Senate Bill sb1332c1
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    Florida Senate - 2006                           CS for SB 1332
    By the Committee on Health Care; and Senator Fasano
    587-1742-06
  1                      A bill to be entitled
  2         An act relating to the Coordinated Health Care
  3         Information and Transparency Act; specifying
  4         the purpose of the act; amending s. 20.42,
  5         F.S., relating to the Agency for Health Care
  6         Administration; conforming provisions to
  7         changes made by the act; amending s. 408.05,
  8         F.S.; renaming the State Center for Health
  9         Statistics as the Florida Center for Health
10         Information and Policy Analysis; revising the
11         center's duties; authorizing the Agency for
12         Health Care Administration to manage and
13         monitor certain grants; requiring the agency to
14         oversee and manage health care data from
15         certain state agencies; deleting the agency's
16         requirement to establish the Comprehensive
17         Health Information System Trust Fund; renaming
18         the State Comprehensive Health Information
19         System Advisory Council as the State Consumer
20         Health Information and Policy Advisory Council;
21         revising the membership of the State Consumer
22         Health Information and Policy Advisory Council;
23         providing for staggered terms of office;
24         authorizing the reappointment of members to the
25         council; providing duties of the council;
26         amending s. 408.061, F.S.; providing that data
27         submitted by health care providers may include
28         professional organizations and specialty board
29         affiliations; requiring the Secretary of Health
30         Care Administration to ensure the coordination
31         of health care data; amending s. 408.062, F.S.;
                                  1
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    Florida Senate - 2006                           CS for SB 1332
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 1         revising the number of most frequently
 2         prescribed medicines for which the retail
 3         prices may be statistically collected for a
 4         special study; revising the date by which the
 5         agency must make available on its Internet
 6         website certain drug prices; deleting a
 7         requirement that a provider hospital assist the
 8         agency in determining the impact of ch. 408,
 9         F.S., on caesarean section rates; deleting the
10         requirement for an annual report; authorizing
11         the agency to develop an electronic health
12         information network; providing an effective
13         date.
14  
15  Be It Enacted by the Legislature of the State of Florida:
16  
17         Section 1.  (1)  This act may be cited as the
18  "Coordinated Health Care Information and Transparency Act."
19         (2)  The purpose of this act is to provide for better
20  coordination of health information for purposes of public
21  health, policy analysis, and transparency of consumer health
22  care information.
23         Section 2.  Subsection (3) of section 20.42, Florida
24  Statutes, is amended to read:
25         20.42  Agency for Health Care Administration.--
26         (3)  The department shall be the chief health policy
27  and planning entity for the state. The department is
28  responsible for health facility licensure, inspection, and
29  regulatory enforcement; investigation of consumer complaints
30  related to health care facilities and managed care plans; the
31  implementation of the certificate of need program; the
                                  2
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    Florida Senate - 2006                           CS for SB 1332
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 1  operation of the Florida State Center for Health Information
 2  and Policy Analysis Statistics; the administration of the
 3  Medicaid program; the administration of the contracts with the
 4  Florida Healthy Kids Corporation; the certification of health
 5  maintenance organizations and prepaid health clinics as set
 6  forth in part III of chapter 641; and any other duties
 7  prescribed by statute or agreement.
 8         Section 3.  Section 408.05, Florida Statutes, is
 9  amended to read:
10         408.05  Florida State Center for Health Information and
11  Policy Analysis Statistics.--
12         (1)  ESTABLISHMENT.--The agency shall establish a
13  Florida State Center for Health Information and Policy
14  Analysis Statistics.  The center shall establish a
15  comprehensive health information system to provide for the
16  collection, compilation, coordination, analysis, indexing,
17  dissemination, and utilization of both purposefully collected
18  and extant health-related data and statistics.  The center
19  shall be staffed with public health experts, biostatisticians,
20  information system analysts, health policy experts,
21  economists, and other staff necessary to carry out its
22  functions.
