February 21, 2018, Introduced by Rep. Glenn and referred to the Committee on Health Policy.
A bill to amend 1978 PA 368, entitled
"Public health code,"
(MCL 333.1101 to 333.25211) by adding sections 2468, 2468a, 20195,
and 20195a.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 2468. (1) A local health department shall establish a
violence prevention committee. At least 50% of the violence
prevention committee members must be employees of the local health
department who provide care directly to a patient. The local health
department shall ensure that the violence prevention committee
establishes, maintains, and annually reviews a written violence
prevention plan that includes at least all of the following:
(a) The identification of risk factors contributing to violent
acts at the local health department and annual recommendations on
how to reduce each risk factor.
(b) An annual violent act risk assessment for the local health
department that considers all of the following, as applicable:
(i) The local health department's layout, equipment, access
restrictions, and lighting.
(ii) Communication devices used by the local health
department, emergency response within the local health department,
and the sufficiency of the local health department's security
system, including, but not limited to, an alarm system.
(iii) The crime rate in the area surrounding the local health
department.
(iv) The impact of staffing at the local health department,
including, but not limited to, health professionals and security
personnel.
(v) The unique needs and characteristics of the patients or
residents served by the local health department.
(vi) A review of each record described in subsection (6).
(c) A procedure for how an employee of the local health
department may report a concern or a violent act to the local
health department, how the report will be investigated by the local
health department, and how the local health department will inform
the employee of the result of the investigation and any corrective
action that will be taken by the local health department.
(2) A local health department shall annually submit the
violence prevention plan developed under subsection (1) to the
department.
(3) A local health department shall annually provide violence
prevention training to all employees of the local health department
and shall provide violence prevention training to a new employee of
the local health department within 60 days after the date of hire.
The training must include a review of all of the following:
(a) The local health department's policy on workplace violence
prevention.
(b) Techniques to deescalate situations and minimize violent
acts.
(c) Appropriate responses to aggressive behavior, including,
but not limited to, the use of restraining techniques.
(d) Requirements and procedures for reporting a violent act.
(e) The location of a safety device and how to operate the
device.
(f) Resources for coping with a violent act.
(g) The rights of employees regarding a violent act and an
injury resulting from a violent act.
(4) If an employee of a local health department provides care
directly to a patient, the local health department shall only use
the employee's first name on his or her identification badge.
(5) A local health department shall post in the local health
department at least 1 sign stating that violent acts are not
tolerated. The sign must be posted in a conspicuous location that
is visible to the public. The local health department shall also
include on its admission forms a conspicuous statement indicating
that violent acts are not tolerated.
(6) A local health department shall create and maintain a
record of a violent act, regardless of whether an injury resulted
from the violent act or who reported the violent act to the local
health department. A local health department shall retain the
record for a minimum of 5 years from the date the violent act is
reported to the local health department and shall make the record
available to an employee who was the victim of the violent act, the
employee's authorized representative, and the department, upon
request. Except as otherwise prohibited by law, the record shall
include all of the following:
(a) The date, time, and location of the violent act.
(b) The name and job title of the employee who was the victim
of the violent act, unless the employee indicates to the local
health department that he or she wishes to keep his or her identity
confidential.
(c) The name of the individual who committed the violent act
and whether the individual was a patient of the local health
department, a visitor of the local health department, or an
employee of the local health department.
(d) The nature of the violent act, including whether a weapon
was used.
(e) If an injury during the violent act occurred, a
description of the injury.
(f) The number of employees and the names of the employees who
were in the vicinity when the violent act occurred and their
actions in response to the violent act, if any.
(g) The actions taken by the local health department in
response to the violent act.
(7) Except as otherwise provided in subsection (8), within 24
hours of receiving a report of a violent act, a local health
department shall report the violent act to the department and a
local law enforcement agency with jurisdiction over the local
health department where the violent act occurred if any of the
following are met:
(a) The violent act results in an injury.
(b) The violent act involves the use of a firearm or another
dangerous weapon.
(c) The violent act presents an emergent threat to the
welfare, health, or safety of employees of the local health
department.
(8) A local health department may report a violent act to the
department and a local law enforcement agency with jurisdiction
over the local health department where the violent act occurred if
the violent act was committed by an individual with a disability or
disease and the violent act was a clear and direct manifestation of
the individual's disability or disease.
(9) A local health department shall not penalize an employee
in any manner for reporting a violent act to the local health
department or participating in the criminal prosecution of an
individual who commits a violent act.
(10) As used in this section, "violent act" means a battery or
an assault of an employee of a local health department while the
employee is at work.
Sec. 2468a. (1) Beginning January 1, 2020, and annually
thereafter, the department shall post a report on its website that
includes, but is not limited to, all of the following information
for the preceding calendar year:
(a) The total number of violent acts reported to the
department under section 2468 and the name of each local health
department that filed a report with the department.
(b) If the department conducted an inspection or investigation
due to a violent act reported to the department under section 2468,
the outcome of the inspection or investigation.
(c) If a local health department violated section 2468, the
name of the local health department and the nature of the
violation.
(2) The department shall ensure that the report required under
this section protects the confidentiality of an employee of a local
health department or a patient of a local health department.
(3) As used in this section, "violent act" means that term as
defined in section 2468.
