SB 3548 — EMS-TRAUMA CENTER DESIGNATIONS

SB3548 EngrossedEnrolled LRB103 38295 CES 68430 b AN ACT concerning regulation.

(3) Patient transfer patterns, including criteria for determining whether a patient needs the specialized services of a trauma center, along with protocols for the bypassing of or diversion to any hospital, trauma center or regional trauma center which are consistent with SB3548 EngrossedEnrolled - 2 - LRB103 38295 CES 68430 b individual System bypass or diversion protocols and protocols for patient choice or refusal;

SB3548 EngrossedEnrolled - 3 - LRB103 38295 CES 68430 b (1) The identification of Regional Trauma Centers;

SB3548 EngrossedEnrolled - 4 - LRB103 38295 CES 68430 b (9) The establishment of a Regional trauma quality assurance and improvement subcommittee, consisting of trauma surgeons, which shall perform periodic medical audits of each trauma center's trauma services, and forward tabulated data from such reviews to the Department;

Level I Trauma Centers shall provide all essential services SB3548 EngrossedEnrolled - 5 - LRB103 38295 CES 68430 b in-house, 24 hours per day, in accordance with rules adopted by the Department pursuant to this Act.

Such SB3548 EngrossedEnrolled - 6 - LRB103 38295 CES 68430 b visit shall be conducted by specially qualified personnel with experience in the delivery of emergency medical and/or trauma care.

Level I Trauma Centers shall serve as resources SB3548 EngrossedEnrolled - 7 - LRB103 38295 CES 68430 b for the Level II and Level III Trauma Centers and Acute Injury Stabilization Centers in the EMS Regions.

(9) Review and determine whether a trauma center's annual morbidity and mortality rates for trauma patients significantly exceed the State average for such rates, using a uniform recording methodology based on nationally SB3548 EngrossedEnrolled - 8 - LRB103 38295 CES 68430 b recognized standards.

(B) If the Director determines that the violation does not present a substantial probability that death or serious physical harm will result, the Director shall issue a notice of violation and request a plan of SB3548 EngrossedEnrolled - 9 - LRB103 38295 CES 68430 b correction which shall be subject to the Department's approval.

SB3548 EngrossedEnrolled - 10 - LRB103 38295 CES 68430 b (11) The Department may delegate authority to local health departments in jurisdictions which include a substantial number of trauma centers.

SB3548 EngrossedEnrolled - 11 - LRB103 38295 CES 68430 b (C) The director of a local health department may relinquish its delegated authority upon 60 days written notification to the Director of Public Health.

SB3548 EngrossedEnrolled - 12 - LRB103 38295 CES 68430 b (g) Requiring the trauma center to have a communications system that is fully integrated with all Level II Trauma Centers, Level III Trauma Centers, Acute Injury Stabilization Centers, and EMS Systems with which it is affiliated;

SB3548 EngrossedEnrolled - 13 - LRB103 38295 CES 68430 b (a) The designation by the trauma center of a Trauma Center Medical Director and specification of his qualifications;

(h) Requiring the trauma center to have a communications system that is fully integrated with the Level I Trauma SB3548 EngrossedEnrolled - 14 - LRB103 38295 CES 68430 b Centers, Level III Trauma Centers, Acute Injury Stabilization Centers, and the EMS Systems with which it is affiliated;

the Department shall not require the availability of all surgical SB3548 EngrossedEnrolled - 15 - LRB103 38295 CES 68430 b services required of Level I or Level II Trauma Centers;

(9) The types of data the trauma center must collect and submit to the Department relating to the trauma SB3548 EngrossedEnrolled - 16 - LRB103 38295 CES 68430 b services it provides;

7-19-95.) SB3548 EngrossedEnrolled - 17 - LRB103 38295 CES 68430 b (210 ILCS 50/3.106 new) Sec.

SB3548 EngrossedEnrolled - 18 - LRB103 38295 CES 68430 b (c) All information relating to the State Emergency Medical Services Disciplinary Review Board or a local review board, except final decisions, shall be afforded the same status as is provided information concerning medical studies in Article VIII, Part 21 of the Code of Civil Procedure.

(3) designate applicant hospitals that meet the minimum standards established by the Department for their SB3548 EngrossedEnrolled - 19 - LRB103 38295 CES 68430 b pediatric emergency and critical care capabilities.

7-19-95.) SB3548 EngrossedEnrolled - 20 - LRB103 38295 CES 68430 b (210 ILCS 50/3.140) Sec.

SB3548 EngrossedEnrolled - 21 - LRB103 38295 CES 68430 b (d) All fines collected pursuant to this Section shall be deposited into the EMS Assistance Fund.

(1) EMS Medical Director, (2) Trauma Center Medical Director, (3) Licensed, practicing physician with regular and frequent involvement in the provision of emergency care, (4) Licensed, practicing physician with special expertise in the surgical care of the trauma patient, (5) EMS System Coordinator, (6) TNS, (7) Paramedic, SB3548 EngrossedEnrolled - 22 - LRB103 38295 CES 68430 b (7.5) A-EMT, (8) EMT-I, (9) EMT, (10) Private vehicle service provider, (11) Law enforcement officer, (12) Chief of a public vehicle service provider, (13) Statewide firefighters' union member affiliated with a vehicle service provider, (14) Administrative representative from a fire department vehicle service provider in a municipality with a population of over 2 million people,;

The 90-day review and comment period may SB3548 EngrossedEnrolled - 23 - LRB103 38295 CES 68430 b commence upon the Department's submission of the proposed rules to the individual Council members, if the Council is not meeting at the time the proposed rules are ready for Council review.

8-15-14.) (210 ILCS 50/3.205) SB3548 EngrossedEnrolled - 24 - LRB103 38295 CES 68430 b Sec.

(d) The Council shall be provided a 90-day period in which SB3548 EngrossedEnrolled - 25 - LRB103 38295 CES 68430 b to review and comment upon all rules proposed by the Department pursuant to this Act concerning trauma care, except for emergency rules adopted pursuant to Section 5-45 of the Illinois Administrative Procedure Act.

(i) Nothing in this Section shall preclude the Council from reviewing and commenting on proposed rules which fall SB3548 EngrossedEnrolled - 26 - LRB103 38295 CES 68430 b under the purview of the State EMS Advisory Council.