Requires all hospitals to establish, utilize and complete a checklist for each intensive care medical procedure performed in the hospital.
TITLE OF BILL:
An act to amend the public health law, in relation to requiring hospitals to establish and utilize procedural medical checklists for the provision of all intensive care unit medical procedures
PURPOSE OR GENERAL IDEA OF BILL:
This bill will improve patient health and reduce system-wide health care costs by requiring the use of a proven patient safety checklist in intensive care unit (ICU) medical procedures.
SUMMARY OF SPECIFIC PROVISIONS:
Bill §1 adds a new subdivision 11 to §2803 of the Public Health Law, providing that the Commissioner of Health shall by role or regulation require every hospital to establish, utilize and complete a checklist for each ICU medical procedure occurring at such hospital. Such checklists shall be designed and used for the purposes of reducing infections and related illnesses, improving the health and safety of patients, and ensuring that the necessary equipment, supplies, facilities and personnel are available for the conduct of the ICU procedure. The rules and regulations shall be promulgated within 180 days of the subdivision's effective date.
EFFECTS OF PRESENT LAW WHICH THIS BILL WOULD ALTER:
New York State currently has no statutory or regulatory provisions requiring the use of patient safety checklists in conducting ICU medical procedures.
Health care associated infections (HAIs) are one of the top ten leading causes of death in the United States, and they are estimated to add hundreds of millions of donors to the costs of healthcare. Central line associated blood stream infections (CLABSIs) can occur as a result of catheterization of patients in intensive care -- they are estimated to account for 15% of the roughly 1.7 million HAIs in the United States, but as many as 30%of the 99,000 annual infection-related deaths.
Most CLABSIs can be prevented through the use of a straightforward patient safety checklist that has been proven to be successful in the field. In a recent Michigan study, use of the checklist resulted in a 66% reduction in CLABSIs, reflected in an estimated savings of 1500 lives and $200 million in the first 18 months.
The U.S. Department of Health and Human Services is calling on hospitals to use this basic tool to reduce central line infections in ICUs by 75% over the next three years. However, many hospitals have not yet adopted the checklist. This bill will ensure that patients
receive the same high-quality health care regardless of which hospital in New York State provides their treatment.
PRIOR LEGISLATIVE HISTORY:
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:
STATE OF NEW YORK ________________________________________________________________________ 2514 2011-2012 Regular Sessions IN SENATE January 24, 2011 ___________Introduced by Sen. GIANARIS -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to requiring hospi- tals to establish and utilize procedural medical checklists for the provision of all intensive care unit medical procedures THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 2803 of the public health law is amended by adding a new subdivision 11 to read as follows: 11. THE COMMISSIONER SHALL BY RULE OR REGULATION REQUIRE EVERY HOSPI- TAL TO ESTABLISH, UTILIZE AND COMPLETE A CHECKLIST FOR EACH INTENSIVE CARE UNIT MEDICAL PROCEDURE PERFORMED OR OCCURRING AT SUCH HOSPITAL. SUCH CHECKLISTS SHALL BE DESIGNED AND USED FOR THE PURPOSES OF REDUCING INFECTIONS AND RELATED ILLNESSES, IMPROVING THE HEALTH AND SAFETY OF PATIENTS, AND ENSURING THAT THE NECESSARY EQUIPMENT, SUPPLIES, FACILI- TIES AND PERSONNEL ARE AVAILABLE FOR THE CONDUCT OF THE INTENSIVE CARE MEDICAL PROCEDURE. ALL SUCH RULES AND REGULATIONS SHALL BE PROMULGATED AND IMPLEMENTED WITHIN ONE HUNDRED EIGHTY DAYS OF THE EFFECTIVE DATE OF THIS SUBDIVISION. S 2. This act shall take effect immediately.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05779-01-1