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H0238......................................................by STATE AFFAIRS
HEALTH QUALITY PLANNING COMMISSION - Amends existing law to revise dates
relating to the Health Quality Planning Commission membership terms and
interim and final reports.
02/26 House intro - 1st rdg - to printing
02/27 Rpt prt - to 2nd rdg
02/28 2nd rdg - to 3rd rdg
03/01 3rd rdg - PASSED - 65-0-5
AYES -- Anderson, Andrus, Barrett, Bayer, Bedke, Bell, Bilbao, Block,
Bock, Bolz, Brackett, Bradford, Chadderdon, Chavez, Chew, Clark,
Collins, Crane, Durst, Edmunson, Eskridge, Hagedorn, Hart, Harwood,
Henbest, Henderson, Jaquet, Killen, King, Kren, Labrador, LeFavour,
Loertscher, Luker, Marriott, Mathews, McGeachin, Mortimer, Moyle,
Nielsen, Nonini, Pasley-Stuart, Patrick, Pence, Raybould, Ring,
Ringo, Roberts, Ruchti, Rusche, Sayler, Schaefer, Shepherd(2),
Shepherd(8), Shirley, Shively, Smith(30), Smith(24), Snodgrass,
Stevenson, Thayn, Trail, Vander Woude, Wood(27), Mr. Speaker
NAYS -- None
Absent and excused -- Black, Boe, Lake, Wills, Wood(35)
Floor Sponsor - Rusche
Title apvd - to Senate
03/02 Senate intro - 1st rdg - to Health/Wel
03/08 Rpt out - rec d/p - to 2nd rdg
03/09 2nd rdg - to 3rd rdg
03/15 3rd rdg - PASSED - 34-0-1
AYES -- Andreason, Bair, Bilyeu, Broadsword, Burkett, Cameron,
Coiner, Corder, Darrington, Davis, Fulcher, Gannon, Geddes, Goedde,
Hammond, Heinrich, Hill, Jorgenson, Kelly, Keough, Langhorst, Little,
Lodge, Malepeai, McGee, McKague, McKenzie, Pearce, Richardson,
Schroeder, Siddoway, Stegner, Stennett, Werk
NAYS -- None
Absent and excused -- Bastian
Floor Sponsor - Broadsword
Title apvd - to House
03/16 To enrol - Rpt enrol - Sp signed
03/19 Pres signed - To Governor
03/23 Governor signed
Session Law Chapter 171
Effective: 07/01/07
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-ninth Legislature First Regular Session - 2007
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 238
BY STATE AFFAIRS COMMITTEE
1 AN ACT
2 RELATING TO THE HEALTH QUALITY PLANNING COMMISSION; AMENDING SECTION 56-1054,
3 IDAHO CODE, TO REVISE COMMISSION MEMBERSHIP TERMS AND TO EXTEND DATES
4 RELATING TO INTERIM AND FINAL REPORTS.
5 Be It Enacted by the Legislature of the State of Idaho:
6 SECTION 1. That Section 56-1054, Idaho Code, be, and the same is hereby
7 amended to read as follows:
8 56-1054. HEALTH QUALITY PLANNING. (1) It is the intent of the legislature
9 that the department of health and welfare ("the department") promote improved
10 quality of care and improved health outcomes through investment in health
11 information technology and in patient safety and quality initiatives in the
12 state of Idaho.
13 (a) Coordinated implementation of health information technology in Idaho
14 will establish widespread use of networked electronic health information
15 or health records to allow quick, reliable and secure access to that
16 information in order to promote patient safety and best practices in
17 health care. This goal is consistent with the mission of the office of the
18 national coordinator for health information technology, established by the
19 president of the United States in 2004, to provide leadership for the
20 development and nationwide implementation of an interoperable health
21 information technology infrastructure to improve the quality and effi-
22 ciency of health care and the ability of consumers to manage their care
23 and safety.
24 (b) Coordinated implementation of statewide patient safety standards will
25 identify uniform indicators of and standards for clinical quality and
26 patient safety as well as uniform requirements for reporting provider
27 achievement of those indicators and standards.
28 (2) There is hereby created and established within the department a
29 health quality planning commission ("the commission").
30 (a) By May 1, 2006, and as needed after that date, the governor shall
31 appoint eleven (11) voting members upon assurance of equitable geographic
32 and rural representation, comprising members of the public and private
33 sectors with expertise in health information technology and clinical qual-
34 ity and patient safety. The membership shall represent all major partici-
35 pants in the health care delivery and financing systems. A majority of the
36 commission shall be health care providers or employees of health care
37 providers. One (1) member shall be an Idaho resident representing the pub-
38 lic interest. The commission chairperson shall be appointed by the direc-
39 tor of the department.
40 (b) Members of the commission shall be appointed for a term of one two
41 (12) years. The term of office shall commence on July 1, 2006, and shall
42 expire on June 30, 20078.
43 (c) The commission shall meet monthly and at the call of the chairperson.
2
1 (d) Each member of the commission shall be compensated as provided by
2 section 59-509(d), Idaho Code.
3 (e) Upon the occurrence or declaration of a vacancy in the membership of
4 the commission, the department shall notify the represented entity of that
5 fact in writing and the represented entity shall, within sixty (60) days
6 thereafter, nominate at least one (1) and not more than three (3) persons
7 to fill the vacancy and shall forward the nominations to the governor, who
8 shall appoint from among the nominees a person to be a member of the com-
9 mission to fill the vacancy.
