Bill Text: IL HB2706 | 2015-2016 | 99th General Assembly | Enrolled
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Hospital Report Card Act. In a provision that requires the Department of Public Health to publish risk-adjusted mortality rates for hospitals, requires the published rates to include the risk-adjusted mortality rates for cardiovascular complications and diabetes-related hypoglycemia complications.
Spectrum: Slight Partisan Bill (Democrat 3-1)
Status: (Passed) 2015-08-10 - Public Act . . . . . . . . . 99-0326 [HB2706 Detail]
Download: Illinois-2015-HB2706-Enrolled.html
Bill Title: Amends the Hospital Report Card Act. In a provision that requires the Department of Public Health to publish risk-adjusted mortality rates for hospitals, requires the published rates to include the risk-adjusted mortality rates for cardiovascular complications and diabetes-related hypoglycemia complications.
Spectrum: Slight Partisan Bill (Democrat 3-1)
Status: (Passed) 2015-08-10 - Public Act . . . . . . . . . 99-0326 [HB2706 Detail]
Download: Illinois-2015-HB2706-Enrolled.html
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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Hospital Report Card Act is amended by | ||||||
5 | changing Sections 25 and 30 as follows:
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6 | (210 ILCS 86/25)
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7 | Sec. 25. Hospital reports.
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8 | (a) Individual hospitals shall prepare a quarterly report | ||||||
9 | including all of
the
following:
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10 | (1) Nursing hours per patient day, average daily | ||||||
11 | census, and average daily
hours worked
for each clinical | ||||||
12 | service area.
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13 | (2) Infection-related measures for the facility for | ||||||
14 | the specific clinical
procedures
and devices determined by | ||||||
15 | the Department by rule under 2 or more of the following | ||||||
16 | categories:
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17 | (A) Surgical procedure outcome measures.
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18 | (B) Surgical procedure infection control process | ||||||
19 | measures.
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20 | (C)
Outcome or process measures related to | ||||||
21 | ventilator-associated pneumonia.
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22 | (D) Central vascular catheter-related bloodstream | ||||||
23 | infection rates in designated critical care units.
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1 | (3) Information required under paragraph (4) of | ||||||
2 | Section 2310-312 of the Department of Public Health Powers | ||||||
3 | and Duties Law of the
Civil Administrative Code of | ||||||
4 | Illinois.
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5 | (4) Additional infection measures mandated by the | ||||||
6 | Centers for Medicare and Medicaid Services that are | ||||||
7 | reported by hospitals to the Centers for Disease Control | ||||||
8 | and Prevention's National Healthcare Safety Network | ||||||
9 | surveillance system, or its successor, and deemed relevant | ||||||
10 | to patient safety by the Department. | ||||||
11 | The infection-related measures developed by the Department | ||||||
12 | shall be based upon measures and methods developed by the | ||||||
13 | Centers for Disease Control and Prevention, the Centers for | ||||||
14 | Medicare and Medicaid Services, the Agency for Healthcare | ||||||
15 | Research and Quality, the Joint Commission on Accreditation of | ||||||
16 | Healthcare Organizations, or the National Quality Forum. The | ||||||
17 | Department may align the infection-related measures with the | ||||||
18 | measures and methods developed by the Centers for Disease | ||||||
19 | Control and Prevention, the Centers for Medicare and Medicaid | ||||||
20 | Services, the Agency for Healthcare Research and Quality, the | ||||||
21 | Joint Commission on Accreditation of Healthcare Organizations, | ||||||
22 | and the National Quality Forum by adding reporting measures | ||||||
23 | based on national health care strategies and measures deemed | ||||||
24 | scientifically reliable and valid for public reporting. The | ||||||
25 | Department shall receive approval from the State Board of | ||||||
26 | Health to retire measures deemed no longer scientifically valid |
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1 | or valuable for informing quality improvement or infection | ||||||
2 | prevention efforts. The Department shall notify the Chairs and | ||||||
3 | Minority Spokespersons of the House Human Services Committee | ||||||
4 | and the Senate Public Health Committee of its intent to have | ||||||
5 | the State Board of Health take action to retire measures no | ||||||
6 | later than 7 business days before the meeting of the State | ||||||
7 | Board of Health. | ||||||
8 | The Department shall include interpretive guidelines for | ||||||
9 | infection-related indicators and, when available, shall | ||||||
10 | include relevant benchmark information published by national | ||||||
11 | organizations.
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12 | (b) Individual hospitals shall prepare annual reports | ||||||
13 | including vacancy and
turnover rates
for licensed nurses per | ||||||
14 | clinical service area.
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15 | (c) None of the information the Department discloses to the | ||||||
16 | public may be
made
available
in any form or fashion unless the | ||||||
17 | information has been reviewed, adjusted, and
validated
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18 | according to the following process:
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19 | (1) The Department shall organize an advisory | ||||||
20 | committee, including
representatives
from the Department, | ||||||
21 | public and private hospitals, direct care nursing staff,
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22 | physicians,
academic researchers, consumers, health | ||||||
23 | insurance companies, organized labor,
and
organizations | ||||||
24 | representing hospitals and physicians. The advisory | ||||||
25 | committee
must be
meaningfully involved in the development | ||||||
26 | of all aspects of the Department's
methodology
for |
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1 | collecting, analyzing, and disclosing the information | ||||||
2 | collected under this
Act, including
collection methods, | ||||||
3 | formatting, and methods and means for release and
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4 | dissemination.
