Section § 1797.121

Explanation

This law requires a report to be submitted to the Legislature by January 1, 1984, and every year after, on how effective certain systems are. The report should also evaluate how these systems impact death and disability.

The authority shall report to the Legislature on the effectiveness of the systems provided for in this division on or before January 1, 1984, and annually thereafter, including within this report, systems impact evaluations on death and disability.

Section § 1797.122

Explanation

This law allows health facilities to share patient-identifiable medical information with Emergency Medical Services (EMS) providers and local EMS agencies for quality assessment and improvement purposes. It specifies that only the minimally necessary data should be requested, following federal regulations. The law also permits the development of standards for data collection to enhance system operations and patient outcomes. An EMS provider includes organizations employing EMTs, registered nurses, or physicians who provide emergency care.

(a)CA Health & Safety Code § 1797.122(a) Notwithstanding any other law, a health facility as defined in subdivision (a) or (b) of Section 1250 may release patient-identifiable medical information under the following circumstances:
(1)CA Health & Safety Code § 1797.122(a)(1) To an EMS provider, information regarding a patient who was treated, or transported to the hospital by, that EMS provider, to the extent that specific data elements are requested for quality assessment and improvement purposes.
(2)CA Health & Safety Code § 1797.122(a)(2) To the authority or the local EMS agency, to the extent that specific data elements are requested for quality assessment and improvement purposes.
(b)CA Health & Safety Code § 1797.122(b) An EMS provider, local EMS agency, and the authority shall request only those data elements that are minimally necessary in compliance with Section 164.502 (b) and Section 164.514 (d) of Title 45 of the Code of Federal Regulations.
(c)CA Health & Safety Code § 1797.122(c) The authority may develop minimum standards for the implementation of data collection for system operation, patient outcome, and performance quality improvement.
(d)CA Health & Safety Code § 1797.122(d) For purposes of this section, “EMS provider” means an organization employing an Emergency Medical Technician-I, Advanced Emergency Medical Technician, Emergency Medical Technician-Paramedic, registered nurse, or physician for the delivery of emergency medical care to the sick and injured at the scene of an emergency, during transport, or during an interfacility transfer.

Section § 1797.123

Explanation

This law requires the appropriate authority to calculate how long it takes for patients to be offloaded from ambulances, as reported by local EMS agencies. The calculations must be done for each EMS jurisdiction and facility. Twice a year, this data must be reported to the Commission on Emergency Medical Services.

By December 1, 2020, a report analyzing these offload times and suggesting improvements must be submitted to the Legislature. This initiative aims to reduce the time patients spend in ambulances before receiving care.

(a)CA Health & Safety Code § 1797.123(a) Upon receipt of data reported by a local EMS agency to the authority pursuant to Section 1797.228, the authority shall calculate ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.
(b)CA Health & Safety Code § 1797.123(b) The authority shall report twice per year to the Commission on Emergency Medical Services the ambulance patient offload time by local EMS agency jurisdiction and by each facility in a local EMS agency jurisdiction.
(c)CA Health & Safety Code § 1797.123(c) On or before December 1, 2020, the authority, in collaboration with local EMS agencies, shall submit a report to the Legislature on ambulance patient offload time and recommendations to reduce or eliminate ambulance patient offload time. The report shall be submitted in compliance with Section 9795 of the Government Code.

Section § 1797.124

Explanation

This law requires an authority to publish an annual report by March 1, 2024, and each January 1 afterward. This report will show the maximum rates allowed for ground ambulance services in each county and, if possible, include Medicare rates for that year. The report will be available on the internet and must also be sent every year to the Department of Insurance, the Department of Managed Health Care, and the Office of Health Care Affordability for reviewing the rates.

(a)CA Health & Safety Code § 1797.124(a) On or before March 1, 2024, and on or before each January 1 thereafter, the authority shall annually develop and publish on its internet website a report showing the allowable maximum rates for ground ambulance transportation services in each county, including trending the rates by county. If feasible, this report shall include the applicable Medicare rate for the year.
(b)CA Health & Safety Code § 1797.124(b) The authority shall annually submit each report to the Department of Insurance and the Department of Managed Health Care for purposes of rate review, as well as to the Office of Health Care Affordability.