Bill Text: TX SB620 | 2011-2012 | 82nd Legislature | Engrossed


Bill Title: Relating to the reporting of health care-associated infections and preventable adverse events.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Engrossed - Dead) 2011-05-20 - Committee report sent to Calendars [SB620 Detail]

Download: Texas-2011-SB620-Engrossed.html
 
 
  By: Nelson S.B. No. 620
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the reporting of health care-associated infections and
  preventable adverse events.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subsection (c), Section 98.102, Health and
  Safety Code, as added by Chapter 359 (S.B. 288), Acts of the 80th
  Legislature, Regular Session, 2007, is amended to read as follows:
         (c)  The data reported by health care facilities to the
  department must contain sufficient patient identifying information
  to:
               (1)  avoid duplicate submission of records;
               (2)  allow the department to verify the accuracy and
  completeness of the data reported; and
               (3)  for data reported under Section 98.103 [or
  98.104], allow the department to risk adjust the facilities'
  infection rates.
         SECTION 2.  Section 98.103, Health and Safety Code, as added
  by Chapter 359 (S.B. 288), Acts of the 80th Legislature, Regular
  Session, 2007, is amended by amending Subsection (b) and adding
  Subsection (d-1) to read as follows:
         (b)  A pediatric and adolescent hospital shall report the
  incidence of surgical site infections, including the causative
  pathogen if the infection is laboratory-confirmed, occurring in the
  following procedures to the department:
               (1)  cardiac procedures, excluding thoracic cardiac
  procedures;
               (2)  ventricular [ventriculoperitoneal] shunt
  procedures; and
               (3)  spinal surgery with instrumentation.
         (d-1)  The executive commissioner by rule may designate the
  federal Centers for Disease Control and Prevention's National
  Healthcare Safety Network, or its successor, to receive reports of
  health care-associated infections from health care facilities on
  behalf of the department.  A health care facility must file a report
  required in accordance with a designation made under this
  subsection in accordance with the National Healthcare Safety
  Network's definitions, methods, requirements, and procedures.  A
  health care facility shall authorize the department to have access
  to facility-specific data contained in a report filed with the
  National Healthcare Safety Network in accordance with a designation
  made under this subsection.
         SECTION 3.  Section 98.1045, Health and Safety Code, as
  added by Chapter 359 (S.B. 288), Acts of the 80th Legislature,
  Regular Session, 2007, is amended by adding Subsection (c) to read
  as follows:
         (c)  The executive commissioner by rule may designate an
  agency of the United States Department of Health and Human Services
  to receive reports of preventable adverse events by health care
  facilities on behalf of the department.  A health care facility
  shall authorize the department to have access to facility-specific
  data contained in a report made in accordance with a designation
  made under this subsection.
         SECTION 4.  Section 98.105, Health and Safety Code, as added
  by Chapter 359 (S.B. 288), Acts of the 80th Legislature, Regular
  Session, 2007, is amended to read as follows:
         Sec. 98.105.  REPORTING SYSTEM MODIFICATIONS.  Based on the
  recommendations of the advisory panel, the executive commissioner
  by rule may modify in accordance with this chapter the list of
  procedures that are reportable under Section 98.103 [or 98.104].  
  The modifications must be based on changes in reporting guidelines
  and in definitions established by the federal Centers for Disease
  Control and Prevention.
         SECTION 5.  Subsections (a), (b), and (d), Section 98.106,
  Health and Safety Code, as added by Chapter 359 (S.B. 288), Acts of
  the 80th Legislature, Regular Session, 2007, are amended to read as
  follows:
         (a)  The department shall compile and make available to the
  public a summary, by health care facility, of:
               (1)  the infections reported by facilities under
  Section [Sections] 98.103 [and 98.104]; and
               (2)  the preventable adverse events reported by
  facilities under Section 98.1045.
         (b)  Information included in the departmental summary with
  respect to infections reported by facilities under Section
  [Sections] 98.103 [and 98.104] must be risk adjusted and include a
  comparison of the risk-adjusted infection rates for each health
  care facility in this state that is required to submit a report
  under Section [Sections] 98.103 [and 98.104].
         (d)  The department shall publish the departmental summary
  at least annually and may publish the summary more frequently as the
  department considers appropriate. Data made available to the
  public must include aggregate data covering a period of at least a
  full calendar quarter.
         SECTION 6.  Section 98.108, Health and Safety Code, as added
  by Chapter 359 (S.B. 288), Acts of the 80th Legislature, Regular
  Session, 2007, is amended to read as follows:
         Sec. 98.108.  FREQUENCY OF REPORTING.  (a)  In consultation
  with the advisory panel, the executive commissioner by rule shall
  establish the frequency of reporting by health care facilities
  required under Sections 98.103[, 98.104,] and 98.1045.
         (b)  Except as provided by Subsection (c), facilities 
  [Facilities] may not be required to report more frequently than
  quarterly.
         (c)  The executive commissioner may adopt rules requiring
  reporting more frequently than quarterly if more frequent reporting
  is necessary to meet the requirements for participation in the
  federal Centers for Disease Control and Prevention's National
  Healthcare Safety Network.
         SECTION 7.  Section 98.110, Health and Safety Code, as added
  by Chapter 359 (S.B. 288), Acts of the 80th Legislature, Regular
  Session, 2007, is amended to read as follows:
         Sec. 98.110.  DISCLOSURE AMONG CERTAIN AGENCIES.  
  (a)  Notwithstanding any other law, the department may disclose
  information reported by health care facilities under Section
  98.103[, 98.104,] or 98.1045 to other programs within the
  department, to the Health and Human Services Commission, [and] to
  other health and human services agencies, as defined by Section
  531.001, Government Code, and to the federal Centers for Disease
  Control and Prevention for public health research or analysis
  purposes only, provided that the research or analysis relates to
  health care-associated infections or preventable adverse events.  
  The privilege and confidentiality provisions contained in this
  chapter apply to such disclosures.
         (b)  If the executive commissioner designates an agency of
  the United States Department of Health and Human Services to
  receive reports of health care-associated infections or
  preventable adverse events, that agency may use the information
  submitted for purposes allowed by federal law.
         SECTION 8.  Section 98.104, Health and Safety Code, as added
  by Chapter 359 (S.B. 288), Acts of the 80th Legislature, Regular
  Session, 2007, is repealed.
         SECTION 9.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2011.
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