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A BILL TO BE ENTITLED
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AN ACT
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relating to the establishment of a statewide system for stroke |
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response and treatment. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 93.001, Health and Safety Code, is |
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amended by adding Subdivision (3) to read as follows: |
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(3) "Stroke facility" has the meaning assigned by |
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Section 773.202. |
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SECTION 2. Chapter 93, Health and Safety Code, is amended by |
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adding Subchapter C to read as follows: |
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SUBCHAPTER C. STROKE RESPONSE AND TREATMENT |
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Sec. 93.101. STATEWIDE SYSTEM FOR STROKE RESPONSE AND |
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TREATMENT. The department, in coordination with the council and |
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the stroke committee appointed under Section 773.203, shall develop |
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and implement a statewide system for stroke response and treatment |
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to achieve continuous improvement in the quality of care provided |
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to stroke patients. |
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Sec. 93.102. ELECTRONIC STROKE DATABASE; STATISTICAL DATA |
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AND OTHER INFORMATION. (a) In implementing a statewide system for |
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stroke response and treatment, the department shall create and |
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maintain an electronic stroke database by: |
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(1) compiling information and statistical data on |
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stroke care that align with the stroke consensus performance |
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measures developed and approved by the American Heart Association, |
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the American Stroke Association, the federal Centers for Disease |
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Control and Prevention, and The Joint Commission; |
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(2) using the Get With The Guidelines-Stroke program |
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maintained by the American Heart Association or a similar program |
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by the American Stroke Association or another nationally recognized |
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data system, provided the department determines the data system |
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complies with acceptable patient confidentiality standards; and |
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(3) coordinating with national voluntary health |
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organizations involved in stroke care quality improvement to avoid |
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duplication and redundancy in information compiled and maintained |
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under this section. |
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(b) To the extent possible, the department shall: |
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(1) require comprehensive and primary stroke |
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facilities, as determined by the department, to report statistical |
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data consistent with nationally recognized guidelines on the |
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treatment of patients who are confirmed to have suffered strokes |
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and encourage emergency medical services providers licensed under |
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Chapter 773 to participate; |
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(2) encourage health care providers to share |
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statistical data and other information about methods for improving |
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the quality of care for stroke patients in this state; |
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(3) facilitate the communication and analysis of |
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statistical data and other information among health care providers |
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who treat stroke patients; and |
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(4) adopt evidence-based treatment guidelines on the |
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transitioning of patients to hospital outpatient, physician |
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office, and health clinic settings in their communities for |
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continuing care after discharge from stroke facilities following |
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acute treatment for stroke. |
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Sec. 93.103. OVERSIGHT PROCESS AND PLAN FOR QUALITY |
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IMPROVEMENT. The department shall establish an oversight process |
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and implement a plan for achieving continuous quality improvement |
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in the care provided under a statewide system for stroke response |
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and treatment. The process and plan must: |
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(1) analyze statistical data on stroke response and |
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treatment contained in the electronic database established under |
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Section 93.102; |
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(2) identify potential interventions to improve |
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stroke care in geographic regions of this state; and |
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(3) provide recommendations to the department and the |
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legislature for the improvement of stroke care and the delivery of |
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stroke care in this state. |
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Sec. 93.104. AVAILABILITY OF STATISTICAL DATA. The |
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department shall make available all statistical data reported under |
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Section 93.102 to other state agencies, local governmental |
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entities, stroke facilities, and emergency medical services |
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providers licensed under Chapter 773 that are responsible for |
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managing and administering emergency medical services in this |
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state. |
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Sec. 93.105. REPORT. Not later than June 1 of each year, |
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the department shall provide to the governor, lieutenant governor, |
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speaker of the house of representatives, and standing committees of |
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the senate and the house with primary jurisdiction over health |
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matters a report summarizing the data collected under this section |
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and any related findings and recommendations. The department shall |
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post the report on the department's Internet website. |
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Sec. 93.106. CONFIDENTIALITY. Information obtained under |
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this subchapter that identifies a patient, or that is otherwise |
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confidential under law, is excepted from required public disclosure |
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under Chapter 552, Government Code, and may not be disclosed for any |
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purpose. |
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Sec. 93.107. RULEMAKING. The executive commissioner shall |
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adopt rules necessary to implement this subchapter. |
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SECTION 3. Not later than January 1, 2018: |
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(1) the executive commissioner of the Health and Human |
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Services Commission shall adopt the rules necessary to implement |
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Subchapter C, Chapter 93, Health and Safety Code, as added by this |
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Act; and |
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(2) the Department of State Health Services shall |
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establish the statewide system for stroke response and treatment as |
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required by Subchapter C, Chapter 93, Health and Safety Code, as |
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added by this Act. |
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SECTION 4. This Act takes effect September 1, 2017. |