BILL ANALYSIS                                                                                                                                                                                                    



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          ASSEMBLY THIRD READING
          AB 911 (Lieu)
          As Amended June 1, 2009
          Majority vote 

           HEALTH              11-3        APPROPRIATIONS      12-5        
           
           ------------------------------------------------------------------ 
          |Ayes:|Jones, Ammiano, Block,    |Ayes:|De Leon, Ammiano, Charles  |
          |     |Carter,     De Leon,      |     |Calderon, Davis, Fuentes,  |
          |     |Hall, Hayashi, Hernandez, |     |Hall, John A. Perez,       |
          |     |Bonnie Lowenthal, V.      |     |Price, Skinner, Solorio,   |
          |     |Manuel Perez, Salas       |     |Torlakson, Krekorian       |
          |     |                          |     |                           |
          |-----+--------------------------+-----+---------------------------|
          |Nays:|Fletcher, Gaines, Audra   |Nays:|Nielsen, Duvall, Harkey,   |
          |     |Strickland                |     |Miller,                    |
          |     |                          |     |Audra Strickland           |
          |     |                          |     |                           |
           ------------------------------------------------------------------ 
           SUMMARY  :   Requires every licensed general acute care hospital  
          to assess the condition of its emergency department (ED) at  
          specified time intervals 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 of 101 or  
            above; the NEDOCS scores are 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;








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             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 four hours and calculate and  
            record a NEDOCS score.

          6)Permits that if, after calculating and recording a NEDOCS  
            score pursuant to 4) above, a licensed general acute care  
            hospital does not record a NEDOCS score over 60 for the  
            previous 30 days, it may calculate and record a NEDOCS score  
            every eight hours.

          7)Requires that if, a licensed general acute care hospital  
            calculating and recording a NEDOCS score every eight hours  
            pursuant to 4) above and subsequently records a score over 60,  
            to calculate and record a NEDOCS score every four hours again  
            pursuant to 5) above. 
          8)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  
            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,








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             bb)  Space utilization, including alternate care sites.

          9)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  :  According to the Assembly Appropriations  
          Committee:

          1)One-time General fund (GF) costs and GF pressures of $125,000  
            to the University of California medical centers, combined, to  
            develop full capacity protocols and adjust related computer  
            programming to make NEDOCS available throughout each medical  
            center. Unknown related costs to other public hospitals.

          2)One-time fee-supported special fund costs of $170,000 to the  
            California Department of Public Health to establish  
            regulations and maintain oversight of requirements of this  
            bill during licensure and certification processes.

          3)Savings to public and private payers are possible to the  
            extent NEDOCS provides an increased focus on reducing ED  
            overcrowding.  Studies focused on ED length-of stay, ambulance  
            diversions, and quality of ED care show positive impacts when  
            ED overcrowding is reduced.

           COMMENTS  :  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 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  








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          hospitals and EDs.
           
           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:

          1)Number of ED beds;
          2)Number of hospital beds;
          3)Total patients in the ED;
          4)Number of respirators in use in the ED;
          5)Longest admit times (in hours);
          6)Total admits in the ED; and,
          7)Wait time for the last patient called (from triage).

          Emergency and hospital beds referred to in 1) and 2) above refer  
          to the budgeted number of beds available for patient care.  The  
          total patients in the ED referred to in 3) 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 1) through 7) 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. 

          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 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.
           
           The California Medical Association (CMA) and the American  








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          Federation of State, County and Municipal Employees support this  
          bill stating that it 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.  

          The California Hospital Association (CHA), the Emergency Nurses  
          Association (ENA) and the California Children's Hospital  
          Association (CCHA) are opposed unless this bill is amended. CCHA  
          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, ENA  
          and CCHA are requesting that the bill be amended to remove the  
          requirement of doing a NEDOCS score.  

          Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916)  
          319-2097                                                 FN:  
          0001288