10 (f) Members of the commission may be removed by the governor for substan-
11 tial neglect of duty, gross misconduct in office, or the inability to dis-
12 charge the duties described in this section, after written notice and
13 opportunity for response.
14 (g) A majority of the members of the commission shall constitute a quorum
15 for the transaction of all business and the carrying out of commission
16 duties.
17 (3) The department may dedicate funding to the operations of the commis-
18 sion, subject to appropriation from the legislature. The department shall seek
19 federal matching funds and additional private sector funding for commission
20 operations.
21 (4) The commission shall perform the following duties related to health
22 information technology planning:
23 (a) Develop and issue a request or requests for proposals from health
24 care information and communications technology contractors to perform a
25 study on health information technology in Idaho;
26 (b) Award a contract or contracts for the performance of the study to a
27 nationally recognized expert or experts in health information technology;
28 (c) Oversee and coordinate contractor performance;
29 (d) Provide quarterly progress reports to the director of the department
30 and to the legislative health care task force, including an interim status
31 report due to the director and the legislative health care task force by
32 November 30, 20067. The final report of the commission shall be due to the
33 director and the legislative health care task force on June 30, 20078. The
34 final report shall review the contractor study and make recommendations
35 regarding implementation of a plan for the creation of a health informa-
36 tion technology system as described in subsection (4)(f)(ii) of this sec-
37 tion;
38 (e) Widely disseminate requests, including through electronic media, for
39 the active participation of private groups and organizations in the devel-
40 opment of the plan. Before submitting the final plan to the director of
41 the department, the commission shall issue drafts of the plan for public
42 review and shall hold at least one (1) public meeting to receive public
43 comments on the plan;
44 (f) Develop and submit a final plan that shall include, but not be lim-
45 ited to:
46 (i) An analysis of existing health information technology in Idaho
47 and of national trends in the development of health information tech-
48 nology systems;
49 (ii) A plan for developing a uniform, statewide, flexible and
50 interoperable health information technology system to be used by
51 providers, patients and payers, including a unique patient identifier
52 for all patients;
53 (iii) Identification of all major participants in the health care
54 delivery and financing systems that would be affected by the health
55 information technology system;
3
1 (iv) Analysis of the feasibility of incorporating existing infra-
2 structure into the recommended system, analysis of improvements and
3 additions to the existing infrastructure needed to implement the rec-
4 ommended system, and identification of potential obstacles to imple-
5 mentation, such as privacy and security laws, and recommended solu-
6 tions;
7 (v) Development of recommended organizational and governance
8 structures for implementation and maintenance of the system;
9 (vi) A business plan for financing the development and maintenance
10 of the technology system, including identification of government and
11 private funding and including consideration of appropriate user fees;
12 (vii) A timetable for implementation of the technology system;
13 (viii) A means to assess the measurable ability of the recommended
14 system to improve the quality of health care through access to reli-
15 able, evidence-based current treatment guidelines; and
16 (ix) Provisions to ensure that the system meets the health informa-
17 tion technology needs of rural Idahoans; and
18 (g) Issue grants to selected providers including, but not limited to,
19 primary care providers, in order to support the adoption of health infor-
20 mation technology. The commission shall develop criteria for the selection
21 of grantee providers.
22 (5) The commission shall perform the following duties related to health
23 quality and patient safety planning, provided that performance of these duties
24 may include contracting with and supervising independent entities for the per-
25 formance of some or all of these duties:
26 (a) Analyze existing clinical quality assurance and patient safety stan-
27 dards and reporting;
28 (b) Identify best practices in clinical quality assurance and patient
29 safety standards and reporting;
30 (c) Recommend a mechanism or mechanisms for the uniform adoption of cer-
31 tain best practices in clinical quality assurance and patient safety stan-
32 dards and reporting including, but not limited to, the creation of regula-
33 tory standards;
34 (d) Recommend a mechanism or mechanisms to promote public understanding
35 of provider achievement of clinical quality and patient safety standards;
36 (e) Recommend a sustainable structure for leadership of ongoing clinical
37 quality and patient safety improvement in Idaho;
38 (f) Provide quarterly progress reports to the director of the department
39 and to the legislative health care task force, including an interim status
40 report due to the director and the legislative health care task force by
41 November 30, 20067. The final report of the commission shall be due to the
42 director and the legislative health care task force on June 30, 20078;
43 (g) Recommend a method of acquiring and analyzing data necessary to ful-
44 fill the commission's duties as set forth in this section; and
45 (h) Enhance public health through means such as population-based
46 epidemiological studies and the maintenance of statistical databases and
47 registries, including the creation of a health data authority if appropri-
48 ate, provided that the privacy of individuals shall be maintained in all
49 instances where personal identification is not required for public health
50 necessity.
STATEMENT OF PURPOSE
RS 17097
This bill extends the duration of the Health Quality Planning
Commission appointments for an additional year. Due to multiple
changes in executive and department leadership over the last
year, there was delay in naming the commissioners and starting
the work of the commission. It also pushes back the date for the
final report, while continuing to require interim reports to the
legislative healthcare task force.
FISCAL IMPACT
There is no fiscal impact.
Contact
Name: John Rusche
Phone: 332-1100
STATEMENT OF PURPOSE/FISCAL NOTE H 238