Full Text of SB1862 94th General Assembly
SB1862enr 94TH GENERAL ASSEMBLY
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SB1862 Enrolled |
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LRB094 11494 RSP 42443 b |
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| AN ACT concerning State government.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Hospital Report Card Act is amended by | 5 |
| changing Section 25 as follows:
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| (210 ILCS 86/25)
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| Sec. 25. Hospital reports.
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| (a) Individual hospitals shall prepare a quarterly report | 9 |
| including all of
the
following:
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| (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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| (2) Infection-related measures
Nosocomial infection | 14 |
| rates for the facility for the specific clinical
procedures
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| and devices determined by the Department by rule under 2 or | 16 |
| more of the following categories:
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| (A) Surgical procedure outcome measures
Class I | 18 |
| surgical site infection . | 19 |
| (B) Surgical procedure infection control process | 20 |
| measures.
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| (C)
(B)
Outcome or process measures related to | 22 |
| ventilator-associated
Ventilator-associated pneumonia.
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| (D)
(C) Central vascular catheter-related
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| line-related bloodstream infection rates in designated | 25 |
| critical care units
infections .
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| The infection-related measures developed by the Department | 27 |
| shall be based upon measures and methods developed by the | 28 |
| Centers for Disease Control and Prevention, the Centers for | 29 |
| Medicare and Medicaid Services, the Agency for Healthcare | 30 |
| Research and Quality, the Joint Commission on Accreditation of | 31 |
| Healthcare Organizations, or the National Quality Forum. | 32 |
| The Department shall include interpretive guidelines for |
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| infection-related indicators and, when available, shall | 2 |
| include relevant benchmark information published by national | 3 |
| organizations.
The Department shall only disclose Illinois | 4 |
| hospital infection rate data
according to the
current | 5 |
| benchmarks of the Centers for Disease Control's National | 6 |
| Nosocomial
Infection
Surveillance Program.
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| (b) Individual hospitals shall prepare annual reports | 8 |
| including vacancy and
turnover rates
for licensed nurses per | 9 |
| clinical service area.
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| (c) None of the information the Department discloses to the | 11 |
| public may be
made
available
in any form or fashion unless the | 12 |
| information has been reviewed, adjusted, and
validated
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| according to the following process:
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| (1) The Department shall organize an advisory | 15 |
| committee, including
representatives
from the Department, | 16 |
| public and private hospitals, direct care nursing staff,
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| physicians,
academic researchers, consumers, health | 18 |
| insurance companies, organized labor,
and
organizations | 19 |
| representing hospitals and physicians. The advisory | 20 |
| committee
must be
meaningfully involved in the development | 21 |
| of all aspects of the Department's
methodology
for | 22 |
| collecting, analyzing, and disclosing the information | 23 |
| collected under this
Act, including
collection methods, | 24 |
| formatting, and methods and means for release and
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| dissemination.
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| (2) The entire methodology for collecting and | 27 |
| analyzing the data shall be
disclosed
to all
relevant | 28 |
| organizations and to all hospitals that are the subject of | 29 |
| any
information to be made
available to the public before | 30 |
| any public disclosure of such information.
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| (3) Data collection and analytical methodologies shall | 32 |
| be used that meet
accepted
standards of validity and | 33 |
| reliability before any information is made available
to the | 34 |
| public.
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| (4) The limitations of the data sources and analytic | 36 |
| methodologies used to
develop
comparative hospital |
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| information shall be clearly identified and acknowledged,
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| including but not
limited to the appropriate and | 3 |
| inappropriate uses of the data.
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| (5) To the greatest extent possible, comparative | 5 |
| hospital information
initiatives shall
use standard-based | 6 |
| norms derived from widely accepted provider-developed
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| practice
guidelines.
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| (6) Comparative hospital information and other | 9 |
| information that the
Department
has
compiled regarding | 10 |
| hospitals shall be shared with the hospitals under review
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| prior to
public
dissemination of such information and these | 12 |
| hospitals have 30 days to make
corrections and
to add | 13 |
| helpful explanatory comments about the information before | 14 |
| the
publication.
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| (7) Comparisons among hospitals shall adjust for | 16 |
| patient case mix and
other
relevant
risk factors and | 17 |
| control for provider peer groups, when appropriate.
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| (8) Effective safeguards to protect against the | 19 |
| unauthorized use or
disclosure
of
hospital information | 20 |
| shall be developed and implemented.
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| (9) Effective safeguards to protect against the | 22 |
| dissemination of
inconsistent,
incomplete, invalid, | 23 |
| inaccurate, or subjective hospital data shall be developed
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| and
implemented.
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| (10) The quality and accuracy of hospital information | 26 |
| reported under this
Act
and its
data collection, analysis, | 27 |
| and dissemination methodologies shall be evaluated
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| regularly.
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| (11) Only the most basic identifying information from | 30 |
| mandatory reports
shall be
used, and
information | 31 |
| identifying a patient, employee, or licensed professional
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| shall not be released.
None of the information the | 33 |
| Department discloses to the public under this Act
may be | 34 |
| used to
establish a standard of care in a private civil | 35 |
| action.
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| (d) Quarterly reports shall be submitted, in a format set |
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| forth in rules
adopted
by the
Department, to the Department by | 2 |
| April 30, July 31, October 31, and January 31
each year
for the | 3 |
| previous quarter. Data in quarterly reports must cover a period | 4 |
| ending
not earlier than
one month prior to submission of the | 5 |
| report. Annual reports shall be submitted
by December
31 in a | 6 |
| format set forth in rules adopted by the Department to the | 7 |
| Department.
All reports
shall be made available to the public | 8 |
| on-site and through the Department.
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| (e) If the hospital is a division or subsidiary of another | 10 |
| entity that owns
or
operates other
hospitals or related | 11 |
| organizations, the annual public disclosure report shall
be for | 12 |
| the specific
division or subsidiary and not for the other | 13 |
| entity.
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| (f) The Department shall disclose information under this | 15 |
| Section in
accordance with provisions for inspection and | 16 |
| copying of public records
required by the Freedom of
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| Information Act provided that such information satisfies the | 18 |
| provisions of
subsection (c) of this Section.
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| (g) Notwithstanding any other provision of law, under no | 20 |
| circumstances shall
the
Department disclose information | 21 |
| obtained from a hospital that is confidential
under Part 21
of | 22 |
| Article 8 of the Code of Civil Procedure.
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| (h) No hospital report or Department disclosure may contain | 24 |
| information
identifying a patient, employee, or licensed | 25 |
| professional.
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| (Source: P.A. 93-563, eff. 1-1-04.)
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| Section 99. Effective date. This Act takes effect upon | 28 |
| becoming law.
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