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.