All Hospitals Legislation - Missouri

SB 1264 -Under this act, all licensed hospitals and ambulatory surgical centers must submit reports of serious events and incidents to a Patient Safety Authority, which is created under the act. The authority will analyze the collected data to identify trends and recommend changes in healthcare practices and procedures that may be instituted to reduce the number and severity of future serious events and incidents. In addition, the authority will provide individual facilities with detailed reports analyzing data related to their specific facilities or to certain geographic regions and the state as a whole. A health care worker may file an anonymous report regarding a serious event with the authority. Upon receipt of the report, the authority shall give notice to the affected medical facility that a report has been filed. The authority shall conduct its own review of the report unless the medical facility has already commenced an investigation of the serious event. The medical facility [...]

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SB 1233 - Current law provides for the Department of Health and Senior Services to designate hospitals as adult, pediatric, or adult and pediatric trauma centers upon proper application and review. This act requires the department to also designate a hospital as a STEMI or stroke center when the hospital, upon proper application and review, has been found by the department to meet the applicable level of STEMI or stroke center criteria. Such criteria shall be promulgated by the department. No hospital shall hold itself out to the public as such a center unless it is so designated by the department. STEMI, or a ST-elevation myocardial infarction, is defined as a type of heart attack in which impaired blood flow to the patient's heart muscle is evidenced by ST-segment elevation in electrocardiogram analysis and as further defined by the department. Patients who suffer a STEMI shall be transported by emergency medical services to a STEMI center. Patients who suffer a stroke shall be transported [...]

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SB 1216 - This act requires the Department of Health and Senior Services to implement a health care quality program for the purpose of making available a health care quality report card to allow consumers to compare and assess the quality of health care services. The program shall be implemented in two phases. The first phase includes making available cost and quality outcome data on its Internet website by December 31, 2009. The data on the website shall consist of quality and performance outcome and patient charge data currently collected by the department from hospitals and ambulatory surgical centers under federal and state law, as well as data submitted to the Centers for Medicare and Medicaid Services already required to be submitted under federal law. The data shall be disclosed in a manner that allows consumers to conduct an interactive search. The second phase shall be implemented by December 31, 2011, and shall consist of the department working with the recommendations from [...]

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SB 1103 - This act modifies provisions of the Family Care Safety Registry. This act removes the 2001 and 2002 employment dates for when all child-care, elder-care and personal care workers are required to register with the Family Care Safety Registry and requires all such workers, regardless of when they began employment, to register. Also, all employers regulated by, contracting with or who receive state or federal reimbursement services shall be required to ensure employees are registered. Under this act, providers certified, contracted or regulated by state agencies will be allowed to obtain specific detailed background screening information immediately. The registry will also provide background screening information to voluntary or recreational associations performing background screenings on unpaid volunteers who are placed in a child-care, elder-care, or personal-care setting. In addition, the registry will be allowed to report national criminal history information as authorized [...]

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SS#2/SCS/SBs 1021 & 870 - This act creates a "Board of Professional Midwives" within the Division of Professional Registration. The board shall have the power to issue licenses and to suspend, revoke or deny the license of a professional midwife. The board shall develop practice guidelines regarding the practice of midwifery established by the North American Registry of Midwives (NARM), including the development of collaborative relationships with other healthcare practitioners who can provide care outside the scope of midwifery when necessary. A professional midwife is defined as one who is certified by NARM as a certified professional midwife providing for compensation those skills relevant to the care of women and infants before, during, and after birth. The practice of professional midwifery is defined as the science and art of examination, evaluation, assessment, counseling and treatment of women and infants by those methods commonly taught in any midwifery school, midwifery or [...]

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SB 916 - This act requires hospitals to report whenever they have a "serious reportable event in health care," as identified by the National Quality Forum. Such events include wrong-site surgery, retention of a foreign object in a patient after surgery, and death or serious disability associated with medication error. The procedure for hospitals reporting such events to the Department of Health and Senior Services and to a patient safety organization are prescribed in the act. The requirements for a patient safety organization are also prescribed in the act. The patient-identifying data shall be redacted from information provided to the department or patient safety organization. The initial report of the event shall be reported to the patient safety organization and include a description of immediate actions taken by the hospital to minimize the risk of harm to patients and prevent reoccurrence. Within 45 days after the event occurred, the hospital shall submit to the patient safety [...]

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HCS/SCS/SB 732 - This act modifies a number of provisions relating to monitoring of drugs. Current law requires certain documentation relating to the sale of products containing pseudoephedrine. For non-prescription pseudoephedrine products, this act requires that the photo identification that must currently be provided to the pharmacist must be issued by a state or the federal government, or another acceptable document and that such identification must be furnished prior to purchase. The log currently maintained by pharmacists is modified to now include the signature of the purchaser, the name of the product and the time of the purchase. The act also requires that the log be electronic, rather than written. Logs of required transactions create a rebuttable presumption that the person whose name appears in the logs is the person whose transactions are recorded in the logs. The seller is required to deliver the product directly into the custody of the purchaser. The act modifies the [...]

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