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The Committee on Health Regulation (Peaden) recommended the

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following amendment:

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     Senate Amendment (with title amendment)

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     Delete line(s) 151-201

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and insert:

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     5. Encourage the use of evidence-based medicine by health

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care practitioners and health care facilities to improve health

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care quality and patient safety. Provide for access to an active

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library of evidence-based medicine and patient safety practices,

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together with the emerging evidence supporting their retention

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or modification, and make this information available to health

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care practitioners, health care facilities, and the public.

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Support for implementation of evidence-based medicine shall

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include:

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     a. A report to the Governor, the President of the Senate,

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the Speaker of the House of Representatives, and the Agency for

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Health Care Administration by January 1, 2005, on:

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     (I) The ability to join or support efforts for the use of

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evidence-based medicine already underway, such as those of the

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Leapfrog Group, the international group Bandolier, and the

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Healthy Florida Foundation.

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     (II) The means by which to promote research using Medicaid

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and other data collected by the Agency for Health Care

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Administration to identify and quantify the most cost-effective

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treatment and interventions, including disease management and

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prevention programs.

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     (III) The means by which to encourage development of

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systems to measure and reward providers who implement evidence-

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based medical practices.

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     (IV) The review of other state and private initiatives and

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published literature for promising approaches and the

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dissemination of information about them to providers.

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     (V) The encouragement of the Florida health care boards

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under the Department of Health to regularly publish findings

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related to the cost-effectiveness of disease-specific, evidence-

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based standards.

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     (VI) Public and private sector initiatives related to

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evidence-based medicine and communication systems for the

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sharing of clinical information among caregivers.

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     (VII) Regulatory barriers that interfere with the sharing

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of clinical information among caregivers.

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     b. An implementation plan reported to the Governor, the

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President of the Senate, the Speaker of the House of

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Representatives, and the Agency for Health Care Administration

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by September 1, 2005, that must include, but need not be limited

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to: estimated costs and savings, capital investment

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requirements, recommended investment incentives, initial

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committed provider participation by region, standards of

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functionality and features, a marketing plan, and implementation

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schedules for key components.

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     6.  Develop and recommend core competencies in patient

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safety that can be incorporated into the undergraduate and

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graduate curricula in schools of medicine, nursing, and allied

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health in the state.

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     7.  Develop and recommend programs to educate the public

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about the role of health care consumers in promoting patient

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safety.

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     8.  Provide recommendations for interagency coordination of

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patient safety efforts in the state.

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================ T I T L E  A M E N D M E N T ================

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And the title is amended as follows:

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     Delete line(s) 14

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and insert:

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on patient safety; requiring the corporation to encourage

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the use of evidence-based medicine; deleting

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responsibilities related to

2/15/2008  2:34:00 PM     588-04026-08