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1 New Section; Emergency Medical and Trauma Services; Patient Triage and Transfer to a Freestanding Hospital Emergency Facility. Amend RSA 153-A by inserting after section 20-a the following new section:
153-A:20-b Patient Triage and Transfer to a Freestanding Hospital Emergency Facility.
I. In this section:
(a) "Freestanding hospital emergency facility" means a hospital emergency facility geographically separate from the parent hospital, which is owned and operated by the parent hospital and which provides emergency acute care identical to those services provided by the parent hospital.
(b) "Status I critical" and "status II emergent" are as defined by the most recent Model of the Clinical Practice of Emergency Medicine, as published in the Journal of Emergency Medicine.
II. Rules adopted by the commissioner under RSA 153-A:20, X shall not permit the transport of a patient to a freestanding hospital emergency facility when the patient has a status I critical or status II emergent determination, as assigned by the emergency medical responder responsible for the determination; provided, that the commissioner may adopt rules under RSA 153-A:20, X which contain an exemption to this paragraph for the transport of patients with a status I critical or status II emergent determination to the closest emergency facility only when the delay in transport to a hospital based emergency facility would result in a higher risk of mortality or significant morbidity.
2 Effective Date. This act shall take effect 60 days after its passage.
Text to be added highlighted in green.
1 New Section; Emergency Medical and Trauma Services; Patient Triage and Transfer to a Freestanding Hospital Emergency Facility. Amend RSA 153-A by inserting after section 20-a the following new section:
153-A:20-b Patient Triage and Transfer to a Freestanding Hospital Emergency Facility.
I. In this section:
(a) "Freestanding hospital emergency facility" means a hospital emergency facility geographically separate from the parent hospital, which is owned and operated by the parent hospital and which provides emergency acute care identical to those services provided by the parent hospital.
(b) "Status I critical" and "status II emergent" are as defined by the most recent Model of the Clinical Practice of Emergency Medicine, as published in the Journal of Emergency Medicine.
II. Rules adopted by the commissioner under RSA 153-A:20, X shall not permit the transport of a patient to a freestanding hospital emergency facility when the patient has a status I critical or status II emergent determination, as assigned by the emergency medical responder responsible for the determination; provided, that the commissioner may adopt rules under RSA 153-A:20, X which contain an exemption to this paragraph for the transport of patients with a status I critical or status II emergent determination to the closest emergency facility only when the delay in transport to a hospital based emergency facility would result in a higher risk of mortality or significant morbidity.
2 Effective Date. This act shall take effect 60 days after its passage.