2006 Legislation
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HOUSE BILL NO. 618 – Health care facility, reports

HOUSE BILL NO. 618

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Bill Status



H0618.................................................by HEALTH AND WELFARE
HEALTH CARE FACILITIES - Adds to existing law relating to health care
facilities; to provide a short title; to provide definitions; to require
that each individual health care facility submit a quarterly infection rate
report to the Department of Health and Welfare; to specify information to
be submitted; to require that each individual health care facility submit
an annual report to the Department of Health and Welfare and to the Public
Health District in which the facility is located; to require the Department
of Health and Welfare to evaluate the submitted data on a regular basis; to
provide for the appointment of an advisory committee, its memberships and
its responsibilities; to require that the Department of Health and Welfare
submit annual reports; to require that the health care facility and
department reports be made public; and to provide for privacy of individual
information contained in the health care facility and the department
reports.
                                                                        
02/09    House intro - 1st rdg - to printing
02/10    Rpt prt - to Health/Wel

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                                     HOUSE BILL NO. 618
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO HEALTH CARE FACILITIES; AMENDING CHAPTER 14, TITLE 39, IDAHO CODE,
  3        BY THE ADDITION OF NEW SECTIONS 39-1418,  39-1419,  39-1420,  39-1421  AND
  4        39-1422,  IDAHO CODE, TO PROVIDE A SHORT TITLE, TO PROVIDE DEFINITIONS, TO
  5        REQUIRE THAT EACH INDIVIDUAL  HEALTH  CARE  FACILITY  SUBMIT  A  QUARTERLY
  6        INFECTION  RATE REPORT TO THE DEPARTMENT OF HEALTH AND WELFARE, TO SPECIFY
  7        INFORMATION TO BE SUBMITTED, TO REQUIRE THAT THE REPORTS BE  MADE  PUBLIC,
  8        TO REQUIRE EACH INDIVIDUAL HEALTH CARE FACILITY TO SUBMIT AN ANNUAL REPORT
  9        TO  THE DEPARTMENT AND TO THE PUBLIC HEALTH DISTRICT IN WHICH THE FACILITY
 10        IS LOCATED, TO REQUIRE THE DEPARTMENT TO EVALUATE THE SUBMITTED DATA ON  A
 11        REGULAR BASIS, TO REQUIRE THAT THE HEALTH CARE FACILITY'S ANNUAL REPORT BE
 12        MADE  PUBLIC,  TO PROVIDE FOR THE APPOINTMENT OF AN ADVISORY COMMITTEE AND
 13        TO PROVIDE ITS MEMBERSHIP AND ITS RESPONSIBILITIES, TO  REQUIRE  THAT  THE
 14        DEPARTMENT  SUBMIT  ANNUAL REPORTS,  TO PROVIDE THE PROCEDURE FOR SO DOING
 15        AND TO REQUIRE THAT THE DEPARTMENT'S ANNUAL REPORT BE MADE PUBLIC  AND  TO
 16        PROVIDE FOR PRIVACY OF INDIVIDUAL INFORMATION CONTAINED IN THE HEALTH CARE
 17        FACILITY AND THE DEPARTMENT REPORTS.
                                                                        
 18    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 19        SECTION  1.  That  Chapter  14,  Title 39, Idaho Code, be, and the same is
 20    hereby amended by the addition thereto of a NEW SECTIONS, to be known and des-
 21    ignated as Sections 39-1418, 39-1419,  39-1420,  39-1421  and  39-1422,  Idaho
 22    Code, and to read as follows:
                                                                        
 23        39-1418.  SHORT TITLE. This act may be referred to and cited as the "Idaho
 24    Health Care Facilities Infections Disclosure Act."
                                                                        
 25        39-1419.  DEFINITIONS.  (1) "Act" means this "Idaho Health Care Facilities
 26    Infections Disclosure Act."
 27        (2)  "Department" means the department of health and welfare.
 28        (3)  "Health care facility" or "HCF" means a full or limited service  hos-
 29    pital or ambulatory surgery center.
 30        (4)  "HCF  acquired  infection"  means  a  localized or systemic condition
 31    that:
 32        (a)  Results from an adverse reaction to the  presence  of  an  infectious
 33        agent or its toxin; and
 34        (b)  Was  not present or incubating at the time of admission to the health
 35        care facility.
                                                                        
 36        39-1420.  HCF REPORTS. (1) Individual HCFs shall collect and maintain data
 37    on HCF acquired infection rates for specific clinical procedures determined by
 38    the department by rule, including the following types of infections:
 39        (a)  Surgical site infections;
 40        (b)  Ventilator associated pneumonia;
 41        (c)  Central line related bloodstream infections;
                                                                        
