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| To enact sections 3727.11, 3727.12, 3727.13, and | 1 |
| 3727.14 of the Revised Code to provide for state | 2 |
| recognition of hospitals that are comprehensive | 3 |
| stroke centers, primary stroke centers, and acute | 4 |
| stroke ready hospitals. | 5 |
| Section 1. That sections 3727.11, 3727.12, 3727.13, and | 6 |
| 3727.14 of the Revised Code be enacted to read as follows: | 7 |
| Sec. 3727.11. (A) A hospital may apply to the department of | 8 |
| health to be designated as a comprehensive stroke center. | 9 |
| Application shall be made on a form furnished by the department. | 10 |
| (B) Not later than thirty days after receiving a completed | 11 |
| application, the department shall complete its review of the | 12 |
| application. If the department determines that the hospital has | 13 |
| provided sufficient evidence that the hospital is certified or | 14 |
| accredited as a comprehensive stroke center by either of the | 15 |
| following, the department shall designate the hospital as a | 16 |
| comprehensive stroke center: | 17 |
| (1) The joint commission; | 18 |
| (2) Another entity acceptable to the department that is | 19 |
| nationally recognized and provides certification or accreditation | 20 |
| of comprehensive stroke centers. | 21 |
| (C) A designation made under division (B) of this section | 22 |
| expires three years from the date it is made. A hospital may have | 23 |
| a designation renewed for subsequent three-year periods by | 24 |
| applying to the department on a form furnished by the department. | 25 |
| The department shall renew the designation if the hospital | 26 |
| continues to meet the requirements of division (B) of this | 27 |
| section. | 28 |
| (D) A hospital shall not use the phrase "comprehensive stroke | 29 |
| center" or otherwise hold itself out as a comprehensive stroke | 30 |
| center unless it is designated as a comprehensive stroke center | 31 |
| under this section. | 32 |
| (E) The department shall revoke a designation made under this | 33 |
| section if it determines that the hospital is no longer certified | 34 |
| or accredited as a comprehensive stroke center by an entity | 35 |
| specified in division (B) of this section. | 36 |
| (F) Annually, not later than the first day of December, the | 37 |
| department shall compile and make available a list of hospitals | 38 |
| designated as comprehensive stroke centers. | 39 |
| (G) This section does not limit the services that may be | 40 |
| provided by a hospital or prohibit a hospital from providing | 41 |
| services it is authorized to provide. | 42 |
| Sec. 3727.12. (A) A hospital may apply to the department of | 43 |
| health to be designated as a primary stroke center. Application | 44 |
| shall be made on a form furnished by the department. | 45 |
| (B) Not later than thirty days after receiving a completed | 46 |
| application, the department shall complete its review of the | 47 |
| application. If the department determines that the hospital has | 48 |
| provided sufficient evidence that the hospital is certified or | 49 |
| accredited as a primary stroke center by either of the following, | 50 |
| the department shall designate the hospital as a primary stroke | 51 |
| center: | 52 |
| (1) The joint commission; | 53 |
| (2) Another entity acceptable to the department that is | 54 |
| nationally recognized and provides certification or accreditation | 55 |
| of primary stroke centers. | 56 |
| (C) A designation made under division (B) of this section | 57 |
| expires three years from the date it is made. A hospital may have | 58 |
| a designation renewed for subsequent three-year periods by | 59 |
| applying to the department on a form furnished by the department. | 60 |
| The department shall renew the designation if the hospital | 61 |
| continues to meet the requirements of division (B) of this | 62 |
| section. | 63 |
| (D) A hospital shall not use the phrase "primary stroke | 64 |
| center" or otherwise hold itself out as a primary stroke center | 65 |
| unless it is designated as a primary stroke center under this | 66 |
| section. | 67 |
| (E) The department shall revoke a designation made under this | 68 |
| section if it determines that the hospital is no longer certified | 69 |
| or accredited as a primary stroke center by an entity specified in | 70 |
| division (B) of this section. | 71 |
