BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 911
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          Date of Hearing:   April 21, 2009

                            ASSEMBLY COMMITTEE ON HEALTH
                                  Dave Jones, Chair
                  AB 911 (Lieu) - As Introduced:  February 26, 2009
           
          SUBJECT  :   Emergency rooms: overcrowding.

           SUMMARY  :   Requires every licensed general acute care hospital  
          to assess the condition of its emergency department (ED) every  
          three hours and develop and implement capacity protocols to be  
          submitted to the Office of Statewide Health Planning and  
          Development (OSHPD).  Specifically,  this bill  :   

          1)Makes findings and declarations regarding the practice of  
            boarding admitted patients in hospital EDs and its  
            contribution to the problem of severe ED overcrowding in  
            California.

          2)Defines the practice of "boarding" as keeping patients who  
            require hospitalization in the ED until a hospital bed becomes  
            available.

          3)Defines "NEDOCS Score" as the National ED Overcrowding Scale  
            Score and provides its formula.

          4)Defines "overcrowding" based on a NEDOCS score divided into  
            the six following categories:

             a)   Not busy, which includes NEDOCS scores of 20 and below;
             b)   Busy, which includes NEDOCS scores 21 to 60;
             c)   Extremely busy, which includes NEDOCS scores 61 to 100;
             d)   Overcrowded, which includes NEDOCS scores of 101 to 140;
             e)   Severely overcrowded, which includes NEDOCS scores of  
               141 to 180; and,
             f)   Dangerously overcrowded, which includes NEDOCS scores of  
               at least 181.

          5)Requires every licensed general acute care hospital to assess  
            the condition of its ED every three hours and calculate and  
            record a NEDOCS score.

          6)Requires by January 1, 2011, every licensed general acute care  
            hospital to develop and implement, in consultation with its ED  
            staff, a full capacity protocol for each of the categories of  








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            NEDOCS, and requires the protocol to address all of the  
            following:

             a)   Notification of hospital administrators, nursing staff,  
               medical staff, and ancillary services of category changes  
               on the NEDOCS;
             b)   Bed utilization;
             c)   Diversion;
             d)   Elective admissions;
             e)   Transfers;
             f)   Triage;
             g)   Responsibilities of inpatient medical staff and  
               specialty service operations for rounds, discharges,  
               coordination with the ED, and emergency consults for ED  
               patients;
             h)   Hospital unit operations;
             i)   Nursing services;
             j)   Supplies;
             aa)  Calling in additional medical staff; and,
             bb)  Space utilization, including alternate care sites.

          7)Requires every licensed general acute care hospital to file  
            its full-capacity protocols with OSHPD and annually report any  
            revisions of those protocols.

           FISCAL EFFECT  :  This bill has not yet been analyzed by a fiscal  
          committee.

           COMMENTS  :    

           1)PURPOSE OF THIS BILL  .  According to the American College of  
            Emergency Physicians State Chapter of California, Inc.  
            (CAL/ACEP), the sponsor of this bill, ED overcrowding occurs  
            when there is no space left to meet the timely needs of the  
            next patient that requires emergency care.  CAL/ACEP maintains  
            that studies show that the most common cause of ED  
            overcrowding actually occurs when a patient is admitted for  
            inpatient care and is then "boarded" because there is not a  
            bed available in the hospital.  CAL/ACEP argues that many  
            hospitals across the nation, including the Los Angeles County  
            University of Southern California Medical Center (LAC+USC),  
            have developed a full-capacity protocol which is intended to  
            ease tension in EDs and cut wait times for patients.  CAL/ACEP  
            states that this protocol requires an assessment of  
            overcrowding in an ED by utilizing the NEDOCS scoring system  








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            and then sets guidelines for hospital operations at each level  
            of overcrowding.  CAL/ACEP asserts that the full-capacity  
            protocol has been overwhelmingly successful in achieving safe  
            and reasonable emergency procedures for both hospitals and  
            EDs.

           2)BACKGROUND  .  According to a 2007 Institute of Medicine report,  
            "Hospital-Based Emergency Care:  At the Breaking Point" (IOM  
            report), despite the lifesaving feats performed every day by  
            EDs and ambulance services, the nation's emergency medical  
            system as a whole is overburdened, underfunded, and highly  
            fragmented.  As a result, according to the IOM report,  
            ambulances are turned away from EDs once every minute on  
            average and patients in many areas may wait hours or even days  
            for a hospital bed.  Moreover, the IOM report maintains, the  
            system is ill prepared to handle surges from disasters such as  
            hurricanes, terrorist attacks, or disease outbreaks.  

          A 2003 U.S. General Accounting Office analysis of ED  
            overcrowding (GAO report), reported that emergency room  
            overcrowding is a problem that has reached historic levels in  
            the new millennium and can be attributed to a number of  
            factors.  The report found that the single most common  
            variable linked to emergency room overcrowding was the growing  
            problem of "boarding" patients who were already screened and  
            stabilized by emergency staff until inpatient beds were  
            available.  The GAO report maintains that when EDs saturate  
            because of patients waiting for beds and nurses to become  
            available on inpatient units, emergency waiting rooms become  
            overcrowded, wait times are increased, and there is a greater  
            risk for poor health outcomes.  This all leads, according to  
            the GAO report, to temporary closing of crowded EDs to inbound  
            ambulance traffic, a process called diversion, which increases  
            travel time as ambulance drivers seek other hospitals to which  
            they can transport their patients.  