23         (2)  HEALTH-RELATED DATA STATISTICS.--The comprehensive
24  health information system operated by the Florida State Center
25  for Health Information and Policy Analysis Statistics shall
26  identify the best available data sources and coordinate the
27  compilation of extant health-related data and statistics or
28  purposefully collect data concerning on:
29         (a)  The extent and nature of illness and disability of
30  the state population, including life expectancy, the incidence
31  
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 1  of various acute and chronic illnesses, and infant and
 2  maternal morbidity and mortality.
 3         (b)  The impact of illness and disability of the state
 4  population on the state economy and on other aspects of the
 5  well-being of the people in this state.
 6         (c)  Environmental, social, and other health hazards.
 7         (d)  Health knowledge and practices of the people in
 8  this state and determinants of health and nutritional
 9  practices and status.
10         (e)  Health resources, including physicians, dentists,
11  nurses, and other health professionals, by specialty and type
12  of practice and acute, long-term care and other institutional
13  care facility supplies and specific services provided by
14  hospitals, nursing homes, home health agencies, and other
15  health care facilities.
16         (f)  Utilization of health care by type of provider.
17         (g)  Health care costs and financing, including trends
18  in health care prices and costs, the sources of payment for
19  health care services, and federal, state, and local
20  expenditures for health care.
21         (h)  Family formation, growth, and dissolution.
22         (i)  The extent of public and private health insurance
23  coverage in this state.
24         (j)  The quality of care provided by various health
25  care providers.
26         (3)  COMPREHENSIVE HEALTH INFORMATION SYSTEM.--In order
27  to produce comparable and uniform health information and
28  statistics for the development of policy recommendations, the
29  agency shall perform the following functions:
30  
31  
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 1         (a)  Coordinate the activities of state agencies
 2  involved in the design and implementation of the comprehensive
 3  health information system.
 4         (b)  Undertake research, development, and evaluation
 5  respecting the comprehensive health information system.
 6         (c)  Review the statistical activities of state
 7  agencies the Department of Health to ensure assure that they
 8  are consistent with the comprehensive health information
 9  system.
10         (d)  Develop written agreements with local, state, and
11  federal agencies for the sharing of health-care-related data
12  or using the facilities and services of such agencies.  State
13  agencies, local health councils, and other agencies under
14  contract with a state agency the Department of Health shall
15  assist the center in obtaining, compiling, and transferring
16  health-care-related data maintained by state and local
17  agencies. Written agreements must specify the types, methods,
18  and periodicity of data exchanges and specify the types of
19  data that will be transferred to the center.
20         (e)  The agency shall establish by rule the types of
21  data collected, compiled, processed, used, or shared.
22  Decisions regarding center data sets should be made based on
23  consultation with the Consumer Comprehensive Health
24  Information and Policy System Advisory Council and other
25  public and private users regarding the types of data which
26  should be collected and their uses.
27         (f)  The center shall establish standardized means for
28  collecting health information and statistics under laws and
29  rules administered by the agency.
30         (g)  Establish minimum health-care-related data sets
31  which are necessary on a continuing basis to fulfill the
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 1  collection requirements of the center and which shall be used
 2  by state agencies in collecting and compiling
 3  health-care-related data.  The agency shall periodically
 4  review ongoing health care data collections of the Department
 5  of Health and other state agencies to determine if the
 6  collections are being conducted in accordance with the
 7  established minimum sets of data.
 8         (h)  Establish advisory standards to assure the quality
 9  of health statistical and epidemiological data collection,
10  processing, and analysis by local, state, and private
11  organizations.
12         (i)  Prescribe standards for the publication of
13  health-care-related data reported pursuant to this section
14  which ensure the reporting of accurate, valid, reliable,
15  complete, and comparable data.  Such standards should include
16  advisory warnings to users of the data regarding the status
17  and quality of any data reported by or available from the
18  center.
19         (j)  Prescribe standards for the maintenance and
20  preservation of the center's data.  This should include
21  methods for archiving data, retrieval of archived data, and
22  data editing and verification.
23         (k)  Ensure that strict quality control measures are
24  maintained for the dissemination of data through publications,
25  studies, or user requests.