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5 | (2) The entire methodology for collecting and | ||||||
6 | analyzing the data shall be
disclosed
to all
relevant | ||||||
7 | organizations and to all hospitals that are the subject of | ||||||
8 | any
information to be made
available to the public before | ||||||
9 | any public disclosure of such information.
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10 | (3) Data collection and analytical methodologies shall | ||||||
11 | be used that meet
accepted
standards of validity and | ||||||
12 | reliability before any information is made available
to the | ||||||
13 | public.
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14 | (4) The limitations of the data sources and analytic | ||||||
15 | methodologies used to
develop
comparative hospital | ||||||
16 | information shall be clearly identified and acknowledged,
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17 | including but not
limited to the appropriate and | ||||||
18 | inappropriate uses of the data.
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19 | (5) To the greatest extent possible, comparative | ||||||
20 | hospital information
initiatives shall
use standard-based | ||||||
21 | norms derived from widely accepted provider-developed
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22 | practice
guidelines.
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23 | (6) Comparative hospital information and other | ||||||
24 | information that the
Department
has
compiled regarding | ||||||
25 | hospitals shall be shared with the hospitals under review
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26 | prior to
public
dissemination of such information and these |
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1 | hospitals have 30 days to make
corrections and
to add | ||||||
2 | helpful explanatory comments about the information before | ||||||
3 | the
publication.
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4 | (7) Comparisons among hospitals shall adjust for | ||||||
5 | patient case mix and
other
relevant
risk factors and | ||||||
6 | control for provider peer groups, when appropriate.
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7 | (8) Effective safeguards to protect against the | ||||||
8 | unauthorized use or
disclosure
of
hospital information | ||||||
9 | shall be developed and implemented.
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10 | (9) Effective safeguards to protect against the | ||||||
11 | dissemination of
inconsistent,
incomplete, invalid, | ||||||
12 | inaccurate, or subjective hospital data shall be developed
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13 | and
implemented.
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14 | (10) The quality and accuracy of hospital information | ||||||
15 | reported under this
Act
and its
data collection, analysis, | ||||||
16 | and dissemination methodologies shall be evaluated
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17 | regularly.
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18 | (11) Only the most basic identifying information from | ||||||
19 | mandatory reports
shall be
used, and
information | ||||||
20 | identifying a patient, employee, or licensed professional
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21 | shall not be released.
None of the information the | ||||||
22 | Department discloses to the public under this Act
may be | ||||||
23 | used to
establish a standard of care in a private civil | ||||||
24 | action.
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25 | (d) Quarterly reports shall be submitted, in a format set | ||||||
26 | forth in rules
adopted
by the
Department, to the Department by |
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1 | April 30, July 31, October 31, and January 31
each year
for the | ||||||
2 | previous quarter. Data in quarterly reports must cover a period | ||||||
3 | ending
not earlier than
one month prior to submission of the | ||||||
4 | report. Annual reports shall be submitted
by December
31 in a | ||||||
5 | format set forth in rules adopted by the Department to the | ||||||
6 | Department.
All reports
shall be made available to the public | ||||||
7 | on-site and through the Department.
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8 | (e) If the hospital is a division or subsidiary of another | ||||||
9 | entity that owns
or
operates other
hospitals or related | ||||||
10 | organizations, the annual public disclosure report shall
be for | ||||||
11 | the specific
division or subsidiary and not for the other | ||||||
12 | entity.
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13 | (f) The Department shall disclose information under this | ||||||
14 | Section in
accordance with provisions for inspection and | ||||||
15 | copying of public records
required by the Freedom of
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16 | Information Act provided that such information satisfies the | ||||||
17 | provisions of
subsection (c) of this Section.
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18 | (g) Notwithstanding any other provision of law, under no | ||||||
19 | circumstances shall
the
Department disclose information | ||||||
20 | obtained from a hospital that is confidential
under Part 21
of | ||||||
21 | Article VIII of the Code of Civil Procedure.
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22 | (h) No hospital report or Department disclosure may contain | ||||||
23 | information
identifying a patient, employee, or licensed | ||||||
24 | professional.
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25 | (Source: P.A. 98-463, eff. 8-16-13.)
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1 | (210 ILCS 86/30)
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2 | Sec. 30. Department reports. The Department of Public | ||||||
3 | Health shall
annually submit
to the General Assembly a report | ||||||
4 | summarizing the quarterly reports by health
service area
and | ||||||
5 | shall publish that report on its website. The Department of | ||||||
6 | Public Health
may issue
quarterly informational bulletins at | ||||||
7 | its discretion, summarizing all or part of
the information
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8 | submitted in these quarterly reports. The Department shall | ||||||
9 | publish quality and safety measures on major public health | ||||||
10 | problems, such as cardiovascular disease and diabetes, that | ||||||
11 | have been vetted by the National Quality Forum, the Agency for | ||||||
12 | Healthcare Research and Quality, the Centers for Disease | ||||||
13 | Control and Prevention, or the Centers for Medicare and | ||||||
14 | Medicaid Services. The Department shall also publish
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15 | risk-adjusted mortality
rates for each hospital based upon | ||||||
16 | information hospitals have already submitted
to the
Department | ||||||
17 | pursuant to their obligations to report health care information
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18 | under other public
health reporting laws and regulations | ||||||
19 | outside of this Act. The published
mortality rates must
comply | ||||||
20 | with the hospital data publication process contained in | ||||||
21 | subsection (c)
of Section 25 of this Act.
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22 | (Source: P.A. 93-563, eff. 1-1-04.)
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