Sec. 20195. (1) A health facility or agency shall establish a
violence prevention committee. At least 50% of the violence
prevention committee members must be employees of the health
facility or agency who provide care directly to a patient. The
health facility or agency shall ensure that the violence prevention
committee establishes, maintains, and annually reviews a written
violence prevention plan that includes at least all of the
following:
(a) The identification of risk factors contributing to violent
acts at the health facility or agency and annual recommendations on
how to reduce each risk factor.
(b) An annual violent act risk assessment for the health
facility or agency that considers all of the following, as
applicable:
(i) The health facility's or agency's layout, equipment,
access restrictions, and lighting.
(ii) Communication devices used by the health facility or
agency, emergency response within the health facility or agency,
and the sufficiency of the health facility's or agency's security
system, including, but not limited to, an alarm system.
(iii) The crime rate in the area surrounding the health
facility or agency.
(iv) The impact of staffing at the health facility or agency,
including, but not limited to, health professionals and security
personnel.
(v) The unique needs and characteristics of the patients or
residents served by the health facility or agency.
(vi) A review of each record described in subsection (6).
(c) A procedure for how an employee of the health facility or
agency may report a concern or a violent act to the health facility
or agency, how the report will be investigated by the health
facility or agency, and how the health facility or agency will
inform the employee of the result of the investigation and any
corrective action that will be taken by the health facility or
agency.
(2) A health facility or agency shall annually submit the
violence prevention plan developed under subsection (1) to the
department.
(3) A health facility or agency shall annually provide
violence prevention training to all employees of the health
facility or agency and shall provide violence prevention training
to a new employee of the health facility or agency within 60 days
after the date of hire. The training must include a review of all
of the following:
(a) The health facility's or agency's policy on workplace
violence prevention.
(b) Techniques to deescalate situations and minimize violent
acts.
(c) Appropriate responses to aggressive behavior, including,
but not limited to, the use of restraining techniques.
(d) Requirements and procedures for reporting a violent act.
(e) The location of a safety device and how to operate the
device.
(f) Resources for coping with a violent act.
(g) The rights of employees regarding a violent act and an
injury resulting from a violent act.
(4) If an employee of a health facility or agency provides
care directly to a patient, the health facility or agency shall
only use the employee's first name on his or her identification
badge.
(5) A health facility or agency shall post in the health
facility or agency at least 1 sign stating that violent acts are
not tolerated. The sign must be posted in a conspicuous location
that is visible to the public. The health facility or agency shall
also include on its admission forms a conspicuous statement
indicating that violent acts are not tolerated.
(6) A health facility or agency shall create and maintain a
record of a violent act, regardless of whether an injury resulted
from the violent act or who reported the violent act to the health
facility or agency. A health facility or agency shall retain the
record for a minimum of 5 years from the date the violent act is
reported to the health facility or agency and shall make the record
available to an employee who was the victim of the violent act, the
employee's authorized representative, and the department, upon
request. Except as otherwise prohibited by law, the record shall
include all of the following:
(a) The date, time, and location of the violent act.
(b) The name and job title of the employee who was the victim
of the violent act, unless the employee indicates to the health
facility or agency that he or she wishes to keep his or her
identity confidential.
(c) The name of the individual who committed the violent act
and whether the individual was a patient or resident of the health
facility or agency, a visitor of the health facility or agency, or
an employee of the health facility or agency.
(d) The nature of the violent act, including whether a weapon
was used.
(e) If an injury during the violent act occurred, a
description of the injury.
(f) The number of employees and the names of the employees who
were in the vicinity when the violent act occurred and their
actions in response to the violent act, if any.
(g) The actions taken by the health facility or agency in
response to the violent act.
(7) Except as otherwise provided in subsection (8), within 24
hours of receiving a report of a violent act, a health facility or
agency shall report the violent act to the department and a local
law enforcement agency with jurisdiction over the health facility
or agency where the violent act occurred if any of the following
are met:
(a) The violent act results in an injury.
(b) The violent act involves the use of a firearm or another
dangerous weapon.
(c) The violent act presents an emergent threat to the
welfare, health, or safety of employees of the health facility or
agency.
(8) A health facility or agency may report a violent act to
the department and a local law enforcement agency with jurisdiction
over the health facility or agency where the violent act occurred
if the violent act was committed by an individual with a disability
or disease and the violent act was a clear and direct manifestation
of the individual's disability or disease.
(9) A health facility or agency shall not penalize an employee
in any manner for reporting a violent act to the health facility or
agency or participating in the criminal prosecution of an
individual who commits a violent act.
(10) As used in this section, "violent act" means a battery or
an assault of an employee of a health facility or agency while the
employee is at work.
Sec. 20195a. (1) Beginning January 1, 2020, and annually
thereafter, the department shall post a report on its website that
includes, but is not limited to, all of the following information
for the preceding calendar year:
(a) The total number of violent acts reported to the
department under section 20195 and the name of each health facility
or agency that filed a report with the department.
(b) If the department conducted an inspection or investigation
due to a violent act reported to the department under section
20195, the outcome of the inspection or investigation.
(c) If a health facility or agency violated section 20195, the
name of the health facility or agency and the nature of the
violation.
(2) The department shall ensure that the report required under
this section protects the confidentiality of an employee of a
health facility or agency or a patient or resident of a health
facility or agency.
(3) As used in this section, "violent act" means that term as
defined in section 20195.
Enacting section 1. This amendatory act takes effect 90 days
after the date it is enacted into law.