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| 1 |     AN ACT concerning regulation.
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| 2 |     Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
  
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| 4 |     Section 5. The Emergency Medical Services (EMS) Systems Act  | |||||||||||||||||||
| 5 | is amended  by changing Section 3.30 as follows:
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| 6 |     (210 ILCS 50/3.30)
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| 7 |     Sec. 3.30. EMS Region Plan; Content. 
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| 8 |     (a) The EMS Medical Directors Committee shall address
at  | |||||||||||||||||||
| 9 | least the following:
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| 10 |         (1) Protocols for inter-System/inter-Region
patient  | |||||||||||||||||||
| 11 | transports, including identifying the the conditions of
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| 12 | emergency patients which may not be transported to the
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| 13 | different levels of emergency department, based on their
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| 14 | Department classifications and relevant Regional
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| 15 | considerations (e.g. transport times and distances);
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| 16 |         (2) Regional standing medical orders;
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| 17 |         (3) Patient transfer patterns, including criteria
for  | |||||||||||||||||||
| 18 | determining whether a patient needs the specialized
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| 19 | services of a trauma center, along with protocols for the
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| 20 | bypassing of or diversion to any hospital, trauma center or
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| 21 | regional trauma center which are consistent with  | |||||||||||||||||||
| 22 | individual
System bypass or diversion protocols and  | |||||||||||||||||||
| 23 | protocols for
patient choice or refusal;
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| 1 |         (4) Protocols for resolving Regional or
Inter-System  | ||||||
| 2 | conflict;
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| 3 |         (5) An EMS disaster preparedness plan which
includes  | ||||||
| 4 | the actions and responsibilities of all EMS
participants  | ||||||
| 5 | within the Region.  Within 90 days of the effective date of  | ||||||
| 6 | this
amendatory Act of 1996, an EMS System shall submit to  | ||||||
| 7 | the Department for review
an internal disaster plan.  At a  | ||||||
| 8 | minimum, the plan shall include contingency
plans for the  | ||||||
| 9 | transfer of patients to other facilities if an evacuation  | ||||||
| 10 | of the
hospital becomes necessary due to a catastrophe,  | ||||||
| 11 | including but not limited to, a
power failure;
 | ||||||
| 12 |         (6) Regional standardization of continuing
education  | ||||||
| 13 | requirements;
 | ||||||
| 14 |         (7) Regional standardization of Do Not
Resuscitate  | ||||||
| 15 | (DNR) policies, and protocols for power of
attorney for  | ||||||
| 16 | health care;
 | ||||||
| 17 |         (8) Protocols for disbursement of Department
grants;  | ||||||
| 18 | and
 | ||||||
| 19 |         (9) Protocols for the triage, treatment, and transport  | ||||||
| 20 | of possible acute stroke patients.  | ||||||
| 21 |     (b) The Trauma Center Medical Directors or Trauma
Center  | ||||||
| 22 | Medical Directors Committee shall address at least
the  | ||||||
| 23 | following:
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| 24 |         (1) The identification of Regional Trauma
Centers;
 | ||||||
| 25 |         (2) Protocols for inter-System and inter-Region
trauma  | ||||||
| 26 | patient transports, including identifying the
conditions  | ||||||
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| 
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| 1 | of emergency patients which may not be
transported to the  | ||||||
| 2 | different levels of emergency department,
based on their  | ||||||
| 3 | Department classifications and relevant
Regional  | ||||||
| 4 | considerations (e.g. transport times and
distances);
 | ||||||
| 5 |         (3) Regional trauma standing medical orders;
 | ||||||
| 6 |         (4) Trauma patient transfer patterns, including
 | ||||||
| 7 | criteria for determining whether a patient needs the
 | ||||||
| 8 | specialized services of a trauma center, along with
 | ||||||
| 9 | protocols for the bypassing of or diversion to any  | ||||||
| 10 | hospital,
trauma center or regional trauma center which are  | ||||||
| 11 | consistent
with individual System bypass or diversion  | ||||||
| 12 | protocols and
protocols for patient choice or refusal;
 | ||||||
| 13 |         (5) The identification of which types of patients
can  | ||||||
| 14 | be cared for by Level I and Level II Trauma Centers;
 | ||||||
| 15 |         (6) Criteria for inter-hospital transfer of
trauma  | ||||||
| 16 | patients;
 | ||||||
| 17 |         (7) The treatment of trauma patients in each
trauma  | ||||||
| 18 | center within the Region;
 | ||||||
| 19 |         (8) A program for conducting a quarterly
conference  | ||||||
| 20 | which shall include at a minimum a discussion of
morbidity  | ||||||
| 21 | and mortality between all professional staff
involved in  | ||||||
| 22 | the care of trauma patients;
 | ||||||
| 23 |         (9) The establishment of a Regional trauma
quality  | ||||||
| 24 | assurance and improvement subcommittee, consisting of
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| 25 | trauma surgeons, which shall perform periodic medical  | ||||||
| 26 | audits
of each trauma center's trauma services, and forward
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| 
 
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| 
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| 1 | tabulated data from such reviews to the Department; and
 | ||||||
| 2 |         (10) The establishment, within 90 days of the effective  | ||||||
| 3 | date of this
amendatory Act of 1996, of an internal  | ||||||
| 4 | disaster plan, which shall include, at a
minimum,  | ||||||
| 5 | contingency plans for the transfer of patients to other  | ||||||
| 6 | facilities if
an evacuation of the hospital becomes  | ||||||
| 7 | necessary due to a catastrophe, including
but not limited  | ||||||
| 8 | to, a power failure.
 | ||||||
| 9 |     (c) The Region's EMS Medical Directors and Trauma
Center  | ||||||
| 10 | Medical Directors Committees shall appoint any
subcommittees  | ||||||
| 11 | which they deem necessary to address specific
issues concerning  | ||||||
| 12 | Region activities.
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| 13 | (Source: P.A. 96-514, eff. 1-1-10.)
  
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