Full Text of HB0003 101st General Assembly
HB0003enr 101ST GENERAL ASSEMBLY |
| | HB0003 Enrolled | | LRB101 03006 CPF 48014 b |
|
| 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 Section 25 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.
|
| | | HB0003 Enrolled | - 2 - | LRB101 03006 CPF 48014 b |
|
| 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 | | (5) Each instance of preterm birth and infant mortality | 12 | | within the reporting period, including the racial and | 13 | | ethnic information of the mothers of those infants. | 14 | | (6) Each instance of maternal mortality within the | 15 | | reporting period, including the racial and ethnic | 16 | | information of those mothers. | 17 | | The infection-related measures developed by the Department | 18 | | shall be based upon measures and methods developed by the | 19 | | Centers for Disease Control and Prevention, the Centers for | 20 | | Medicare and Medicaid Services, the Agency for Healthcare | 21 | | Research and Quality, the Joint Commission on Accreditation of | 22 | | Healthcare Organizations, or the National Quality Forum. The | 23 | | Department may align the infection-related measures with the | 24 | | measures and methods developed by the Centers for Disease | 25 | | Control and Prevention, the Centers for Medicare and Medicaid | 26 | | Services, the Agency for Healthcare Research and Quality, the |
| | | HB0003 Enrolled | - 3 - | LRB101 03006 CPF 48014 b |
|
| 1 | | Joint Commission on Accreditation of Healthcare Organizations, | 2 | | and the National Quality Forum by adding reporting measures | 3 | | based on national health care strategies and measures deemed | 4 | | scientifically reliable and valid for public reporting. The | 5 | | Department shall receive approval from the State Board of | 6 | | Health to retire measures deemed no longer scientifically valid | 7 | | or valuable for informing quality improvement or infection | 8 | | prevention efforts. The Department shall notify the Chairs and | 9 | | Minority Spokespersons of the House Human Services Committee | 10 | | and the Senate Public Health Committee of its intent to have | 11 | | the State Board of Health take action to retire measures no | 12 | | later than 7 business days before the meeting of the State | 13 | | Board of Health. | 14 | | The Department shall include interpretive guidelines for | 15 | | infection-related indicators and, when available, shall | 16 | | include relevant benchmark information published by national | 17 | | organizations.
| 18 | | The Department shall collect the information reported | 19 | | under paragraphs (5) and (6) and shall use it to illustrate the | 20 | | disparity of those occurrences across different racial and | 21 | | ethnic groups. | 22 | | (b) Individual hospitals shall prepare annual reports | 23 | | including vacancy and
turnover rates
for licensed nurses per | 24 | | clinical service area.
| 25 | | (c) None of the information the Department discloses to the | 26 | | public may be
made
available
in any form or fashion unless the |
| | | HB0003 Enrolled | - 4 - | LRB101 03006 CPF 48014 b |
|
| 1 | | information has been reviewed, adjusted, and
validated
| 2 | | according to the following process:
| 3 | | (1) The Department shall organize an advisory | 4 | | committee, including
representatives
from the Department, | 5 | | public and private hospitals, direct care nursing staff,
| 6 | | physicians,
academic researchers, consumers, health | 7 | | insurance companies, organized labor,
and
organizations | 8 | | representing hospitals and physicians. The advisory | 9 | | committee
must be
meaningfully involved in the development | 10 | | of all aspects of the Department's
methodology
for | 11 | | collecting, analyzing, and disclosing the information | 12 | | collected under this
Act, including
collection methods, | 13 | | formatting, and methods and means for release and
| 14 | | dissemination.
| 15 | | (2) The entire methodology for collecting and | 16 | | analyzing the data shall be
disclosed
to all
relevant | 17 | | organizations and to all hospitals that are the subject of | 18 | | any
information to be made
available to the public before | 19 | | any public disclosure of such information.
| 20 | | (3) Data collection and analytical methodologies shall | 21 | | be used that meet
accepted
standards of validity and | 22 | | reliability before any information is made available
to the | 23 | | public.
