Illinois General Assembly - Full Text of SB1862
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Full Text of SB1862  94th General Assembly

SB1862ham002 94TH GENERAL ASSEMBLY

Rep. Julie Hamos

Filed: 5/11/2005

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 1862

2     AMENDMENT NO. ______. Amend Senate Bill 1862, AS AMENDED,
3 by replacing everything after the enacting clause with the
4 following:
 
5     "Section 5. The Hospital Report Card Act is amended by
6 changing Section 25 as follows:
 
7     (210 ILCS 86/25)
8     Sec. 25. Hospital reports.
9     (a) Individual hospitals shall prepare a quarterly report
10 including all of the following:
11         (1) Nursing hours per patient day, average daily
12     census, and average daily hours worked for each clinical
13     service area.
14         (2) Infection-related measures Nosocomial infection
15     rates for the facility for the specific clinical procedures
16     and devices determined by the Department by rule under 2 or
17     more of the following categories:
18             (A) Surgical procedure outcome measures Class I
19         surgical site infection.
20             (B) Surgical procedure infection control process
21         measures.
22             (C) (B) Outcome or process measures related to
23         ventilator-associated Ventilator-associated pneumonia.
24             (D) (C) Central vascular catheter-related

 

 

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1         line-related bloodstream infection rates in designated
2         critical care units infections.
3     The infection-related measures developed by the Department
4 shall be based upon measures and methods developed by the
5 Centers for Disease Control and Prevention, the Centers for
6 Medicare and Medicaid Services, the Agency for Healthcare
7 Research and Quality, the Joint Commission on Accreditation of
8 Healthcare Organizations, or the National Quality Forum.
9     The Department shall include interpretive guidelines for
10 infection-related indicators and, when available, shall
11 include relevant benchmark information published by national
12 organizations. The Department shall only disclose Illinois
13 hospital infection rate data according to the current
14 benchmarks of the Centers for Disease Control's National
15 Nosocomial Infection Surveillance Program.
16     (b) Individual hospitals shall prepare annual reports
17 including vacancy and turnover rates for licensed nurses per
18 clinical service area.
19     (c) None of the information the Department discloses to the
20 public may be made available in any form or fashion unless the
21 information has been reviewed, adjusted, and validated
22 according to the following process:
23         (1) The Department shall organize an advisory
24     committee, including representatives from the Department,
25     public and private hospitals, direct care nursing staff,
26     physicians, academic researchers, consumers, health
27     insurance companies, organized labor, and organizations
28     representing hospitals and physicians. The advisory
29     committee must be meaningfully involved in the development
30     of all aspects of the Department's methodology for
31     collecting, analyzing, and disclosing the information
32     collected under this Act, including collection methods,
33     formatting, and methods and means for release and
34     dissemination.

 

 

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1         (2) The entire methodology for collecting and
2     analyzing the data shall be disclosed to all relevant
3     organizations and to all hospitals that are the subject of
4     any information to be made available to the public before
5     any public disclosure of such information.
6         (3) Data collection and analytical methodologies shall
7     be used that meet accepted standards of validity and
8     reliability before any information is made available to the
9     public.
10         (4) The limitations of the data sources and analytic
11     methodologies used to develop comparative hospital
12     information shall be clearly identified and acknowledged,
13     including but not limited to the appropriate and
14     inappropriate uses of the data.
15         (5) To the greatest extent possible, comparative
16     hospital information initiatives shall use standard-based
17     norms derived from widely accepted provider-developed
18     practice guidelines.
19         (6) Comparative hospital information and other
20     information that the Department has compiled regarding
21     hospitals shall be shared with the hospitals under review
22     prior to public dissemination of such information and these
23     hospitals have 30 days to make corrections and to add
24     helpful explanatory comments about the information before
25     the publication.
26         (7) Comparisons among hospitals shall adjust for
27     patient case mix and other relevant risk factors and
28     control for provider peer groups, when appropriate.
29         (8) Effective safeguards to protect against the
30     unauthorized use or disclosure of hospital information
31     shall be developed and implemented.
32         (9) Effective safeguards to protect against the
33     dissemination of inconsistent, incomplete, invalid,
34     inaccurate, or subjective hospital data shall be developed

 

 

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1     and implemented.
2         (10) The quality and accuracy of hospital information
3     reported under this Act and its data collection, analysis,
4     and dissemination methodologies shall be evaluated
5     regularly.
6         (11) Only the most basic identifying information from
7     mandatory reports shall be used, and information
8     identifying a patient, employee, or licensed professional
9     shall not be released. None of the information the
10     Department discloses to the public under this Act may be
11     used to establish a standard of care in a private civil
12     action.
13     (d) Quarterly reports shall be submitted, in a format set
14 forth in rules adopted by the Department, to the Department by
15 April 30, July 31, October 31, and January 31 each year for the
16 previous quarter. Data in quarterly reports must cover a period
17 ending not earlier than one month prior to submission of the
18 report. Annual reports shall be submitted by December 31 in a
19 format set forth in rules adopted by the Department to the
20 Department. All reports shall be made available to the public
21 on-site and through the Department.
22     (e) If the hospital is a division or subsidiary of another
23 entity that owns or operates other hospitals or related
24 organizations, the annual public disclosure report shall be for
25 the specific division or subsidiary and not for the other
26 entity.
27     (f) The Department shall disclose information under this
28 Section in accordance with provisions for inspection and
29 copying of public records required by the Freedom of
30 Information Act provided that such information satisfies the
31 provisions of subsection (c) of this Section.
32     (g) Notwithstanding any other provision of law, under no
33 circumstances shall the Department disclose information
34 obtained from a hospital that is confidential under Part 21 of

 

 

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1 Article 8 of the Code of Civil Procedure.
2     (h) No hospital report or Department disclosure may contain
3 information identifying a patient, employee, or licensed
4 professional.
5 (Source: P.A. 93-563, eff. 1-1-04.)".
 
6     Section 99. Effective date. This Act takes effect upon
7 becoming law.".