NY State Senate Bill 2017-S8669

Senate Bill S8669

2017-2018 Legislative Session

Relates to home care and community based sepsis prevention, screening, intervention and education

download bill text pdf

Archive: Last Bill Status - In Assembly Committee

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Delivered to Governor
Signed By Governor

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Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jun 19, 2018	referred to health delivered to assembly passed senate ordered to third reading cal.1968 committee discharged and committed to rules
May 31, 2018	reported and committed to finance
May 10, 2018	referred to health

Votes

- Jun 19, 2018 - Floor Vote
  S8669
  
  62
  
  Aye
  
  0
  
  Nay
  
  0
  
  Absent
  
  1
  
  Excused
  
  0
  
  Abstained
  - - Floor Vote: Jun 19, 2018
      
      aye (62)
      
      Addabbo Jr.
      
      Akshar
      
      Alcantara
      
      Amedore
      
      Avella
      
      Bailey
      
      Benjamin
      
      Bonacic
      
      Boyle
      
      Breslin
      
      Brooks
      
      Carlucci
      
      Comrie
      
      DeFrancisco
      
      Dilan
      
      Felder
      
      Flanagan
      
      Funke
      
      Gallivan
      
      Gianaris
      
      Golden
      
      Griffo
      
      Hamilton
      
      Hannon
      
      Helming
      
      Hoylman-Sigal
      
      Jacobs
      
      Kaminsky
      
      Kavanagh
      
      Kennedy
      
      Klein
      
      Krueger
      
      LaValle
      
      Lanza
      
      Larkin
      
      Little
      
      Marcellino
      
      Marchione
      
      Mayer
      
      Montgomery
      
      Murphy
      
      O'Mara
      
      Ortt
      
      Parker
      
      Peralta
      
      Persaud
      
      Phillips
      
      Ranzenhofer
      
      Ritchie
      
      Rivera
      
      Robach
      
      Sanders Jr.
      
      Savino
      
      Sepúlveda
      
      Serino
      
      Serrano
      
      Seward
      
      Stavisky
      
      Stewart-Cousins
      
      Tedisco
      
      Valesky
      
      Young
      
      excused (1)
      
      Croci
  Jun 19, 2018 - Rules Committee Vote
  S8669
  
  24
  
  Aye
  
  0
  
  Nay
  
  1
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Rules Committee Vote: Jun 19, 2018
      
      aye (24)
      
      Bonacic
      
      Breslin
      
      DeFrancisco
      
      Dilan
      
      Flanagan
      
      Gianaris
      
      Hannon
      
      Kennedy
      
      Klein
      
      Krueger
      
      LaValle
      
      Lanza
      
      Larkin
      
      Little
      
      Marcellino
      
      Montgomery
      
      Parker
      
      Ranzenhofer
      
      Rivera
      
      Robach
      
      Savino
      
      Seward
      
      Stewart-Cousins
      
      Valesky
      
      aye wr (1)
      
      Griffo
  May 31, 2018 - Health Committee Vote
  S8669
  
  17
  
  Aye
  
  0
  
  Nay
  
  0
  
  Aye with Reservations
  
  0
  
  Absent
  
  0
  
  Excused
  
  0
  
  Abstained
  - - Health Committee Vote: May 31, 2018
      
      aye (17)
      
      Felder
      
      Golden
      
      Hannon
      
      Hoylman-Sigal
      
      Jacobs
      
      Kaminsky
      
      Larkin
      
      Little
      
      Mayer
      
      Montgomery
      
      Murphy
      
      Persaud
      
      Ritchie
      
      Rivera
      
      Seward
      
      Stavisky
      
      Valesky

2017-S8669 (ACTIVE) - Details

See Assembly Version of this Bill:: A11078
Current Committee:: Assembly Health
Law Section:: Public Health Law
Laws Affected:: Add §3620-a, Pub Health L
Versions Introduced in 2019-2020 Legislative Session:: S1817, A3839

2017-S8669 (ACTIVE) - Summary

Authorizes the department of health take certain actions for the purpose of supporting home care and community based sepsis prevention, screening, intervention and education.

