Florida Senate - 2020                             CS for SB 1370
       By the Committee on Health Policy; and Senator Harrell
       588-03488-20                                          20201370c1
    1                        A bill to be entitled                      
    2         An act relating to patient safety culture surveys;
    3         amending s. 395.1012, F.S.; requiring certain licensed
    4         facilities to biennially conduct an anonymous patient
    5         safety culture survey using a specified federal
    6         publication; authorizing facilities to contract for
    7         the administration of the survey; requiring facilities
    8         to biennially submit patient safety culture survey
    9         data to the Agency for Health Care Administration;
   10         authorizing facilities to develop an internal action
   11         plan for a specified purpose and submit such plan to
   12         the agency; amending s. 395.1055, F.S.; conforming a
   13         cross-reference; amending s. 408.05, F.S.; requiring
   14         the agency to collect, compile, and publish patient
   15         safety culture survey data submitted by facilities;
   16         amending s. 408.061, F.S.; revising requirements for
   17         the submission of health care data to the agency;
   18         providing an effective date.
   20  Be It Enacted by the Legislature of the State of Florida:
   22         Section 1. Subsection (4) is added to section 395.1012,
   23  Florida Statutes, to read:
   24         395.1012 Patient safety.—
   25         (4)Each licensed facility must, at least biennially,
   26  conduct a patient safety culture survey using the Hospital
   27  Survey on Patient Safety Culture developed by the federal Agency
   28  for Healthcare Research and Quality. Each facility shall conduct
   29  the survey anonymously to encourage completion of the survey by
   30  staff working in or employed by the facility. Each facility may
   31  contract to administer the survey. Each facility shall
   32  biennially submit the survey data to the agency which must be in
   33  a format specified by rule and include the survey participation
   34  rate. Each facility may develop an internal action plan between
   35  conducting surveys to identify measures to improve the survey
   36  and submit the plan to the agency.
   37         Section 2. Paragraph (d) of subsection (14) of section
   38  395.1055, Florida Statutes, is amended to read:
   39         395.1055 Rules and enforcement.—
   40         (14)
   41         (d) Each onsite inspection must include all of the
   42  following:
   43         1. An inspection of the program’s physical facilities,
   44  clinics, and laboratories.
   45         2. Interviews with support staff and hospital
   46  administrators.
   47         3. A review of:
   48         a. Randomly selected medical records and reports,
   49  including, but not limited to, advanced cardiac imaging,
   50  computed tomography, magnetic resonance imaging, cardiac
   51  ultrasound, cardiac catheterization, and surgical operative
   52  notes.
   53         b. The program’s clinical outcome data submitted to the
   54  Society of Thoracic Surgeons and the American College of
   55  Cardiology pursuant to s. 408.05(3)(l) s. 408.05(3)(k).
   56         c. Mortality reports from cardiac-related deaths that
   57  occurred in the previous year.
   58         d. Program volume data from the preceding year for
   59  interventional and electrophysiology catheterizations and
   60  surgical procedures.
   61         Section 3. Present paragraphs (d) through (k) of subsection
   62  (3) of section 408.05, Florida Statutes, are redesignated as
   63  paragraphs (e) through (l), respectively, a new paragraph (d) is
   64  added to that subsection, and present paragraph (j) of that
   65  subsection is amended, to read:
   66         408.05 Florida Center for Health Information and
   67  Transparency.—
   68         (3) HEALTH INFORMATION TRANSPARENCY.—In order to
   69  disseminate and facilitate the availability of comparable and
   70  uniform health information, the agency shall perform the
   71  following functions:
   72         (d)1.Collect, compile, and publish patient safety culture
   73  survey data submitted by a facility pursuant to s. 395.1012.
   74         2.Designate the use of updated versions of the survey as
   75  they occur, and customize the survey to:
   76         a.Generate data regarding the likelihood of a respondent
   77  to seek care for the respondent and the respondent’s family at
   78  the surveying facility, both in general and within the
   79  respondent’s specific unit or work area; and
   80         b.Revise the units or work areas identified in the survey
   81  to include a pediatric cardiology patient care unit and a
   82  pediatric cardiology surgical services unit.
   83         3.Publish the survey results for each facility, in the
   84  aggregate, by composite measure as defined in the survey and the
   85  units or work areas within the facility.
   86         (k)(j) Conduct and make available the results of special
   87  health surveys, including facility patient safety culture
   88  surveys, health care research, and health care evaluations
   89  conducted or supported under this section. Each year the center
   90  shall select and analyze one or more research topics that can be
   91  investigated using the data available pursuant to paragraph (c).
   92  The selected topics must focus on producing actionable
   93  information for improving quality of care and reducing costs.
   94  The first topic selected by the center must address preventable
   95  hospitalizations.
   96         Section 4. Paragraph (a) of subsection (1) of section
   97  408.061, Florida Statutes, is amended to read:
   98         408.061 Data collection; uniform systems of financial
   99  reporting; information relating to physician charges;
  100  confidential information; immunity.—
  101         (1) The agency shall require the submission by health care
  102  facilities, health care providers, and health insurers of data
  103  necessary to carry out the agency’s duties and to facilitate
  104  transparency in health care pricing data and quality measures.
  105  Specifications for data to be collected under this section shall
  106  be developed by the agency and applicable contract vendors, with
  107  the assistance of technical advisory panels including
  108  representatives of affected entities, consumers, purchasers, and
  109  such other interested parties as may be determined by the
  110  agency.
  111         (a) Data submitted by health care facilities, including the
  112  facilities as defined in chapter 395, shall include, but are not
  113  limited to: case-mix data, patient admission and discharge data,
  114  hospital emergency department data which shall include the
  115  number of patients treated in the emergency department of a
  116  licensed hospital reported by patient acuity level, data on
  117  hospital-acquired infections as specified by rule, data on
  118  complications as specified by rule, data on readmissions as
  119  specified by rule, with patient and provider-specific
  120  identifiers included, actual charge data by diagnostic groups or
  121  other bundled groupings as specified by rule, facility patient
  122  safety culture surveys, financial data, accounting data,
  123  operating expenses, expenses incurred for rendering services to
  124  patients who cannot or do not pay, interest charges,
  125  depreciation expenses based on the expected useful life of the
  126  property and equipment involved, and demographic data. The
  127  agency shall adopt nationally recognized risk adjustment
  128  methodologies or software consistent with the standards of the
  129  Agency for Healthcare Research and Quality and as selected by
  130  the agency for all data submitted as required by this section.
  131  Data may be obtained from documents such as, but not limited to:
  132  leases, contracts, debt instruments, itemized patient statements
  133  or bills, medical record abstracts, and related diagnostic
  134  information. Reported data elements shall be reported
  135  electronically in accordance with rule 59E-7.012, Florida
  136  Administrative Code. Data submitted shall be certified by the
  137  chief executive officer or an appropriate and duly authorized
  138  representative or employee of the licensed facility that the
  139  information submitted is true and accurate.
  140         Section 5. This act shall take effect July 1, 2020.