By: Rodriguez of Travis H.B. No. 3516
A BILL TO BE ENTITLED
AN ACT
relating to the establishment of a statewide system for the
response to and treatment of certain types of heart attacks.
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) and (4) 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.
SECTION 2. Chapter 93, Health and Safety Code, is amended by
adding Subchapter D to read as follows:
SUBCHAPTER D. HEART ATTACK RESPONSE AND TREATMENT
Sec. 93.151. DEFINITION. In this subchapter, "system"
means the statewide system for ST-elevation myocardial infarction
heart attack response and treatment.
Sec. 93.152. STATEWIDE SYSTEM. The department, in
coordination with the council, shall develop and implement a
statewide system for ST-elevation myocardial infarction heart
attack response and treatment to achieve continuous improvement in
the quality of care provided to ST-elevation myocardial infarction
heart attack patients.
Sec. 93.153. ELECTRONIC DATABASE; STATISTICAL DATA AND
OTHER INFORMATION. (a) In implementing the system, the department
shall create and maintain an electronic database by:
(1) compiling information and statistical data on the
care and treatment for ST-elevation myocardial infarction heart
attacks and other types of heart attacks;
(2) using a using a risk-adjusted, outcomes-based,
quality improvement registry maintained by the National
Cardiovascular Data Registry or another that focuses exclusively on
high-risk STEMI/NSTEMI patients; and
(3) coordinating with national voluntary health
organizations involved in ST-elevation myocardial infarction heart
attack 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 hospitals in this state that provide
treatment to ST-elevation myocardial infarction heart attack
patients to report statistical data consistent with nationally
recognized guidelines on the treatment of patients with confirmed
ST-elevation myocardial infarction heart attacks and encourage
other hospitals in this state and 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 ST-elevation myocardial infarction heart
attack patients in this state;
(3) facilitate the communication and analysis of
statistical data and other information among health care providers
who treat ST-elevation myocardial infarction heart attack
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 a hospital following acute treatment for
an ST-elevation myocardial infarction heart attack.
Sec. 93.154. 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 the system. The process and plan must:
(1) analyze statistical data on ST-elevation
myocardial infarction heart attack response and treatment
contained in the electronic database established under Section
93.153;
(2) identify potential interventions to improve
ST-elevation myocardial infarction heart attack care in geographic
regions of this state; and
(3) provide recommendations to the department and the
legislature for the improvement of ST-elevation myocardial
infarction heart attack care and the delivery of that care in this
state.
Sec. 93.155. AVAILABILITY OF STATISTICAL DATA. The
department shall make available all statistical data reported under
this subchapter to other state agencies, local governmental
entities, hospitals, and emergency medical services providers
licensed under Chapter 773 that are responsible for managing and
administering emergency medical services in this state.
Sec. 93.156. 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. 93.157. 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. 93.158. 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 D, Chapter 93, Health and Safety Code, as added by this
Act; and
(2) the Department of State Health Services shall
establish the statewide system as required under Subchapter D,
Chapter 93, Health and Safety Code, as added by this Act.
SECTION 4. This Act takes effect September 1, 2013.