Florida Senate - 2020                        COMMITTEE AMENDMENT
       Bill No. SB 1370
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       The Committee on Health Policy (Harrell) recommended the
    1         Senate Amendment (with title amendment)
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Subsection (4) is added to section 395.1012,
    6  Florida Statutes, to read:
    7         395.1012 Patient safety.—
    8         (4)Each licensed facility must, at least biennially,
    9  conduct a patient safety culture survey using the Hospital
   10  Survey on Patient Safety Culture developed by the federal Agency
   11  for Healthcare Research and Quality. Each facility shall conduct
   12  the survey anonymously to encourage completion of the survey by
   13  staff working in or employed by the facility. Each facility may
   14  contract to administer the survey. Each facility shall
   15  biennially submit the survey data to the agency which must be in
   16  a format specified by rule and include the survey participation
   17  rate. Each facility may develop an internal action plan between
   18  conducting surveys to identify measures to improve the survey
   19  and submit the plan to the agency.
   20         Section 2. Paragraph (d) of subsection (14) of section
   21  395.1055, Florida Statutes, is amended to read:
   22         395.1055 Rules and enforcement.—
   23         (14)
   24         (d) Each onsite inspection must include all of the
   25  following:
   26         1. An inspection of the program’s physical facilities,
   27  clinics, and laboratories.
   28         2. Interviews with support staff and hospital
   29  administrators.
   30         3. A review of:
   31         a. Randomly selected medical records and reports,
   32  including, but not limited to, advanced cardiac imaging,
   33  computed tomography, magnetic resonance imaging, cardiac
   34  ultrasound, cardiac catheterization, and surgical operative
   35  notes.
   36         b. The program’s clinical outcome data submitted to the
   37  Society of Thoracic Surgeons and the American College of
   38  Cardiology pursuant to s. 408.05(3)(l) s. 408.05(3)(k).
   39         c. Mortality reports from cardiac-related deaths that
   40  occurred in the previous year.
   41         d. Program volume data from the preceding year for
   42  interventional and electrophysiology catheterizations and
   43  surgical procedures.
   44         Section 3. Present paragraphs (d) through (k) of subsection
   45  (3) of section 408.05, Florida Statutes, are redesignated as
   46  paragraphs (e) through (l), respectively, a new paragraph (d) is
   47  added to that subsection, and present paragraph (j) of that
   48  subsection is amended, to read:
   49         408.05 Florida Center for Health Information and
   50  Transparency.—
   51         (3) HEALTH INFORMATION TRANSPARENCY.—In order to
   52  disseminate and facilitate the availability of comparable and
   53  uniform health information, the agency shall perform the
   54  following functions:
   55         (d)1.Collect, compile, and publish patient safety culture
   56  survey data submitted by a facility pursuant to s. 395.1012.
   57         2.Designate the use of updated versions of the survey as
   58  they occur, and customize the survey to:
   59         a.Generate data regarding the likelihood of a respondent
   60  to seek care for the respondent and the respondent’s family at
   61  the surveying facility, both in general and within the
   62  respondent’s specific unit or work area; and
   63         b.Revise the units or work areas identified in the survey
   64  to include a pediatric cardiology patient care unit and a
   65  pediatric cardiology surgical services unit.
   66         3.Publish the survey results for each facility, in the
   67  aggregate, by composite measure as defined in the survey and the
   68  units or work areas within the facility.
   69         (k)(j) Conduct and make available the results of special
   70  health surveys, including facility patient safety culture
   71  surveys, health care research, and health care evaluations
   72  conducted or supported under this section. Each year the center
   73  shall select and analyze one or more research topics that can be
   74  investigated using the data available pursuant to paragraph (c).
   75  The selected topics must focus on producing actionable
   76  information for improving quality of care and reducing costs.
   77  The first topic selected by the center must address preventable
   78  hospitalizations.
   79         Section 4. Paragraph (a) of subsection (1) of section
   80  408.061, Florida Statutes, is amended to read:
   81         408.061 Data collection; uniform systems of financial
   82  reporting; information relating to physician charges;
   83  confidential information; immunity.—
   84         (1) The agency shall require the submission by health care
   85  facilities, health care providers, and health insurers of data
   86  necessary to carry out the agency’s duties and to facilitate
   87  transparency in health care pricing data and quality measures.
   88  Specifications for data to be collected under this section shall
   89  be developed by the agency and applicable contract vendors, with
   90  the assistance of technical advisory panels including
   91  representatives of affected entities, consumers, purchasers, and
   92  such other interested parties as may be determined by the
   93  agency.
   94         (a) Data submitted by health care facilities, including the
   95  facilities as defined in chapter 395, shall include, but are not
   96  limited to: case-mix data, patient admission and discharge data,
   97  hospital emergency department data which shall include the
   98  number of patients treated in the emergency department of a
   99  licensed hospital reported by patient acuity level, data on
  100  hospital-acquired infections as specified by rule, data on
  101  complications as specified by rule, data on readmissions as
  102  specified by rule, with patient and provider-specific
  103  identifiers included, actual charge data by diagnostic groups or
  104  other bundled groupings as specified by rule, facility patient
  105  safety culture surveys, financial data, accounting data,
  106  operating expenses, expenses incurred for rendering services to
  107  patients who cannot or do not pay, interest charges,
  108  depreciation expenses based on the expected useful life of the
  109  property and equipment involved, and demographic data. The
  110  agency shall adopt nationally recognized risk adjustment
  111  methodologies or software consistent with the standards of the
  112  Agency for Healthcare Research and Quality and as selected by
  113  the agency for all data submitted as required by this section.
  114  Data may be obtained from documents such as, but not limited to:
  115  leases, contracts, debt instruments, itemized patient statements
  116  or bills, medical record abstracts, and related diagnostic
  117  information. Reported data elements shall be reported
  118  electronically in accordance with rule 59E-7.012, Florida
  119  Administrative Code. Data submitted shall be certified by the
  120  chief executive officer or an appropriate and duly authorized
  121  representative or employee of the licensed facility that the
  122  information submitted is true and accurate.
  123         Section 5. This act shall take effect July 1, 2020.
  125  ================= T I T L E  A M E N D M E N T ================
  126  And the title is amended as follows:
  127         Delete everything before the enacting clause
  128  and insert:
  129                        A bill to be entitled                      
  130         An act relating to patient safety culture surveys;
  131         amending s. 395.1012, F.S.; requiring licensed
  132         facilities to biennially conduct an anonymous patient
  133         safety culture survey using a specified federal
  134         publication; authorizing facilities to contract for
  135         the administration of such survey; requiring
  136         facilities to biennially submit patient safety culture
  137         survey data to the Agency for Health Care
  138         Administration; authorizing facilities to develop an
  139         internal action plan for a specified purpose and
  140         submit such plan to the agency; amending s. 395.1055,
  141         F.S.; conforming a cross-reference; amending s.
  142         408.05, F.S.; requiring the agency to collect,
  143         compile, and publish patient safety culture survey
  144         data submitted by facilities; amending s. 408.061,
  145         F.S.; revising requirements for the submission of
  146         health care data to the agency; providing an effective
  147         date.