2007 Legislation
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HOUSE BILL NO. 238 – Health Quality Planning Comm, rpt


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Bill Status

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

Bill Text

  ]]]]              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
  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.
  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;
  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 / Fiscal Impact

                       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.  

Name: John Rusche 
Phone: 332-1100

STATEMENT OF PURPOSE/FISCAL NOTE                         H 238