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90_HB0073ham002
LRB9000837DPccam
1 AMENDMENT TO HOUSE BILL 73
2 AMENDMENT NO. . Amend House Bill 73 on page 2, in
3 line 33, by replacing "." with ";"; and
4 on page 3, in line 4, by replacing "." with "; and"; and
5 on page 3, in line 6, by replacing ";" with "."; and
6 on page 3, by deleting lines 7 through 26 and lines 31
7 through 34; and
8 on page 4, by deleting lines 1 through 5; and
9 on page 4, immediately below line 8, by inserting the
10 following:
11 "(c) When collecting information or compiling reports
12 intended to compare physicians, the Disciplinary Board shall
13 require that:
14 (1) physicians shall be meaningfully involved in
15 the development of all aspects of the profile
16 methodology, including collection methods, formatting,
17 and methods and means for release and dissemination;
18 (2) the entire methodology for collecting and
19 analyzing the data shall be disclosed to all relevant
20 physician organizations and to all physicians under
21 review;
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1 (3) data collection and analytical methodologies
2 shall be used that meet accepted standards of validity
3 and reliability;
4 (4) the limitations of the data sources and
5 analytic methodologies used to develop physician profiles
6 shall be clearly identified and acknowledged, including
7 but not limited to the appropriate and inappropriate uses
8 of the data;
9 (5) to the greatest extent possible, physician
10 profiling initiatives shall use standard-based norms
11 derived from widely accepted, provider-developed practice
12 guidelines;
13 (6) provider profiles and other information that
14 have been compiled regarding physician performance shall
15 be shared with physicians under review prior to
16 dissemination provided that an opportunity for
17 corrections and additions of helpful explanatory comments
18 shall be afforded before publication, and provided
19 further that the profiles shall include only data that
20 reflect care under the control of the physician for whom
21 the profile is prepared;
22 (7) comparisons among physician profiles shall
23 adjust for patient case mix and other relevant risk
24 factors and control for provider peer groups, when
25 appropriate;
26 (8) effective safeguards to protect against the
27 unauthorized use or disclosure of physician profiles
28 shall be developed and implemented;
29 (9) effective safeguards to protect against the
30 dissemination of inconsistent, incomplete, invalid,
31 inaccurate, or subjective profile data shall be developed
32 and implemented;
33 (10) the quality and accuracy of physician
34 profiles, data sources, and methodologies shall be
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1 evaluated regularly; and
2 (11) physicians shall be reimbursed for the
3 reasonable costs that are required for assembling,
4 formatting, and transmitting data and information to
5 organizations that develop or disseminate physician
6 profiles.".
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