BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 2153|
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                                 THIRD READING


          Bill No:  AB 2153
          Author:   Lieu (D)
          Amended:  As introduced
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  7-1, 6/16/10
          AYES:  Alquist, Strickland, Cedillo, Leno, Negrete McLeod,  
            Pavley, Romero
          NOES:  Aanestad
          NO VOTE RECORDED:  Cox

           SENATE APPROPRIATIONS COMMITTEE  :  7-3, 6/28/10
          AYES:  Kehoe, Alquist, Corbett, Leno, Price, Wolk, Yee
          NOES:  Cox, Denham, Walters
          NO VOTE RECORDED:  Wyland

           ASSEMBLY FLOOR  :  68-2, 4/26/10 - See last page for vote


           SUBJECT  :    Emergency room crowding

           SOURCE  :     American College of Emergency Physicians, CA  
          Chapter


           DIGEST  :    This bill requires every licensed general acute  
          care hospital with an emergency department (ED) to assess  
          ED overcrowding every four or eight hours, as well as  
          develop and implement full-capacity protocols that address  
          staffing, procedures, and operations when an ED is  
          overcrowded.

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           ANALYSIS  :    

           Existing law
           
          1. Provides for the licensing and regulation of health  
             facilities, including general acute care hospitals,  
             acute psychiatric hospitals, and special hospitals by  
             the Department of Public Health (DPH).

          2. Defines a general acute care hospital as a health  
             facility having a duly constituted governing body with  
             overall administrative and professional responsibility  
             and an organized medical staff that provides 24-hour  
             inpatient care, including the following basic services:   
             a) medical; b) nursing; c) surgical; d) anesthesia; e)  
             laboratory; f) radiology; g) pharmacy; and, h) dietary  
             services.

          3. Permits hospitals to provide emergency medical services,  
             under specified circumstances.

          4. Establishes the Office of Statewide Health Planning and  
             Development (OSHPD) to analyze California's health care  
             infrastructure, provide information about health care  
             outcomes, assure the safety of buildings used in  
             providing health care, insure loans to encourage the  
             development of health care facilities, and facilitate  
             development of sustained capacity for communities to  
             address local health care issues.

          This bill:

          1. Defines "crowding score" as the score calculated to  
             measure ED and hospital overcrowding, with an equation,  
             as specified, using the following variables:

             A.    Total number of patients within the ED.

             B.    Total number of staffed beds in the ED, not to  
                exceed the number of licensed beds.

             C.    Total number of admissions waiting in the ED,  
                including patients awaiting transfer.








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             D.    Total number of acute inpatient hospital beds  
                routinely in use by the hospital, excluding beds in  
                the newborn nursery, neonatal intensive care unit,  
                and obstetrics.

             E.    Total number of patients in the ED admitted to  
                the intensive care-critical care unit.

             F.    The longest admit time, in hours, including  
                transfers.

             G.    The wait time for the last patient waiting the  
                longest in the waiting room, in hours.

          2. Defines "crowding scale" as the range of crowding scores  
             that are divided into six categories of which level one  
             represents the lowest level of crowding and level six  
             represents the highest.

          3. Requires every licensed general acute care hospital that  
             operates an ED to determine a range of crowding scores  
             that constitutes each category of the crowding scale for  
             its ED.

          4. Requires every licensed general acute care hospital that  
             operates an ED to assess the condition of its ED by  
             calculating and recording a crowding score a minimum of  
             every four hours or, if after calculating and recording  
             a crowding score less than level four for the previous  
             30 days, calculating and recording a crowding score a  
             minimum of every eight hours.

          5. Provides that every licensed general acute care hospital  
             that has an ED and a census of 14,000 visits annually to  
             calculate and record the crowding score daily between  
             4:00 p.m. and 8:00 p.m.

          6. Requires, by January 1, 2012, every licensed general  
             acute care hospital that operates an ED, to develop and  
             implement, in consultation with its ED staff, a  
             full-capacity protocol for each of the categories of the  
             crowding scale that addresses all of the following  
             factors:








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             A.    Notification of hospital administrators, nursing  
                staff, medical staff, and ancillary services of  
                category changes on the scale.

             B.    Hospital operations, including bed utilization,  
                transfers, elective admissions, discharges,  
                supplies, and additional staffing.

             C.    Emergency department operations, including  
                diversion, triage, and alternative care sites.

             D.    Planned response, if the organized medical staff  
                by the hospital for rounds discharges, coordination  
                with the ED and emergency consults for ED patients.

