Res 28-04RESOLUTION NO. 28-04
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF DELRAY BEACH, FLORIDA, SUPPORTING THE
"FLORIDA STROKE ACT", SPECIFIC.AIJ.Y HB 889 AND SB
1590 IN THE CURRENT LEGISLATIVE SESSION.
WHEREAS, stroke is the third leading killer in the United States and in Florida and
the leading cause of serious long-term disability in Florida; and
WHEREAS, 165,000 people die from stroke in the United States every year,
including 10,000 persons in the State of Florida and 60 percent of death from strokes occur in
women; and
WHEREAS, approximately 4.5 million survivors of a stroke are alive today, and as
many as 25 percent are permanently disabled; and
WHEREAS, nearly 30 percent of all people who suffer stroke are under age 65; and
WHEREAS, it is estimated that strokes cost the United States nearly $50 billion a
year in total cost, with direct costs estimated at $28 billion and the state Medicaid budget pays a
significant share of the direct cost of stroke; and
WHEREAS, as the population ages, death and disability from stroke will increase
dramatically if this state does not implement strategies that will improve the survival of victims of
stroke in all communities across the State of Florida; and
WHEREAS, Emergency Medical Services may be transporting victims to hospitals
that are not properly equipped to provide timely and effective treatment for stroke victims; and
WHEREAS, many hospitals that treat stroke victims do not discharge stroke
patients with the proper information and tools on how to prevent recurrent strokes.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION
OF THE CITY OF DELRAY BEACH, FLORIDA, AS FOLLOWS:
Section 1. The City Commission of the City of Dekay Beach supports the "Florida
Stroke Act", specifically HB 889 and-SB 1590 in the current Legislative Session.
Section 3. That the City Manager and the City Clerk are directed to file this resolution
with appropriate governmental and other authorities and entities in order to make public the City
Commission's declaration in support of the "Florida Stroke Act", specifically HB 889 and SB 1590
in the current Legislative Session.
Section 4. This resolution shall be effective immediately upon its passage.
PASSED AND ADOPTED in regular session on this the 13th day of April, 2004.
ATI'EST:
City Clerk
2 Res. No. 28-04
RESOLUTION NO. 28-04
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF DELRAY BEACH, FLORIDA, SUPPORTING THE
"FLORIDA STROKE ACT", SPECIFICAIJ.Y HB 889 AND SB
1590 IN THE CURRENT LEGISLATIVE SESSION.
WHEREAS, stroke is the third leading killer in the United States and in Florida and
the leading cause of serious long-term disability m Florida; and
WHEREAS, 165,000 people die from stroke in the United States every year,
including 10,000 persons in the State of Florida and 60 percent of death from strokes occur in
women; and
WHEREAS, approximately 4.5 million survivors of a stroke are alive today, and as
many as 25 percent are permanently disabled; and
WHEREAS, nearly 30 percent of all people who suffer stroke are under age 65; and
WHEREAS, it is estimated that strokes cost the Un/ted States nearly $50 billion a
year in total cost, with direct costs estimated at $28 billion and the state Medicaid budget pays a
significant share of the direct cost of stroke; and
WHEREAS, as the population ages, death and disability from stroke will increase
dramatically if this state does not implement strategies that will improve the survival of victims of
stroke in all communities across the State of Florida; and
WHEREAS, Emergency Medical Services may be transporting victims to hospitals
that are not properly equipped to provide timely and effective treatment for stroke victims; and
WHEREAS, many hospitals that treat stroke victims do not discharge stroke
patients with the proper information and tools on how to prevent recurrent strokes.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION
OF THE CITY OF DELRAY BEACH, FLORIDA, AS FOI J.OWS:
Section 1. The City Commission of the City of Delray Beach supports the "Florida
Stroke Act", specifically HB 889 and SB 1590 in the current Legislative Session.
Section 3. That the City Manager and the City Clerk are directed to file this resolution
with appropriate governmental and other authorities and entities in order to make public the City
Commission's declaration in support of the "Florida Stroke Act", specifically HB 889 and SB 1590
in the current Legislative Session.
Section 4. This resolution shall be effective immediately upon its passage.
PASSED AND ADOPTED in regular session on this the 13~ day of April, 2004.
ATI'EST:
MAYOR
City Clerk
2 Res. No. 28-04
Alexander A. "Sandy" Simon, Jr.
220 MacFarlane Drive, PH #6 * Delray Beach, Florida 33483 · (561) 243-8998 · Fax (561) 243-6344
of Del a
100 N. W. l't Avenue
Delray Beth, FL 3~
Dear Jeff:
As you may know, Senator Mike Fasano has introduced SB 1590 in coordination with
Representative Gus Bilirakis' HB 889 known as the "Flodda Stroke Act".
