Senate Bill sb1154
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Florida Senate - 2004 SB 1154
By Senator Peaden
2-843-04
1 A bill to be entitled
2 An act relating to a health care practitioner
3 workforce database; creating s. 381.03015,
4 F.S.; providing legislative intent with respect
5 to a health care practitioner workforce
6 database; providing definitions; creating the
7 Florida Health Care Practitioner Workforce
8 Database within the Department of Health;
9 authorizing the database to be implemented in
10 stages; giving priority in the database for
11 information concerning allopathic and
12 osteopathic physicians; specifying basic data
13 elements of allopathic and osteopathic
14 physicians for inclusion in the database;
15 requiring that data for the health care
16 practitioner workforce database be gathered
17 from existing data sources; requiring certain
18 entities to provide basic data elements to the
19 department; authorizing the department to
20 create an advisory committee; providing that
21 the act will not take effect unless funds are
22 specifically appropriated for this purpose;
23 prohibiting the use of a specified trust fund
24 to administer the act; providing an effective
25 date.
26
27 Be It Enacted by the Legislature of the State of Florida:
28
29 Section 1. Section 381.03015, Florida Statutes, is
30 created to read:
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Florida Senate - 2004 SB 1154
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1 381.03015 Florida Health Care Practitioner Workforce
2 Database.--
3 (1) LEGISLATIVE FINDINGS AND INTENT.--
4 (a) The Legislature finds that the state health
5 policies designed to expand patient access and improve the
6 quality of health care delivery must take into consideration
7 the supply, distribution, academic preparation, and
8 utilization of the state's health care workforce. The
9 Legislature further finds that the absence of accurate,
10 objective, relevant, and timely data concerning the health
11 care workforce in this state is a barrier to developing and
12 implementing optimal programmatic and fiscal policies relating
13 to the education and training of health care practitioners and
14 the delivery of health care services.
15 (b) In order to eliminate these barriers, it is the
16 intent of the Legislature to create the Florida Health Care
17 Practitioner Workforce Database within the Department of
18 Health. The database shall provide the capacity for the
19 collection, compilation, maintenance, and analysis of data
20 concerning the state's health care workforce. It is further
21 the intent of the Legislature that the workforce database
22 serve as the official state repository of data that can be
23 used by the Legislature, the Executive Office of the Governor,
24 state agencies, and state, regional, and local entities
25 involved in planning, analysis, and policy development for the
26 health care workforce and in the delivery of health care
27 services.
28 (2) DEFINITIONS.--As used in this section, the term:
29 (a) "Department" means the Department of Health.
30 (b) "Health care practitioner" has the same meaning as
31 provided in s. 456.001.
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1 (3) FLORIDA HEALTH CARE PRACTITIONER WORKFORCE
2 DATABASE.--
3 (a) The Florida Health Care Practitioner Workforce
4 Database is the electronic repository of basic data elements
5 for each health care profession identified by the department
6 for inclusion in the database. Basic data elements shall be
7 maintained for as many years as necessary to allow for an
8 analysis of longitudinal trends. To the maximum extent
9 feasible, data elements must be collected and maintained using
10 standardized definitions in order to allow for multistate or
11 national comparisons of this state's data.
12 (b) The workforce database may be implemented in
13 phases; however, the highest priority must be given to
14 including the basic data elements for allopathic and
15 osteopathic physicians in the database. Inclusion of basic
16 data elements for other health care professions may be
17 accomplished in subsequent phases, as resources allow. The
18 department shall develop an implementation plan that
19 identifies the priority order by which other health care
20 professions may be added to the database.
21 (4) The basic data elements for allopathic and
22 osteopathic physicians shall include, at a minimum, the
23 following:
24 (a) Data elements for each allopathic and osteopathic
25 physician licensed to practice in this state:
26 1. Name.
27 2. Date of birth.
28 3. Place of birth.
29 4. Gender.
30 5. Race.
31 6. Social security number.
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1 7. Name of medical school.
2 8. Year of graduation from medical school.
3 9. Location of medical school.
4 10. Name of each graduate medical education program
5 completed.
6 11. Year of completion of each graduate medical
7 education program.
8 12. Location of each graduate medical education
9 program completed.
10 13. Type of each graduate medical education program
11 completed, such as internship, residency, or fellowship.
12 14. Each medical specialty or subspecialty practiced.
13 15. Each medical specialty board certification held.
14 16. Each practice location, including the street
15 address, municipality, county, and zip code for each location
16 and an indication of the percentage of time spent in each
17 practice location, if more than one is indicated.
18 17. Each practice setting, by major category of
19 practice setting. Practice setting categories include, but are
20 not limited to, private solo or group office, hospital,
21 managed care organization, health maintenance organization,
22 nursing home, and county health department. The practice
23 setting shall be identified for each practice location
24 indicated.
