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| 2 | 2 | | SENATE DOCKET, NO. 481 FILED ON: 1/16/2023 |
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| 3 | 3 | | SENATE . . . . . . . . . . . . . . No. 1342 |
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| 4 | 4 | | The Commonwealth of Massachusetts |
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| 5 | 5 | | _________________ |
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| 6 | 6 | | PRESENTED BY: |
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| 7 | 7 | | Brendan P. Crighton |
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| 8 | 8 | | _________________ |
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| 9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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| 10 | 10 | | Court assembled: |
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| 11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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| 12 | 12 | | An Act to develop a coordinated stroke care system. |
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| 13 | 13 | | _______________ |
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| 14 | 14 | | PETITION OF: |
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| 15 | 15 | | NAME:DISTRICT/ADDRESS :Brendan P. CrightonThird Essex 1 of 2 |
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| 16 | 16 | | SENATE DOCKET, NO. 481 FILED ON: 1/16/2023 |
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| 17 | 17 | | SENATE . . . . . . . . . . . . . . No. 1342 |
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| 18 | 18 | | By Mr. Crighton, a petition (accompanied by bill, Senate, No. 1342) of Brendan P. Crighton for |
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| 19 | 19 | | legislation to develop a coordinated stroke care system. Public Health. |
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| 20 | 20 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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| 21 | 21 | | SEE SENATE, NO. 1396 OF 2021-2022.] |
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| 22 | 22 | | The Commonwealth of Massachusetts |
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| 23 | 23 | | _______________ |
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| 24 | 24 | | In the One Hundred and Ninety-Third General Court |
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| 25 | 25 | | (2023-2024) |
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| 26 | 26 | | _______________ |
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| 27 | 27 | | An Act to develop a coordinated stroke care system. |
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| 28 | 28 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 29 | 29 | | of the same, as follows: |
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| 30 | 30 | | 1 Chapter 111C of the General Laws, as appearing in the 2020 Official Edition, is hereby |
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| 31 | 31 | | 2amended by inserting the following new section:- |
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| 32 | 32 | | 3 Section 11A. (a) The department shall develop a statewide coordinated stroke care |
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| 33 | 33 | | 4system. At a minimum, the department, by regulation and guidance, shall provide for (1) training |
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| 34 | 34 | | 5in the FAST-ED stroke scale for EMS personnel; (2) in consultation with the Office of |
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| 35 | 35 | | 6Emergency Medical Services and the EMS system advisory board established in section 13 of |
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| 36 | 36 | | 7chapter 111C, regular reviews of data collected in the Primary Stroke Service Stroke Patient |
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| 37 | 37 | | 8Management Tool and the Massachusetts Ambulance Trip Record Information System and |
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| 38 | 38 | | 9recommended changes to collected data in alignment with best-practices and to strengthen |
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| 39 | 39 | | 10patient access to stroke care; (3) annual validations of Primary Stroke Service hospitals and offer 2 of 2 |
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| 40 | 40 | | 11follow-up with said hospitals to ensure quality care; (4) an ongoing public education campaign to |
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| 41 | 41 | | 12improve awareness of stroke symptoms. |
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| 42 | 42 | | 13 (b) The department shall develop recommendations to augment data collected by the |
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| 43 | 43 | | 14Primary Stroke Services Stroke patient Management Tool data to include, but not be limited to, |
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| 44 | 44 | | 15discharge time upon a patient’s transfer from an emergency department to a tertiary hospital, |
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| 45 | 45 | | 16capturing advance notification made by EMS of a patient’s stroke screening prior to said |
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| 46 | 46 | | 17patient’s arrival at a hospital and the time elapsed between a patient’s arrival at a hospital and |
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| 47 | 47 | | 18receipt of stroke treatment. |
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| 48 | 48 | | 19 (c) The department shall develop recommendations for Primary Stroke Services |
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| 49 | 49 | | 20designated hospitals to improve documentation of a stroke patient’s last known well time, |
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| 50 | 50 | | 21symptom onset time, brain imaging date and time and date and time of alteplase initiation. |
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| 51 | 51 | | 22 (d) Upon provision of relevant regulations and guidance pursuant to subsection (a) and |
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| 52 | 52 | | 23the development of recommendations pursuant to subsections (b) and (c), the department may |
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| 53 | 53 | | 24amend its point of entry plan to enable direct transport to an endovascular thrombectomy capable |
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| 54 | 54 | | 25facility under conditions including, but not limited to, travel time as aligned with evidence-based |
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| 55 | 55 | | 26and best practices, last known well documentation and the FAST-ED screening tool score. |
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| 56 | 56 | | 27 (e) The department shall provide for EMS personnel user-friendly access to all statewide |
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| 57 | 57 | | 28collected stroke metrics. |
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| 58 | 58 | | 29 (f) The department shall provide hospital specific stroke data reports to all Primary |
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| 59 | 59 | | 30Stroke Service designated hospitals. |
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