House Bill hb1219e1

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                                   CS/HB 1219, First Engrossed/ntc



  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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                                   CS/HB 1219, First Engrossed/ntc



  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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                                   CS/HB 1219, First Engrossed/ntc



  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, the Health Science Center at the University

  9  of Florida, and the College of Medicine at the Florida State

10  University in Tallahassee to carry out the duties described in

11  this section. The center shall be administratively housed and

12  located at the Health Science Center of the University of

13  South Florida in Tampa.

14         (b)  The center is authorized to:

15         1.  Coordinate public and private resources to conduct

16  and support research in and demonstrations and evaluations of

17  patient safety.

18         2.  Conduct and support research on effective ways to

19  improve and enhance patient safety and participate in the

20  dissemination of the information that is derived from such

21  research to health care providers in training and in practice,

22  health care institutions, patients and their families, and

23  policymakers.

24         3.  Evaluate methods for identifying and promoting

25  patient safety programs.

26         4.  Support dissemination and communication activities

27  to improve and enhance patient safety.

28         5.  Design, conduct, and coordinate studies and surveys

29  to assess aspects of patient safety, including, but not

30  limited to, various clinical, social, and economic outcome or

31  process measures.


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                                   CS/HB 1219, First Engrossed/ntc



  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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                                   CS/HB 1219, First Engrossed/ntc



  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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