25 Appendix 2: Florida bill on VTEs The Emily Adkins Family Protection Act: statewide legislation that has the potential to change the US landscape for the prevention and management of VTE How Legacy IPC helps to meet key requirements ▪ Easier device use can reduce training burden and improve compliance; data connectivity allows auditing usage, which may support compliance checks or quality metrics ▪ A portable, reliable mechanical option makes it easier to implement prevention protocols especially when pharmacologic prophylaxis is delayed or unsafe ▪ Legacy helps facilities provide more accurate data to registries / AHCA reports, fulfilling the “treatment” or “prevention” metrics expected ▪ Because Legacy supports continuous wear, comfort, and monitoring, it helps ensure therapy is truly delivered (not just prescribed) which improves outcomes What does Florida’s bill mean for the rest of the US? VTE may become a national patient safety priority • Florida is the first state to legislate mandatory VTE risk assessment at admission in certain care settings. Other states may pass similar bills e.g. Mississippi Hospitals will face pressure to formalise VTE protocols • The Florida bill mandates the use of a nationally recognised VTE risk tool and appropriate treatment protocols. Even outside Florida, national hospital chains and accreditation bodies may impose similar measures Rise in use of mechanical prophylaxis (IPC) • Hospitals across the US may re-evaluate their mechanical prophylaxis offerings to ensure they meet compliance and patient adherence goals…with portable IPC devices becoming standard Compliance and data monitoring will be more important • Devices that can track wear-time and transmit data will be favoured. Providers need to demonstrate not just that prophylaxis was prescribed but that it was used More focus on outpatient / post-discharge VTE risk • VTE risk doesn’t end at hospital discharge; many VTEs occur after patients leave hospital. Portable, long-duration prophylaxis options (i.e. battery-powered IPC) will play a larger role in post-discharge protocols Key requirements of Florida’s bill on VTEs Risk assessment on admission • On patient admission, licensed healthcare facilities must perform a VTE risk assessment using a nationally-recognised risk tool Staff Training • Healthcare facilities must train staff in recognising risk factors, signs and symptoms of blood clots, DVT, PE and have response protocols Protocols and policies • Facilities must have protocols for treating patients at risk of VTEs i.e. screening, prevention and treatment measures Registry and reporting • A statewide registry must be established / contracted in order to track VTE incidence. Hospitals, ambulatory surgical centres etc. must report specified data Appropriate medical attention / treatment • For patients who are identified at-risk, facilities are required to provide ‘appropriate medical attention’ for those risks; with the prevention method being ‘evidence based’ and commensurate with risk Legacy IPC is well suited to help institutions comply with Florida’s VTE legislation, as well as any changes to ‘federal policy’ due to its features addressing many of the bill’s implicit and explicit expectations
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