8 | 15 | | |
---|
9 | 16 | | |
---|
10 | 17 | | |
---|
11 | 18 | | |
---|
12 | 19 | | AN ACT CONCERNING EMERGENCY DEPARTMENT BOARDING |
---|
13 | 20 | | AND CROWDING. |
---|
14 | 21 | | Be it enacted by the Senate and House of Representatives in General |
---|
15 | 22 | | Assembly convened: |
---|
16 | 23 | | |
---|
17 | 24 | | Section 1. (Effective from passage) The Probate Court Administrator 1 |
---|
18 | 25 | | and the Commissioner of Social Services shall evaluate the feasibility of 2 |
---|
19 | 26 | | establishing an expedited process for the appointment of a conservator 3 |
---|
20 | 27 | | for patients of hospital emergency departments who lack the capacity to 4 |
---|
21 | 28 | | consent to receive health care services from the hospital to ensure such 5 |
---|
22 | 29 | | patients receive such services in a timely fashion and help alleviate 6 |
---|
23 | 30 | | emergency department boarding and crowding. Not later than January 7 |
---|
24 | 31 | | 1, 2026, said administrator and commissioner shall jointly report, in 8 |
---|
25 | 32 | | accordance with the provisions of section 11-4a of the general statutes, 9 |
---|
26 | 33 | | to the joint standing committee of the General Assembly having 10 |
---|
27 | 34 | | cognizance of matters relating to public health regarding such 11 |
---|
28 | 35 | | evaluation and any recommendations for legislation necessary to 12 |
---|
29 | 36 | | establish an expedited conservator process for emergency department 13 |
---|
30 | 37 | | patients. As used in this section, "emergency department boarding" 14 |
---|
31 | 38 | | means holding patients who have been admitted to the hospital after 15 |
---|
32 | 39 | | presenting to the emergency department in the emergency department 16 |
---|
40 | | - | (a) Not later than January 1, 2025, and annually thereafter until 20 |
---|
41 | | - | January 1, 2029, each hospital in the state with an emergency 21 |
---|
42 | | - | department shall, and each hospital operated exclusively by the state 22 |
---|
43 | | - | may, directly or in consultation with a hospital association in the state, 23 |
---|
44 | | - | analyze the following data from the previous calendar year concerning 24 |
---|
45 | | - | its emergency department: (1) The number of patients who received 25 |
---|
46 | | - | treatment in the emergency department; (2) the number of emergency 26 |
---|
47 | | - | department patients who were admitted to the hospital; (3) for patients 27 |
---|
48 | | - | admitted to the hospital after presenting to the emergency department, 28 |
---|
49 | | - | the average length of time from the patient's first presentation to the 29 |
---|
50 | | - | emergency department until the patient's admission to the hospital; and 30 |
---|
51 | | - | (4) the percentage of patients who were admitted to the hospital after 31 |
---|
52 | | - | presenting to the emergency department but were transferred to an 32 |
---|
53 | | - | available bed located in a physical location other than the emergency 33 |
---|
54 | | - | department more than four hours after an admitting order for the 34 |
---|
55 | | - | patient was completed. Each such hospital shall utilize such analysis 35 |
---|
56 | | - | with the goals of (A) developing policies or procedures to reduce wait 36 |
---|
57 | | - | times for admission to the hospital after a patient presents to the 37 |
---|
58 | | - | emergency department, (B) informing potential methods to improve 38 |
---|
59 | | - | admission efficiencies, and (C) examining root causes for delays in 39 |
---|
60 | | - | admission times. 40 |
---|
61 | | - | (b) Not later than March 1, 2025, and annually thereafter until March 41 |
---|
62 | | - | 1, 2029, each hospital that conducts an analysis pursuant to subsection 42 |
---|
63 | | - | (a) of this section shall submit a report, in accordance with the 43 |
---|
64 | | - | provisions of section 11-4a, to the joint standing committee of the 44 |
---|
65 | | - | General Assembly having cognizance of matters relating to public 45 |
---|
66 | | - | health and, not later than March 1, 2026, and annually thereafter until 46 |
---|
67 | | - | March 1, 2029, shall also submit such report to the Commissioners of 47 |
---|
68 | | - | Public Health and Health Strategy, regarding its findings and any 48 |
---|
69 | | - | recommendations for achieving the goals described in subparagraphs 49 |
---|
70 | | - | (A) to (C), inclusive, of subdivision (4) of subsection (a) of this section. 50 |
---|
| 44 | + | LCO No. 6423 2 of 2 |
---|
| 45 | + | |
---|
| 46 | + | while awaiting an inpatient bed. 17 |
---|