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H0489aa...............................................by HEALTH AND WELFARE
HEALTH QUALITY PLANNING COMMISSION - Amends existing law relating to the
Department of Health and Welfare and the Health Quality Planning Commission
to revise terms of Health Quality Planning Commission members; to revise
frequency of commission meetings; to provide for annual reports; and to
revise duties of the Health Quality Planning Commission.
02/07 House intro - 1st rdg - to printing
02/08 Rpt prt - to Health/Wel
03/05 Rpt out - to Gen Ord
03/11 Rpt out amen - to engros
03/12 Rpt engros - 1st rdg - to 2nd rdg as amen
03/13 2nd rdg - to 3rd rdg as amen
03/14 3rd rdg as amen - PASSED - 67-0-3
AYES -- Anderson, Andrus, Barrett, Bayer, Bedke, Bell, Bilbao, Black,
Block, Bock, Boe, Bolz, Bowers, Brackett, Bradford, Chadderdon,
Chavez, Chew, Clark, Collins, Crane, Durst, Eskridge, Hagedorn, Hart,
Harwood, Henderson, Jaquet, Killen, King, Kren, Labrador, Lake,
LeFavour, Loertscher, Luker, Marriott, Mathews, McGeachin, Mortimer,
Moyle, Nielsen, Nonini, Pasley-Stuart, Patrick, Pence, Raybould,
Ringo, Roberts, Ruchti, Rusche, Sayler, Schaefer, Shepherd(02),
Shepherd(08), Shirley, Shively, Smith(30), Smith(24), Snodgrass,
Thayn, Thomas, Trail, Vander Woude, Wood(27), Wood(35), Mr. Speaker
NAYS -- None
Absent and excused -- Henbest, Stevenson, Wills
Floor Sponsor - Rusche
Title apvd - to Senate
03/17 Senate intro - 1st rdg - to Health/Wel
03/19 Rpt out - rec d/p - to 2nd rdg
03/20 2nd rdg - to 3rd rdg
03/24 3rd rdg - PASSED - 33-0-2
AYES -- Andreason, Bair, Bastian, Bilyeu, Broadsword, Cameron,
Coiner, Corder, Darrington, Davis, Fulcher, Gannon(Gannon), Geddes,
Hammond, Heinrich, Hill, Jorgenson, Kelly, Keough, Langhorst, Little,
Lodge, Malepeai(Sagness), McGee, McKague, McKenzie, Pearce,
Richardson, Schroeder, Siddoway, Stegner, Stennett, Werk
NAYS -- None
Absent and excused -- Burkett, Goedde
Floor Sponsor - Stegner
Title apvd - to House
03/25 To enrol - Rpt enrol - Sp/Pres signed
03/26 To Governor
04/01 Governor signed
Session Law Chapter 364
Effective: 07/01/08 Section 1;
07/01/10 Section 2
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-ninth Legislature Second Regular Session - 2008IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 489 BY HEALTH AND WELFARE COMMITTEE 1 AN ACT 2 RELATING TO THE DEPARTMENT OF HEALTH AND WELFARE AND THE HEALTH QUALITY PLAN- 3 NING COMMISSION; AMENDING SECTION 56-1054, IDAHO CODE, TO REVISE TERMS OF 4 HEALTH QUALITY PLANNING COMMISSION MEMBERS, TO PROVIDE FOR ANNUAL REPORTS 5 AND TO REVISE DUTIES OF THE HEALTH QUALITY PLANNING COMMISSION. 6 Be It Enacted by the Legislature of the State of Idaho: 7 SECTION 1. That Section 56-1054, Idaho Code, be, and the same is hereby 8 amended to read as follows: 9 56-1054. HEALTH QUALITY PLANNING. (1) It is the intent of the legislature 10 that the department of health and welfare ("the department") promote improved 11 quality of care and improved health outcomes through investment in health 12 information technology and in patient safety and quality initiatives in the 13 state of Idaho. 14 (a) Coordinated implementation of health information technology in Idaho 15 will establish widespread use of networked electronic health information 16 or health records to allow quick, reliable and secure access to that 17 information in order to promote patient safety and best practices in 18 health care. This goal is consistent with the mission of the office of the 19 national coordinator for health information technology, established by the 20 president of the United States in 2004, to provide leadership for the 21 development and nationwide implementation of an interoperable health 22 information technology infrastructure to improve the quality and effi- 23 ciency of health care and the ability of consumers to manage their care 24 and safety. 25 (b) Coordinated implementation of statewide patient safety standards will 26 identify uniform indicators of and standards for clinical quality and 27 patient safety as well as uniform requirements for reporting provider 28 achievement of those indicators and standards. 