Florida Senate - 2017                          SENATOR AMENDMENT
       Bill No. CS/CS/HB 229, 1st Eng.
       
       
       
       
       
       
                                Ì191150oÎ191150                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                 Floor: WD/2R          .                                
             05/02/2017 05:31 PM       .                                
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       Senator Bean moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Before line 54
    4  insert:
    5         Section 1. Present subsection (9) of section 395.1055,
    6  Florida Statutes, is redesignated as subsection (10), and a new
    7  subsection (9) is added to that section, to read:
    8         395.1055 Rules and enforcement.—
    9         (9) The agency shall establish a technical advisory panel
   10  to develop procedures and standards for measuring outcomes of
   11  pediatric cardiac catheterization programs and pediatric open
   12  heart surgery programs.
   13         (a) The panel must be composed of 3 at-large members,
   14  including 1 cardiologist who is board certified in caring for
   15  adults with congenital heart disease and 2 board-certified
   16  pediatric cardiologists, neither of whom may be employed by any
   17  of the hospitals specified in subparagraphs 1.-10. or their
   18  affiliates, each of whom is appointed by the Secretary of Health
   19  Care Administration, and 10 members, each of whom is a pediatric
   20  cardiologist or a pediatric cardiovascular surgeon, each
   21  appointed by the chief executive officer of one of the following
   22  hospitals:
   23         1. Johns Hopkins All Children’s Hospital in St. Petersburg.
   24         2. Arnold Palmer Hospital for Children in Orlando.
   25         3. Joe DiMaggio Children’s Hospital in Hollywood.
   26         4. Nicklaus Children’s Hospital in Miami.
   27         5. St. Joseph’s Children’s Hospital in Tampa.
   28         6. University of Florida Health Shands Hospital in
   29  Gainesville.
   30         7. University of Miami Holtz Children’s Hospital in Miami.
   31         8. Wolfson Children’s Hospital in Jacksonville.
   32         9. Florida Hospital for Children in Orlando.
   33         10. Nemours Children’s Hospital in Orlando.
   34         (b) Based on the recommendations of the panel, the agency
   35  shall develop and adopt rules for pediatric cardiac
   36  catheterization programs and pediatric open-heart surgery
   37  programs which include at least the following:
   38         1. A risk adjustment procedure that accounts for the
   39  variations in severity and case mix found in hospitals in this
   40  state;
   41         2. Outcome standards specifying expected levels of
   42  performance in pediatric cardiac programs. Such standards may
   43  include, but are not limited to, in-hospital mortality,
   44  infection rates, nonfatal myocardial infarctions, length of
   45  postoperative bleeds, and returns to surgery; and
   46         3. Specific steps to be taken by the agency and licensed
   47  facilities that do not meet the outcome standards within a
   48  specified time, including time required for detailed case
   49  reviews and development and implementation of corrective action
   50  plans.
   51  
   52  ================= T I T L E  A M E N D M E N T ================
   53  And the title is amended as follows:
   54         Delete line 2
   55  and insert:
   56         An act relating to health care practitioners and
   57         programs; amending s. 395.1055, F.S.; requiring the
   58         Agency for Health Care Administration to establish a
   59         technical advisory panel to develop procedures and
   60         standards for measuring outcomes of pediatric cardiac
   61         catheterization programs and pediatric open-heart
   62         surgery programs; providing for the membership of the
   63         technical advisory panel; requiring the agency to
   64         develop and adopt rules for pediatric cardiac
   65         catheterization programs and pediatric open-heart
   66         surgery programs based on recommendations of the
   67         technical advisory panel;