This letter is to urge you to favorably consider having the City of Delray Beach ~ass a resolution to
support the Florida Stroke Act, specifically HB 889 and SB 1590 in the cu~Tent legislative session.
Already, the Amedcan Heart Association and many other organizations are suppodJng passage as
members of FAST (Flodda Alliance for-Rapid-Stroke Treatment). If passed, this will be the first in
America. As you know, we live in the epicenter of stroke. These bills, if they become law, will
provide certain hospitals to be "Stroke Centers". rm hopeful Bethesda would be so designated. It
also provides for statewide training of EMS teams, setting up a registry for Stroke so to obtain
better statistical information and enable more grants for treatment.
Representatives Adam Hasner and Richard Machek have become co-sponsors.
Please review the enclosed, and favorably consider passage of support by the Delray Reach City
Commission and urging of the Florida Association of Mayors (or communities) to do likewise.
I am meeting with Frank Brogan, President of FAU to seek having the date/regisby center located
there. It could become a mini-CDC.
If you h~, any questions, please call.
I/
Since~l~,
A~'Simon, Jr.
Enclosure: SB 1590
Cc: Rep. Gus Bilirakis
Sen. Mike Fasano
Rep. Adam Hasner
Rep. Richard Machek
RECEIVED
NAR 3 0 200&
CITY CLERK
Alexander A. "Sandy" Simon, Jr.
220 MacFarlane Drive, PH #6 * Delray Beach, Florida 33483 · (561) 243-8998 · Fax (561) 243-6344
A STROKE FACT SUMMARY
Most people do not know (according to National Stroke Association):
Stroke kills twice as many women as does breast cancer.
Stroke is the number three killer in America; number two
Worldwide.
Stroke is the number one cause of adult disability.
The average amount of time it takes for Americans to get
to the hospital is twelve hours, yet the best medication for
ischemic (clot) stroke, TPA, which in most cases eliminates
or significantly reduces impairment, must be administered
within three (3) hours.
66% of all hospitals have no stroke protocol. Does yours?
82% of hospitals lack procedures to rapidly identify stroke
sufferers. Does yours?
750,000 people will suffer a severe stroke this year, with
the number growing with the aging of the "Baby Boomers".
Four million Americans live with stroke.
Doctors will tell you, with good statistical basis, that 90%
of improvement al~er stroke will occur in the first year. We
say that need not be and say quite the contrary, it can be
overcome over many years.
80% of strokes can be avoided or mitigated.
Our new book, A STROKE OF GENIUS, Messages of Hope and Healing From a
Thriving Stroke Survivor, tells how, with spiritual strength, hope and an attitude of
determination with love and support, a stroke sufferer can return to a thriving and high
quality of life. ~
Session :Bills: flsenate.gov Page 1 of 2
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Select Year: 2004
Select Chamber: Senate
Previous Senate Bill
Ne
Senate 159o: Relating to Certified Stroke Treatment Centers
S1590 GENERAL BILL by Fasano; (CO-SPONSORS) Miller (Linked S 166Q, Similar
H 08~9)
Certified Stroke Treatment Centers; provides legislative intent re such
centers; directs DOH to notify hospitals that are eligible to become
certified stroke treatment centers; directs department to issue
certificates to stroke treatment centers that meet guidelines; prohibits
person from claiming that facility is stroke treatment center unless
facility is certified as provided by law; requires emergency medical
services to transport identified stroke victims to such centers, etc.
EFFECTIVE DATE: 07/01/2004.
01/22/04 SENATE Prefiled
01/28/04 SENATE Referred to Health, Aging, and Long-Term Care; Appropriations
Subcommittee on Health and Human Services; Appropriations
02/09/04 SENATE On Committee agenda-- Health, Aging, and Long-Term Care,
02/17/04, 2:00 pm, 412-K --Temporarily postponed
03/02/04 SENATE Introduced, referred to Health, Aging, and Long-Term Care;
Appropriations Subcommittee on Health and Human Services;
Appropriations; On Committee agenda-- Health, Aging, and
Long-Term Care, 02/17/04, 2:00 pm, 412-K --Temporarily
postponed
BHI Text
Version: Posted: Format:
S 1590 01/22/2004 Web Page I PDF
Committee Amendments and Filed Floor Amendments:
NO AMENDMENTS AVAILABLE FOR SENATE BILL 1590.
Staff Analysis:
NO STAFF ANALYSIS AVAILABLE FOR SENATE BILL 1590.