29 (2) There is hereby created and established within the department a 30 health quality planning commission ("the commission"). 31 (a) By May 1, 2006, and as needed after that date, the governor shall 32 appoint eleven (11) voting members upon assurance of equitable geographic 33 and rural representation, comprising members of the public and private 34 sectors with expertise in health information technology and clinical qual- 35 ity and patient safety. The membership shall represent all major partici- 36 pants in the health care delivery and financing systems. A majority of the 37 commission shall be health care providers or employees of health care 38 providers. One (1) member shall be an Idaho resident representing the pub- 39 lic interest. The commission chairperson shall be appointed by the direc- 40 tor of the department. 41 (b) Members of the commission shall be appointed for a term of two (2) 42 years. The term of office shall commence on July 1, 2006, and shall expire43on June 30, 2008. As terms of commission members expire, the governor 2 1 shall appoint each new member or reappointed member to a term of two (2) 2 years in a manner that is consistent with subsection (a) of this section. 3 (c) The commission shall meet monthly and at the call of the chairperson. 4 (d) Each member of the commission shall be compensated as provided by 5 section 59-509(d), Idaho Code. 6 (e) Upon the occurrence or declaration of a vacancy in the membership of 7 the commission, the department shall notify the represented entity of that 8 fact in writing and the represented entity shall, within sixty (60) days 9 thereafter, nominate at least one (1) and not more than three (3) persons 10 to fill the vacancy and shall forward the nominations to the governor, who 11 shall appoint from among the nominees a person to be a member of the com- 12 mission to fill the vacancy. Such appointments shall be for a term of two 13 (2) years. 14 (f) Members of the commission may be removed by the governor for substan- 15 tial neglect of duty, gross misconduct in office, or the inability to dis- 16 charge the duties described in this section, after written notice and 17 opportunity for response. 18 (g) A majority of the members of the commission shall constitute a quorum 19 for the transaction of all business and the carrying out of commission 20 duties. 21 (3) The department may dedicate funding to the operations of the commis- 22 sion, subject to appropriation from the legislature. The department shall seek 23 federal matching funds and additional private sector funding for commission 24 operations. 25 (4) The commission shall perform the following duties related to health 26 information technology planning: 27 (a) Develop and issue a request or requests for proposals from health 28 care information and communications technology contractors to perform a 29 study on health information technology in Idaho; 30 (b) Award a contract or contracts for the performance of the study to a 31 nationally recognized expert or experts in health information technology; 32 (c) Oversee and coordinate contractor performance; 33 (d) Provide quarterly progress reports to the director of the department 34 and to the legislative health care task force, including an interim status35report due to the director and the legislative health care task force by36November 30, 2007.The finalAn annual report of the commission shall be 37 due to the director and the legislative health care task force on June 30,382008of each year. The final annual report of June 30, 2008, shall review 39 the contractor study and make recommendations regarding implementation of 40 a plan for the creation of a health information technology system as 41 described in subsection (4)(f)(ii) of this section; 42 (e) Widely disseminate requests, including through electronic media, for 43 the active participation of private groups and organizations in the devel- 44 opment of the plan. Before submitting the final plan to the director of 45 the department, the commission shall issue drafts of the plan for public 46 review and shall hold at least one (1) public meeting to receive public 47 comments on the plan; 48 (f) Develop and submit a final plan that