Florida Senate - 2020 COMMITTEE AMENDMENT
Bill No. SB 1370
Ì556258GÎ556258
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
02/11/2020 .
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The Committee on Health Policy (Harrell) recommended the
following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Subsection (4) is added to section 395.1012,
6 Florida Statutes, to read:
7 395.1012 Patient safety.—
8 (4) Each licensed facility must, at least biennially,
9 conduct a patient safety culture survey using the Hospital
10 Survey on Patient Safety Culture developed by the federal Agency
11 for Healthcare Research and Quality. Each facility shall conduct
12 the survey anonymously to encourage completion of the survey by
13 staff working in or employed by the facility. Each facility may
14 contract to administer the survey. Each facility shall
15 biennially submit the survey data to the agency which must be in
16 a format specified by rule and include the survey participation
17 rate. Each facility may develop an internal action plan between
18 conducting surveys to identify measures to improve the survey
19 and submit the plan to the agency.
20 Section 2. Paragraph (d) of subsection (14) of section
21 395.1055, Florida Statutes, is amended to read:
22 395.1055 Rules and enforcement.—
23 (14)
24 (d) Each onsite inspection must include all of the
25 following:
26 1. An inspection of the program’s physical facilities,
27 clinics, and laboratories.
28 2. Interviews with support staff and hospital
29 administrators.
30 3. A review of:
31 a. Randomly selected medical records and reports,
32 including, but not limited to, advanced cardiac imaging,
33 computed tomography, magnetic resonance imaging, cardiac
34 ultrasound, cardiac catheterization, and surgical operative
35 notes.
36 b. The program’s clinical outcome data submitted to the
37 Society of Thoracic Surgeons and the American College of
38 Cardiology pursuant to s. 408.05(3)(l) s. 408.05(3)(k).
39 c. Mortality reports from cardiac-related deaths that
40 occurred in the previous year.
41 d. Program volume data from the preceding year for
42 interventional and electrophysiology catheterizations and
43 surgical procedures.
44 Section 3. Present paragraphs (d) through (k) of subsection
45 (3) of section 408.05, Florida Statutes, are redesignated as
46 paragraphs (e) through (l), respectively, a new paragraph (d) is
47 added to that subsection, and present paragraph (j) of that
48 subsection is amended, to read:
49 408.05 Florida Center for Health Information and
50 Transparency.—
51 (3) HEALTH INFORMATION TRANSPARENCY.—In order to
52 disseminate and facilitate the availability of comparable and
53 uniform health information, the agency shall perform the
54 following functions:
55 (d)1. Collect, compile, and publish patient safety culture
56 survey data submitted by a facility pursuant to s. 395.1012.
57 2. Designate the use of updated versions of the survey as
58 they occur, and customize the survey to:
59 a. Generate data regarding the likelihood of a respondent
60 to seek care for the respondent and the respondent’s family at
61 the surveying facility, both in general and within the
62 respondent’s specific unit or work area; and
63 b. Revise the units or work areas identified in the survey
64 to include a pediatric cardiology patient care unit and a
65 pediatric cardiology surgical services unit.
66 3. Publish the survey results for each facility, in the
67 aggregate, by composite measure as defined in the survey and the
68 units or work areas within the facility.
69 (k)(j) Conduct and make available the results of special
70 health surveys, including facility patient safety culture
71 surveys, health care research, and health care evaluations
72 conducted or supported under this section. Each year the center
73 shall select and analyze one or more research topics that can be
74 investigated using the data available pursuant to paragraph (c).
75 The selected topics must focus on producing actionable
76 information for improving quality of care and reducing costs.
77 The first topic selected by the center must address preventable
78 hospitalizations.
79 Section 4. Paragraph (a) of subsection (1) of section
80 408.061, Florida Statutes, is amended to read:
81 408.061 Data collection; uniform systems of financial
82 reporting; information relating to physician charges;
83 confidential information; immunity.—
84 (1) The agency shall require the submission by health care
85 facilities, health care providers, and health insurers of data
86 necessary to carry out the agency’s duties and to facilitate
87 transparency in health care pricing data and quality measures.
88 Specifications for data to be collected under this section shall
89 be developed by the agency and applicable contract vendors, with
90 the assistance of technical advisory panels including
91 representatives of affected entities, consumers, purchasers, and
92 such other interested parties as may be determined by the
93 agency.
94 (a) Data submitted by health care facilities, including the
95 facilities as defined in chapter 395, shall include, but are not
96 limited to: case-mix data, patient admission and discharge data,
97 hospital emergency department data which shall include the
98 number of patients treated in the emergency department of a
99 licensed hospital reported by patient acuity level, data on
100 hospital-acquired infections as specified by rule, data on
101 complications as specified by rule, data on readmissions as
102 specified by rule, with patient and provider-specific
103 identifiers included, actual charge data by diagnostic groups or
104 other bundled groupings as specified by rule, facility patient
105 safety culture surveys, financial data, accounting data,
106 operating expenses, expenses incurred for rendering services to
107 patients who cannot or do not pay, interest charges,
108 depreciation expenses based on the expected useful life of the
109 property and equipment involved, and demographic data. The
110 agency shall adopt nationally recognized risk adjustment
111 methodologies or software consistent with the standards of the
112 Agency for Healthcare Research and Quality and as selected by
113 the agency for all data submitted as required by this section.
114 Data may be obtained from documents such as, but not limited to:
115 leases, contracts, debt instruments, itemized patient statements
116 or bills, medical record abstracts, and related diagnostic
117 information. Reported data elements shall be reported
118 electronically in accordance with rule 59E-7.012, Florida
119 Administrative Code. Data submitted shall be certified by the
120 chief executive officer or an appropriate and duly authorized
121 representative or employee of the licensed facility that the
122 information submitted is true and accurate.
123 Section 5. This act shall take effect July 1, 2020.
124
125 ================= T I T L E A M E N D M E N T ================
126 And the title is amended as follows:
127 Delete everything before the enacting clause
128 and insert:
129 A bill to be entitled
130 An act relating to patient safety culture surveys;
131 amending s. 395.1012, F.S.; requiring licensed
132 facilities to biennially conduct an anonymous patient
133 safety culture survey using a specified federal
134 publication; authorizing facilities to contract for
135 the administration of such survey; requiring
136 facilities to biennially submit patient safety culture
137 survey data to the Agency for Health Care
138 Administration; authorizing facilities to develop an
139 internal action plan for a specified purpose and
140 submit such plan to the agency; amending s. 395.1055,
141 F.S.; conforming a cross-reference; amending s.
142 408.05, F.S.; requiring the agency to collect,
143 compile, and publish patient safety culture survey
144 data submitted by facilities; amending s. 408.061,
145 F.S.; revising requirements for the submission of
146 health care data to the agency; providing an effective
147 date.