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.