Full Text of HB2706 99th General Assembly
HB2706enr 99TH GENERAL ASSEMBLY |
| | HB2706 Enrolled | | LRB099 09933 RPS 30149 b |
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| 1 | | AN ACT concerning regulation.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Hospital Report Card Act is amended by | 5 | | changing Sections 25 and 30 as follows:
| 6 | | (210 ILCS 86/25)
| 7 | | Sec. 25. Hospital reports.
| 8 | | (a) Individual hospitals shall prepare a quarterly report | 9 | | including all of
the
following:
| 10 | | (1) Nursing hours per patient day, average daily | 11 | | census, and average daily
hours worked
for each clinical | 12 | | service area.
| 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:
| 17 | | (A) Surgical procedure outcome measures.
| 18 | | (B) Surgical procedure infection control process | 19 | | measures.
| 20 | | (C)
Outcome or process measures related to | 21 | | ventilator-associated pneumonia.
| 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.
| 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.
| 12 | | (b) Individual hospitals shall prepare annual reports | 13 | | including vacancy and
turnover rates
for licensed nurses per | 14 | | clinical service area.
| 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
| 18 | | according to the following process:
| 19 | | (1) The Department shall organize an advisory | 20 | | committee, including
representatives
from the Department, | 21 | | public and private hospitals, direct care nursing staff,
| 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
| 4 | | dissemination.
| 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.
| 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.
| 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,
| 17 | | including but not
limited to the appropriate and | 18 | | inappropriate uses of the data.
| 19 | | (5) To the greatest extent possible, comparative | 20 | | hospital information
initiatives shall
use standard-based | 21 | | norms derived from widely accepted provider-developed
| 22 | | practice
guidelines.
| 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
| 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.
| 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.
| 7 | | (8) Effective safeguards to protect against the | 8 | | unauthorized use or
disclosure
of
hospital information | 9 | | shall be developed and implemented.
| 10 | | (9) Effective safeguards to protect against the | 11 | | dissemination of
inconsistent,
incomplete, invalid, | 12 | | inaccurate, or subjective hospital data shall be developed
| 13 | | and
implemented.
| 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
| 17 | | regularly.
| 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
| 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.
| 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.
| 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.
| 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
| 16 | | Information Act provided that such information satisfies the | 17 | | provisions of
subsection (c) of this Section.
| 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.
| 22 | | (h) No hospital report or Department disclosure may contain | 23 | | information
identifying a patient, employee, or licensed | 24 | | professional.
| 25 | | (Source: P.A. 98-463, eff. 8-16-13.)
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| 1 | | (210 ILCS 86/30)
| 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
| 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
| 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
| 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.
| 22 | | (Source: P.A. 93-563, eff. 1-1-04.)
| 23 | | Section 99. Effective date. This Act takes effect upon | 24 | | becoming law. |
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