Bill Text: NY S01110 | 2015-2016 | General Assembly | Introduced


Bill Title: Establishes the hospital-home care-physician collaboration program in the department of health to facilitate innovation in hospital, home care agency and physician collaboration in meeting health care needs in communities.

Spectrum: Slight Partisan Bill (Republican 2-1)

Status: (Introduced - Dead) 2016-01-06 - REFERRED TO HEALTH [S01110 Detail]

Download: New_York-2015-S01110-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1110
                              2015-2016 Regular Sessions
                                   I N  S E N A T E
                                    January 8, 2015
                                      ___________
       Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Health
       AN ACT to amend the public health law, in  relation  to  establishing  a
         hospital-home care-physician collaboration program
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The public health law is amended by adding  a  new  section
    2  2805-x to read as follows:
    3    S  2805-X. HOSPITAL-HOME CARE-PHYSICIAN COLLABORATION PROGRAM.  1. THE
    4  PURPOSE OF THIS SECTION SHALL BE TO FACILITATE INNOVATION  IN  HOSPITAL,
    5  HOME  CARE AGENCY AND PHYSICIAN COLLABORATION IN MEETING THE COMMUNITY'S
    6  HEALTH CARE NEEDS. IT SHALL PROVIDE A  FRAMEWORK  TO  SUPPORT  VOLUNTARY
    7  INITIATIVES  IN COLLABORATION TO IMPROVE PATIENT CARE ACCESS AND MANAGE-
    8  MENT, PATIENT HEALTH OUTCOMES, COST-EFFECTIVENESS IN THE USE  OF  HEALTH
    9  CARE SERVICES AND COMMUNITY POPULATION HEALTH. SUCH COLLABORATIVE INITI-
   10  ATIVES  MAY  ALSO  INCLUDE  PAYORS, SKILLED NURSING FACILITIES AND OTHER
   11  INTERDISCIPLINARY PROVIDERS, PRACTITIONERS AND SERVICE ENTITIES.
   12    2. FOR PURPOSES OF THIS SECTION:
   13    (A) "HOSPITAL" SHALL INCLUDE A GENERAL HOSPITAL  AS  DEFINED  IN  THIS
   14  ARTICLE OR OTHER INPATIENT FACILITY FOR REHABILITATION OR SPECIALTY CARE
   15  WITHIN THE DEFINITION OF HOSPITAL IN THIS ARTICLE.
   16    (B) "HOME CARE AGENCY" SHALL MEAN A CERTIFIED HOME HEALTH AGENCY, LONG
   17  TERM  HOME  HEALTH CARE PROGRAM OR LICENSED HOME CARE SERVICES AGENCY AS
   18  DEFINED IN ARTICLE THIRTY-SIX OF THIS CHAPTER.
   19    (C) "PAYOR" SHALL MEAN A HEALTH  PLAN  APPROVED  PURSUANT  TO  ARTICLE
   20  FORTY-FOUR  OF THIS CHAPTER, OR ARTICLE THIRTY-TWO OR FORTY-THREE OF THE
   21  INSURANCE LAW.
   22    (D) "PRACTITIONER" SHALL MEAN ANY OF  THE  HEALTH,  MENTAL  HEALTH  OR
   23  HEALTH  RELATED  PROFESSIONS  LICENSED  PURSUANT  TO  TITLE EIGHT OF THE
   24  EDUCATION LAW.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD02049-01-5
       S. 1110                             2
    1    3. THE COMMISSIONER IS AUTHORIZED TO PROVIDE FINANCING INCLUDING,  BUT
    2  NOT  LIMITED  TO,  GRANTS  OR POSITIVE ADJUSTMENTS IN MEDICAL ASSISTANCE
    3  RATES OR PREMIUM PAYMENTS, TO THE EXTENT OF FUNDS  AVAILABLE  AND  ALLO-
    4  CATED  OR  APPROPRIATED  THEREFOR, INCLUDING FUNDS PROVIDED TO THE STATE
    5  THROUGH  FEDERAL  WAIVERS,  FUNDS MADE AVAILABLE THROUGH STATE APPROPRI-
    6  ATIONS AND/OR FUNDING THROUGH SECTION TWENTY-EIGHT  HUNDRED  SEVEN-V  OF
    7  THIS  ARTICLE,  AS WELL AS WAIVERS OF REGULATIONS UNDER TITLE TEN OF THE
    8  NEW YORK CODES, RULES AND REGULATIONS, TO SUPPORT THE  VOLUNTARY  INITI-
    9  ATIVES AND OBJECTIVES OF THIS SECTION.
   10    4.  HOSPITAL-HOME  CARE-PHYSICIAN COLLABORATIVE INITIATIVES UNDER THIS
