HB 1075

1	A bill to be entitled
2	An act relating to a health care practitioner workforce
3	database; creating s. 381.03015, F.S.; providing
4	legislative intent with respect to a health care
5	practitioner workforce database; providing definitions;
6	creating the Florida Health Care Practitioner Workforce
7	Database within the Department of Health; authorizing the
8	database to be implemented in stages; giving priority in
9	the database for information concerning allopathic and
10	osteopathic physicians; specifying data elements of
11	allopathic and osteopathic physicians for inclusion in the
12	database; requiring that data for the health care
13	practitioner workforce database be gathered from existing
14	data sources; requiring certain entities to provide data
15	elements to the department; authorizing the department to
16	create an advisory committee; requiring the department to
17	adopt rules; providing that the act will not take effect
18	unless funds are specifically appropriated for this
19	purpose; prohibiting the use of a specified trust fund to
20	administer the act; providing an effective date.
21
22	Be It Enacted by the Legislature of the State of Florida:
23
24	Section 1.  Section 381.03015, Florida Statutes, is created
25	to read:
26	381.03015  Florida Health Care Practitioner Workforce
27	Database.--
28	(1)  LEGISLATIVE FINDINGS AND INTENT.--
29	(a)  The Legislature finds that the state health policies
30	designed to expand patient access and improve the quality of
31	health care delivery must take into consideration the supply,
32	distribution, diversity, academic preparation, and utilization
33	of the state's health care workforce. The Legislature further
34	finds that the absence of accurate, objective, relevant, and
35	timely data concerning the health care workforce in this state
36	is a barrier to developing and implementing optimal programmatic
37	and fiscal policies relating to the education and training of
38	health care practitioners and the delivery of health care
39	services.
40	(b)  In order to eliminate these barriers, it is the intent
41	of the Legislature to create the Florida Health Care
42	Practitioner Workforce Database within the Department of Health.
43	The database shall provide the capacity for the collection,
44	compilation, maintenance, and analysis of data concerning the
45	state's health care workforce. It is further the intent of the
46	Legislature that the workforce database serve as the official
47	state repository of data that can be used by the Legislature,
48	the Executive Office of the Governor, state agencies, and state,
49	regional, and local entities involved in planning, analysis, and
50	policy development for the health care workforce and in the
51	delivery of health care services.
52	(2)  DEFINITIONS.--As used in this section, the term:
53	(a)  "Department" means the Department of Health.
54	(b)  "Health care practitioner" has the same meaning as
55	provided in s. 456.001.
56	(3)  FLORIDA HEALTH CARE PRACTITIONER WORKFORCE DATABASE.--
57	(a)  The Florida Health Care Practitioner Workforce
58	Database is the electronic repository of data elements for each
59	health care profession identified by the department for
60	inclusion in the database. Data elements shall be maintained for
61	as many years as necessary to allow for an analysis of
62	longitudinal trends. To the maximum extent feasible, data
63	elements must be collected and maintained using standardized
64	definitions in order to allow for multistate or national
65	comparisons of this state's data.
66	(b)  The workforce database may be implemented in phases;
67	however, the highest priority must be given to including the
68	data elements for allopathic and osteopathic physicians in the
69	database. Inclusion of data elements for other health care
70	practitioners may be accomplished in subsequent phases, as
71	resources allow, with priority given to the inclusion of health
72	care practitioners who are subject to the practitioner profiling
73	system under s. 456.041. The department shall develop an
74	implementation plan that recommends the priority order in which
75	other health care practitioners may be added to the database,
76	identifies the data elements to be collected for each group of
77	health care practitioners, and provides an estimate of the cost
78	associated with the addition of each group of health care
79	practitioners to the database. The data elements collected for
80	nurses shall be identified by the department, based upon
81	recommendations made by the Florida Center for Nursing. The
82	implementation plan shall also provide an analysis of technical
83	issues and an estimate of the costs associated with collecting
84	the following data elements for allopathic and osteopathic
85	physicians through the licensing processes of the Board of
86	Medicine and the Board of Osteopathic Medicine under s. 456.039
87	or through the profiling process for health care practitioners
88	under s. 456.041:
89	1.  The physician's secondary practice location, if any,
90	including the street address, municipality, county, and zip
91	code.
92	2.  The approximate number of hours per week spent in each
93	practice location.
94	3.  Each practice setting, by major category of practice
95	setting, including, but not limited to, office-based practice,
96	hospital-based practice, nursing home, health maintenance
97	organization, and county health department.
98	4.  Whether the physician is a full-time member of a
99	medical school faculty.
100	5.  Whether the physician plans to reduce his or her
101	practice volume by a significant percentage within the effective
102	period of the currently held license.
103
104	The implementation plan shall be submitted to the Governor and
105	the presiding officers of the Legislature by December 1, 2005.
106	(4)  DATA ELEMENTS.--The data elements for allopathic and
107	osteopathic physicians shall include the following:
108	(a)  Data elements for each allopathic and osteopathic
109	physician licensed to practice in this state:
110	1.  Name.
