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California Assembly Bill AB2961

California 2017-2018 Regular Session

California Assembly Bill AB2961 Compare Versions

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1-Assembly Bill No. 2961 CHAPTER 656 An act to add Sections 1797.123 and 1797.228 to the Health and Safety Code, relating to public health. [ Approved by Governor September 21, 2018. Filed with Secretary of State September 21, 2018. ] LEGISLATIVE COUNSEL'S DIGESTAB 2961, ODonnell. Emergency medical services.Existing law creates the Commission on Emergency Medical Services, within the California Health and Human Services Agency, to, among other things, advise the Emergency Medical Services Authority on the development of an emergency medical data collection system. Existing law requires the Emergency Medical Services Authority to develop a statewide standard methodology for the calculation and reporting of ambulance patient offload time, as defined, by a local emergency medical services (EMS) agency. Existing law authorizes a county to develop an emergency medical services program, and authorizes a local EMS agency to adopt policies and procedures to calculate and report ambulance patient offload time.This bill would require a local EMS agency to submit quarterly data to the authority that, among other things, is sufficient for the authority to calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. The bill would require the authority to calculate ambulance patient offload time and report it twice per year to the Commission on Emergency Medical Services. The bill would also require the authority, in collaboration with local EMS agencies, on or before December 1, 2020, to submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares the following:(a) In 2015, the Legislature directed the Emergency Medical Services Authority (EMSA) to develop a methodology to measure and report ambulance patient offload time.(b) Ambulance patient offload time is the interval between the arrival via ambulance of a patient at an emergency department and the time the patient is transferred to an emergency department gurney, bed, chair, or other acceptable location and the emergency department assumes responsibility for the care of the patient.(c) Patients who are experiencing an emergency and are transported to the hospital must get rapid, efficient transfer and attention at an emergency care facility. Ensuring immediate transfer of patient care at emergency rooms will not only benefit the patient under direct care, but also ensure that emergency medical services (EMS) professionals can reenter the field to help others in need.(d) Significant delays in ambulance patient offload time unacceptably prevent a patient from receiving appropriate and immediate care, and pose a public safety risk by having fewer qualified EMS personnel available to respond to other emergencies.(e) Chapter 379 of the Statutes of 2015 required the EMSA to create a common definition of ambulance patient offload time and charged the EMSA with establishing a standard way of measuring the problem across the state, while allowing for the collection of data needed to measure ambulance patient offload time and address issues.(f) While the EMSA has established the methodology, reporting by local EMS agencies has been intermittent. Some local EMS agencies reported ambulance patient offload time quarterly during 2017, some local EMS agencies reported incomplete data, and more than a dozen local EMS agencies have not reported any data.(g) Chapter 377 of the Statutes of 2015 directs EMS providers to utilize an electronic patient care record system to track patient care records and to submit that data to local EMS agencies. An electronic system allows for better data collection, better data sharing between agencies, and better coordination between the EMS system and emergency departments.(h) Electronic patient care records include data tracking for each emergency response call that includes transferring a patient to an emergency department. Currently, electronic patient care record data is not shared consistently or completely with EMSA.(i) It is imperative that local EMS agencies report this data to EMSA to inform EMSA and EMS system stakeholders in considering or adopting reasonable policy solutions to reduce or eliminate ambulance patient offload time.SEC. 2. Section 1797.123 is added to the Health and Safety Code, immediately following Section 1797.122, to read:1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.SEC. 3. Section 1797.228 is added to the Health and Safety Code, immediately following Section 1797.227, to read:1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
