Requires all hospitals to establish, utilize and complete a checklist for each intensive care medical procedure performed in the hospital.

---

S615-2013 Actions

• Jan 9, 2013: REFERRED TO HEALTH

S615-2013 Memo

BILL NUMBER:S615

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 axe available fox 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.

JUSTIFICATION:
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. 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:
2012: Senate Bill


2514 (Gianaris) - Died in Senate Health
Committee
2012: Assembly Bill
4908 (Simotas) - Died in Assembly Health
Committee
2010: Assembly Bill
10494 (Gianaris) - Died in Assembly
Health Committee

FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:
None.

EFFECTIVE DATE:
Immediately.

S615-2013 Text

                      S T A T E   O F   N E W   Y O R K
  ________________________________________________________________________

                                     615

                         2013-2014 Regular Sessions

                              I N  SENATE

                                 (PREFILED)

                               January 9, 2013
                                 ___________

  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.
                                                             LBD01541-01-3