2017-S8669 (ACTIVE) - Sponsor Memo

                                
 
BILL NUMBER: S8669

SPONSOR: HANNON
 
TITLE OF BILL:

An act to amend the public health law in relation to home care and
community based sepsis prevention, screening, intervention and education

 
PURPOSE:

To amend the Public Health Law, in relation to promoting sepsis
prevention, screening, intervention, education, and seamless and timely
continuum response through the engagement and support of the home and
community based care system.

 
SUMMARY OF PROVISIONS:

Section one of the bill adds a new § 3620-a to the public health law to
include state department of health support for home care sepsis screen-
ing, prevention, intervention, mitigation, cross-sector collaboration
and public education. It enumerates a series of provisions, which the

Department may promote.

Section two of the bill establishes that the commissioner shall report
its findings to the Legislature and Governor within 18 months of the
effective date of this act.

Section three of the bill establishes the effective date.

 
JUSTIFICATION:

Sepsis is the body's overwhelming and life-threatening response to an
infection. In sepsis, the very elements of a person's physiology that
are triggered to protect and respond to infection, become the threat of
serious and life-threatening consequences.

Every two minutes someone in the US dies of sepsis and every 20 seconds
someone is hospitalized with sepsis. Sepsis is the number one cause of
death in hospitals, the number one source of hospital readmissions, the
top national cost of hospital care at $27 billion annually, and the
number one NYS Medicaid expense for avoidable hospitalizations for the
overall Medicaid population. One in four patients discharged from hospi-
tals after sepsis is readmitted in 30 days. Sepsis takes the lives of
more children annually than cancer, at 18 children dying each day from
sepsis.

While sepsis has these impacts on and in hospitals, an estimated 80% -
90% of sepsis related infections occur at home and in community
settings. While healthy individuals can develop sepsis in response to
infection, those at high risk are the elderly, those with chronic condi-
tions and disabilities, the very young (and medically fragile children),
individuals prone to recurrent pneumonia, urinary tract infections and
other conditions or potential sources of infection.  These high risks
describe the very populations typically referred for home care, and are
within home care's reach of intervention.

Sepsis can be prevented with timely infection control practices by indi-
viduals and caregivers; when it develops, it can be mitigated with early

recognition of symptoms and swift intervention by all partners working
closely and in sync.

Recognizing the magnitude of this medical emergency on individuals, and
indeed on the entire health system, the Home Care Association of New
York (HCA) has undertaken efforts over the past four years to develop
and implement a first-of-its-kind, and national-first, statewide home
care screening and intervention tool for sepsis.  Partnering with HCA
has been the state-federal Quality Improvement Organization contractor
IPRO, state and national sepsis advocacy organizations (the Rory Staun-
ton Foundation and the national Sepsis Alliance), state and national
sepsis experts, government officials, and representatives from statewide
and regional health care associations across the continuum.

This legislation will further assist both home care and continuum part-
ners in mutual work to address this devastating problem by providing key
support in principal areas of technical need required for the adoption
and implementation of this sepsis innovation.  Lastly, this will further
synchronize home care with clinical partners across the continuum of
care (hospitals, physicians, EMS, health plans, and others) in a coordi-
nated response to sepsis.

 
LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS:

Anticipate savings to the state from the intervention and support
accorded by this bill.

 
EFFECTIVE DATE:
This act shall take effect immediately.

