House Bill 1851c1
CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 2000 CS/HB 1851
By the Committee on Health Care Licensing & Regulation and
Representatives Crow and Levine
1 A bill to be entitled
2 An act relating to hospital internal risk
3 management; amending s. 395.0197, F.S.;
4 updating a cross reference; revising
5 circumstances under which certain adverse
6 incidents occurring in a hospital, ambulatory
7 surgical center, or mobile surgical facility
8 must be reported to the Agency for Health Care
9 Administration; requiring the agency to
10 annually publish report cards summarizing each
11 such facility's incident reports; requiring the
12 report cards to be available to the public
13 on-line and through other means by a specified
14 date; specifying organization and minimum
15 contents of the report cards; requiring a
16 statement regarding the use of adverse incident
17 data in assessing a facility; providing an
18 effective date.
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20 Be It Enacted by the Legislature of the State of Florida:
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22 Section 1. Subsection (2), paragraph (c) of subsection
23 (5), and subsection (18) of section 395.0197, Florida
24 Statutes, are amended to read:
25 395.0197 Internal risk management program.--
26 (2) The internal risk management program is the
27 responsibility of the governing board of the health care
28 facility. Each licensed facility shall hire a risk manager,
29 licensed under ss. 395.10971-395.10975 part IX of chapter 626,
30 who is responsible for implementation and oversight of such
31 facility's internal risk management program as required by
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Florida House of Representatives - 2000 CS/HB 1851
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1 this section. A risk manager must not be made responsible for
2 more than four internal risk management programs in separate
3 licensed facilities, unless the facilities are under one
4 corporate ownership or the risk management programs are in
5 rural hospitals.
6 (5) For purposes of reporting to the agency pursuant
7 to this section, the term "adverse incident" means an event
8 over which health care personnel could exercise control and
9 which is associated in whole or in part with medical
10 intervention, rather than the condition for which such
11 intervention occurred, and which:
12 (c) Required the surgical repair of damage resulting
13 to a patient from a planned surgical procedure, where the
14 damage was not a recognized specific risk, as disclosed to the
15 patient and documented through the informed-consent process;
16 or
17 (18) The agency shall annually publish a report card
18 summarizing the information contained in the annual incident
19 reports submitted by licensed facilities pursuant to
20 subsection (6) and disciplinary actions reported to the agency
21 pursuant to s. 395.0193. The report card must be made
22 available to the public through the World Wide Web and other
23 commonly used means of distribution no later than July 1 of
24 each year. The report card must be organized by county and, at
25 a minimum, for each hospital and other licensed facility in
26 the state, present an itemized list showing summarize:
27 (a) The name and address of the facility.
28 (b) Whether the facility is a private, for-profit or
29 not-for-profit, public, or teaching facility.
30 (c) The total number of beds.
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CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 2000 CS/HB 1851
601-182-00
1 (d) A description of the categories of services
2 provided by the facility.
3 (e)(a) On an annual basis, the percentage of adverse
4 incidents per total number of patients in the facility, by
5 category of reported incident, and by type of professional
6 involved.
7 (f) A listing, by category, of the types of
8 operations, diagnostic or treatment procedures, or other
9 actions or inactions, giving rise to the adverse incidents and
10 the number of adverse incidents in each category.
11 (g)(b) Types of malpractice claims filed, by type of
12 professional involved.
13 (h)(c) Disciplinary actions taken against
14 professionals, by type of professional involved.
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16 The report card must include the following statement: "Adverse
17 incident reports are just one part of the picture that emerges
18 about a facility. You should also consider that facility's
19 survey results and complaint investigations and conduct your
20 own research on a facility before coming to conclusions about
21 that facility. When making comparisons among facilities, some
22 may have many more adverse incidents than others because this
23 report is not adjusted for the size of the facility nor the
24 severity or complexity of the health problems of the people it
25 serves."
26 Section 2. This act shall take effect October 1, 2000.
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