shall include, but not be lim- 49 ited to: 50 (i) An analysis of existing health information technology in Idaho 51 and of national trends in the development of health information tech- 52 nology systems; 53 (ii) A plan for developing a uniform, statewide, flexible and 54 interoperable health information technology system to be used by 55 providers, patients and payers, including a unique patient identifier 3 1 for all patients; 2 (iii) Identification of all major participants in the health care 3 delivery and financing systems that would be affected by the health 4 information technology system; 5 (iv) Analysis of the feasibility of incorporating existing infra- 6 structure into the recommended system, analysis of improvements and 7 additions to the existing infrastructure needed to implement the 8 recommended system, and identification of potential obstacles to 9 implementation, such as privacy and security laws, and recommended 10 solutions; 11 (v) Development of recommended organizational and governance 12 structures for implementation and maintenance of the system; 13 (vi) A business plan for financing the development and maintenance 14 of the technology system, including identification of government and 15 private funding and including consideration of appropriate user fees; 16 (vii) A timetable for implementation of the technology system; 17 (viii) A means to assess the measurable ability of the recommended 18 system to improve the quality of health care through access to reli- 19 able, evidence-based current treatment guidelines; and 20 (ix) Provisions to ensure that the system meets the health informa- 21 tion technology needs of rural Idahoans; and 22 (g) Issue grants to selected providers including, but not limited to, 23 primary care providers, in order to support the adoption of health infor- 24 mation technology. The commission shall develop criteria for the selection 25 of grantee providers. 26 (5) The commission shall perform the following duties related to health 27 quality and patient safety planning, provided that performance of these duties 28 may include contracting with and supervising independent entities for the per- 29 formance of some or all of these duties: 30 (a) Analyze existing clinical quality assurance and patient safety stan- 31 dards and reporting; 32 (b) Identify best practices in clinical quality assurance and patient 33 safety standards and reporting; 34 (c) Recommend a mechanism or mechanisms for the uniform adoption of cer- 35 tain best practices in clinical quality assurance and patient safety stan- 36 dards and reporting including, but not limited to, the creation of regula- 37 tory standards; 38 (d) Recommend a mechanism or mechanisms to promote public understanding 39 of provider achievement of clinical quality and patient safety standards; 40 (e) Recommend a sustainable structure for leadership of ongoing clinical 41 quality and patient safety improvement in Idaho; 42 (f) Provide quarterly progress reports to the director of the department 43 and to the legislative health care task force, including an interim status44report due to the director and the legislative health care task force by45November 30, 2007.The final report of the commissionAn annual report 46 shall be due to the director and the legislative health care task force on 47 June 30, 2008of each year; 48 (g) Recommend a method of acquiring and analyzing data necessary to ful- 49 fill the commission's duties as set forth in this section;and50 (h) Enhance public health through means such as population-based 51 epidemiological studies and the maintenance of statistical databases and 52 registries, including the creation of a health data authority if appropri- 53 ate, provided that the privacy of individuals shall be maintained in all 54 instances where personal identification is not required for public health 55 necessity; and 4 1 (i) In regard to the commission's duties provided for in this section, 2 the commission is directed to ensure that such duties are developed and 3 implemented in such a manner and in such forms or formats as to result in 4 health care data that will be readily understood by the citizens of this 5 state.