1+Enrolled September 04, 2018 Passed IN Senate August 29, 2018 Passed IN Assembly August 30, 2018 Amended IN Senate August 24, 2018 Amended IN Senate July 03, 2018 Amended IN Assembly May 25, 2018 Amended IN Assembly March 20, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 2961Introduced by Assembly Member ODonnell(Coauthor: Assembly Member Rodriguez)February 16, 2018 An act to add Sections 1797.123 and 1797.228 to the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 2961, ODonnell. Emergency medical services.Existing law creates the Commission on Emergency Medical Services, within the California Health and Human Services Agency, to, among other things, advise the Emergency Medical Services Authority on the development of an emergency medical data collection system. Existing law requires the Emergency Medical Services Authority to develop a statewide standard methodology for the calculation and reporting of ambulance patient offload time, as defined, by a local emergency medical services (EMS) agency. Existing law authorizes a county to develop an emergency medical services program, and authorizes a local EMS agency to adopt policies and procedures to calculate and report ambulance patient offload time.This bill would require a local EMS agency to submit quarterly data to the authority that, among other things, is sufficient for the authority to calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. The bill would require the authority to calculate ambulance patient offload time and report it twice per year to the Commission on Emergency Medical Services. The bill would also require the authority, in collaboration with local EMS agencies, on or before December 1, 2020, to submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares the following:(a) In 2015, the Legislature directed the Emergency Medical Services Authority (EMSA) to develop a methodology to measure and report ambulance patient offload time.(b) Ambulance patient offload time is the interval between the arrival via ambulance of a patient at an emergency department and the time the patient is transferred to an emergency department gurney, bed, chair, or other acceptable location and the emergency department assumes responsibility for the care of the patient.(c) Patients who are experiencing an emergency and are transported to the hospital must get rapid, efficient transfer and attention at an emergency care facility. Ensuring immediate transfer of patient care at emergency rooms will not only benefit the patient under direct care, but also ensure that emergency medical services (EMS) professionals can reenter the field to help others in need.(d) Significant delays in ambulance patient offload time unacceptably prevent a patient from receiving appropriate and immediate care, and pose a public safety risk by having fewer qualified EMS personnel available to respond to other emergencies.(e) Chapter 379 of the Statutes of 2015 required the EMSA to create a common definition of ambulance patient offload time and charged the EMSA with establishing a standard way of measuring the problem across the state, while allowing for the collection of data needed to measure ambulance patient offload time and address issues.(f) While the EMSA has established the methodology, reporting by local EMS agencies has been intermittent. Some local EMS agencies reported ambulance patient offload time quarterly during 2017, some local EMS agencies reported incomplete data, and more than a dozen local EMS agencies have not reported any data.(g) Chapter 377 of the Statutes of 2015 directs EMS providers to utilize an electronic patient care record system to track patient care records and to submit that data to local EMS agencies. An electronic system allows for better data collection, better data sharing between agencies, and better coordination between the EMS system and emergency departments.(h) Electronic patient care records include data tracking for each emergency response call that includes transferring a patient to an emergency department. Currently, electronic patient care record data is not shared consistently or completely with EMSA.(i) It is imperative that local EMS agencies report this data to EMSA to inform EMSA and EMS system stakeholders in considering or adopting reasonable policy solutions to reduce or eliminate ambulance patient offload time.SEC. 2. Section 1797.123 is added to the Health and Safety Code, immediately following Section 1797.122, to read:1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.SEC. 3. Section 1797.228 is added to the Health and Safety Code, immediately following Section 1797.227, to read:1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
22
3- Assembly Bill No. 2961 CHAPTER 656 An act to add Sections 1797.123 and 1797.228 to the Health and Safety Code, relating to public health. [ Approved by Governor September 21, 2018. Filed with Secretary of State September 21, 2018. ] LEGISLATIVE COUNSEL'S DIGESTAB 2961, ODonnell. Emergency medical services.Existing law creates the Commission on Emergency Medical Services, within the California Health and Human Services Agency, to, among other things, advise the Emergency Medical Services Authority on the development of an emergency medical data collection system. Existing law requires the Emergency Medical Services Authority to develop a statewide standard methodology for the calculation and reporting of ambulance patient offload time, as defined, by a local emergency medical services (EMS) agency. Existing law authorizes a county to develop an emergency medical services program, and authorizes a local EMS agency to adopt policies and procedures to calculate and report ambulance patient offload time.This bill would require a local EMS agency to submit quarterly data to the authority that, among other things, is sufficient for the authority to calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. The bill would require the authority to calculate ambulance patient offload time and report it twice per year to the Commission on Emergency Medical Services. The bill would also require the authority, in collaboration with local EMS agencies, on or before December 1, 2020, to submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
