(210 ILCS 3/20)
The State Board of Health shall have the
responsibilities set forth in this Section.
(a) The Board shall investigate new health care delivery models and
recommend to the Governor and the General Assembly, through the Department,
those models that should be authorized as alternative health care models for
which demonstration programs should be initiated. In its deliberations, the
Board shall use the following criteria:
(1) The feasibility of operating the model in
Illinois, based on a review of the experience in other states including the impact on health professionals of other health care programs or facilities.
(2) The potential of the model to meet an unmet need.
(3) The potential of the model to reduce health care
costs to consumers, costs to third party payors, and aggregate costs to the public.
(4) The potential of the model to maintain or improve
the standards of health care delivery in some measurable fashion.
(5) The potential of the model to provide increased
choices or access for patients.
(b) The Board shall evaluate and make recommendations to the Governor and
the General Assembly, through the Department, regarding alternative health care
model demonstration programs established under this Act, at the midpoint and
end of the period of operation of the demonstration programs. The report shall
include, at a minimum, the following:
(1) Whether the alternative health care models
improved access to health care for their service populations in the State.
(2) The quality of care provided by the alternative
health care models as may be evidenced by health outcomes, surveillance reports, and administrative actions taken by the Department.
(3) The cost and cost effectiveness to the public,
third-party payors, and government of the alternative health care models, including the impact of pilot programs on aggregate health care costs in the area. In addition to any other information collected by the Board under this Section, the Board shall collect from postsurgical recovery care centers uniform billing data substantially the same as specified in Section 4-2(e) of the Illinois Health Finance Reform Act. To facilitate its evaluation of that data, the Board shall forward a copy of the data to the Illinois Health Care Cost Containment Council. All patient identifiers shall be removed from the data before it is submitted to the Board or Council.
(4) The impact of the alternative health care models
on the health care system in that area, including changing patterns of patient demand and utilization, financial viability, and feasibility of operation of service in inpatient and alternative models in the area.
(5) The implementation by alternative health care
models of any special commitments made during application review to the Health Facilities and Services Review Board.
(6) The continuation, expansion, or modification of
the alternative health care models.
(c) The Board shall advise the Department on the definition and scope of
alternative health care models demonstration programs.
(d) In carrying out its responsibilities under this Section, the
Board shall seek the advice of other Department advisory boards or committees
that may be impacted by the alternative health care model or the proposed
model of health care delivery. The Board shall also seek input from other
interested parties, which may include holding public hearings.
(e) The Board shall otherwise advise the Department on the administration of
the Act as the Board deems appropriate.
(Source: P.A. 96-31, eff. 6-30-09.)