Bill Text: OR SB200 | 2011 | Regular Session | Introduced
Bill Title: Relating to care for stroke patients; declaring an emergency.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Failed) 2011-06-30 - In committee upon adjournment. [SB200 Detail]
Download: Oregon-2011-SB200-Introduced.html
76th OREGON LEGISLATIVE ASSEMBLY--2011 Regular Session
NOTE: Matter within { + braces and plus signs + } in an
amended section is new. Matter within { - braces and minus
signs - } is existing law to be omitted. New sections are within
{ + braces and plus signs + } .
LC 2546
Senate Bill 200
Sponsored by Senator BATES (Presession filed.)
SUMMARY
The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure as
introduced.
Requires Oregon Health Authority to develop criteria for and to
designate primary stroke centers. Creates stroke system of care
task force to make recommendations for establishing effective
stroke system of care within state. Sunsets task force January 2,
2013. Requires authority to adopt protocols for assessment,
treatment and transport of stroke patients. Requires emergency
medical technicians to receive training on protocols. Requires
authority to maintain database of stroke response and treatment
data and to encourage sharing of information between health care
providers to improve quality of care.
Declares emergency, effective on passage.
A BILL FOR AN ACT
Relating to care for stroke patients; and declaring an emergency.
Whereas the rapid identification, diagnosis and treatment of
stroke can save the lives of stroke patients and in some cases
can reverse neurological damage such as paralysis and speech and
language impairments, leaving stroke patients with few or no
neurological deficits; and
Whereas despite significant advances in diagnosis, treatment
and prevention, stroke is the third leading cause of death and
the leading cause of disability; and
Whereas an estimated 780,000 new and recurrent strokes occur
each year in this country and with the aging of the population
the number is projected to increase; and
Whereas although new treatments are available to improve the
clinical outcomes of stroke, many acute care hospitals lack the
necessary staff and equipment to optimally triage and treat
stroke patients; and
Whereas an effective system to support stroke survival is
needed in our communities in order to treat stroke patients in a
timely manner and to improve the overall treatment of stroke
patients to increase the survival rate and decrease the
disabilities associated with stroke; and
Whereas there is a public health need for acute care hospitals
in this state to establish primary stroke centers to ensure the
rapid triage, diagnostic evaluation and treatment of patients who
have suffered a stroke; and
Whereas primary stroke centers should be established in as many
acute care hospitals as possible; and
Whereas it is in the best interests of the residents of this
state to establish a program to facilitate development of stroke
treatment capabilities throughout the state and to provide
specific patient care and support services criteria that stroke
centers must meet in order to ensure that stroke patients receive
safe and effective care; and
Whereas it is in the best interests of the people of this state
to modify the state's emergency medical response system to ensure
that stroke patients may be quickly identified and transported to
and treated in facilities that have specialized programs for
providing timely and effective treatment for stroke patients;
now, therefore,
Be It Enacted by the People of the State of Oregon:
SECTION 1. { + (1) The Oregon Health Authority shall prescribe
by rule criteria for an acute care hospital to qualify as a
primary stroke center. The criteria must be consistent with The
Joint Commission's primary stroke center certification criteria.
(2) The authority shall designate primary stroke centers and
may suspend or terminate a hospital's designation as a primary
stroke center after notice and an opportunity for hearing in
accordance with ORS chapter 183.
(3) The authority shall post a list of primary stroke centers
to the authority's website.
(4) A hospital may not advertise or hold itself out to the
public as a primary stroke center if the hospital is not
designated by the authority as a primary stroke center under this
section. + }
SECTION 2. { + (1) The stroke system of care task force is
created in the Oregon Health Authority and charged with making
recommendations for the establishment of a stroke system of care
in this state. The membership of the task force includes but is
not limited to representatives of:
(a) The Oregon Health Authority;
(b) The State Emergency Medical Service Committee appointed
under ORS 682.039;
(c) The Office of Rural Health created by ORS 442.475;
(d) The American Stroke Association;
(e) Primary stroke centers designated under section 1 of this
2011 Act;
(f) Rural hospitals;
(g) Physicians; and
(h) Emergency medical services providers.
(2) Members of the task force shall be appointed by the
Governor and serve at the pleasure of the Governor.
(3) Official action by the task force requires the approval of
a majority of the members of the task force.
(4) The task force shall elect one of its members to serve as
chairperson.
(5) The task force shall meet at times and places specified by
the call of the chairperson or of a majority of the members of
the task force.
(6) Members of the task force are not entitled to compensation
but may be reimbursed for actual and necessary travel and other
expenses incurred by them in the performance of their official
duties in the manner and amounts provided for in ORS 292.495.
(7) The authority shall provide staff support to the task
force.
(8) All agencies of state government, as defined in ORS
174.111, are directed to assist the task force in the performance
of its duties and, to the extent permitted by laws relating to
confidentiality, to furnish such information and advice as the
members of the task force consider necessary.
(9) The task force shall submit its recommendations to the
Director of the Oregon Health Authority and to the Legislative
Assembly in the manner provided by ORS 192.245 no later than June
30, 2012.
(10) The authority shall adopt rules that take into account the
recommendations of the task force on or before January 1,
2013. + }
SECTION 3. { + (1) In consultation with primary stroke centers
designated under section 1 of this 2011 Act, the Oregon Health
Authority shall adopt:
(a) Protocols for the assessment, treatment and transport of
stroke patients by certified emergency medical technicians. The
protocols must include a requirement for emergency medical
technicians to transport stroke patients to the closest primary
stroke center if a center is located within a 60-minute period of
transport.
(b) A stroke triage assessment tool that is consistent with
nationally recognized standards for triage of stroke patients.
The authority shall post the stroke triage assessment tool to the
authority's website and distribute the tool to each licensed
ambulance service and other agencies that provide emergency
medical services.
(2) Protocols adopted by the authority under subsection (1) of
this section:
(a) Are not medical practice guidelines;
(b) May not be used by the authority to restrict the services
provided within a hospital's license; and
(c) May not substitute for treating each patient individually
based on the patient's needs and circumstances.
(3) The authority shall:
(a) Maintain a database of information and statistics on stroke
care in this state in coordination with and to avoid duplication
with national health organizations maintaining similar
information;
(b) Establish the form and manner for hospitals and emergency
services providers to report data on the treatment of stroke
patients; and
(c) Encourage and facilitate the sharing of information and
data among health care providers to improve the quality of care.
(4) The authority shall prepare an annual report summarizing
the data collected under subsection (3) of this section and shall
present the report to the Governor, the President of the Senate
and the Speaker of the House of Representatives. The authority
shall post the report to the authority's website.
(5) All data reported and compiled under subsection (3) of this
section is confidential and may be disclosed only to public
bodies or contractors of public bodies that have responsibility
for the management or administration of emergency medical
services.
(6) The authority shall establish and implement a plan for the
continuous improvement of the quality of care and treatment
provided to stroke patients in this state. + }
SECTION 4. { + Section 5 of this 2011 Act is added to and made
a part of ORS chapter 682. + }
SECTION 5. { + A training course approved by the Oregon Health
Authority under ORS 682.216 must include training on the
protocols for assessment, treatment and transport of stroke
patients adopted by the authority under section 3 of this 2011
Act. + }
SECTION 6. { + Section 2 of this 2011 Act is repealed January
2, 2013. + }
SECTION 7. { + Section 5 of this 2011 Act becomes operative
January 2, 2013. + }
SECTION 8. { + This 2011 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2011 Act takes effect on its
passage. + }
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