3+ Enrolled September 04, 2018 Passed IN Senate August 29, 2018 Passed IN Assembly August 30, 2018 Amended IN Senate August 24, 2018 Amended IN Senate July 03, 2018 Amended IN Assembly May 25, 2018 Amended IN Assembly March 20, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 2961Introduced by Assembly Member ODonnell(Coauthor: Assembly Member Rodriguez)February 16, 2018 An act to add Sections 1797.123 and 1797.228 to the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 2961, ODonnell. Emergency medical services.Existing law creates the Commission on Emergency Medical Services, within the California Health and Human Services Agency, to, among other things, advise the Emergency Medical Services Authority on the development of an emergency medical data collection system. Existing law requires the Emergency Medical Services Authority to develop a statewide standard methodology for the calculation and reporting of ambulance patient offload time, as defined, by a local emergency medical services (EMS) agency. Existing law authorizes a county to develop an emergency medical services program, and authorizes a local EMS agency to adopt policies and procedures to calculate and report ambulance patient offload time.This bill would require a local EMS agency to submit quarterly data to the authority that, among other things, is sufficient for the authority to calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. The bill would require the authority to calculate ambulance patient offload time and report it twice per year to the Commission on Emergency Medical Services. The bill would also require the authority, in collaboration with local EMS agencies, on or before December 1, 2020, to submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
4+
5+ Enrolled September 04, 2018 Passed IN Senate August 29, 2018 Passed IN Assembly August 30, 2018 Amended IN Senate August 24, 2018 Amended IN Senate July 03, 2018 Amended IN Assembly May 25, 2018 Amended IN Assembly March 20, 2018
6+
7+Enrolled September 04, 2018
8+Passed IN Senate August 29, 2018
9+Passed IN Assembly August 30, 2018
10+Amended IN Senate August 24, 2018
11+Amended IN Senate July 03, 2018
12+Amended IN Assembly May 25, 2018
13+Amended IN Assembly March 20, 2018
14+
15+ CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION
416
517 Assembly Bill No. 2961
6-CHAPTER 656
18+
19+Introduced by Assembly Member ODonnell(Coauthor: Assembly Member Rodriguez)February 16, 2018
20+
21+Introduced by Assembly Member ODonnell(Coauthor: Assembly Member Rodriguez)
22+February 16, 2018
723
824 An act to add Sections 1797.123 and 1797.228 to the Health and Safety Code, relating to public health.
9-
10- [ Approved by Governor September 21, 2018. Filed with Secretary of State September 21, 2018. ]
1125
1226 LEGISLATIVE COUNSEL'S DIGEST
1327
1428 ## LEGISLATIVE COUNSEL'S DIGEST
1529
1630 AB 2961, ODonnell. Emergency medical services.
1731
1832 Existing law creates the Commission on Emergency Medical Services, within the California Health and Human Services Agency, to, among other things, advise the Emergency Medical Services Authority on the development of an emergency medical data collection system. Existing law requires the Emergency Medical Services Authority to develop a statewide standard methodology for the calculation and reporting of ambulance patient offload time, as defined, by a local emergency medical services (EMS) agency. Existing law authorizes a county to develop an emergency medical services program, and authorizes a local EMS agency to adopt policies and procedures to calculate and report ambulance patient offload time.This bill would require a local EMS agency to submit quarterly data to the authority that, among other things, is sufficient for the authority to calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. The bill would require the authority to calculate ambulance patient offload time and report it twice per year to the Commission on Emergency Medical Services. The bill would also require the authority, in collaboration with local EMS agencies, on or before December 1, 2020, to submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time.
1933
2034 Existing law creates the Commission on Emergency Medical Services, within the California Health and Human Services Agency, to, among other things, advise the Emergency Medical Services Authority on the development of an emergency medical data collection system. Existing law requires the Emergency Medical Services Authority to develop a statewide standard methodology for the calculation and reporting of ambulance patient offload time, as defined, by a local emergency medical services (EMS) agency. Existing law authorizes a county to develop an emergency medical services program, and authorizes a local EMS agency to adopt policies and procedures to calculate and report ambulance patient offload time.
2135
2236 This bill would require a local EMS agency to submit quarterly data to the authority that, among other things, is sufficient for the authority to calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. The bill would require the authority to calculate ambulance patient offload time and report it twice per year to the Commission on Emergency Medical Services. The bill would also require the authority, in collaboration with local EMS agencies, on or before December 1, 2020, to submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time.