26         (l)  Develop, in conjunction with the State Consumer
27  Comprehensive Health Information and Policy System Advisory
28  Council, and implement a long-range plan for making available
29  health care quality measures performance outcome and financial
30  data that will allow consumers to compare health care
31  services. The health care quality measures performance
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 1  outcomes and financial data the agency must make available
 2  shall include, but is not limited to, pharmaceuticals,
 3  physicians, health care facilities, and health plans and
 4  managed care entities. The agency shall submit the initial
 5  plan to the Governor, the President of the Senate, and the
 6  Speaker of the House of Representatives by January 1, 2006,
 7  and shall update the plan and report on the status of its
 8  implementation annually thereafter. The agency shall also make
 9  the plan and status report available to the public on its
10  Internet website. As part of the plan, the agency shall
11  identify the process and timeframes for implementation, any
12  barriers to implementation, and recommendations of changes in
13  the law that may be enacted by the Legislature to eliminate
14  the barriers. As preliminary elements of the plan, the agency
15  shall:
16         1.  Make available health care quality measures that
17  include, but are not limited to, process measures,
18  patient-safety indicators, inpatient quality indicators,
19  performance measures, performance outcome and patient charge
20  data collected from health care facilities pursuant to s.
21  408.061(1)(a) and (2). The agency shall determine which
22  conditions, and procedures, health care quality measures
23  performance outcomes, and patient charge data to disclose
24  based upon input from the council. When determining which
25  conditions and procedures are to be disclosed, the council and
26  the agency shall consider variation in costs, variation in
27  outcomes, and magnitude of variations and other relevant
28  information. When determining which health care quality
29  measures performance outcomes to disclose, the agency:
30         a.  Shall consider such factors as volume of cases;
31  average patient charges; average length of stay; complication
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 1  rates; mortality rates; and infection rates, among others,
 2  which shall be adjusted for case mix and severity, if
 3  applicable.
 4         b.  May consider such additional measures that are
 5  adopted by the Centers for Medicare and Medicaid Studies,
 6  National Quality Forum, the Joint Commission on Accreditation
 7  of Healthcare Organizations, the Agency for Healthcare
 8  Research and Quality, the Centers for Disease Control and
 9  Prevention, or a similar national entity that establishes
10  standards to measure the performance of health care providers,
11  or by other states.
12  
13  When determining which patient charge data to disclose, the
14  agency shall consider such measures as average charge, average
15  net revenue per adjusted patient day, average cost per
16  adjusted patient day, and average cost per admission, among
17  others.
18         2.  Make available performance measures, benefit
19  design, and premium cost data from health plans licensed
20  pursuant to chapter 627 or chapter 641. The agency shall
21  determine which performance outcome and member and subscriber
22  cost data to disclose, based upon input from the council. When
23  determining which data to disclose, the agency shall consider
24  information that may be required by either individual or group
25  purchasers to assess the value of the product, which may
26  include membership satisfaction, quality of care, current
27  enrollment or membership, coverage areas, accreditation
28  status, premium costs, plan costs, premium increases, range of
29  benefits, copayments and deductibles, accuracy and speed of
30  claims payment, credentials of physicians, number of
31  providers, names of network providers, and hospitals in the
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 1  network. Health plans shall make available to the agency any
 2  such data or information that is not currently reported to the
 3  agency or the office.
 4         3.  Determine the method and format for public
 5  disclosure of data reported pursuant to this paragraph. The
 6  agency shall make its determination based upon input from the
 7  Consumer Comprehensive Health Information and Policy System
 8  Advisory Council. At a minimum, the data shall be made
 9  available on the agency's Internet website in a manner that
10  allows consumers to conduct an interactive search that allows
11  them to view and compare the information for specific
12  providers. The website must include such additional
13  information as is determined necessary to ensure that the
14  website enhances informed decisionmaking among consumers and
15  health care purchasers, which shall include, at a minimum,
16  appropriate guidance on how to use the data and an explanation
17  of why the data may vary from provider to provider. The data
18  specified in subparagraph 1. shall be released no later than
19  January 1, 2006, for the reporting of infection rates, and no
20  later than October 1, 2005, for mortality rates and
21  complication rates. The data specified in subparagraph 2.
