary
19 stroke center or acute stroke ready hospital.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD10750-10-6
A. 7410--A 2
1 2. The department shall approve all applications for designation where
2 the applicant hospital has been certified as a comprehensive stroke
3 center, primary stroke center or acute stroke ready hospital by the
4 American Heart Association, The Joint Commission, or any other depart-
5 ment approved nationally recognized guidelines based organization that
6 provides the respective certification, provided that each applicant
7 continues to maintain its certification.
8 3. The department may suspend or revoke a hospital's designation as a
9 comprehensive stroke center, primary stroke center or acute stroke ready
10 hospital after notice and a hearing if the department determines that
11 the hospital no longer meets the criteria for designation.
12 § 2899-e. Communication between centers. 1. Comprehensive stroke
13 centers and primary stroke centers are encouraged to coordinate, through
14 agreement, with acute stroke ready hospitals throughout the state to
15 provide appropriate access to care for acute stroke patients.
16 2. The coordinating stroke care agreement shall be in writing and
17 include:
18 (a) provisions for the transportation and acceptance of stroke
19 patients seen by the acute stroke ready hospitals for stroke treatment
20 therapies which the remote treatment stroke center is not capable of
21 providing; and
22 (b) criteria and protocols for communications with the acute stroke
23 ready hospitals.
24 § 2899-f. Emergency services providers; assessment and transportation
25 of stroke patients to a comprehensive stroke center, primary stroke
26 center or acute stroke ready hospital. 1. By June first of each year the
27 department shall send a list of comprehensive stroke centers, primary
28 stroke centers and acute stroke ready hospitals to the medical director
29 of each certified emergency medical services provider in this state. The
30 department shall maintain a copy of the list and shall post the list to
31 the department's website.
32 2. The department shall maintain a nationally recognized standardized
33 stroke assessment tool. The department shall post the assessment tool on
34 their website and provide a copy of the assessment tool to each certi-
35 fied emergency medical services provider. Each certified emergency
36 medical services provider shall use a stroke assessment tool that is
37 substantially similar to the stroke assessment tool provided by the
38 department.
39 3. All emergency medical services councils in the state shall estab-
40 lish pre-hospital care protocols related to the assessment, treatment
41 and transport of stroke patients by certified emergency medical services
42 providers in the state. Such protocols shall include the development and
43 implementation of plans for the triage and transport of acute stroke
44 patients to the closest comprehensive stroke center, primary stroke
45 center or acute stroke ready hospital, within a specified timeframe of
46 the onset of symptoms.
47 4. All emergency medical services providers must comply with the
48 provisions of this section within one year of the effective date of this
49 article.
50 § 2899-g. Continuous improvement of the quality of care for individ-
51 uals with strokes. 1. The department shall establish a data oversight
52 process which shall include:
53 (a) A statewide stroke registry database that compiles information and
54 statistics on stroke care which align with nationally recognized stroke
55 treatment metrics.
A. 7410--A 3
1 (b) Hospitals designated by the department pursuant to section twen-
2 ty-eight hundred ninety-nine-d of this article as comprehensive stroke
3 centers, primary stroke centers and acute stroke ready, shall utilize a
4 nationally recognized data platform such as "Get With The Guidelines" to
5 collect data which will be submitted to the department for inclusion in
6 the statewide stroke database.
7 (c) Hospitals designated as comprehensive and primary stroke centers
8 pursuant to section twenty-eight hundred ninety-nine-d of this article
9 are required to report data to the statewide stroke database.
10 (d) All hospitals, including those designated pursuant to section
11 twenty-eight hundred ninety-nine-d of this article as acute stroke ready
12 hospitals are encouraged to report data to the statewide stroke data-
13 base.
14 (e) The data oversight process shall track care at individual hospi-
15 tals as well as the coordination of care across the system.
16 (f) In developing the data oversight process, the department shall
17 consult with experts in the field of stroke treatment such as a state
18 stroke physician advisory committee.
19 2. All data reported under this section shall be made available to the
20 department and all other government agencies or contractors of govern-
21 ment agencies that have responsibility for the management and adminis-
22 tration of emergency medical services throughout the state.
23 3. By June first each year the department shall provide a summary
24 report of the data collected pursuant to this section. All data shall be
25 reported in the aggregate form and shall be posted on the department's
26 website and presented to the governor, the temporary president of the
27 senate and the speaker of the assembly to show statewide progress toward
28 improving quality of care and patient outcomes.
29 4. This section does not require the disclosure of any confidential
30 information or other data in violation of the federal Health Insurance
31 Portability and Accountability Act of 1996, P.L. 104-191.
32 § 2899-h. Use of designation in advertising. No person or entity may
33 advertise to the public that a hospital is a comprehensive stroke
34 center, primary stroke center, or an acute stroke ready hospital unless
35 the hospital has been designated as such by the department pursuant to
36 this article.
37 § 2899-i. Disclaimer. This article is not a medical practice guideline
38 and shall not be used to restrict the authority of a hospital to provide
39 services for which it has received a license under state law. The legis-
40 lature intends that all patients be treated individually based on each
41 patient's needs and circumstances.
42 § 2. This act shall take effect on the one hundred eightieth day after
43 it shall have become a law; provided that the addition, amendment and/or
44 repeal of any rule or regulation necessary for the implementation of
45 this act on its effective date are authorized and directed to be made
46 and completed before such effective date.