2337
2438 ## Digest Key
2539
2640 ## Bill Text
2741
2842 The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares the following:(a) In 2015, the Legislature directed the Emergency Medical Services Authority (EMSA) to develop a methodology to measure and report ambulance patient offload time.(b) Ambulance patient offload time is the interval between the arrival via ambulance of a patient at an emergency department and the time the patient is transferred to an emergency department gurney, bed, chair, or other acceptable location and the emergency department assumes responsibility for the care of the patient.(c) Patients who are experiencing an emergency and are transported to the hospital must get rapid, efficient transfer and attention at an emergency care facility. Ensuring immediate transfer of patient care at emergency rooms will not only benefit the patient under direct care, but also ensure that emergency medical services (EMS) professionals can reenter the field to help others in need.(d) Significant delays in ambulance patient offload time unacceptably prevent a patient from receiving appropriate and immediate care, and pose a public safety risk by having fewer qualified EMS personnel available to respond to other emergencies.(e) Chapter 379 of the Statutes of 2015 required the EMSA to create a common definition of ambulance patient offload time and charged the EMSA with establishing a standard way of measuring the problem across the state, while allowing for the collection of data needed to measure ambulance patient offload time and address issues.(f) While the EMSA has established the methodology, reporting by local EMS agencies has been intermittent. Some local EMS agencies reported ambulance patient offload time quarterly during 2017, some local EMS agencies reported incomplete data, and more than a dozen local EMS agencies have not reported any data.(g) Chapter 377 of the Statutes of 2015 directs EMS providers to utilize an electronic patient care record system to track patient care records and to submit that data to local EMS agencies. An electronic system allows for better data collection, better data sharing between agencies, and better coordination between the EMS system and emergency departments.(h) Electronic patient care records include data tracking for each emergency response call that includes transferring a patient to an emergency department. Currently, electronic patient care record data is not shared consistently or completely with EMSA.(i) It is imperative that local EMS agencies report this data to EMSA to inform EMSA and EMS system stakeholders in considering or adopting reasonable policy solutions to reduce or eliminate ambulance patient offload time.SEC. 2. Section 1797.123 is added to the Health and Safety Code, immediately following Section 1797.122, to read:1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.SEC. 3. Section 1797.228 is added to the Health and Safety Code, immediately following Section 1797.227, to read:1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
2943
3044 The people of the State of California do enact as follows:
3145
3246 ## The people of the State of California do enact as follows:
3347
3448 SECTION 1. The Legislature finds and declares the following:(a) In 2015, the Legislature directed the Emergency Medical Services Authority (EMSA) to develop a methodology to measure and report ambulance patient offload time.(b) Ambulance patient offload time is the interval between the arrival via ambulance of a patient at an emergency department and the time the patient is transferred to an emergency department gurney, bed, chair, or other acceptable location and the emergency department assumes responsibility for the care of the patient.(c) Patients who are experiencing an emergency and are transported to the hospital must get rapid, efficient transfer and attention at an emergency care facility. Ensuring immediate transfer of patient care at emergency rooms will not only benefit the patient under direct care, but also ensure that emergency medical services (EMS) professionals can reenter the field to help others in need.(d) Significant delays in ambulance patient offload time unacceptably prevent a patient from receiving appropriate and immediate care, and pose a public safety risk by having fewer qualified EMS personnel available to respond to other emergencies.(e) Chapter 379 of the Statutes of 2015 required the EMSA to create a common definition of ambulance patient offload time and charged the EMSA with establishing a standard way of measuring the problem across the state, while allowing for the collection of data needed to measure ambulance patient offload time and address issues.(f) While the EMSA has established the methodology, reporting by local EMS agencies has been intermittent. Some local EMS agencies reported ambulance patient offload time quarterly during 2017, some local EMS agencies reported incomplete data, and more than a dozen local EMS agencies have not reported any data.(g) Chapter 377 of the Statutes of 2015 directs EMS providers to utilize an electronic patient care record system to track patient care records and to submit that data to local EMS agencies. An electronic system allows for better data collection, better data sharing between agencies, and better coordination between the EMS system and emergency departments.(h) Electronic patient care records include data tracking for each emergency response call that includes transferring a patient to an emergency department. Currently, electronic patient care record data is not shared consistently or completely with EMSA.(i) It is imperative that local EMS agencies report this data to EMSA to inform EMSA and EMS system stakeholders in considering or adopting reasonable policy solutions to reduce or eliminate ambulance patient offload time.
3549
3650 SECTION 1. The Legislature finds and declares the following:(a) In 2015, the Legislature directed the Emergency Medical Services Authority (EMSA) to develop a methodology to measure and report ambulance patient offload time.(b) Ambulance patient offload time is the interval between the arrival via ambulance of a patient at an emergency department and the time the patient is transferred to an emergency department gurney, bed, chair, or other acceptable location and the emergency department assumes responsibility for the care of the patient.(c) Patients who are experiencing an emergency and are transported to the hospital must get rapid, efficient transfer and attention at an emergency care facility. Ensuring immediate transfer of patient care at emergency rooms will not only benefit the patient under direct care, but also ensure that emergency medical services (EMS) professionals can reenter the field to help others in need.(d) Significant delays in ambulance patient offload time unacceptably prevent a patient from receiving appropriate and immediate care, and pose a public safety risk by having fewer qualified EMS personnel available to respond to other emergencies.(e) Chapter 379 of the Statutes of 2015 required the EMSA to create a common definition of ambulance patient offload time and charged the EMSA with establishing a standard way of measuring the problem across the state, while allowing for the collection of data needed to measure ambulance patient offload time and address issues.(f) While the EMSA has established the methodology, reporting by local EMS agencies has been intermittent. Some local EMS agencies reported ambulance patient offload time quarterly during 2017, some local EMS agencies reported incomplete data, and more than a dozen local EMS agencies have not reported any data.(g) Chapter 377 of the Statutes of 2015 directs EMS providers to utilize an electronic patient care record system to track patient care records and to submit that data to local EMS agencies. An electronic system allows for better data collection, better data sharing between agencies, and better coordination between the EMS system and emergency departments.(h) Electronic patient care records include data tracking for each emergency response call that includes transferring a patient to an emergency department. Currently, electronic patient care record data is not shared consistently or completely with EMSA.(i) It is imperative that local EMS agencies report this data to EMSA to inform EMSA and EMS system stakeholders in considering or adopting reasonable policy solutions to reduce or eliminate ambulance patient offload time.