22  shall be released no later than October 1, 2006.
23         (4)  TECHNICAL ASSISTANCE.--The center shall provide
24  technical assistance to persons or organizations engaged in
25  health planning activities in the effective use of statistics
26  collected and compiled by the center.  The center shall also
27  provide the following additional technical assistance
28  services:
29         (a)  Establish procedures identifying the circumstances
30  under which, the places at which, the persons from whom, and
31  the methods by which a person may secure data from the center,
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 1  including procedures governing requests, the ordering of
 2  requests, timeframes for handling requests, and other
 3  procedures necessary to facilitate the use of the center's
 4  data.  To the extent possible, the center should provide
 5  current data timely in response to requests from public or
 6  private agencies.
 7         (b)  Provide assistance to data sources and users in
 8  the areas of database design, survey design, sampling
 9  procedures, statistical interpretation, and data access to
10  promote improved health-care-related data sets.
11         (c)  Identify health care data gaps and provide
12  technical assistance to seek cooperative agreements with other
13  public or private organizations for meeting documented health
14  care data needs.
15         (d)  Assist other organizations in developing
16  statistical abstracts of their data sets which that could be
17  used by the center.
18         (e)  Provide statistical support to state agencies with
19  regard to the use of databases maintained by the center.
20         (f)  To the extent possible, respond to multiple
21  requests for information not currently collected by the center
22  or available from other sources by initiating data collection.
23         (g)  Maintain detailed information on data maintained
24  by other local, state, federal, and private agencies in order
25  to advise those who use the center of potential sources of
26  data which are requested but which are not available from the
27  center.
28         (h)  Respond to requests for data which are not
29  available in published form by initiating special computer
30  runs on data sets available to the center.
31  
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 1         (i)  Monitor innovations in health information
 2  technology, informatics, and the exchange of health
 3  information, and maintain a repository of technical resources
 4  to support the development of a Florida health information
 5  network.
 6         (j)  Administer, manage, and monitor grants to
 7  not-for-profit organizations, regional health information
 8  organizations, public health departments, or state agencies
 9  that submit proposals for planning, implementation, or
10  training projects to advance the development of a Florida
11  health information network. Any grant contract shall be
12  evaluated to ensure the effective outcome of the health
13  information project.
14         (k)  Initiate, oversee, manage, and evaluate the
15  integration of health care data from each state agency that
16  collects, stores, and reports on health care issues, and make
17  that data available to any health care practitioner through
18  the Florida health information network.
19         (5)  PUBLICATIONS; REPORTS; SPECIAL STUDIES.--The
20  center shall provide for the widespread dissemination of data
21  which it collects and analyzes.  The center shall have the
22  following publication, reporting, and special study functions:
23         (a)  The center shall publish and make available
24  periodically to agencies and individuals health statistics
25  publications of general interest, including consumer reports
26  concerning health plans and satisfaction surveys for HMOs HMO
27  report cards; publications providing health statistics on
28  topical health policy issues; publications that provide health
29  status profiles of the people in this state; and other topical
30  health statistics publications.
31  
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 1         (b)  The center shall publish, make available, and
 2  disseminate, promptly and as widely as practicable, the
 3  results of special health surveys, health care research, and
 4  health care evaluations conducted or supported under this
 5  section.  Any publication by the center must include a
 6  statement of the limitations on the quality, accuracy, and
 7  completeness of the data.
 8         (c)  The center shall provide indexing, abstracting,
 9  translation, publication, and other services leading to a more
10  effective and timely dissemination of health care statistics.
11         (d)  The center shall be responsible for publishing and
12  disseminating an annual report on the center's activities.