| (F) Annually, not later than the first day of December, the | 72 |
| department shall compile and make available a list of hospitals | 73 |
| designated as primary stroke centers. | 74 |
| (G) This section does not limit the services that may be | 75 |
| provided by a hospital or prohibit a hospital from providing | 76 |
| services it is authorized to provide. | 77 |
| Sec. 3727.13. (A) A hospital may apply to the department of | 78 |
| health to be designated as an acute stroke ready hospital. | 79 |
| Application shall be made on a form furnished by the department. | 80 |
| (B) Not later than thirty days after receiving a completed | 81 |
| application, the department shall complete its review of the | 82 |
| application. If the department determines that the hospital has | 83 |
| provided sufficient evidence that it possesses all of the | 84 |
| following, the department shall designate the hospital as an acute | 85 |
| stroke ready hospital: | 86 |
| (1) A team of health care professionals, qualified to treat | 87 |
| acute strokes, that is available or on-call twenty-four hours a | 88 |
| day, seven days a week; | 89 |
| (2) Written stroke protocols that, at a minimum, cover the | 90 |
| following components: triage, stabilization of vital functions, | 91 |
| initial diagnostic tests, and medication use; | 92 |
| (3) A written plan and letter of cooperation with emergency | 93 |
| medical service personnel regarding triage and communication that | 94 |
| are consistent with regional patient care procedures; | 95 |
| (4) Emergency medical service personnel who are trained in | 96 |
| diagnosing and treating acute stroke; | 97 |
| (5) The capacity to complete basic laboratory tests, | 98 |
| electrocardiograms, and chest x-rays twenty-four hours a day, | 99 |
| seven days a week; | 100 |
| (6) The capacity to perform and interpret brain injury | 101 |
| imaging studies twenty-four hours a day, seven days a week; | 102 |
| (7) Written protocols, revised not less than once annually, | 103 |
| that detail available emergent therapies and reflect current | 104 |
| treatment guidelines and include performance measures; | 105 |
| (8) A neurosurgery coverage plan, call schedule, and triage | 106 |
| and transportation plan; | 107 |
| (9) Transfer protocols and agreements for stroke patients; | 108 |
| (10) A designated medical director with experience and | 109 |
| expertise in stroke care. | 110 |
| (C) A designation made under division (B) of this section | 111 |
| expires three years from the date it is made. A hospital may have | 112 |
| a designation renewed for subsequent three-year periods by | 113 |
| applying to the department on a form furnished by the department. | 114 |
| The department shall renew the designation if the hospital | 115 |
| continues to meet the requirements of division (B) of this | 116 |
| section. | 117 |
| (D) A hospital shall not use the phrase "acute stroke ready | 118 |
| hospital" or otherwise hold itself out as an acute stroke ready | 119 |
| hospital unless it is designated as an acute stroke ready hospital | 120 |
| under this section. | 121 |
| (E) The department shall revoke a designation made under this | 122 |
| section if the department determines that the hospital no longer | 123 |
| meets the requirements specified in division (B) of this section. | 124 |
| (F) Annually, not later than the first day of December, the | 125 |
| department shall compile and make available a list of hospitals | 126 |
| designated as acute stroke ready hospitals. | 127 |
| (G) This section does not limit the services that may be | 128 |
| provided by a hospital or prohibit a hospital from providing | 129 |
| services it is authorized to provide. | 130 |
| Sec. 3727.14. A hospital shall not use the phrase "stroke | 131 |
| center" or "stroke hospital" unless one of the following is the | 132 |
| case: | 133 |
| (A) It has been designated as a comprehensive stroke center, | 134 |
| primary stroke center, or acute stroke ready hospital by the | 135 |
| department of health under section 3727.11, 3727.12, or 3727.13 of | 136 |
| the Revised Code; | 137 |
| (B) It has been certified or accredited as a comprehensive | 138 |
| stroke center or primary stroke center by the joint commission or | 139 |
| another entity acceptable to the department of health that is | 140 |
| nationally recognized and provides certification or accreditation | 141 |
| of comprehensive stroke centers or primary stroke centers. | 142 |