111	2.  Date of birth.
112	3.  Place of birth.
113	4.  Gender.
114	5.  Race.
115	6.  Social security number.
116	7.  Name of medical school.
117	8.  Year of graduation from medical school.
118	9.  Location of medical school.
119	10.  Name of each graduate medical education program
120	completed.
121	11.  Year of completion of each graduate medical education
122	program.
123	12.  Location of each graduate medical education program
124	completed.
125	13.  Type of each graduate medical education program
126	completed, such as internship, residency, or fellowship.
127	14.  Each medical specialty or subspecialty that the
128	physician practices.
129	15.  Each medical specialty board certification held.
130	16.  The primary practice location, including the street
131	address, municipality, county, and zip code for each location.
132	(b)  Data elements for each graduate of a Florida
133	allopathic or osteopathic medical school:
134	1.  Name.
135	2.  Date of birth.
136	3.  Place of birth.
137	4.  Gender.
138	5.  Race.
139	6.  Social security number.
140	7.  Name of medical school.
141	8.  Year of graduation from medical school.
142	9.  Name and location, by state and country, of the
143	graduate medical education program that the graduate plans to
144	enter.
145	10.  Type of graduate medical education program, such as
146	internship or residency, which the graduate plans to enter,
147	including the identification of graduate medical education
148	programs during postgraduate years 1 and 2, if applicable, for
149	graduates entering preliminary or transitional positions during
150	postgraduate year 1.
151	(c)  Data elements for each allopathic or osteopathic
152	physician completing a graduate medical education program in
153	this state:
154	1.  Name.
155	2.  Date of birth.
156	3.  Place of birth.
157	4.  Gender.
158	5.  Race.
159	6.  Social security number.
160	7.  Name of medical school.
161	8.  Year of graduation from medical school.
162	9.  Location, by state and country, of the medical school.
163	10.  Name and location, by state and country, of the
164	graduate medical education program.
165	(5)  REQUIRED USE OF EXISTING DATA SOURCES.--It is the
166	intent of the Legislature to minimize the cost of creating and
167	operating the Florida Health Care Practitioner Workforce
168	Database and to avoid unwarranted duplication of existing data.
169	Therefore, to the maximum extent possible, the data included in
170	the workforce database shall be derived from existing data
171	sources except as provided in paragraph (6)(a). New data shall
172	be collected for inclusion in the workforce database only when
173	the department determines that such data are essential for
174	evaluating and analyzing the health care professions and when
175	the data cannot be obtained from existing sources.
176	(6)  SOURCES AND SUBMISSION OF DATA ELEMENTS.--
177	(a)  Data elements sought to satisfy paragraph (4)(a) shall
178	be obtained from the licensing processes of the Board of
179	Medicine and the Board of Osteopathic Medicine under s. 456.039
180	and from the profiling process for health care practitioners
181	under s. 456.041. In addition to the data collected under ss.
182	456.039 and 456.041, the Board of Medicine and the Board of
183	Osteopathic Medicine shall collect the following data from each
184	person applying for initial licensure or licensure renewal to
185	practice medicine or osteopathic medicine as a physician after
186	July 1, 2005, and the Department of Health shall enter the data
187	into the database used for licensure or an equivalent database:
188	1.  The place of the applicant's birth.
189	2.  The state and country of the medical school from which
190	the applicant graduated.
191	3.  Each medical specialty or subspecialty that the
192	physician practices.
193	(b)  Each medical school in this state shall annually
194	submit the data elements described in paragraph (4)(b) to the
195	department, in a manner prescribed by the department, for each
196	medical student who provides written consent to the medical
197	school authorizing the release of his or her data to the
198	department.
199	(c)  Each graduate medical education program in this state
200	shall annually submit the data elements described in paragraph
201	(4)(c) to the department, in the manner prescribed by the
202	department, for each intern or resident who provides written
203	consent to the residency program authorizing the release of his
204	or her data to the department.
205	(7)  IMPLEMENTATION.--
206	(a)  The Secretary of Health may establish an advisory
207	committee to monitor the creation and implementation of the
208	Florida Health Care Practitioner Workforce Database.
209	(b)  The department may employ or assign agency staff or
210	may contract, on a competitive-bid basis, with an appropriate
211	entity to administer the workforce database.
212	(8)  RULEMAKING.--The department shall adopt rules under
213	ss. 120.536(1) and 120.54 to administer this section.
214	Section 2.  This act shall not take effect unless
215	sufficient funds are allocated in a specific appropriation or in
216	the General Appropriations Act for the 2004-2005 fiscal year to
217	fund the Florida Health Care Practitioner Workforce Database.
218	The Medical Quality Assurance Trust Fund may not be used to fund
219	the administration of this act.
220	Section 3.  This act shall take effect upon becoming a law.

CODING: Words stricken are deletions; words underlined are additions.