13         (e)  The center shall be responsible, to the extent
14  resources are available, for conducting a variety of special
15  studies and surveys to expand the health care information and
16  statistics available for health policy analyses, particularly
17  for the review of public policy issues.  The center shall
18  develop a process by which users of the center's data are
19  periodically surveyed regarding critical data needs and the
20  results of the survey considered in determining which special
21  surveys or studies will be conducted. The center shall select
22  problems in health care for research, policy analyses, or
23  special data collections on the basis of their local,
24  regional, or state importance; the unique potential for
25  definitive research on the problem; and opportunities for
26  application of the study findings.
27         (6)  PROVIDER DATA REPORTING.--This section does not
28  confer on the agency the power to demand or require that a
29  health care provider or professional furnish information,
30  records of interviews, written reports, statements, notes,
31  memoranda, or data other than as expressly required by law.
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 1         (7)  BUDGET; FEES; TRUST FUND.--
 2         (a)  The Legislature intends that funding for the
 3  Florida State Center for Health Information and Policy
 4  Analysis Statistics be appropriated from the General Revenue
 5  Fund.
 6         (b)  The Florida State Center for Health Information
 7  and Policy Analysis Statistics may apply for and receive and
 8  accept grants, gifts, and other payments, including property
 9  and services, from any governmental or other public or private
10  entity or person and make arrangements as to the use of same,
11  including the undertaking of special studies and other
12  projects relating to health-care-related topics.  Funds
13  obtained pursuant to this paragraph may not be used to offset
14  annual appropriations from the General Revenue Fund.
15         (c)  The center may charge such reasonable fees for
16  services as the agency prescribes by rule.  The established
17  fees may not exceed the reasonable cost for such services.
18  Fees collected may not be used to offset annual appropriations
19  from the General Revenue Fund.
20         (d)  The agency shall establish a Comprehensive Health
21  Information System Trust Fund as the repository of all funds
22  appropriated to, and fees and grants collected for, services
23  of the State Center for Health Statistics. Any funds, other
24  than funds appropriated to the center from the General Revenue
25  Fund, which are raised or collected by the agency for the
26  operation of the center and which are not needed to meet the
27  expenses of the center for its current fiscal year shall be
28  available to the agency in succeeding years.
29         (8)  STATE CONSUMER COMPREHENSIVE HEALTH INFORMATION
30  AND POLICY SYSTEM ADVISORY COUNCIL.--
31  
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 1         (a)  There is established in the agency the State
 2  Consumer Comprehensive Health Information and Policy System
 3  Advisory Council to assist the center in reviewing the
 4  comprehensive health information system, to include the
 5  identification, collection, standardization, sharing, and
 6  coordination of health-related data, to include fraud and
 7  abuse data and professional and facility licensing data, among
 8  federal, state, local, and private entities and to recommend
 9  improvements for purposes of public health, policy analysis,
10  and transparency of consumer health care information such
11  system. The council shall consist of the following members:
12         1.  An employee of the Executive Office of the
13  Governor, to be appointed by the Governor.
14         2.  An employee of the Office of Insurance Regulation,
15  to be appointed by the director of the office.
16         3.  An employee of the Department of Education, to be
17  appointed by the Commissioner of Education.
18         4.  Ten persons, to be appointed by the Secretary of
19  Health Care Administration, representing other state and local
20  agencies, state universities, the Florida Association of
21  business/health coalitions, local health councils,
22  professional health-care-related associations, consumers, and
23  purchasers.
24         (b)  Each member of the council shall be appointed to
25  serve for a term of 2 4 years following from the date of
26  appointment, except the term of appointment shall end 3 years
27  following the date of appointment for members appointed in
28  2003, 2004, and 2005. that A vacancy shall be filled by
29  appointment for the remainder of the term, and each appointing
30  authority retains the right to reappoint members whose terms
31  of appointment have expired. and except that:
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 1         1.  Three of the members initially appointed by the
 2  Director of Health Care Administration shall each be appointed
 3  for a term of 3 years.
 4         2.  Two of the members initially appointed by the
 5  Director of Health Care Administration shall each be appointed
 6  for a term of 2 years.
 7         3.  Two of the members initially appointed by the
 8  Director of Health Care Administration shall each be appointed
 9  for a term of 1 year.
