House Bill hb1219c1
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    Florida House of Representatives - 2002             CS/HB 1219
        By the Council for Healthy Communities and Representatives
    Bowen, Murman, Arza, Kilmer and Sobel
  1                      A bill to be entitled
  2         An act relating to health care; creating the
  3         "Patient Safety Improvement Act"; providing
  4         legislative intent and definitions; creating
  5         the Florida Patient Safety Center; providing
  6         for location and duties of the center;
  7         requiring identifying information in medical
  8         patient records to remain confidential as
  9         provided by law; providing an effective date.
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11  Be It Enacted by the Legislature of the State of Florida:
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13         Section 1.  Patient safety improvement.--
14         (1)  SHORT TITLE.--This section may be cited as the
15  "Patient Safety Improvement Act."
16         (2)  INTENT.--It is the intent of the Legislature to
17  establish a statewide, academically based center that will
18  serve as the designated resource for patient-safety-related
19  research, education, and policy information for the people and
20  institutions of Florida.
21         (3)  DEFINITIONS.--As used in this section:
22         (a)  "Center" means the Florida Center for Patient
23  Safety.
24         (b)  "Health care provider" means any physician, nurse,
25  pharmacist, occupational therapist, physical therapist,
26  hospital, or other institution, organization, or person that
27  furnishes health care services and is licensed or otherwise
28  authorized to practice or provide health care services in the
29  state.
30         (c)  "Nonidentifying patient safety data" means patient
31  safety data that are presented in a form and manner that
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    Florida House of Representatives - 2002             CS/HB 1219
    404-139-02
  1  prevents the identification of the health care provider or
  2  patient.
  3         (d)  "Patient safety data" means:
  4         1.  Any data, reports, records, memoranda, analyses, or
  5  other quality improvement processes of patient safety events
  6  which are:
  7         a.  Collected or developed by a health care provider;
  8         b.  Reported to a patient safety organization or the
  9  State Patient Safety Database;
10         c.  Contained in or collected by a patient safety
11  organization or the State Patient Safety Database;
12         d.  Requested by a patient safety organization for the
13  purposes of monitoring, researching, or improving patient
14  safety; or
15         e.  Reported to a health care provider by a patient
16  safety organization to assist with quality improvement and
17  patient safety effectiveness.
18         2.  Any information related to corrective actions taken
19  in response to patient safety events listed in subparagraph 1.
20         (e)  "Patient safety event" means an event over which a
21  health care provider could exercise control and which is
22  associated in whole or in part with medical intervention,
23  rather than the condition for which such intervention
24  occurred, and which could result in patient injury or death or
25  any other adverse incident as defined in s. 395.0197, Florida
26  Statutes.
27         (f)  "Patient safety organization" means a public or
28  private organization that does all of the following:
29         1.  Collects and analyzes data or information about
30  patient safety.
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    Florida House of Representatives - 2002             CS/HB 1219
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  1         2.  Reports nonidentifying patient safety data to the
  2  State Patient Safety Database.
  3         3.  Provides direct feedback of patient safety data to
  4  health care providers.
  5         (4)  FLORIDA CENTER FOR PATIENT SAFETY.--
  6         (a)  There is created the Florida Center for Patient
  7  Safety at the Health Science Center of the University of South
  8  Florida in Tampa and the College of Medicine at the Florida
  9  State University in Tallahassee to carry out the duties
10  described in this section. The center shall be
11  administratively housed and located at the Health Science
12  Center of the University of South Florida in Tampa.
13         (b)  The center is authorized to:
14         1.  Coordinate public and private resources to conduct
15  and support research in and demonstrations and evaluations of
16  patient safety.
17         2.  Conduct and support research on effective ways to
18  improve and enhance patient safety and participate in the
19  dissemination of the information that is derived from such
20  research to health care providers in training and in practice,
21  health care institutions, patients and their families, and
22  policymakers.
23         3.  Evaluate methods for identifying and promoting
24  patient safety programs.
25         4.  Support dissemination and communication activities
26  to improve and enhance patient safety.
27         5.  Design, conduct, and coordinate studies and surveys
28  to assess aspects of patient safety, including, but not
29  limited to, various clinical, social, and economic outcome or
30  process measures.
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    Florida House of Representatives - 2002             CS/HB 1219
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  1         6.  Develop and test measures and methods for
  2  evaluating and enhancing patient safety and promote the use of
  3  such measures and methods in practice.
  4         7.  Provide technical assistance and gather information
  5  on the use of consumer and patient information, and report on
  6  patient safety and the resulting effects of intervention
  7  policies.
  8         8.  Consult with and develop partnerships, as
  9  appropriate, with all segments of the health care industry,
10  including health care providers and health care consumers.
11         9.  Establish a State Patient Safety Database to
12  collect, support, and coordinate the analysis of
13  nonidentifying patient safety data submitted voluntarily by
14  health care providers and patient safety organizations.
15         10.  Disseminate information developed through analysis
16  of the State Patient Safety Database concerning the existence
17  and causes of practices that affect patient safety, findings
18  and conclusions regarding patient safety events, outcome
19  measures, and evidence-based recommendations to improve
20  patient safety.
21         (c)  The center shall establish a voluntary process
22  which shall include a standardized format to enable health
23  care providers or patient safety organizations to report
24  nonidentifying patient safety data.  In carrying out its
25  responsibilities under this paragraph, the center shall
26  consult with and solicit and consider recommendations from
27  appropriate sectors of the health care community, including
28  health care providers, patient safety organizations, and other
29  relevant experts.
30         (5)  CONFIDENTIALITY.--The center may have access to
31  all public records which are not otherwise exempt from s.
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    Florida House of Representatives - 2002             CS/HB 1219
    404-139-02
  1  119.07(1) and s. 24(a), Art. I of the State Constitution.
  2  However, in the event that any patient safety data collected,
  3  managed, or analyzed by the center contain any individual,
  4  identifying information relating to patients or facilities,
  5  such data shall be treated the same as all other data pursuant
  6  to ss. 119.07, 395.0197, 395.3025, 405.03, 408.061, 456.057,
  7  and 641.67, Florida Statutes, and any other provision of law
  8  dealing with access to and confidentiality of medical patient
  9  records and shall be used solely for the purposes of research
10  and the compilation of information for legislative,
11  regulatory, or other policy purposes as intended in this
12  section and as authorized and provided in chapter 405, Florida
13  Statutes.
14         Section 2.  This act shall take effect July 1, 2002.
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