HB2211: Emergency Medical Services Registry and Statewide Trauma Registry; created.
Be it enacted by the General Assembly of Virginia:
1. That §§ 32.1-116.1, and 32.1-116.1:1 of the Code of Virginia are amended and reenacted as follows:
§ 32.1-116.1. Prehospital patient care reporting procedure; trauma registry; confidentiality.
A. In order to collect data on the incidence, severity and
cause of trauma, integrate the information available from other state agencies
on trauma and improve the delivery of prehospital and hospital emergency
medical services, there is hereby established the Emergency Medical Services
Patient Care Information System. The Emergency Medical Services Patient Care
Information System shall include the prehospital patient
care reporting procedure Virginia Emergency
Medical Services (EMS) Registry and the trauma registryVirginia
Statewide Trauma Registry.
All licensed emergency medical services agencies shall
participate in the prehospital patient care reporting procedureVirginia EMS Registry by making available to the Commissioner or his
designees the minimum data set on formsin
the format prescribed by the Board or locally developed forms
any other format which contain
equivalent information and meets any technical specifications of the
Board. The minimum data set shall include, but not be limited to, the
type of medical emergency or nature of the call, the response
time, the treatment provided and other items as prescribed by the Board.
Each licensed emergency medical services agency shall, upon request, disclose the prehospital care report to law-enforcement officials (i) when the patient is the victim of a crime or (ii) when the patient is in the custody of the law-enforcement officials and has received emergency medical services or has refused emergency medical services.
The Commissioner may delegate the responsibility for
collection of this data to the Regional Emergency
Medical Services Councils, Department of
Health Office of Emergency Medical Services personnel or individuals under contract to the DepartmentOffice.
The Advisory Board shall assist in the design, implementation, subsequent
revisions and analyses of the data of the prehospital
patient care reporting proceduresfrom the Virginia EMS
Registry.
B. All licensed hospitals which render emergency medical
services shall participate in the trauma registryVirginia
Statewide Trauma Registry by making available to the Commissioner
or his designees abstracts of the records of all patients admitted to the
institutions' trauma and general
surgery services with diagnoses related to trauma. The abstracts
shall be submitted on forms providedin the format
prescribed by the Department and shall include the minimum data
set prescribed by the Board.
The Commissioner shall seek the advice and assistance of the
Advisory Board and the Committee on Trauma of the Virginia Chapter of the
American College of Surgeons Trauma System
Oversight and Management Committee in
the design, implementation, subsequent revisions and analyses of the trauma
registryVirginia Statewide Trauma Registry.
C. Patient and other data or information submitted to the trauma registry or transmitted to the Commissioner, the Advisory Board, any committee acting on behalf of the Advisory Board, any hospital or prehospital care provider, any regional emergency medical services council, permitted emergency medical services agency, or other group or committee for the purpose of monitoring and improving the quality of care pursuant to § 32.1-111.3, shall be privileged and shall not be disclosed or obtained by legal discovery proceedings, unless a circuit court, after a hearing and for good cause shown arising from extraordinary circumstances, orders disclosure of such data.
§ 32.1-116.1:1. Disclosure of medical records.
Any licensed physician, or
other licensed health care provider,
or licensed health care facility may disclose to an emergency
medical care attendant, technician,
or another physician, or
their licensed parent agency the medical or hospital records
of a sick or injured person to whom such attendant, technician
or physician is providing or has rendered emergency medical care or
assistance for the purpose of promoting the medical education of
the specific person who provided such care or assistance or
for quality improvement initiatives of their agency or of the EMS system as a
whole. Any emergency medical care attendant, technician
or physician to whom such confidential records are disclosed shall not further
disclose such information to any persons not entitled to receive that
information in accordance with the provisions of this section.