25 18. Whether or not the physician is a full-time
26 faculty member at a medical school.
27 19. Whether the physician intends to reduce his or her
28 practice volume by 50 percent or more within the effective
29 period of the initial or renewal license.
30 (b) Data elements for each graduate of a Florida
31 allopathic or osteopathic medical school:
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1 1. Name.
2 2. Date of birth.
3 3. Place of birth.
4 4. Gender.
5 5. Race.
6 6. Social security number.
7 7. Name of medical school.
8 8. Year of graduation from medical school.
9 9. Name of the graduate medical education program that
10 the graduate plans to enter.
11 10. Type of the graduate medical education program,
12 such as internship or residency, which the graduate plans to
13 enter.
14 11. Location of the graduate medical education
15 program.
16 12. Anticipated area of practice specialty or
17 subspecialty upon completion of the graduate medical education
18 program.
19 13. Anticipated practice location, including the
20 municipality, state, and country.
21 (c) Data elements for each allopathic or osteopathic
22 physician completing a graduate medical education program in
23 this state:
24 1. Name.
25 2. Date of birth.
26 3. Place of birth.
27 4. Gender.
28 5. Race.
29 6. Social security number.
30 7. Name of medical school.
31 8. Year of graduation from medical school.
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Florida Senate - 2004 SB 1154
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1 9. Location of medical school.
2 10. Whether the individual intends to enter a
3 subsequent graduate medical education program prior to
4 practice and, if so, the name and location of the graduate
5 medical education program.
6 11. Anticipated area of practice specialty or
7 subspecialty upon completion of the graduate medical education
8 program.
9 12. Anticipated practice location, including the
10 municipality, state, and country.
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12 The data elements collected for nurses shall be identified by
13 the department, based upon recommendations made by the Florida
14 Center for Nursing.
15 (5) REQUIRED USE OF EXISTING DATA SOURCES.--
16 (a) It is the intent of the Legislature to minimize
17 the cost of creating and operating the Florida Health Care
18 Practitioner Workforce Database and to avoid unwarranted
19 duplication of existing data currently collected and
20 maintained by the department, the Agency for Health Care
21 Administration, the Department of Education, or other state
22 agencies.
23 (b) Therefore, to the maximum extent possible, the
24 data included in the workforce database shall be derived from
25 existing data sources. New data shall be collected for
26 inclusion in the workforce database only when the department
27 determines that such data is essential for evaluating and
28 analyzing the health care professions and when such data
29 cannot be obtained from existing sources.
30 (6)(a) Data elements sought to satisfy paragraph
31 (4)(a) shall be obtained from the licensing processes of the
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1 Board of Medicine and the Board of Osteopathic Medicine under
2 s. 456.039, and from the profiling process for health care
3 practitioners under s. 456.041.
4 (b) Each medical school in this state shall annually
5 submit the data elements described in paragraph (4)(b) to the
6 department, in a manner prescribed by the department.
7 (c) Each graduate medical education program in this
8 state shall annually submit the data elements described in
9 paragraph (4)(c) to the department, in the manner prescribed
10 by the department.
11 (7) IMPLEMENTATION.--
12 (a) The Secretary of Health may establish an advisory
13 committee to monitor the creation and implementation of the
14 Florida Health Care Practitioner Workforce Database.
15 (b) The department may employ or assign agency staff
16 or may contract, on a competitive-bid basis, with an
17 appropriate entity to administer the workforce database.
18 (8) CONFIDENTIALITY OF DATA.--The Florida Health Care
19 Practitioner Workforce Database is intended to provide data
20 for statistical analysis. Any information or record that the
21 department obtains from any governmental entity, medical
22 school, or university for the purpose of compiling the
23 workforce database or substantiating other information or
24 records submitted for that purpose which is otherwise exempt
25 from public disclosure shall remain exempt as otherwise
26 provided by law.
27 Section 2. This act shall not take effect unless
28 sufficient funds are allocated in a specific appropriation or
29 in the General Appropriations Act for the 2004-2005 fiscal
30 year to fund the Florida Health Care Practitioner Workforce
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1 Database. The Medical Quality Assurance Trust Fund may not be
2 used to fund the administration of this act.
3 Section 3. This act shall take effect upon becoming a
4 law.
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7 SENATE SUMMARY
8 Creates the Florida Health Care Practitioner Workforce
Database in the Department of Health. Authorizes the
9 database to be implemented in stages. Gives priority in
the database to allopathic and osteopathic physicians.
10 Specifies basic data elements of allopathic and
osteopathic physicians to be included in the health care
11 practitioner workforce database. Requires that data for
the workforce database be gathered from existing data
12 sources. Requires certain entities to provide basic data
elements to the department. Authorizes the department to
13 create an advisory committee. Provides that the act will
not take effect unless funds are specifically
14 appropriated for this purpose. Directs that a specified
trust fund not be used to administer the act.
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