Vote History - Committee
http://www~~senat~~g~v/sessi~n/index~cfm?B~-M~de=Vi~wBi~~~nf~&M~de=Bi~~s&SubMen~~~ 3/2/2004
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Chamber: Committee: Date: Format:
Senate Health, Aging, and Long-Term Care 02/17/04 Web Page
Vote History ~ Floor
NO VOTE HISTORY AVAILABLE FOR SENATE BILL 1590.
Citations - Statute
NO STATUTE CITATIONS FOUND FOR SENATE BILL 1590.
Citations - Constitution
NO CONSTITUTION CITATIONS FOUND FOR SENATE BILL 1590.
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Senate Bill sb159o
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Florida Senate - 2004
By Senator Fasano
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11-1064A-04
A bill to be entitled
An act relating to certified stroke treatment
centers; providing legislative intent with
respect to certified stroke treatment centers;
providing definitions; directing the Department
of Health to adopt, by a specified date,
certain guidelines as minimal clinical
standards for stroke centers; directing the
department to notify hospitals that are
eligible to become certified stroke treatment
centers; requiring a hospital to file a letter
of intent; directing hospitals to file
completed applications with the department by a
specified date; directing the department to
issue certificates to stroke treatment centers
that meet the guidelines; authorizing the
department to issue provisional certifications;
providing that a stroke center's certification
SB i
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automatically expires 2 years after the date of
issuance; providing that a certification may be
renewed; limiting the certification to the
hospital to which it was issued; directing the
department to post a listing of certified
stroke treatment centers on its website;
requiring the department to mail the list to
certain persons and entities; requiring a
hospital to notify the department at least 6
months in advance of its decision to terminate
stroke treatment; prohibiting a person from
claiming that a facility is a stroke treatment
center unless the facility is certified as
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provided by law; authorizing the department to
inspect stroke treatment centers; requiring
emergency medical services to transport
identified stroke victims to certified stroke
treatment centers; requiring the department to
adopt rules; providing an effective date.
WHEREAS, stroke is the third leading killer in the
United States and in Florida, and
WHEREAS, stroke is also the leading cause of serious
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11 long-term disability in this state, and
12 WHEREAS, 165,000 people die from stroke in the Unite
13 States every year, including 10,000 persons in this state,
14 WHEREAS, 60 percent of death from strokes occur in
15 women, and
16 WHEREAS, approximately 4.5 million survivors of a
17 stroke are alive today, and as many as 25 percent are
18 permanently disabled, and
19 WHEREAS, nearly 30 percent of all people who suffer
20 stroke are under age 65, and
21 WHEREAS, it is estimated that strokes cost the Unite
22 States nearly $50 billion a year in total costs, with direc
23 costs estimated at $28 billion, and
24 WHEREAS, the state Medicaid budget pays a significan
25 share of the direct cost of stroke, and
26 WHEREAS, as the population ages, death and disabilit
27 from stroke will increase dramatically if this state does n
28 implement strategies that will improve the survival of vict
29 of stroke in all communities across this state, and
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SB 1
WHEREAS, emergency medical services may be transport
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stroke victims to hospitals that are not properly equipped
provide timely and effective treatment for stroke victims,
WHEREAS, many hospitals are not properly equipped to
render timely and effective treatment for stroke victims, a
WHEREAS, many hospitals that treat stroke victims do
not discharge stroke patients with the proper information a
tools on how to prevent recurrent strokes, NOW, THEREFORE,
Be It Enacted by the Legislature of the State of Florida:
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Section 1. L~,.~ .... ~tl,,,. intent.--
~'i} The LeqLslature .!iri<~s ' ~ rapic~ !~dentifica~ion
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(2} The Lecisiature further fir:ds that a strorlg
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identified and ~;ransuorted %0 and treated in appro'oriate
Section 2. h'f ~ ~ ~ ,
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2 treatmerlt center" means any hospital licensed undez chapter
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stroke. The term includes all 1~1o~-~ <' of s%ro.<e' uxea~men5
carters certified b?' the d~.~partment inch, dinG ¢rimary and
who require a hiqh intensity of medical ar, d surgical care.
(4 } ·
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26 illness, injury, se fortuityr infirmity, abno!~,aiity, disease
28 {b) R~9,'uie~'iy hakes available aT least ciinic~ii
31 definitive medical
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(6) "Pri![~ary stro}e center" hearts any bospiual
victims. These stan. dazds shall include, but not be limited
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17 sremises of a certified st :oke ...... bv
25 _~ecognizeo stroke , ~-~,-e-~,:.~ ~.,~.~ no later than ,i/anuarv i, 2005. Th
guidelines.~,.;~,i,}*-~,'.~_,.,: by the debar men~. sl-~.lli be the minimv~m
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(i) (a) T?e c{!~pa:r't::ment she]] aariuaily r~ok:[~% e~ch ac
acceDtinc, letters of intent from any hospital L~>'-~ proposes
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9 is coosis{ent with t~e certification quidelin,~,s ~.[dopted OV
10 deDar.tmen~. Le{ ters of i.~ikent mus~ be nostmerked ~3y midn{oh
11 on Ocnober 1 of e~ch year.