10         (c)  The council may meet at the call of its chair, at
11  the request of the agency department, or at the request of a
12  majority of its membership, but at least quarterly.
13         (d)  Members shall elect a chair and a vice chair
14  annually.
15         (e)  A majority of the members constitutes a quorum,
16  and the affirmative vote of a majority of a quorum is
17  necessary to take action.
18         (f)  The council shall maintain minutes of each meeting
19  and shall make such minutes available to any person.
20         (g)  Members of the council shall serve without
21  compensation but are shall be entitled to receive
22  reimbursement for per diem and travel expenses as provided in
23  s. 112.061.
24         (h)  The council's duties and responsibilities include,
25  but are not limited to:
26         1.  Developing a mission statement, goals, and plan of
27  action, based on the guiding principles specified in s.
28  282.3032, for the identifying, collecting, standardizing,
29  sharing, and coordinating health-related data among federal,
30  state, and local government and private-sector entities.
31  
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 1         2.  Developing a review process to ensure cooperative
 2  planning among agencies that collect or maintain
 3  health-related data.
 4         3.  Creating ad hoc, issue-oriented technical
 5  workgroups, as needed to make recommendations to the council.
 6         (9)  Nothing in This section does not shall limit,
 7  restrict, affect, or control the collection, analysis,
 8  release, or publication of data by any state agency pursuant
 9  to its statutory authority, duties, or responsibilities.
10         Section 4.  Paragraph (b) of subsection (1) and
11  subsection (10) of section 408.061, Florida Statutes, are
12  amended to read:
13         408.061  Data collection; uniform systems of financial
14  reporting; information relating to physician charges;
15  confidential information; immunity.--
16         (1)
17         (b)  Data to be submitted by health care providers may
18  include, but are not limited to: affiliations with
19  professional organizations and specialty boards, Medicare and
20  Medicaid participation, types of services offered to patients,
21  amount of revenue and expenses of the health care provider,
22  and such other data which are reasonably necessary to study
23  utilization patterns. Data submitted shall be certified by the
24  appropriate duly authorized representative or employee of the
25  health care provider that the information submitted is true
26  and accurate.
27         (10)  The agency shall be the primary source for
28  collection and dissemination of health care data. No other
29  agency of state government may gather data from a health care
30  provider licensed or regulated under this chapter without
31  first determining if the data is currently being collected by
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 1  the agency and affirmatively demonstrating that it would be
 2  more cost-effective for an agency of state government other
 3  than the agency to gather the health care data. The secretary
 4  director shall ensure that health care data collected by the
 5  divisions within the agency is coordinated. It is the express
 6  intent of the Legislature that all health care data be
 7  collected by a single source within the agency and that other
 8  divisions within the agency, and all other agencies of state
 9  government, obtain data for analysis, regulation, and public
10  dissemination purposes from that single source. Confidential
11  information may be released to other governmental entities or
12  to parties contracting with the agency to perform agency
13  duties or functions as needed in connection with the
14  performance of the duties of the receiving entity. The
15  receiving entity or party shall retain the confidentiality of
16  such information as provided for herein.
17         Section 5.  Paragraphs (h) and (j) of subsection (1)
18  and subsections (2) and (5) of section 408.062, Florida
19  Statutes, are amended to read:
20         408.062  Research, analyses, studies, and reports.--
21         (1)  The agency shall conduct research, analyses, and
22  studies relating to health care costs and access to and
23  quality of health care services as access and quality are
24  affected by changes in health care costs. Such research,
25  analyses, and studies shall include, but not be limited to:
26         (h)  The collection of a statistically valid sample of
27  data on the retail prices charged by pharmacies for the 100 50
28  most frequently prescribed medicines from any pharmacy
29  licensed by this state as a special study authorized by the
30  Legislature to be performed by the agency quarterly. If the
31  drug is available generically, price data shall be reported
                                  17
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 1  for the generic drug and price data of a brand-named drug for
 2  which the generic drug is the equivalent shall be reported.
