Florida Senate - 2020                                    SB 1370
       By Senator Harrell
       25-01749-20                                           20201370__
    1                        A bill to be entitled                      
    2         An act relating to patient safety culture surveys;
    3         amending s. 408.05, F.S.; requiring the Agency for
    4         Health Care Administration to develop surveys to
    5         assess patient safety culture in certain health care
    6         facilities; prescribing measures for the surveys;
    7         providing applicability; requiring the agency to
    8         conduct and make available the results of such
    9         surveys; amending s. 408.061, F.S.; revising
   10         requirements for the submission of health care data to
   11         the agency; amending s. 395.1055, F.S.; conforming a
   12         cross-reference; providing an effective date.
   14  Be It Enacted by the Legislature of the State of Florida:
   16         Section 1. Present paragraphs (d) through (k) of subsection
   17  (3) of section 408.05, Florida Statutes, are redesignated as
   18  paragraphs (e) through (l), respectively, a new paragraph (d) is
   19  added to that subsection, and present paragraph (j) of that
   20  subsection is amended, to read:
   21         408.05 Florida Center for Health Information and
   22  Transparency.—
   23         (3) HEALTH INFORMATION TRANSPARENCY.—In order to
   24  disseminate and facilitate the availability of comparable and
   25  uniform health information, the agency shall perform the
   26  following functions:
   27         (d)Design a patient safety culture survey or surveys to be
   28  completed annually by each hospital and ambulatory surgical
   29  center licensed under chapter 395. The survey must be designed
   30  to measure aspects of patient safety culture, including, but not
   31  limited to frequency of adverse events; quality of handoffs and
   32  transitions; comfort in reporting a potential problem or error;
   33  the level of teamwork within hospital units and the facility as
   34  a whole; staff compliance with patient safety regulations and
   35  guidelines; staff perception of facility support for patient
   36  safety; and staff opinions on whether the staff would undergo a
   37  health care service or procedure at the facility. The survey
   38  must be anonymous to encourage staff employed by or working in
   39  the facility to complete the survey. The agency shall review and
   40  analyze nationally recognized patient safety culture survey
   41  products, including, but not limited to, the patient safety
   42  surveys developed by the Agency for Healthcare Research and
   43  Quality and the Safety Attitudes Questionnaire developed by the
   44  University of Texas, to develop the patient safety culture
   45  survey. This paragraph does not apply to licensed facilities
   46  operating exclusively as state facilities.
   47         (k)(j) Conduct and make available the results of special
   48  health surveys, including facility patient safety culture
   49  surveys, health care research, and health care evaluations
   50  conducted or supported under this section. Each year the center
   51  shall select and analyze one or more research topics that can be
   52  investigated using the data available pursuant to paragraph (c).
   53  The selected topics must focus on producing actionable
   54  information for improving quality of care and reducing costs.
   55  The first topic selected by the center must address preventable
   56  hospitalizations.
   57         Section 2. Paragraph (a) of subsection (1) of section
   58  408.061, Florida Statutes, is amended to read:
   59         408.061 Data collection; uniform systems of financial
   60  reporting; information relating to physician charges;
   61  confidential information; immunity.—
   62         (1) The agency shall require the submission by health care
   63  facilities, health care providers, and health insurers of data
   64  necessary to carry out the agency’s duties and to facilitate
   65  transparency in health care pricing data and quality measures.
   66  Specifications for data to be collected under this section shall
   67  be developed by the agency and applicable contract vendors, with
   68  the assistance of technical advisory panels including
   69  representatives of affected entities, consumers, purchasers, and
   70  such other interested parties as may be determined by the
   71  agency.
   72         (a) Data submitted by health care facilities, including the
   73  facilities as defined in chapter 395, shall include, but are not
   74  limited to: case-mix data, patient admission and discharge data,
   75  hospital emergency department data which shall include the
   76  number of patients treated in the emergency department of a
   77  licensed hospital reported by patient acuity level, data on
   78  hospital-acquired infections as specified by rule, data on
   79  complications as specified by rule, data on readmissions as
   80  specified by rule, with patient and provider-specific
   81  identifiers included, actual charge data by diagnostic groups or
   82  other bundled groupings as specified by rule, facility patient
   83  safety culture surveys, financial data, accounting data,
   84  operating expenses, expenses incurred for rendering services to
   85  patients who cannot or do not pay, interest charges,
   86  depreciation expenses based on the expected useful life of the
   87  property and equipment involved, and demographic data. The
   88  agency shall adopt nationally recognized risk adjustment
   89  methodologies or software consistent with the standards of the
   90  Agency for Healthcare Research and Quality and as selected by
   91  the agency for all data submitted as required by this section.
   92  Data may be obtained from documents such as, but not limited to:
   93  leases, contracts, debt instruments, itemized patient statements
   94  or bills, medical record abstracts, and related diagnostic
   95  information. Reported data elements shall be reported
   96  electronically in accordance with rule 59E-7.012, Florida
   97  Administrative Code. Data submitted shall be certified by the
   98  chief executive officer or an appropriate and duly authorized
   99  representative or employee of the licensed facility that the
  100  information submitted is true and accurate.
  101         Section 3. Paragraph (d) of subsection (14) of section
  102  395.1055, Florida Statutes, is amended to read:
  103         395.1055 Rules and enforcement.—
  104         (14)
  105         (d) Each onsite inspection must include all of the
  106  following:
  107         1. An inspection of the program’s physical facilities,
  108  clinics, and laboratories.
  109         2. Interviews with support staff and hospital
  110  administrators.
  111         3. A review of:
  112         a. Randomly selected medical records and reports,
  113  including, but not limited to, advanced cardiac imaging,
  114  computed tomography, magnetic resonance imaging, cardiac
  115  ultrasound, cardiac catheterization, and surgical operative
  116  notes.
  117         b. The program’s clinical outcome data submitted to the
  118  Society of Thoracic Surgeons and the American College of
  119  Cardiology pursuant to s. 408.05(3)(l) s. 408.05(3)(k).
  120         c. Mortality reports from cardiac-related deaths that
  121  occurred in the previous year.
  122         d. Program volume data from the preceding year for
  123  interventional and electrophysiology catheterizations and
  124  surgical procedures.
  125         Section 4. This act shall take effect July 1, 2020.