Florida Senate - 2020                      CS for CS for SB 1370
       By the Committees on Appropriations; and Health Policy; and
       Senator Harrell
       576-04277-20                                          20201370c2
    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 appropriation; providing an effective
   19         date.
   21  Be It Enacted by the Legislature of the State of Florida:
   23         Section 1. Subsection (4) is added to section 395.1012,
   24  Florida Statutes, to read:
   25         395.1012 Patient safety.—
   26         (4)Each licensed facility must, at least biennially,
   27  conduct a patient safety culture survey using the applicable
   28  Survey on Patient Safety Culture developed by the federal Agency
   29  for Healthcare Research and Quality. Each facility shall conduct
   30  the survey anonymously to encourage completion of the survey by
   31  staff working in or employed by the facility. Each facility may
   32  contract to administer the survey. Each facility shall
   33  biennially submit the survey data to the agency which must be in
   34  a format specified by rule and include the survey participation
   35  rate. Each facility may develop an internal action plan between
   36  conducting surveys to identify measures to improve the survey
   37  and submit the plan to the agency.
   38         Section 2. Paragraph (d) of subsection (14) of section
   39  395.1055, Florida Statutes, is amended to read:
   40         395.1055 Rules and enforcement.—
   41         (14)
   42         (d) Each onsite inspection must include all of the
   43  following:
   44         1. An inspection of the program’s physical facilities,
   45  clinics, and laboratories.
   46         2. Interviews with support staff and hospital
   47  administrators.
   48         3. A review of:
   49         a. Randomly selected medical records and reports,
   50  including, but not limited to, advanced cardiac imaging,
   51  computed tomography, magnetic resonance imaging, cardiac
   52  ultrasound, cardiac catheterization, and surgical operative
   53  notes.
   54         b. The program’s clinical outcome data submitted to the
   55  Society of Thoracic Surgeons and the American College of
   56  Cardiology pursuant to s. 408.05(3)(l) s. 408.05(3)(k).
   57         c. Mortality reports from cardiac-related deaths that
   58  occurred in the previous year.
   59         d. Program volume data from the preceding year for
   60  interventional and electrophysiology catheterizations and
   61  surgical procedures.
   62         Section 3. Present paragraphs (d) through (k) of subsection
   63  (3) of section 408.05, Florida Statutes, are redesignated as
   64  paragraphs (e) through (l), respectively, a new paragraph (d) is
   65  added to that subsection, and present paragraph (j) of that
   66  subsection is amended, to read:
   67         408.05 Florida Center for Health Information and
   68  Transparency.—
   69         (3) HEALTH INFORMATION TRANSPARENCY.—In order to
   70  disseminate and facilitate the availability of comparable and
   71  uniform health information, the agency shall perform the
   72  following functions:
   73         (d)1.Collect, compile, and publish patient safety culture
   74  survey data submitted by a facility pursuant to s. 395.1012.
   75         2.Designate the use of updated versions of the applicable
   76  surveys as they occur, and customize the surveys to:
   77         a.Generate data regarding the likelihood of a respondent
   78  to seek care for the respondent and the respondent’s family at
   79  the surveying facility both in general and, for hospitals,
   80  within the respondent’s specific unit or work area; and
   81         b.Revise the units or work areas identified in the
   82  hospital survey to include a pediatric cardiology patient care
   83  unit and a pediatric cardiology surgical services unit.
   84         3.Publish the survey results for each facility, in the
   85  aggregate, by composite measure as defined in the survey, and by
   86  the applicable units or work areas within the facility.
   87         (k)(j) Conduct and make available the results of special
   88  health surveys, including facility patient safety culture
   89  surveys, health care research, and health care evaluations
   90  conducted or supported under this section. Each year the center
   91  shall select and analyze one or more research topics that can be
   92  investigated using the data available pursuant to paragraph (c).
   93  The selected topics must focus on producing actionable
   94  information for improving quality of care and reducing costs.
   95  The first topic selected by the center must address preventable
   96  hospitalizations.
   97         Section 4. Paragraph (a) of subsection (1) of section
   98  408.061, Florida Statutes, is amended to read:
   99         408.061 Data collection; uniform systems of financial
  100  reporting; information relating to physician charges;
  101  confidential information; immunity.—
  102         (1) The agency shall require the submission by health care
  103  facilities, health care providers, and health insurers of data
  104  necessary to carry out the agency’s duties and to facilitate
  105  transparency in health care pricing data and quality measures.
  106  Specifications for data to be collected under this section shall
  107  be developed by the agency and applicable contract vendors, with
  108  the assistance of technical advisory panels including
  109  representatives of affected entities, consumers, purchasers, and
  110  such other interested parties as may be determined by the
  111  agency.
  112         (a) Data submitted by health care facilities, including the
  113  facilities as defined in chapter 395, shall include, but are not
  114  limited to: case-mix data, patient admission and discharge data,
  115  hospital emergency department data which shall include the
  116  number of patients treated in the emergency department of a
  117  licensed hospital reported by patient acuity level, data on
  118  hospital-acquired infections as specified by rule, data on
  119  complications as specified by rule, data on readmissions as
  120  specified by rule, with patient and provider-specific
  121  identifiers included, actual charge data by diagnostic groups or
  122  other bundled groupings as specified by rule, facility patient
  123  safety culture surveys, financial data, accounting data,
  124  operating expenses, expenses incurred for rendering services to
  125  patients who cannot or do not pay, interest charges,
  126  depreciation expenses based on the expected useful life of the
  127  property and equipment involved, and demographic data. The
  128  agency shall adopt nationally recognized risk adjustment
  129  methodologies or software consistent with the standards of the
  130  Agency for Healthcare Research and Quality and as selected by
  131  the agency for all data submitted as required by this section.
  132  Data may be obtained from documents such as, but not limited to:
  133  leases, contracts, debt instruments, itemized patient statements
  134  or bills, medical record abstracts, and related diagnostic
  135  information. Reported data elements shall be reported
  136  electronically in accordance with rule 59E-7.012, Florida
  137  Administrative Code. Data submitted shall be certified by the
  138  chief executive officer or an appropriate and duly authorized
  139  representative or employee of the licensed facility that the
  140  information submitted is true and accurate.
  141         Section 5. For the 2020-2021 fiscal year, one full-time
  142  equivalent position with associated salary rate of 46,560 is
  143  authorized and the sums of $75,306 in recurring funds and
  144  $87,171 in nonrecurring funds from the Health Care Trust Fund
  145  are appropriated to the Agency for Health Care Administration
  146  for the purpose of implementing the requirements of this act.
  147         Section 6. This act shall take effect July 1, 2020.