 3  The agency shall make available on its Internet website for
 4  each pharmacy, no later than October 1, 2006 2005, drug prices
 5  for a 30-day supply at a standard dose. The data collected
 6  shall be reported for each drug by pharmacy and by
 7  metropolitan statistical area or region and updated quarterly.
 8         (j)  The making available on its Internet website
 9  beginning no later than October 1, 2004, and in a hard-copy
10  format upon request, of patient charge, volumes, length of
11  stay, and performance outcome indicators collected from health
12  care facilities pursuant to s. 408.061(1)(a) for specific
13  medical conditions, surgeries, and procedures provided in
14  inpatient and outpatient facilities as determined by the
15  agency. In making the determination of specific medical
16  conditions, surgeries, and procedures to include, the agency
17  shall consider such factors as volume, severity of the
18  illness, urgency of admission, individual and societal costs,
19  and whether the condition is acute or chronic. Performance
20  outcome indicators shall be risk adjusted or severity
21  adjusted, as applicable, using nationally recognized risk
22  adjustment methodologies or software consistent with the
23  standards of the Agency for Healthcare Research and Quality
24  and as selected by the agency. The website shall also provide
25  an interactive search that allows consumers to view and
26  compare the information for specific facilities, a map that
27  allows consumers to select a county or region, definitions of
28  all of the data, descriptions of each procedure, and an
29  explanation about why the data may differ from facility to
30  facility. Such public data shall be updated quarterly. The
31  agency shall submit an annual status report on the collection
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    Florida Senate - 2006                           CS for SB 1332
    587-1742-06
 1  of data and publication of health care quality measures
 2  performance outcome indicators to the Governor, the Speaker of
 3  the House of Representatives, the President of the Senate, and
 4  the substantive legislative committees with the first status
 5  report due January 1, 2005.
 6         (2)  The agency may assess annually the caesarean
 7  section rate in Florida hospitals in this state using the
 8  analysis methodology that the agency determines most
 9  appropriate. The data from this assessment shall be published
10  periodically on the agency's website. To assist the agency in
11  determining the impact of this chapter on Florida hospitals'
12  caesarean section rates, each provider hospital, as defined in
13  s. 383.336, shall notify the agency of the date of
14  implementation of the practice parameters and the date of the
15  first meeting of the hospital peer review board created
16  pursuant to this chapter. The agency shall use these dates in
17  monitoring any change in provider hospital caesarean section
18  rates. An annual report based on this monitoring and
19  assessment shall be submitted to the Governor, the Speaker of
20  the House of Representatives, and the President of the Senate
21  by the agency, with the first annual report due January 1,
22  1993.
23         (5)  The agency shall develop and implement a strategy
24  for the adoption and use of electronic health records,
25  including the development of an electronic health information
26  network for the sharing of electronic health records among
27  health care facilities, health care providers, and health
28  insurers. The agency may develop rules to facilitate the
29  functionality and protect the confidentiality of electronic
30  health records. The agency shall report to the Governor, the
31  Speaker of the House of Representatives, and the President of
                                  19
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    Florida Senate - 2006                           CS for SB 1332
    587-1742-06
 1  the Senate on legislative recommendations to protect the
 2  confidentiality of electronic health records.
 3         Section 6.  This act shall take effect upon becoming a
 4  law.
 5  
 6          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 7                         Senate Bill 1332
 8                                 
 9  The committee substitute provides for staggered terms of
    office and authorizes the reappointment of members to the
10  State consumer Health Information and Policy Advisory Council.
    The committee substitute clarifies that the Florida Center for
11  Health Information and Policy Analysis in the agency can
    provide technical assistance relating to the function of
12  developing a Florida health information network, rather than
    provide technical assistance to a specified entity called the
13  Florida Health Information Network. The agency is authorized
    to develop an electronic health information network for the
14  sharing of electronic health records among health care
    facilities, health care providers, and health insurers.
15  Current statutory limitations on the data the agency can
    require health care professionals or providers to furnish is
16  restored.
17  
18  
19  
20  
21  
22  
23  
24  
25  
26  
27  
28  
29  
30  
31  
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