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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 |