Sec. 3.118. Reporting.

919 words·~4 min read·/il/chapter-210/act-50/3-118

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(a)The Director shall, not later than July 1, 2012, prepare and submit to the Governor and the General Assembly a report indicating the total number of hospitals that have applied for grants, the project for which the application was submitted, the number of those applicants that have been found eligible for the grants, the total number of grants awarded, the name and address of each grantee, and the amount of the award issued to each grantee.

(b)By July 1, 2010, the Director shall send the list of designated Comprehensive Stroke Centers, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals to all Resource Hospital EMS Medical Directors in this State and shall post a list of designated Comprehensive Stroke Centers, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals on the Department's website, which shall be continuously updated.

(c)The Department shall add the names of designated Comprehensive Stroke Centers, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals to the website listing immediately upon designation and shall immediately remove the name when a hospital loses its designation after notice and a hearing.

(d)Stroke data collection systems and all stroke-related data collected from hospitals shall comply with the following requirements:

(1)The confidentiality of patient records shall be maintained in accordance with State

and federal laws.

(2)Hospital proprietary information and the names of any hospital administrator, health

care professional, or employee shall not be subject to disclosure.

(3)Information submitted to the Department shall be privileged and strictly

confidential and shall be used only for the evaluation and improvement of hospital stroke care. Stroke data collected by the Department shall not be directly available to the public and shall not be subject to civil subpoena, nor discoverable or admissible in any civil, criminal, or administrative proceeding against a health care facility or health care professional.

(e)The Department may administer a data collection system to collect data that is already reported by designated Comprehensive Stroke Centers, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals to their certifying body, to fulfill certification requirements. Comprehensive Stroke Centers, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals may provide data used in submission to their certifying body, to satisfy any Department reporting requirements. The Department may require submission of data elements in a format that is used State-wide. In the event the Department establishes reporting requirements for designated Comprehensive Stroke Centers, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals, the Department shall permit each designated Comprehensive Stroke Center, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Center, or Acute Stroke-Ready Hospital to capture information using existing electronic reporting tools used for certification purposes. Nothing in this Section shall be construed to empower the Department to specify the form of internal recordkeeping. Three years from the effective date of this amendatory Act of the 96th General Assembly, the Department may post stroke data submitted by Comprehensive Stroke Centers, Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke Centers, Primary Stroke Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals on its website, subject to the following:

(1)Data collection and analytical methodologies shall be used that meet accepted

standards of validity and reliability before any information is made available to the public.

(2)The limitations of the data sources and analytic methodologies used to develop

comparative hospital information shall be clearly identified and acknowledged, including, but not limited to, the appropriate and inappropriate uses of the data.

(3)To the greatest extent possible, comparative hospital information initiatives shall

use standard-based norms derived from widely accepted provider-developed practice guidelines.

(4)Comparative hospital information and other information that the Department has

compiled regarding hospitals shall be shared with the hospitals under review prior to public dissemination of the information. Hospitals have 30 days to make corrections and to add helpful explanatory comments about the information before the publication.

(5)Comparisons among hospitals shall adjust for patient case mix and other relevant

risk factors and control for provider peer groups, when appropriate.

(6)Effective safeguards to protect against the unauthorized use or disclosure of

hospital information shall be developed and implemented.

(7)Effective safeguards to protect against the dissemination of inconsistent,

incomplete, invalid, inaccurate, or subjective hospital data shall be developed and implemented.

(8)The quality and accuracy of hospital information reported under this Act and its

data collection, analysis, and dissemination methodologies shall be evaluated regularly.

(9)None of the information the Department discloses to the public under this Act may be

used to establish a standard of care in a private civil action.

(10)The Department shall disclose information under this Section in accordance with

provisions for inspection and copying of public records required by the Freedom of Information Act, provided that the information satisfies the provisions of this Section.

(11)Notwithstanding any other provision of law, under no circumstances shall the

Department disclose information obtained from a hospital that is confidential under Part 21 of Article VIII of the Code of Civil Procedure.

(12)No hospital report or Department disclosure may contain information identifying a

patient, employee, or licensed professional.