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-ninth Legislature Second Regular Session - 2008Moved by Henbest Seconded by Luker IN THE HOUSE OF REPRESENTATIVES HOUSE AMENDMENTS TO H.B. NO. 489 1 AMENDMENTS TO SECTION 1 2 On page 2 of the printed bill, in line 3, delete "monthly" and insert: 3 "monthlyquarterly"; and in line 38, delete "final" and insert: "final". 4 On page 3, in line 26, delete "shall" and insert: "shallmay use the 5 information generated by the Idaho health data exchange to promote health and 6 patient safety planning. The commission may"; in line 46, delete "and" and 7 insert: ",and"; and also in line 46, following "force" insert: "and the sen- 8 ate and house of representatives health and welfare committees"; in line 47, 9 delete "year;" and insert: "year and a final report shall be due by June 30, 10 2010; and"; delete lines 48 through 55, and insert: 11 (g)Recommend a method of acquiring and analyzing data necessary to ful-12fill the commission 's duties as set forth in this section; and13(h) Enhance public health through means such as population-based14epidemiological studies and the maintenance of statistical databases and15registries, including the creation of a health data authority if appropri-16ate, provided that the privacy of individuals shall be maintained in all17instances where personal identification is not required for public health18necessity"; and on page 4, in line 1, delete "(i)". 19 AMENDMENT TO THE BILL 20 On page 4, following line 5, insert: 21 "SECTION 2. That Section 56-1054, Idaho Code, be, and the same is hereby 22 repealed. 23 SECTION 3. The provisions of Section 1 of this act shall be in full force 24 and effect on and after July 1, 2008. The provisions of Section 2 of this act 25 shall be in full force and effect on and after July 1, 2010.". 26 CORRECTIONS TO TITLE 27 On page 1, in line 4, following "MEMBERS," insert: "TO REVISE FREQUENCY OF 28 COMMISSION MEETINGS,"; and also in line 4, delete "ANNUAL"; in line 5, follow- 29 ing "COMMISSION" insert: "; REPEALING SECTION 56-1054, IDAHO CODE, RELATING TO 30 HEALTH QUALITY PLANNING; AND TO PROVIDE EFFECTIVE DATES".
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-ninth Legislature Second Regular Session - 2008IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 489, As Amended BY HEALTH AND WELFARE COMMITTEE 1 AN ACT 2 RELATING TO THE DEPARTMENT OF HEALTH AND WELFARE AND THE HEALTH QUALITY PLAN- 3 NING COMMISSION; AMENDING SECTION 56-1054, IDAHO CODE, TO REVISE TERMS OF 4 HEALTH QUALITY PLANNING COMMISSION MEMBERS, TO REVISE FREQUENCY OF COMMIS- 5 SION MEETINGS, TO PROVIDE FOR REPORTS AND TO REVISE DUTIES OF THE HEALTH 6 QUALITY PLANNING COMMISSION; REPEALING SECTION 56-1054, IDAHO CODE, RELAT- 7 ING TO HEALTH QUALITY PLANNING; AND TO PROVIDE EFFECTIVE DATES. 8 Be It Enacted by the Legislature of the State of Idaho: 9 SECTION 1. That Section 56-1054, Idaho Code, be, and the same is hereby 10 amended to read as follows: 11 56-1054. HEALTH QUALITY PLANNING. (1) It is the intent of the legislature 12 that the department of health and welfare ("the department") promote improved 13 quality of care and improved health outcomes through investment in health 14 information technology and in patient safety and quality initiatives in the 15 state of Idaho. 16 (a) Coordinated implementation of health information technology in Idaho 17 will establish widespread use of networked electronic health information 18 or health records to allow quick, reliable and secure access to that 19 information in order to promote patient safety and best practices in 20 health care. This goal is consistent with the mission of the office of the 21 national coordinator for health information technology, established by the 22 president of the United States in 2004, to provide leadership for the 23 development and nationwide implementation of an interoperable health 24 information technology infrastructure to improve the quality and effi- 25 ciency of health care and the ability of consumers to manage their care 26 and safety. 27 (b) Coordinated implementation of statewide patient safety standards will 28 identify uniform indicators of and standards for clinical quality and 29 patient safety as well as uniform requirements for reporting provider 30 achievement of those indicators and standards. 31 (2) There is hereby created and established within the department a 32 health quality planning commission ("the commission"). 33 (a) By May 1, 2006, and as needed after that date, the governor shall 34 appoint eleven (11) voting members upon assurance of equitable geographic 35 and rural representation, comprising members of the public and private 36 sectors with expertise in health information technology and clinical qual- 37 ity and patient safety. The membership shall represent all major partici- 38 pants in the health care delivery and financing systems. A majority of the 39 commission shall be health care providers or employees of health care 40 providers. One (1) member shall be an Idaho resident representing the pub- 41 lic interest. The commission chairperson shall be appointed by the direc- 42 tor of the department. 