3751
3852 SECTION 1. The Legislature finds and declares the following:
3953
4054 ### SECTION 1.
4155
4256 (a) In 2015, the Legislature directed the Emergency Medical Services Authority (EMSA) to develop a methodology to measure and report ambulance patient offload time.
4357
4458 (b) Ambulance patient offload time is the interval between the arrival via ambulance of a patient at an emergency department and the time the patient is transferred to an emergency department gurney, bed, chair, or other acceptable location and the emergency department assumes responsibility for the care of the patient.
4559
4660 (c) Patients who are experiencing an emergency and are transported to the hospital must get rapid, efficient transfer and attention at an emergency care facility. Ensuring immediate transfer of patient care at emergency rooms will not only benefit the patient under direct care, but also ensure that emergency medical services (EMS) professionals can reenter the field to help others in need.
4761
4862 (d) Significant delays in ambulance patient offload time unacceptably prevent a patient from receiving appropriate and immediate care, and pose a public safety risk by having fewer qualified EMS personnel available to respond to other emergencies.
4963
5064 (e) Chapter 379 of the Statutes of 2015 required the EMSA to create a common definition of ambulance patient offload time and charged the EMSA with establishing a standard way of measuring the problem across the state, while allowing for the collection of data needed to measure ambulance patient offload time and address issues.
5165
5266 (f) While the EMSA has established the methodology, reporting by local EMS agencies has been intermittent. Some local EMS agencies reported ambulance patient offload time quarterly during 2017, some local EMS agencies reported incomplete data, and more than a dozen local EMS agencies have not reported any data.
5367
5468 (g) Chapter 377 of the Statutes of 2015 directs EMS providers to utilize an electronic patient care record system to track patient care records and to submit that data to local EMS agencies. An electronic system allows for better data collection, better data sharing between agencies, and better coordination between the EMS system and emergency departments.
5569
5670 (h) Electronic patient care records include data tracking for each emergency response call that includes transferring a patient to an emergency department. Currently, electronic patient care record data is not shared consistently or completely with EMSA.
5771
5872 (i) It is imperative that local EMS agencies report this data to EMSA to inform EMSA and EMS system stakeholders in considering or adopting reasonable policy solutions to reduce or eliminate ambulance patient offload time.
5973
6074 SEC. 2. Section 1797.123 is added to the Health and Safety Code, immediately following Section 1797.122, to read:1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.
6175
6276 SEC. 2. Section 1797.123 is added to the Health and Safety Code, immediately following Section 1797.122, to read:
6377
6478 ### SEC. 2.
6579
6680 1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.
6781
6882 1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.
6983
7084 1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.
7185
7286
7387
7488 1797.123. (a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.
7589
7690 (b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.
7791
7892 (c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.
7993
8094 SEC. 3. Section 1797.228 is added to the Health and Safety Code, immediately following Section 1797.227, to read:1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
8195
8296 SEC. 3. Section 1797.228 is added to the Health and Safety Code, immediately following Section 1797.227, to read:
8397
8498 ### SEC. 3.
8599
86100 1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
87101
88102 1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
89103
90104 1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.(2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction. (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.
91105
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94108 1797.228. (a) (1) On or before July 1, 2019, a local EMS agency shall transmit ambulance patient offload time data quarterly to the authority, consistent with the policies and procedures developed pursuant to Section 1797.225.
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96110 (2) The data must be sufficient for the authority to calculate ambulance patient offload time, as defined in subdivision (b) of Section 1797.120, by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.
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98112 (b) Notwithstanding Section 1797.122, the local EMS agency shall ensure that personally identifying patient data is not included in the submission of data to calculate patient offload time.