          7. Requires every licensed general acute care hospital that  
             operates an ED to file its full-capacity protocols with  
             the OSHPD, and annually report any revisions to its  
             protocols.

          8. Sunsets the provisions of this bill on January 1, 2015.

           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 or diverted  
          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.

           Comments
           
          Research also suggests that the use of ED services will  
          continue to rise due to demographic factors, such as the  
          increasing age of the population.  The U.S. population is  
          growing and life expectancies are increasing, leading to  
          more people living longer with complex and chronic  







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          debilitating diseases such as diabetes, cancer, and renal  
          failure.  According to CHCF, research also shows that  
          adults with chronic conditions are disproportionately  
          represented among recent ED users.  While 32 percent of the  
          California adult population suffers from hypertension,  
          heart disease, diabetes, and/or chronic lung problems, 44  
          percent of recent ED users fit this description.   
           
           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

          According to the Senate Appropriations Committee analysis:

                          Fiscal Impact (in thousands)


           Major Provisions                2010-11     2011-12     
          2012-13   Fund
           Impact on publicly-                          unknown,  
          potentially significant                      General/*
          funded health programs,            costs and  
          savingsFederal/
          including Medi-Cal                           Local
          and Healthy Families

          *Medi-Cal costs shared 50 percent General Fund, 50 percent  
          federal funds ongoing; Healthy Families Program shared 35  
          percent General Fund, 65 percent federal funds; the state  
          General Fund portion may include local funds

           SUPPORT  :   (Verified  6/25/10)

          American College of Emergency Physicians, California  
          Chapter (source) 
          California Ambulance Association
          California Medical Association

           OPPOSITION  :    (Verified  6/25/10)

          San Bernardino county Board of Supervisors
          San Joaquin county Health Care Services

           ARGUMENTS IN SUPPORT  :    According to California College of  
          Emergency Physicians (Cal/ACEP), the sponsors of this bill,  







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          California's EDs have become the healthcare safety net and  
          are the front lines of any public health emergency.   
          Cal/ACEP maintains that ED overcrowding is no longer simply  
          an uncomfortable and time consuming endeavor for patients,  
          but waits can be so long they put the lives of Californians  
          in peril.  According to Cal/ACEP, in addition to being a  
          rapid and practical solution to measuring the changing  
          conditions in the ED, this bill provides that each hospital  
          develop an individualized plan that allows for flexibility  
          in the design that suits each specific hospital.  Cal/ACEP  
          maintains that this bill is a common-sense approach to  
          improving California's healthcare system using existing  
          resources.

           ARGUMENTS IN OPPOSITION  :    The San Bernardino County Board  
          of Supervisors (SBCBS) is opposed to this bill stating that  
          there is no evidence that using a scoring tool is effective  
          and would work for California.  The SBCBS notes that  
          overcrowding assessments in EDs are already conducted and  
          that there is insufficient evidence to show that using a  
          scoring tool would have any impact on improving ED  
          overcrowding.  According to SBCBS, Arrowhead Regional  
          Medical Center, San Bernardino County's public hospital,  
          already employs an effective system to avoid ED  
          overcrowding, and feels the mandated tool in this bill  
          would impose an unnecessary and unfunded state mandate.

           ASSEMBLY FLOOR  : 
          AYES:  Adams, Ammiano, Beall, Bill Berryhill, Tom  
            Berryhill, Blakeslee, Block, Blumenfield, Bradford,  
            Brownley, Buchanan, Caballero, Charles Calderon, Carter,  
            Chesbro, Conway, Coto, Davis, De La Torre, De Leon,  
            DeVore, Eng, Evans, Feuer, Fletcher, Fong, Fuentes,  
            Gaines, Galgiani, Garrick, Gilmore, Hagman, Hall, Harkey,  
            Hayashi, Hernandez, Hill, Huber, Huffman, Jeffries,  
            Jones, Lieu, Logue, Bonnie Lowenthal, Ma, Mendoza,  
            Miller, Monning, Nava, Nestande, Niello, Nielsen, Norby,  
            Portantino, Ruskin, Saldana, Silva, Skinner, Smyth,  
            Solorio, Audra Strickland, Swanson, Torlakson, Torres,  
            Torrico, Tran, Villines, Yamada
          NOES:  Anderson, Knight
          NO VOTE RECORDED:  Arambula, Bass, Cook, Emmerson, Fuller,  
            Furutani, V. Manuel Perez, Salas, John A. Perez, Vacancy








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          CTW:do  6/29/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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