State of Illinois
90th General Assembly
Legislation

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[ Introduced ][ House Amendment 003 ]

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;
                            -2-              LRB9000837DPccam
 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
                            -3-              LRB9000837DPccam
 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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