          According to the Internet Web site of the American Academy of  
            Emergency Medicine, in 2004, the Joint Commission issued an  
            important new guideline on ED overcrowding.  The Web site  
            states that the Joint Commission guidelines recognize the link  
            between overcrowding and quality.  While the guidelines do not  
            call for hospitals to have explicit policies to alleviate  
            overcrowding, they do call for hospitals to have a plan for  
            surge capacity in place, and to provide a level of service to  
            "boarded" patients comparable to that which they would receive  








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            on an inpatient unit.  The IOM report called for the  
            strengthening of The Joint Commission standards that address  
            ED overcrowding, boarding, and diversion.  

          3)NEDOCS SCORE  .  The NEDOCS score is a five-question tool that  
            was developed by eight academic EDs to measure ED and hospital  
            overcrowding.  The calculator uses variables found to be  
            statistically significant in ED overcrowding and the score  
            corresponds to a given level of operational capacity.  The  
            NEDOCS uses the following variables in its calculation of a  
            score:
             a)   Number of ED beds;
             b)   Number of hospital beds;
             c)   Total patients in the ED;
             d)   Number of respirators in use in the ED;
             e)   Longest admit times (in hours);
             f)   Total admits in the ED; and,
             g)   Wait time for the last patient called (from triage).

            Emergency and hospital beds referred to in 3 a) and 3 b) above  
            refer to the budgeted number of beds available for patient  
            care.  The total patients in the ED referred to in 3 c) above,  
            include normal, doubled-up, and hallway beds, and those  
            undergoing work-ups in chairs, triage, and the waiting room,  
            etc.  The NEDOCS uses the following formula which includes the  
            variables in 3 a) through 3 g) above to calculate the NEDOCS  
            score:  Score = 85.8(c/a) + 600(f/b) + 13.4(d) + 0.93(e) +  
            5.64 (g) - 20.

            Hospitals can use a calculator that is available on the  
            University of New Mexico internet Web site.  When hospitals  
            use the NEDOCS Web site calculator, points are assigned for  
            each of the conditions summed and then the calculator converts  
            the point total to the NEDOCS score, which is scaled from  
            0-200 in the categories described in this bill. 

            Conditions that will supersede the calculator include a  
            medical trauma, a mass casualty event or an internal/external  
            disaster in which case the NEDOCS score will be elevated to  
            the dangerously overcrowded score.

            Under the NEDOCS scoring system, each level corresponds to and  
            necessitates an institutional response with respect to  
            systems, space, and supplies.  As the overcrowding increases,  
            the degree of response escalates to prevent or mitigate  








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            further overcrowding and the consequences of such.  Hospitals  
            across the nation, including LAC+USC, use the NEDOCS score and  
            have developed corresponding full-capacity protocols.  The LAC  
            +USC protocols, as a part of standardized procedure, call for  
            conducting a NEDOCS assessment every 2 hours.
             
          4)SUPPORT  .  The California Medical Association (CMA) and the  
            American Federation of State, County and Municipal Employees  
            (AFSCME) support this bill.  AFSCME states that California is  
            last in the nation in the number of EDs available to its  
            residents with 6.16 EDs per 1,000,000,000 people.  AFSCME  
            maintains that since 1990, this ratio has steadily declined  
            leading to severe ED overcrowding.  CMA states that this bill  
            establishes a way to increase knowledge of the overcrowding  
            problems caused by hospital closures and consolidations.  CMA  
            also maintains that having plans established for when  
            hospitals reach capacity is essential to providing consistent,  
            quality emergency care.   

          5)OPPOSE UNLESS AMENDED  .  The California Hospital Association  
            (CHA) and the California Children's Hospital Association  
            (CCHA) are opposed unless this bill is amended. CCHA states  
            that requiring hospitals to calculate a NEDOCS score every  
            three hours is an unproven method to determine the level of  
            crowding in an ED.  CCHA further states that the use of  
            NEDOCS, which they claim is extremely time consuming, would  
            take direct care givers from patient care, therefore  
            furthering the problem of long wait times.  CHA and CCHA are  
            requesting that the bill be amended to remove the requirement  
            of doing a NEDOCS score.  CHA and CCHA state they are  
            committed to working with the author and CAL/ACEP to make  
            changes in the bill regarding the ED overcrowding plan  
            required by this bill.  

          6)PREVIOUS LEGISLATION  .  AB 2207 (Lieu) of 2008 had similar  
            elements to this bill.  AB 2207 would have required hospitals  
            to assess the condition of an emergency room via the NEDOCS  
            score every three hours.  AB 2207 also would have authorized  
            hospitals to use hallways, conference rooms, and waiting rooms  
            as temporary patient areas pursuant to hospital full capacity  
            protocols.  AB 2207 was held under submission in the Assembly  
            Appropriations Committee.  
           
           REGISTERED SUPPORT / OPPOSITION  :   









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           Support 
           The California Chapter of the American College of Emergency  
          Physicians (sponsor) 
          American Federation of State, County and Municipal Employees,  
          AFL-CIO
          California Medical Association

           Opposed Unless Amended
           California Children's Hospital Association
          California Hospital Association
           
          Opposition 
           
          None on file.
           
          Analysis Prepared by  :    John Miller / HEALTH / (916) 319-2097