1 | 1 | | 85R12234 SCL-F |
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2 | 2 | | By: Miles S.B. No. 1224 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the establishment of a statewide system for stroke |
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8 | 8 | | response and treatment. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Section 93.001, Health and Safety Code, is |
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11 | 11 | | amended by adding Subdivision (3) to read as follows: |
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12 | 12 | | (3) "Stroke facility" has the meaning assigned by |
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13 | 13 | | Section 773.202. |
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14 | 14 | | SECTION 2. Chapter 93, Health and Safety Code, is amended by |
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15 | 15 | | adding Subchapter C to read as follows: |
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16 | 16 | | SUBCHAPTER C. STROKE RESPONSE AND TREATMENT |
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17 | 17 | | Sec. 93.101. STATEWIDE SYSTEM FOR STROKE RESPONSE AND |
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18 | 18 | | TREATMENT. The department, in coordination with the council and |
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19 | 19 | | the stroke committee appointed under Section 773.203, shall develop |
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20 | 20 | | and implement a statewide system for stroke response and treatment |
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21 | 21 | | to achieve continuous improvement in the quality of care provided |
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22 | 22 | | to stroke patients. |
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23 | 23 | | Sec. 93.102. ELECTRONIC STROKE DATABASE; STATISTICAL DATA |
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24 | 24 | | AND OTHER INFORMATION. (a) In implementing a statewide system for |
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25 | 25 | | stroke response and treatment, the department shall create and |
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26 | 26 | | maintain an electronic stroke database by: |
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27 | 27 | | (1) compiling information and statistical data on |
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28 | 28 | | stroke care that align with the stroke consensus performance |
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29 | 29 | | measures developed and approved by the American Heart Association, |
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30 | 30 | | the American Stroke Association, the federal Centers for Disease |
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31 | 31 | | Control and Prevention, and The Joint Commission; |
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32 | 32 | | (2) using the Get With The Guidelines-Stroke program |
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33 | 33 | | maintained by the American Heart Association or a similar program |
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34 | 34 | | by the American Stroke Association or another nationally recognized |
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35 | 35 | | data system, provided the department determines the data system |
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36 | 36 | | complies with acceptable patient confidentiality standards; and |
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37 | 37 | | (3) coordinating with national voluntary health |
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38 | 38 | | organizations involved in stroke care quality improvement to avoid |
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39 | 39 | | duplication and redundancy in information compiled and maintained |
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40 | 40 | | under this section. |
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41 | 41 | | (b) To the extent possible, the department shall: |
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42 | 42 | | (1) require comprehensive and primary stroke |
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43 | 43 | | facilities, as determined by the department, to report statistical |
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44 | 44 | | data consistent with nationally recognized guidelines on the |
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45 | 45 | | treatment of patients who are confirmed to have suffered strokes |
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46 | 46 | | and encourage emergency medical services providers licensed under |
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47 | 47 | | Chapter 773 to participate; |
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48 | 48 | | (2) encourage health care providers to share |
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49 | 49 | | statistical data and other information about methods for improving |
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50 | 50 | | the quality of care for stroke patients in this state; |
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51 | 51 | | (3) facilitate the communication and analysis of |
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52 | 52 | | statistical data and other information among health care providers |
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53 | 53 | | who treat stroke patients; and |
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54 | 54 | | (4) adopt evidence-based treatment guidelines on the |
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55 | 55 | | transitioning of patients to hospital outpatient, physician |
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56 | 56 | | office, and health clinic settings in their communities for |
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57 | 57 | | continuing care after discharge from stroke facilities following |
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58 | 58 | | acute treatment for stroke. |
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59 | 59 | | Sec. 93.103. OVERSIGHT PROCESS AND PLAN FOR QUALITY |
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60 | 60 | | IMPROVEMENT. The department shall establish an oversight process |
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61 | 61 | | and implement a plan for achieving continuous quality improvement |
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62 | 62 | | in the care provided under a statewide system for stroke response |
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63 | 63 | | and treatment. The process and plan must: |
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64 | 64 | | (1) analyze statistical data on stroke response and |
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65 | 65 | | treatment contained in the electronic database established under |
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66 | 66 | | Section 93.102; |
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67 | 67 | | (2) identify potential interventions to improve |
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68 | 68 | | stroke care in geographic regions of this state; and |
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69 | 69 | | (3) provide recommendations to the department and the |
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70 | 70 | | legislature for the improvement of stroke care and the delivery of |
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71 | 71 | | stroke care in this state. |
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72 | 72 | | Sec. 93.104. AVAILABILITY OF STATISTICAL DATA. The |
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73 | 73 | | department shall make available all statistical data reported under |
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74 | 74 | | Section 93.102 to other state agencies, local governmental |
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75 | 75 | | entities, stroke facilities, and emergency medical services |
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76 | 76 | | providers licensed under Chapter 773 that are responsible for |
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77 | 77 | | managing and administering emergency medical services in this |
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78 | 78 | | state. |
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79 | 79 | | Sec. 93.105. REPORT. Not later than June 1 of each year, |
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80 | 80 | | the department shall provide to the governor, lieutenant governor, |
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81 | 81 | | speaker of the house of representatives, and standing committees of |
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82 | 82 | | the senate and the house with primary jurisdiction over health |
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83 | 83 | | matters a report summarizing the data collected under this section |
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84 | 84 | | and any related findings and recommendations. The department shall |
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85 | 85 | | post the report on the department's Internet website. |
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86 | 86 | | Sec. 93.106. CONFIDENTIALITY. Information obtained under |
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87 | 87 | | this subchapter that identifies a patient, or that is otherwise |
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88 | 88 | | confidential under law, is excepted from required public disclosure |
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89 | 89 | | under Chapter 552, Government Code, and may not be disclosed for any |
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90 | 90 | | purpose. |
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91 | 91 | | Sec. 93.107. RULEMAKING. The executive commissioner shall |
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92 | 92 | | adopt rules necessary to implement this subchapter. |
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93 | 93 | | SECTION 3. Not later than January 1, 2018: |
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94 | 94 | | (1) the executive commissioner of the Health and Human |
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95 | 95 | | Services Commission shall adopt the rules necessary to implement |
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96 | 96 | | Subchapter C, Chapter 93, Health and Safety Code, as added by this |
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97 | 97 | | Act; and |
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98 | 98 | | (2) the Department of State Health Services shall |
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99 | 99 | | establish the statewide system for stroke response and treatment as |
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100 | 100 | | required by Subchapter C, Chapter 93, Health and Safety Code, as |
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101 | 101 | | added by this Act. |
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102 | 102 | | SECTION 4. This Act takes effect September 1, 2017. |
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