12 (h) The de~an~:~men:i shall send an app]:.cation packag
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16 become a stroke treatment center. The cerEificar_ion guideli
17 :ldepted }}y the d~pai[!mer~ll shal I be the basis io:: ilhese
19 {c) Com.pleted applications flem a hospiEal must
20 receiveo by the d~parNment by P~pril I of each year. TNe
22 h{lsp'l~llai's applica~lien is ee~plete anc:~ whether :he hosDikai
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25 stroke center.
2~ (~) 0n Api:i}. 30 if each vear, a P, spltal must be
29 (e) The deu~arumet'~t !nay issue a p::ox~isieoal
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hospital may oro!ese, ~ , a deciaion made by the
ss. 120.569 and 120.57, F or:ida Stai:,n:es. Tie case l:i]ed uade
suspended or revoked, automaticaiiv expires 2 years after t
tile requirements set fortil in this -ict and in the rules
adopted '~''
valid on!v for the hospital te which it was issued and may
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if:
(~i An %pplication for' a new ..... rt=,_=,.,x_~o, is recui
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An application for certiflc.,ition showing these chanqes must
(4) A curlulenL ]:st: o~ ali c~ rtiIlied stloke ilreatmen
~*' %' harked lin] on the
and
{5, Ex,,~.,. ,-is u~ov~{xed in this subsection, proDerTy
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means anv s,~let foresiosure, or transfer of legal title or
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6 (d) ~lt)on ::?:e Geath of ~he owrer, the transfe~ is
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~Si {ia) ~ .... ~'~ -r ~ ...... of chapter 381
395.001-395. 3025,
{b. This subsectlen does net apply to a short-term
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1 treatmeut effectiveness, ensurino COrn l~an~'~ with ti~e
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suspension, and revocation of certificacion.--
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16 cerebral vascular specialty treatment iacilitv unless the
18 {2) If the depattl,~enh :lhinds that a stroke tt;eatment
20 the r. ules adopted by the oepa~tment, the department m{ly den
~' inspection or investiqa~ion of a strobe treatment cente
wh:ich :iL deems
(~i .a :complaint in~:'estiqation, ir!cl.ldir:.l a full
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2 chide] Jr~es. Ail. - '' '-' o?
4 (el) An investiqatior of a stroke %reatment center's
6 (2} The depart er sha]) accept,
oeriodic s.,'~ ' ' ,
.n ..... i }rs tot cezt: i!Jcatlon,
condLcted by ~l-~ department.
n,:lder chapter 401, Florida Stat'rites, <1-' ~
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24 {2) Ail e.:.~2¢~:r:~2m: - ~,-,-- medical sezvices pzovloers' ' o~erat
2~ in the s{ate must develop a transportation ~2rotocoi detaili
26 how identified stroke Datiests will be Transeorted uo
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protocols on file and rrake theru available t~2 any person upe
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limited to, e~-~gh approved stzoke center; physicians
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(4} The ",--' + ''
h=,..~,, a~¥'-"~- to administer this ~-~,~4 ~
Section 8. This act shall take effect July 1, 2004.
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SENATE SUMMARy
Provides legislative intent with respect to certified
stroke treatment centers. Directs the Department of
Health to adopt certain stroke-center guidelines as
minimal clinical standards. Directs the department to
notify hospitals that might choose to become certified
stroke treatment centers. Requires hospitals to file a
letter of intent. Directs hospitals to file completed
applications with the department. Directs the department
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to issue certificates to stroke treatment centers that
meet the stroke-center guidelines. Authorizes the
department to issue provisional certifications. Provides
that a stroke center's certification automatically
expires 2 years after the date of issuance. Provides that
a stroke center's certification may be renewed. Limits a
stroke center's certification to the hospital to which it
was issued. Directs the department to post a listing of
certified stroke treatment centers on its website and to
mail the list to certain persons and entities. Requires a
hospital to notify the department at least 6 months in
advance of its decision to terminate stroke treatment.
Authorizes the department to inspect stroke treatment
centers. Requires emergency medical service providers to
transport identified stroke victims to certified stroke
treatment centers. (See bill for details.)
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