S T A T E O F N E W Y O R K
________________________________________________________________________
3844
2013-2014 Regular Sessions
I N S E N A T E
February 22, 2013
___________
Introduced by Sen. ESPAILLAT -- read twice and ordered printed, and when
printed to be committed to the Committee on Health
AN ACT to amend the public health law, in relation to the implementation
and use of a mandatory universal transfer form
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The public health law is amended by adding a new section
2995-e to read as follows:
S 2995-E. UNIVERSAL TRANSFER FORM. 1. THE DEPARTMENT SHALL ESTABLISH A
UNIVERSAL TRANSFER FORM TO BE USED BY ALL LICENSED HEALTHCARE FACILITIES
OR PROGRAMS WHENEVER A PATIENT IS TRANSFERRED TO ANOTHER LICENSED
HEALTHCARE FACILITY OR PROGRAM.
2. THE UNIVERSAL TRANSFER FORM ESTABLISHED BY THE DEPARTMENT SHALL
INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING INFORMATION:
(A) TRANSFER FROM;
(B) TRANSFER TO;
(C) DATE AND TIME OF TRANSFER;
(D) PATIENT NAME;
(E) PATIENT'S DATE OF BIRTH;
(F) GENDER;
(G) PRIMARY LANGUAGE OF PATIENT;
(H) PHYSICIAN'S NAME AND PHONE NUMBER;
(I) CONTACT PERSON WITH INFORMATION;
(J) REASON FOR TRANSFER;
(K) PAIN;
(L) PRIMARY, SECONDARY, MENTAL HEALTH DIAGNOSIS;
(M) RESTRAINTS;
(N) RESPIRATORY NEEDS;
(O) ISOLATION/PRECAUTIONS;
(P) ALLERGIES;
(Q) SENSORY;
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD09117-01-3
S. 3844 2
(R) SKIN CONDITIONS;
(S) IV ACCESS;
(T) DIET;
(U) PERSONAL ITEMS SENT WITH PATIENT;
(V) ATTACHED DOCUMENTS;
(W) AT-RISK ALERTS;
(X) MENTAL STATUS;
(Y) IMMUNIZATIONS/SCREENINGS;
(Z) BOWEL/BLADDER FUNCTIONS;
(AA) SENDING FACILITY CONTACT INFORMATION;
(BB) CONTACT INFORMATION OF THE PERSON WHO FILLED OUT THE FORM.
3. THE UNIVERSAL TRANSFER FORM SHALL NOT BE COMPLETE IF MEDICATION
INFORMATION IS NOT ATTACHED.
4. (A) A LICENSED HEALTHCARE FACILITY OR PROGRAM SHALL SEND A
COMPLETED, PAPER COPY OF THE UNIVERSAL TRANSFER FORM WITH A PATIENT WHEN
A PATIENT IS TRANSFERRED.
(B) A LICENSED HEALTHCARE FACILITY OR PROGRAM SHALL SEND AN ELECTRONIC
COPY OF THE UNIVERSAL TRANSFER FORM, WITH ATTACHMENTS, TO THE LICENSED
HEALTHCARE FACILITY OR PROGRAM RECEIVING THE PATIENT WITHIN TWENTY-FOUR
HOURS THE PATIENT IS TRANSFERRED.
5. A LICENSED HEALTHCARE FACILITY OR PROGRAM SHALL RETAIN A COMPLETED
COPY OF THE UNIVERSAL TRANSFER FORM SENT WITH A PATIENT WHEN A PATIENT
IS TRANSFERRED AS PART OF THE PATIENT'S MEDICAL RECORD.
6. A LICENSED HEALTHCARE FACILITY OR PROGRAM SHALL DEVELOP AND IMPLE-
MENT WRITTEN POLICIES AND PROCEDURES ADDRESSING THE REQUIRED USE OF THE
UNIVERSAL TRANSFER FORM BY A LICENSED HEALTHCARE FACILITY OR PROGRAM'S
STAFF, METHOD OF TRANSPORTATION, PROCEDURES FOR SECURITY OF THE RESIDENT
AND ALL PERSONAL BELONGINGS OR OTHER ITEMS THAT ACCOMPANY OR IMMEDIATELY
FOLLOW A TRANSFERRED RESIDENT.
7. EMERGENCY DEPARTMENTS SHALL BE EXEMPT FROM MANDATORY USE OF THE
UNIVERSAL TRANSFER FORM, BUT SHALL FOLLOW HOSPITAL PROCEDURES REGARDING
DOCUMENTATION.
8. THE COMMISSIONER SHALL MAKE, ADOPT, PROMULGATE AND ENFORCE SUCH
RULES AND REGULATIONS, AS HE OR SHE MAY DEEM APPROPRIATE, TO EFFECTUATE
THE PURPOSES OF THIS SECTION.
9. FOR PURPOSES OF THIS SECTION, "HEALTHCARE FACILITY" MEANS THE
FACILITY OR INSTITUTION WHETHER PUBLIC OR PRIVATE, ENGAGED PRINCIPALLY
IN PROVIDING SERVICES FOR HEALTH MAINTENANCE ORGANIZATIONS, DIAGNOSIS,
OR TREATMENT OF HUMAN DISEASE, PAIN, INJURY, DEFORMITY, OR PHYSICAL
CONDITION, INCLUDING, BUT NOT LIMITED TO, A GENERAL HOSPITAL, SPECIAL
HOSPITAL, MENTAL HOSPITAL, PUBLIC HEALTH CENTER, DIAGNOSTIC CENTER,
TREATMENT CENTER, REHABILITATION CENTER, EXTENDED CARE FACILITY, SKILLED
NURSING HOME, NURSING HOME, INTERMEDIATE CARE FACILITY, TUBERCULOSIS
HOSPITAL, CHRONIC DISEASE HOSPITAL, MATERNITY HOSPITAL, OUTPATIENT CLIN-
IC, DISPENSARY, HOME HEALTH CARE AGENCY, RESIDENTIAL HEALTHCARE FACILI-
TY, AND BIOANALYTICAL LABORATORY (EXCEPT AS SPECIFICALLY EXCLUDED HERE-
UNDER) OR CENTRAL SERVICES FACILITY SERVING ONE OR MORE SUCH
INSTITUTIONS BUT EXCLUDING INSTITUTIONS THAT PROVIDE HEALING SOLELY BY
PRAYER AND EXCLUDING SUCH BIOANALYTICAL LABORATORIES AS ARE INDEPENDENT-
LY OWNED AND OPERATED, AND ARE NOT OWNED, OPERATED, MANAGED, OR
CONTROLLED, IN WHOLE OR IN PART, DIRECTLY OR INDIRECTLY BY ANY ONE OR
MORE HEALTHCARE FACILITIES, AND THE PREDOMINANT SOURCE OF BUSINESS OF
WHICH IS NOT BY CONTRACT WITH HEALTHCARE FACILITIES WITHIN THE STATE OF
NEW YORK AND WHICH SOLICIT OR ACCEPT SPECIMENS AND OPERATE PREDOMINANTLY
IN INTERSTATE COMMERCE.
S. 3844 3
S 2. This act shall take effect on the ninetieth day after it shall
have become a law. Effective immediately, the addition, amendment
and/or repeal of any rule or regulation necessary for the implementation
of this act on its effective date are authorized to be made and
completed on or before such effective date.