43 (b) Members of the commission shall be appointed for a term of two (2) 2 1 years. The term of office shall commence on July 1, 2006, and shall expire2on June 30, 2008. As terms of commission members expire, the governor 3 shall appoint each new member or reappointed member to a term of two (2) 4 years in a manner that is consistent with subsection (a) of this section. 5 (c) The commission shall meetmonthlyquarterly and at the call of the 6 chairperson. 7 (d) Each member of the commission shall be compensated as provided by 8 section 59-509(d), Idaho Code. 9 (e) Upon the occurrence or declaration of a vacancy in the membership of 10 the commission, the department shall notify the represented entity of that 11 fact in writing and the represented entity shall, within sixty (60) days 12 thereafter, nominate at least one (1) and not more than three (3) persons 13 to fill the vacancy and shall forward the nominations to the governor, who 14 shall appoint from among the nominees a person to be a member of the com- 15 mission to fill the vacancy. Such appointments shall be for a term of two 16 (2) years. 17 (f) Members of the commission may be removed by the governor for substan- 18 tial neglect of duty, gross misconduct in office, or the inability to dis- 19 charge the duties described in this section, after written notice and 20 opportunity for response. 21 (g) A majority of the members of the commission shall constitute a quorum 22 for the transaction of all business and the carrying out of commission 23 duties. 24 (3) The department may dedicate funding to the operations of the commis- 25 sion, subject to appropriation from the legislature. The department shall seek 26 federal matching funds and additional private sector funding for commission 27 operations. 28 (4) The commission shall perform the following duties related to health 29 information technology planning: 30 (a) Develop and issue a request or requests for proposals from health 31 care information and communications technology contractors to perform a 32 study on health information technology in Idaho; 33 (b) Award a contract or contracts for the performance of the study to a 34 nationally recognized expert or experts in health information technology; 35 (c) Oversee and coordinate contractor performance; 36 (d) Provide quarterly progress reports to the director of the department 37 and to the legislative health care task force, including an interim status38report due to the director and the legislative health care task force by39November 30, 2007.The finalAn annual report of the commission shall be 40 due to the director and the legislative health care task force on June 30,412008of each year. Thefinalannual report of June 30, 2008, shall review 42 the contractor study and make recommendations regarding implementation of 43 a plan for the creation of a health information technology system as 44 described in subsection (4)(f)(ii) of this section; 45 (e) Widely disseminate requests, including through electronic media, for 46 the active participation of private groups and organizations in the devel- 47 opment of the plan. Before submitting the final plan to the director of 48 the department, the commission shall issue drafts of the plan for public 49 review and shall hold at least one (1) public meeting to receive public 50 comments on the plan; 51 (f) Develop and submit a final plan that shall include, but not be lim- 52 ited to: 53 (i) An analysis of existing health information technology in Idaho 54 and of national trends in the development of health information tech- 55 nology systems; 3 1 (ii) A plan for developing a uniform, statewide, flexible and 2 interoperable health information technology system to be used by 3 providers, patients and payers, including a unique patient identifier 4 for all patients; 5 (iii) Identification of all major participants in the health care 6 delivery and financing systems that would be affected by the health 7 information technology system; 8 (iv) Analysis of the feasibility of incorporating existing infra- 9 structure into the recommended system, analysis of improvements and 10 additions to the existing infrastructure needed to implement the 11 recommended system, and identification of potential obstacles to 12 implementation, such as privacy and security laws, and recommended 13 solutions; 14 (v) Development of recommended organizational and governance 15 structures for implementation and maintenance of the system; 16 (vi) A business plan for financing the development and maintenance 17 of the technology system, including identification of government and 18 private funding and including consideration of appropriate user fees; 19 (vii) A timetable for implementation of the technology system; 20 (viii) A means to assess the measurable ability of the recommended 21 system to improve the quality of health care through access to reli- 22 able, evidence-based current treatment guidelines; and 23 (ix) Provisions to ensure that the system meets the health informa- 24 tion technology needs of rural Idahoans; and 25 (g) Issue grants to selected providers including, but not limited to, 26 primary care providers, in order to support the adoption of health infor- 27 mation technology. The commission shall develop criteria for the selection 28 of grantee providers. 