   11  SECTION MAY INCLUDE, BUT SHALL NOT BE LIMITED TO:
   12    (A) HOSPITAL-HOME CARE-PHYSICIAN  INTEGRATION  INITIATIVES,  INCLUDING
   13  BUT NOT LIMITED TO:
   14    (I)  TRANSITIONS  IN  CARE  INITIATIVES TO HELP EFFECTIVELY TRANSITION
   15  PATIENTS TO POST-ACUTE CARE  AT  HOME,  COORDINATE  FOLLOW-UP  CARE  AND
   16  ADDRESS ISSUES CRITICAL TO CARE PLAN SUCCESS AND READMISSION AVOIDANCE;
   17    (II)  CLINICAL  PATHWAYS  FOR  SPECIFIED CONDITIONS, GUIDING PATIENTS'
   18  PROGRESS AND OUTCOME GOALS, AS WELL AS EFFECTIVE HEALTH SERVICES USE;
   19    (III) APPLICATION OF TELEHEALTH/TELEMEDICINE  SERVICES  IN  MONITORING
   20  AND  MANAGING  PATIENT  CONDITIONS,  AND PROMOTING SELF-CARE/MANAGEMENT,
   21  IMPROVED OUTCOMES AND EFFECTIVE SERVICES USE;
   22    (IV) FACILITATION OF  PHYSICIAN  HOUSE  CALLS  TO  HOMEBOUND  PATIENTS
   23  AND/OR  TO  PATIENTS  FOR WHOM SUCH HOME VISITS ARE DETERMINED NECESSARY
   24  AND EFFECTIVE FOR PATIENT CARE MANAGEMENT;
   25    (V) ADDITIONAL MODELS FOR PREVENTION OF  AVOIDABLE  HOSPITAL  READMIS-
   26  SIONS AND EMERGENCY ROOM VISITS;
   27    (VI) HEALTH HOME DEVELOPMENT;
   28    (VII)  DEVELOPMENT  AND  DEMONSTRATION  OF NEW MODELS OF INTEGRATED OR
   29  COLLABORATIVE CARE AND CARE MANAGEMENT NOT OTHERWISE ACHIEVABLE  THROUGH
   30  EXISTING MODELS; AND
   31    (VIII)  BUNDLED PAYMENT DEMONSTRATIONS FOR HOSPITAL-TO-POST-ACUTE-CARE
   32  FOR SPECIFIED CONDITIONS OR CATEGORIES  OF  CONDITIONS,  IN  PARTICULAR,
   33  CONDITIONS  PREDISPOSED  TO  HIGH  PREVALENCE  OF READMISSION, INCLUDING
   34  THOSE CURRENTLY SUBJECT TO FEDERAL/STATE PENALTY, AND  OTHER  DISCHARGES
   35  WITH EXTENSIVE POST-ACUTE NEEDS;
   36    (B)  RECRUITMENT,  TRAINING AND RETENTION OF HOSPITAL/HOME CARE DIRECT
   37  CARE STAFF AND PHYSICIANS, IN GEOGRAPHIC OR  CLINICAL  AREAS  OF  DEMON-
   38  STRATED NEED.  SUCH INITIATIVES MAY INCLUDE, BUT ARE NOT LIMITED TO, THE
   39  FOLLOWING ACTIVITIES:
   40    (I)  OUTREACH AND PUBLIC EDUCATION ABOUT THE NEED AND VALUE OF SERVICE
   41  IN HEALTH OCCUPATIONS;
   42    (II) TRAINING/CONTINUING EDUCATION  AND  REGULATORY  FACILITATION  FOR
   43  CROSS-TRAINING  TO  MAXIMIZE  FLEXIBILITY  IN  THE UTILIZATION OF STAFF,
   44  INCLUDING:
   45    (A) TRAINING OF HOSPITAL NURSES IN HOME CARE;
   46    (B) DUAL CERTIFIED NURSE AIDE/HOME HEALTH AIDE CERTIFICATION; AND
   47    (C) DUAL PERSONAL CARE AIDE/HHA CERTIFICATION;
   48    (III) SALARY/BENEFIT ENHANCEMENT;
   49    (IV) CAREER LADDER DEVELOPMENT; AND
   50    (V) OTHER INCENTIVES TO PRACTICE IN SHORTAGE AREAS; AND
   51    (C)  HOSPITAL - HOME CARE - PHYSICIAN COLLABORATIVES FOR THE CARE  AND
   52  MANAGEMENT OF SPECIAL NEEDS, HIGH-RISK AND HIGH-COST PATIENTS, INCLUDING
   53  BUT  NOT LIMITED TO BEST PRACTICES, AND TRAINING AND EDUCATION OF DIRECT
   54  CARE PRACTITIONERS AND SERVICE EMPLOYEES.
   55    5. HOSPITALS AND HOME CARE AGENCIES WHICH ARE  PROVIDED  FINANCING  OR
   56  WAIVERS PURSUANT TO THIS SECTION SHALL REPORT TO THE COMMISSIONER ON THE
       S. 1110                             3
    1  PATIENT,  SERVICE AND COST EXPERIENCES PURSUANT TO THIS SECTION, INCLUD-
    2  ING THE EXTENT TO WHICH THE PROJECT GOALS ARE ACHIEVED. THE COMMISSIONER
    3  SHALL COMPILE AND  MAKE  SUCH  REPORTS  AVAILABLE  ON  THE  DEPARTMENT'S
    4  WEBSITE.
    5    S 2. This act shall take effect immediately.
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