| 24 | | (4) The limitations of the data sources and analytic | 25 | | methodologies used to
develop
comparative hospital | 26 | | information shall be clearly identified and acknowledged,
|
| | | HB0003 Enrolled | - 5 - | LRB101 03006 CPF 48014 b |
|
| 1 | | including but not
limited to the appropriate and | 2 | | inappropriate uses of the data.
| 3 | | (5) To the greatest extent possible, comparative | 4 | | hospital information
initiatives shall
use standard-based | 5 | | norms derived from widely accepted provider-developed
| 6 | | practice
guidelines.
| 7 | | (6) Comparative hospital information and other | 8 | | information that the
Department
has
compiled regarding | 9 | | hospitals shall be shared with the hospitals under review
| 10 | | prior to
public
dissemination of such information and these | 11 | | hospitals have 30 days to make
corrections and
to add | 12 | | helpful explanatory comments about the information before | 13 | | the
publication.
| 14 | | (7) Comparisons among hospitals shall adjust for | 15 | | patient case mix and
other
relevant
risk factors and | 16 | | control for provider peer groups, when appropriate.
| 17 | | (8) Effective safeguards to protect against the | 18 | | unauthorized use or
disclosure
of
hospital information | 19 | | shall be developed and implemented.
| 20 | | (9) Effective safeguards to protect against the | 21 | | dissemination of
inconsistent,
incomplete, invalid, | 22 | | inaccurate, or subjective hospital data shall be developed
| 23 | | and
implemented.
| 24 | | (10) The quality and accuracy of hospital information | 25 | | reported under this
Act
and its
data collection, analysis, | 26 | | and dissemination methodologies shall be evaluated
|
| | | HB0003 Enrolled | - 6 - | LRB101 03006 CPF 48014 b |
|
| 1 | | regularly.
| 2 | | (11) Only the most basic identifying information from | 3 | | mandatory reports
shall be
used, and
information | 4 | | identifying a patient, employee, or licensed professional
| 5 | | shall not be released.
None of the information the | 6 | | Department discloses to the public under this Act
may be | 7 | | used to
establish a standard of care in a private civil | 8 | | action.
| 9 | | (d) Quarterly reports shall be submitted, in a format set | 10 | | forth in rules
adopted
by the
Department, to the Department by | 11 | | April 30, July 31, October 31, and January 31
each year
for the | 12 | | previous quarter. Data in quarterly reports must cover a period | 13 | | ending
not earlier than
one month prior to submission of the | 14 | | report. Annual reports shall be submitted
by December
31 in a | 15 | | format set forth in rules adopted by the Department to the | 16 | | Department.
All reports
shall be made available to the public | 17 | | on-site and through the Department.
| 18 | | (e) If the hospital is a division or subsidiary of another | 19 | | entity that owns
or
operates other
hospitals or related | 20 | | organizations, the annual public disclosure report shall
be for | 21 | | the specific
division or subsidiary and not for the other | 22 | | entity.
| 23 | | (f) The Department shall disclose information under this | 24 | | Section in
accordance with provisions for inspection and | 25 | | copying of public records
required by the Freedom of
| 26 | | Information Act provided that such information satisfies the |
| | | HB0003 Enrolled | - 7 - | LRB101 03006 CPF 48014 b |
|
| 1 | | provisions of
subsection (c) of this Section.
| 2 | | (g) Notwithstanding any other provision of law, under no | 3 | | circumstances shall
the
Department disclose information | 4 | | obtained from a hospital that is confidential
under Part 21
of | 5 | | Article VIII of the Code of Civil Procedure.
| 6 | | (h) No hospital report or Department disclosure may contain | 7 | | information
identifying a patient, employee, or licensed | 8 | | professional.
| 9 | | (Source: P.A. 98-463, eff. 8-16-13; 99-326, eff. 8-10-15.)
| 10 | | Section 99. Effective date. This Act takes effect upon | 11 | | becoming law.
|
|