2017-S8669 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8669
 
                             I N  S E N A T E
 
                               May 10, 2018
                                ___________
 
 Introduced  by  Sen.  HANNON -- 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  home  care  and
   community  based sepsis prevention, screening, intervention and educa-
   tion
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  The  public health law is amended by adding a new section
 3620-a to read as follows:
   § 3620-A. SEPSIS. 1.  THE  DEPARTMENT  MAY  PROVIDE  SUPPORT  FOR  THE
 FOLLOWING  OBJECTIVES  AND  ACTIVITIES TO PROMOTE COMMUNITY BASED SEPSIS
 PREVENTION, SCREENING, INTERVENTION AND EDUCATION IN  THE  STATE,  WHICH
 MAY  INCLUDE,  WITHIN AVAILABLE FUNDS AND UPON THE APPROVAL OF THE STATE
 DIRECTOR OF THE BUDGET, GRANTS OR SUPPLEMENTATION OF REIMBURSEMENT RATES
 TO PROVIDERS. SUCH SUPPORTED OBJECTIVES AND ACTIVITIES MAY INCLUDE,  BUT
 ARE NOT LIMITED TO, ON A VOLUNTARY HOME CARE AGENCY BASIS:
   (A)  HOME  CARE  AGENCY  INTEGRATION  INTO  ELECTRONIC  HEALTH RECORDS
 SYSTEMS OF A STANDARDIZED SEPSIS SCREENING  AND  INTERVENTION  TOOL  FOR
 HOME  CARE  THAT  MEETS  ADOPTED  INDUSTRY STANDARDS AND SYNCHRONIZES TO
 SEPSIS CRITERIA UTILIZED IN HOSPITALS ACCORDING TO DEPARTMENTAL PROTOCOL
 REQUIREMENTS FOR HOSPITALS;
   (B) TIMELY AND SYNCHRONIZED EXCHANGE OF HEALTH INFORMATION  ON  BEHALF
 OF  PATIENTS  MEETING  OR  SUSPECTED  TO MEET SEPSIS CRITERIA, WITH SUCH
 EXCHANGE BETWEEN HOME CARE AGENCIES INTEGRATING THE STANDARDIZED  SEPSIS
 TOOL,  AND  EMERGENCY  MEDICAL  SERVICES PROVIDERS, HOSPITALS, PATIENTS'
 PRIMARY CARE PRACTITIONERS, AND OTHER CLINICAL PARTNERS, AS APPLICABLE;
   (C) ESTABLISHMENT AND IMPLEMENTATION OF  SEPSIS  COLLABORATIVES  UNDER
 THE  HOSPITAL-HOME  CARE-PHYSICIAN  COLLABORATION  PROGRAM UNDER SECTION
 TWENTY-EIGHT HUNDRED FIVE-X OF THIS CHAPTER, THE PURPOSE OF WHICH  SHALL
 BE  TO  PILOT  TEST THE EFFECTIVENESS OF COLLABORATIVES IN PROMOTING THE
 GOALS OF THIS SECTION, AS WELL AS TO PILOT THE DEVELOPMENT  OF  CLINICAL
 PATHWAYS AND INTERDISCIPLINARY CARE PLANS FOR EFFECTIVE CARE TRANSITION,
 POST-HOSPITAL DISCHARGE CARE, AND SUBSEQUENT SEPSIS PREVENTION AND READ-
 MISSION AVOIDANCE FOR SEPSIS SURVIVORS;
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

                       [ ] is old law to be omitted.
                                                            LBD15834-01-8

 S. 8669                             2
 
   (D)  HOME  CARE  AGENCY  SEPSIS  EDUCATION AND TRAINING OF HOME HEALTH
 AIDES, PERSONAL CARE AIDES, AND FAMILY CAREGIVERS;
   (E)  COMMUNITY OUTREACH AND PUBLIC AND PROVIDER EDUCATION CONDUCTED BY
 HOME CARE AGENCIES, AND BY HOME CARE IN CONJUNCTION WITH CONTINUUM PART-
 NERS,  INCLUDING  HOSPITALS,  PHYSICIANS,  EMERGENCY  MEDICAL  SERVICES,
 HEALTH  PLANS,  NURSING  HOMES  AND  OTHERS,  AS  WELL AS WITH STATE AND
 NATIONAL SEPSIS  PUBLIC  EDUCATION  ORGANIZATIONS,  INCLUDING  THE  RORY
 STAUNTON  FOUNDATION  FOR  SEPSIS  PREVENTION  AND  SEPSIS ALLIANCE. THE
 PURPOSE OF SUCH EDUCATION SHALL BE TO FOSTER DIRECTLY, AND  IN  PARTNER-
 SHIP  WITH  PROVIDERS, AN EFFECTIVE SEPSIS RESPONSE ACROSS THE CONTINUUM
 OF CARE, AS WELL AS  INCREASED  PUBLIC  AWARENESS  AND  EDUCATION  ABOUT
 SEPSIS AND SEPSIS PREVENTION.
   2. THE DEPARTMENT SHALL ISSUE GUIDANCE TO HOME CARE AND OTHER APPLICA-
 BLE PROVIDERS ON THE IMPLEMENTATION OF THIS SECTION.
   §  2.  The commissioner shall, within eighteen months of the effective
 date of this act, provide information to the legislature and governor on
 the activities supported  by  and  outcomes  achieved  by  this  act  in
 relation to sepsis awareness, prevention, intervention and mitigation.
   § 3. This act shall take effect immediately.

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