29 (5) The commissionshallmay use the information generated by the Idaho 30 health data exchange to promote health and patient safety planning. The com- 31 mission may perform the following duties related to health quality and patient 32 safety planning, provided that performance of these duties may include con- 33 tracting with and supervising independent entities for the performance of some 34 or all of these duties: 35 (a) Analyze existing clinical quality assurance and patient safety stan- 36 dards and reporting; 37 (b) Identify best practices in clinical quality assurance and patient 38 safety standards and reporting; 39 (c) Recommend a mechanism or mechanisms for the uniform adoption of cer- 40 tain best practices in clinical quality assurance and patient safety stan- 41 dards and reporting including, but not limited to, the creation of regula- 42 tory standards; 43 (d) Recommend a mechanism or mechanisms to promote public understanding 44 of provider achievement of clinical quality and patient safety standards; 45 (e) Recommend a sustainable structure for leadership of ongoing clinical 46 quality and patient safety improvement in Idaho; 47 (f) Provide quarterly progress reports to the director of the department 48 and to the legislative health care task force, including an interim status49report due to the director and the legislative health care task force by50November 30, 2007.The final report of the commissionAn annual report 51 shall be due to the director,andthe legislative health care task force 52 and the senate and house of representatives health and welfare committees 53 on June 30, 2008of each year and a final report shall be due by June 30, 54 2010; and 55 (g)Recommend a method of acquiring and analyzing data necessary to ful-4 1fill the commission's duties as set forth in this section; and2(h) Enhance public health through means such as population-based3epidemiological studies and the maintenance of statistical databases and4registries, including the creation of a health data authority if appropri-5ate, provided that the privacy of individuals shall be maintained in all6instances where personal identification is not required for public health7necessityIn regard to the commission's duties provided for in this sec- 8 tion, the commission is directed to ensure that such duties are developed 9 and implemented in such a manner and in such forms or formats as to 10 result in health care data that will be readily understood by the citizens 11 of this state. 12 SECTION 2. That Section 56-1054, Idaho Code, be, and the same is hereby 13 repealed. 14 SECTION 3. The provisions of Section 1 of this act shall be in full force 15 and effect on and after July 1, 2008. The provisions of Section 2 of this act 16 shall be in full force and effect on and after July 1, 2010.
STATEMENT OF PURPOSE
RS 17791
This bill would remove the sunset date from the Health Quality
Planning Commission and add "lay" reporting to the tasks of the
Commission.
The Health Quality Planning Commission was enacted in 2006 and
the members named by the Governor. The purpose for the
commission was two-fold. First, to develop a plan for health
information and data exchange, consistent with the national
strategy, to improve information flow between healthcare
providers, to reduce duplication and lower costs, and to improve
patient safety. The commission has nearly completed that part of
its charge.
The second charge was to develop and monitor health care use and
safety, and report their findings to the Legislature. This is
more correctly an ongoing task for which the HQPC is well suited.
No where else do we have health plans, hospitals, physicians,
businesses, medical training programs and lay persons meeting
together in an organization.
With the increase of "consumer directed" health plans, and larger
out of pocket financial responsibilities for most families, the
need for health system information to be available in a
transparent fashion has increased. This bill adds the
responsibility of considering reports in layman's terms to the
HQPC charge.
FISCAL IMPACT
None. The cost of supporting the HQPC is about $35,000 annually,
and is included in the base funding for the Department of H&W.
Contact
Name: Rep. John Rusche
Phone: (208) 332-1000
STATEMENT OF PURPOSE/FISCAL NOTE H 489