                                           2
                                                                        
  1        (d)  Urinary tract infections; and
  2        (e)  Other types of infections determined by the department by rule.
  3        (2)  HCFs shall submit quarterly reports on their HCF  acquired  infection
  4    rates to the department. Quarterly reports shall be submitted, in a format set
  5    forth  in rules adopted by the department, to the department by April 30, July
  6    31, October 31, and January 31 of each year for the previous quarter. Data  in
  7    quarterly  reports  must  cover a period ending not earlier than one (1) month
  8    prior to submission of the report. Quarterly reports shall be  made  available
  9    to  the  public  at  each  HCF and through the department. The first quarterly
 10    report shall be due on October 31, 2006.
 11        (3)  If the HCF is a division or subsidiary of another entity that owns or
 12    operates other HCFs or organizations, the quarterly report shall  be  for  the
 13    specific division or subsidiary and not for the other entity.
 14        (2)  (a)  Each HCF shall submit to the department and to the public health
 15        department in the public health district in which the HCF  is  located  an
 16        annual  report  on  its  HCF  acquired infections rates. The annual report
 17        shall be submitted in a format determined by the department by  rule.  The
 18        annual  report shall be submitted to the department beginning on or before
 19        December 31, 2007, and on or before December 31 of each  year  thereafter,
 20        and shall cover the HCF's  acquired infection rate for the year ending not
 21        earlier  than  one  (1)  month  prior to the submission of the report. The
 22        department shall evaluate on a regular basis the quality and  accuracy  of
 23        the  data  collected  and  submitted  by  a HCF under this section and the
 24        methodologies for data collection, analysis and dissemination.
 25        (b)  Each annual report submitted by  a  HCF  shall  be  made  immediately
 26        available  to the public upon request and at no charge by each HCF, by the
 27        department and by the public health department in the  district  in  which
 28        the HCF is located.
 29        (3)  (a) The  director of the department shall appoint an advisory commit-
 30        tee, including representatives from public  and  private  HCFs,  including
 31        from  HCF infection control departments, direct care nursing staff, physi-
 32        cians, epidemiologists with expertise in HCF acquired infections, academic
 33        researchers, consumer organizations, health insurers,  health  maintenance
 34        organizations,  organized  labor,  and  purchasers  of  insurance, such as
 35        employers. The advisory committee shall have a majority of members  repre-
 36        senting interests other than HCFs.
 37        (b)  The advisory committee shall assist the department in the development
 38        of  all  aspects of the department's methodology for collecting, analyzing
 39        and disclosing the information collected under this act, including collec-
 40        tion methods, formatting and methods and means for release and  dissemina-
 41        tion.
 42        (c)  In  developing  the  methodology for collecting and analyzing the HCF
 43        acquired infection rate  data,  the  department  shall  consider  existing
 44        methodologies  and  systems  for  data collection, such as the centers for
 45        disease control's national nosocomial  infection surveillance program,  or
 46        its successor. However, the department's discretion to adopt a methodology
 47        shall  not be limited or restricted to any existing methodology or system.
 48        The department's data collection and analysis methodology  shall  be  dis-
 49        closed to the public prior to any public disclosure of HCF acquired infec-
 50        tion rates.
 51        (d)  The department and the advisory committee shall evaluate on a regular
 52        basis  the quality and accuracy of HCF information reported under this act
 53        and the data collection, analysis and dissemination methodologies.
                                                                        
 54        39-1421.  DEPARTMENT REPORTS. (1) The department shall annually submit  to
                                                                        
                                           3
                                                                        
  1    the  legislature a report summarizing the HCF quarterly reports and shall pub-
  2    lish the annual report on its website. The first annual report shall  be  sub-
  3    mitted and published in 2007. The department may issue quarterly informational
  4    bulletins  at  its discretion, summarizing all or part of the information sub-
  5    mitted in the HCF quarterly reports.
  6        (2)  All reports issued by the department shall  be  risk  adjusted  using
  7    common methodology.
  8        (3)  The annual report shall compare the risk adjusted HCF acquired infec-
  9    tion  rates  collected  under section 39-1420, Idaho Code, for each individual
 10    HCF in Idaho. The department, in consultation  with  the  advisory  committee,
 11    shall make this comparison as easy to comprehend as possible. The report shall
 12    include  an  executive summary, written in plain language, that shall include,
 13    but not be limited to, discussion of findings, conclusions and trends concern-
 14    ing the overall state of HCF acquired infections in Idaho, including a compar-
 15    ison to prior years. The  report  may  include  policy  recommendations  where
 16    appropriate.
 17        (4)  The  department  shall  publicize  the report and its availability as
 18    widely as practical to interested parties,  including,  but  not  limited  to,
 19    HCFs,  providers,  media  organizations,  health  insurers, health maintenance
 20    organizations, purchasers of health insurance, organized  labor,  consumer  or
 21    patient  advocacy groups, and individual consumers. The annual report shall be
 22    made available to any person upon request.
 23        (5)  No HCF report or department disclosure may contain information  iden-
 24    tifying  a  patient, employee, or licensed health care professional in connec-
 25    tion with a specific infection incident.
                                                                        
 26        39-1422.  PRIVACY -- REGULATORY OVERSIGHT. (1) It is the expressed  intent
 27    of the legislature that a patient's right of confidentiality shall not be vio-
 28    lated in any manner. Patient social security numbers and any other information
 29    that  could  be  used  to identify an individual patient shall not be released
 30    notwithstanding any other provision of law.
 31        (2)  The department shall be responsible for ensuring compliance with this
 32    act. If a HCF fails to report, the department annual report shall  state  that
 33    the HCF did not comply with this act.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE

                            RS 15939

This legislation, titled the Health Care Facilities Infections
Disclosure Act, requires that certain infection rates be reported
to the Department of Health and Welfare on a quarterly basis.
                                 

                                
                         FISCAL IMPACT
                                
The estimated annual cost to the general fund to comply with this
act is $50,000.00.
    



                            
CONTACT
Name:     Representatives McGeachin, Rusche 
Phone:    332-1000
                                

STATEMENT OF PURPOSE/FISCAL NOTE                         H 618