Bill Text: IL HB0302 | 2015-2016 | 99th General Assembly | Introduced

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Bill Title: Amends the Hospital Report Card Act. Requires hospitals to include in their quarterly reports additional infection measures mandated by the Centers for Medicare and Medicaid Services that are reported by hospitals to the Centers for Disease Control and Prevention's National Healthcare Safety Network surveillance system and deemed relevant to patient safety by the Department of Public Health. Provides that the Department may align the infection-related measures that are required to be reported by hospitals with the measures and methods developed by the Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, the Agency for Healthcare Research and Quality, the Joint Commission on Accreditation of Healthcare Organizations, and the National Quality Forum by adding and retiring reporting measures based on national health care strategies and measures deemed scientifically reliable and valid for public reporting.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2015-04-24 - Rule 19(a) / Re-referred to Rules Committee [HB0302 Detail]

Download: Illinois-2015-HB0302-Introduced.html

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99TH GENERAL ASSEMBLY State of Illinois 2015 and 2016 HB0302 Introduced , by Rep. William Davis SYNOPSIS AS INTRODUCED:
210 ILCS 86/25
Amends the Hospital Report Card Act. Requires hospitals to include in their quarterly reports additional infection measures mandated by the Centers for Medicare and Medicaid Services that are reported by hospitals to the Centers for Disease Control and Prevention's National Healthcare Safety Network surveillance system and deemed relevant to patient safety by the Department of Public Health. Provides that the Department may align the infection-related measures that are required to be reported by hospitals with the measures and methods developed by the Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, the Agency for Healthcare Research and Quality, the Joint Commission on Accreditation of Healthcare Organizations, and the National Quality Forum by adding and retiring reporting measures based on national health care strategies and measures deemed scientifically reliable and valid for public reporting.
LRB099 00335 RPS 20341 b
A BILL FOR
HB0302 LRB099 00335 RPS 20341 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Hospital Report Card Act is amended by
changing Section 25 as follows:
(210 ILCS 86/25)
Sec. 25. Hospital reports.
(a) Individual hospitals shall prepare a quarterly report
including all of the following:
(1) Nursing hours per patient day, average daily
census, and average daily hours worked for each clinical
service area.
(2) Infection-related measures for the facility for
the specific clinical procedures and devices determined by
the Department by rule under 2 or more of the following
categories:
(A) Surgical procedure outcome measures.
(B) Surgical procedure infection control process
measures.
(C) Outcome or process measures related to
ventilator-associated pneumonia.
(D) Central vascular catheter-related bloodstream
infection rates in designated critical care units.

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(3) Information required under paragraph (4) of
Section 2310-312 of the Department of Public Health Powers
and Duties Law of the Civil Administrative Code of
Illinois.
(4) Additional infection measures mandated by the
Centers for Medicare and Medicaid Services that are
reported by hospitals to the Centers for Disease Control
and Prevention's National Healthcare Safety Network
surveillance system, or its successor, and deemed relevant
to patient safety by the Department.
The infection-related measures developed by the Department
shall be based upon measures and methods developed by the
Centers for Disease Control and Prevention, the Centers for
Medicare and Medicaid Services, the Agency for Healthcare
Research and Quality, the Joint Commission on Accreditation of
Healthcare Organizations, or the National Quality Forum. The
Department may align the infection-related measures with the
measures and methods developed by the Centers for Disease
Control and Prevention, the Centers for Medicare and Medicaid
Services, the Agency for Healthcare Research and Quality, the
Joint Commission on Accreditation of Healthcare Organizations,
and the National Quality Forum by adding and retiring reporting
measures based on national health care strategies and measures
deemed scientifically reliable and valid for public reporting.
The Department shall include interpretive guidelines for
infection-related indicators and, when available, shall

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include relevant benchmark information published by national
organizations.
(b) Individual hospitals shall prepare annual reports
including vacancy and turnover rates for licensed nurses per
clinical service area.
(c) None of the information the Department discloses to the
public may be made available in any form or fashion unless the
information has been reviewed, adjusted, and validated
according to the following process:
(1) The Department shall organize an advisory
committee, including representatives from the Department,
public and private hospitals, direct care nursing staff,
physicians, academic researchers, consumers, health
insurance companies, organized labor, and organizations
representing hospitals and physicians. The advisory
committee must be meaningfully involved in the development
of all aspects of the Department's methodology for
collecting, analyzing, and disclosing the information
collected under this Act, including collection methods,
formatting, and methods and means for release and
dissemination.
(2) The entire methodology for collecting and
analyzing the data shall be disclosed to all relevant
organizations and to all hospitals that are the subject of
any information to be made available to the public before
any public disclosure of such information.

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(3) Data collection and analytical methodologies shall
be used that meet accepted standards of validity and
reliability before any information is made available to the
public.
(4) The limitations of the data sources and analytic
methodologies used to develop comparative hospital
information shall be clearly identified and acknowledged,
including but not limited to the appropriate and
inappropriate uses of the data.
(5) To the greatest extent possible, comparative
hospital information initiatives shall use standard-based
norms derived from widely accepted provider-developed
practice guidelines.
(6) Comparative hospital information and other
information that the Department has compiled regarding
hospitals shall be shared with the hospitals under review
prior to public dissemination of such information and these
hospitals have 30 days to make corrections and to add
helpful explanatory comments about the information before
the publication.
(7) Comparisons among hospitals shall adjust for
patient case mix and other relevant risk factors and
control for provider peer groups, when appropriate.
(8) Effective safeguards to protect against the
unauthorized use or disclosure of hospital information
shall be developed and implemented.

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(9) Effective safeguards to protect against the
dissemination of inconsistent, incomplete, invalid,
inaccurate, or subjective hospital data shall be developed
and implemented.
(10) The quality and accuracy of hospital information
reported under this Act and its data collection, analysis,
and dissemination methodologies shall be evaluated
regularly.
(11) Only the most basic identifying information from
mandatory reports shall be used, and information
identifying a patient, employee, or licensed professional
shall not be released. None of the information the
Department discloses to the public under this Act may be
used to establish a standard of care in a private civil
action.
(d) Quarterly reports shall be submitted, in a format set
forth in rules adopted by the Department, to the Department by
April 30, July 31, October 31, and January 31 each year for the
previous quarter. Data in quarterly reports must cover a period
ending not earlier than one month prior to submission of the
report. Annual reports shall be submitted by December 31 in a
format set forth in rules adopted by the Department to the
Department. All reports shall be made available to the public
on-site and through the Department.
(e) If the hospital is a division or subsidiary of another
entity that owns or operates other hospitals or related

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organizations, the annual public disclosure report shall be for
the specific division or subsidiary and not for the other
entity.
(f) The Department shall disclose information under this
Section in accordance with provisions for inspection and
copying of public records required by the Freedom of
Information Act provided that such information satisfies the
provisions of subsection (c) of this Section.
(g) Notwithstanding any other provision of law, under no
circumstances shall the Department disclose information
obtained from a hospital that is confidential under Part 21 of
Article VIII of the Code of Civil Procedure.
(h) No hospital report or Department disclosure may contain
information identifying a patient, employee, or licensed
professional.
(Source: P.A. 98-463, eff. 8-16-13.)