By: Rodriguez of Travis H.B. No. 3515
A BILL TO BE ENTITLED
AN ACT
relating to the establishment of a statewide system for stroke
response and treatment.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 93.001, Health and Safety Code, is
amended by adding Subdivisions (3), (4), and (5) to read as follows:
(3) "Department" means the Department of State Health
Services.
(4) "Executive commissioner" means the executive
commissioner of the Health and Human Services Commission.
(5) "Stroke facility" has the meaning assigned by
Section 773.202.
SECTION 2. Chapter 93, Health and Safety Code, is amended by
adding Subchapter C to read as follows:
SUBCHAPTER C. STROKE RESPONSE AND TREATMENT
Sec. 93.101. STATEWIDE SYSTEM FOR STROKE RESPONSE AND
TREATMENT. The department, in coordination with the council and
the stroke committee appointed under Section 773.023, shall develop
and implement a statewide system for stroke response and treatment
to achieve continuous improvement in the quality of care provided
to stroke patients.
Sec. 93.102. ELECTRONIC STROKE DATABASE; STATISTICAL DATA
AND OTHER INFORMATION. (a) In implementing a statewide system for
stroke response and treatment, the department shall create and
maintain an electronic stroke database by:
(1) compiling information and statistical data on
stroke care that align with the stroke consensus performance
measures developed and approved by the American Heart Association,
the American Stroke Association, the Centers for Disease Control
and Prevention, and The Joint Commission;
(2) using the stroke guidelines and quality
improvement program Get With the Guidelines Stroke maintained by
the American Heart Association and the American Stroke Association
or another nationally recognized data system, provided that the
department determines that the data system complies with acceptable
patient confidentiality standards; and
(3) coordinating with national voluntary health
organizations involved in stroke care quality improvement to avoid
duplication and redundancy in information compiled and maintained
under this section.
(b) To the extent possible, the department shall:
(1) require stroke facilities to report statistical
data consistent with nationally recognized guidelines on the
treatment of patients who are confirmed to have suffered strokes
and encourage emergency medical services providers licensed under
Chapter 773 to participate;
(2) encourage health care providers to share
statistical data and other information about methods for improving
the quality of care for stroke patients in this state;
(3) facilitate the communication and analysis of
statistical data and other information among health care providers
who treat stroke patients; and
(4) adopt evidence-based treatment guidelines on the
transitioning of patients to hospital outpatient, physician
office, and health clinic settings in their communities for ongoing
care after discharge from stroke facilities following acute
treatment for stroke.
Sec. 93.103. OVERSIGHT PROCESS AND PLAN FOR QUALITY
IMPROVEMENT. The department shall establish an oversight process
and implement a plan for achieving continuous quality improvement
in the care provided under a statewide system for stroke response
and treatment. The process and plan must:
(1) analyze statistical data on stroke response and
treatment contained in the electronic database established under
Section 93.102;
(2) identify potential interventions to improve
stroke care in geographic regions of this state; and
(3) provide recommendations to the department and the
legislature for the improvement of stroke care and the delivery of
stroke care in this state.
Sec. 93.104. AVAILABILITY OF STATISTICAL DATA. The
department shall make available all statistical data reported under
Section 93.102 to other state agencies, local governmental
entities, stroke facilities, and emergency medical services
providers licensed under Chapter 773 that are responsible for
managing and administering emergency medical services in this
state.
Sec. 93.105. REPORT. Not later than June 1 of each year,
the department shall provide to the governor, lieutenant governor,
speaker of the house of representatives, and standing committees of
the senate and the house with primary jurisdiction over health
matters a report summarizing the data collected under this section
and any related findings and recommendations. The department shall
post the report on the department's Internet website.
Sec. 93.106. CONFIDENTIALITY. Information obtained under
this subchapter that identifies a patient, or that is otherwise
confidential under law, is excepted from required public disclosure
under Chapter 552, Government Code, and may not be disclosed for any
purpose.
Sec. 93.107. RULEMAKING. The executive commissioner shall
adopt rules necessary to implement this subchapter.
SECTION 3. Not later than January 1, 2014:
(1) the executive commissioner of the Health and Human
Services Commission shall adopt the rules necessary to implement
Subchapter C, Chapter 93, Health and Safety Code, as added by this
Act; and
(2) the Department of State Health Services shall
establish the statewide system for stroke response and treatment as
required by Subchapter C, Chapter 93, Health and Safety Code, as
added by this Act.
SECTION 4. This Act takes effect September 1, 2013.