Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. SB 58
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  02/23/2017           .                                

       The Committee on Appropriations (Bean) recommended the
    1         Senate Amendment (with title amendment)
    3         Before line 11
    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. Members of the panel shall include
   13  representatives of the Florida Hospital Association, the Florida
   14  Society of Thoracic and Cardiovascular Surgeons, the Florida
   15  Chapter of the American College of Cardiology, the Florida
   16  Chapter of the American Heart Association, and others with
   17  experience in statistics and outcome measurement. Based on
   18  recommendations from the panel, the agency shall develop and
   19  adopt rules for pediatric cardiac catheterization programs and
   20  pediatric open-heart surgery programs which include at least the
   21  following:
   22         (a) A risk adjustment procedure that accounts for the
   23  variations in severity and case mix found in hospitals in this
   24  state.
   25         (b) Outcome standards specifying expected levels of
   26  performance in pediatric cardiac programs. Such standards may
   27  include, but are not limited to, in-hospital mortality,
   28  infection rates, nonfatal myocardial infarctions, length of
   29  postoperative bleeds, and returns to surgery.
   30         (c) Specific steps to be taken by the agency and licensed
   31  facilities that do not meet the outcome standards within a
   32  specified time, including time required for detailed case
   33  reviews and development and implementation of corrective action
   34  plans.
   36  ================= T I T L E  A M E N D M E N T ================
   37  And the title is amended as follows:
   38         Delete line 2
   39  and insert:
   40         An act relating to cardiac programs; amending s.
   41         395.1055, F.S.; requiring the Agency for Health Care
   42         Administration to establish a technical advisory panel
   43         to develop procedures and standards for measuring
   44         outcomes of pediatric cardiac catheterization programs
   45         and pediatric open-heart surgery programs;
   46         establishing membership of the technical advisory
   47         panel; requiring the agency to develop and adopt rules
   48         for pediatric cardiac catheterization programs and
   49         pediatric open-heart surgery programs based on
   50         recommendations of the technical advisory panel;