SENATE AMENDMENT
Bill No. CS for CS for SB 1464
Amendment No. ___ Barcode 952138
CHAMBER ACTION
Senate House
.
.
1 3/AD/2R .
04/23/2004 03:02 PM .
2 .
.
3 .
.
4 ______________________________________________________________
5
6
7
8
9
10 ______________________________________________________________
11 Senator Saunders moved the following amendment:
12
13 Senate Amendment
14 On page 8, lines 1-11, delete those lines
15
16 and insert:
17 (c) Establish a "near-miss," patient safety reporting
18 system. The purpose of the near-miss reporting system is
19 to: identify potential systemic problems that could lead to
20 adverse incidents; enable publication of systemwide alerts of
21 potential harm; and facilitate development of both
22 facility-specific and statewide options to avoid adverse
23 incidents and improve patient safety. The reporting system
24 shall record "near-misses" submitted by hospitals, birthing
25 centers, and ambulatory surgical centers and other providers.
26 For the purpose of the reporting system:
27 1. A "near-miss" means any potentially harmful event
28 that could have had an adverse result but, through chance or
29 intervention in which, harm was prevented.
30 2. The "near-miss" reporting system shall be voluntary
31 and anonymous and independent of mandatory reporting systems
1
9:35 AM 04/22/04 s1464.hc37.2c
SENATE AMENDMENT
Bill No. CS for CS for SB 1464
Amendment No. ___ Barcode 952138
1 used for regulatory purposes.
2 3. "Near-miss" data submitted to the corporation is
3 patient safety data as defined in s. 766.1016.
4 4. Reports of "near-miss" data shall be published on a
5 regular basis and special alerts shall be published as needed
6 regarding newly identified, significant risks.
7 5. Aggregated data shall be made available publicly.
8 6. The corporation shall report the performance and
9 results of the reporting system in its annual report.
10 (d) Work collaboratively with the appropriate state
11 agencies in the development of electronic health records.
12 (e) Provide for access to an active library of
13 evidence-based medicine and patient safety practices, together
14 with the emerging evidence supporting their retention or
15 modification, and make this information available to health
16 care practitioners, health care facilities, and the public.
17 Support for implementation of evidence-based medicine shall
18 include:
19 1. A report to the Governor, the President of the
20 Senate, the Speaker of the House of Representatives, and the
21 Agency for Health Care Administration by January 1, 2005, on:
22 a. The ability to join or support efforts for the use
23 of evidence-based medicine already underway, such as those of
24 the Leapfrog Group, the international group Bandolier, and the
25 Healthy Florida Foundation.
26 b. The means by which to promote research using
27 Medicaid and other data collected by the Agency for Health
28 Care Administration to identify and quantify the most
29 cost-effective treatment and interventions, including disease
30 management and prevention programs.
31 c. The means by which to encourage development of
2
9:35 AM 04/22/04 s1464.hc37.2c
SENATE AMENDMENT
Bill No. CS for CS for SB 1464
Amendment No. ___ Barcode 952138
1 systems to measure and reward providers who implement
2 evidence-based medical practices.
3 d. The review of other state and private initiatives
4 and published literature for promising approaches and the
5 dissemination of information about them to providers.
6 e. The encouragement of the Florida health care boards
7 under the Department of Health to regularly publish findings
8 related to the cost-effectiveness of disease-specific,
9 evidence-based standards.
10 f. Public and private sector initiatives related to
11 evidence-based medicine and communication systems for the
12 sharing of clinical information among caregivers.
13 g. Regulatory barriers that interfere with the sharing
14 of clinical information among caregivers.
15 2. An implementation plan reported to the Governor,
16 the President of the Senate, the Speaker of the House of
17 Representatives, and the Agency for Health Care Administration
18 by September 1, 2005, that must include, but need not be
19 limited to: estimated costs and savings, capital investment
20 requirements, recommended investment incentives, initial
21 committed provider participation by region, standards of
22 functionality and features, a marketing plan, and
23 implementation schedules for key components.
24
25 (Redesignate subsequent paragraphs.)
26
27
28
29
30
31
3
9:35 AM 04/22/04 s1464.hc37.2c