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Amendment CaShTmL-104900.HTM
                                                  SENATE AMENDMENT
    Bill No. CS for CS for CS for SB 2910
    Amendment No. ___   Barcode 104900
                            CHAMBER ACTION
              Senate                               House
 1                  4/AD/2R        .                    
       04/26/2004 04:45 PM         .                    
 2                                 .                    
 3                                 .                    
 4  ______________________________________________________________
10  ______________________________________________________________
11  Senator Peaden moved the following amendment:
13         Senate Amendment 
14         On page 27, line 19, through
15            page 31, line 2, delete those lines
17  and insert:  
18         Section 10.  Paragraph (l) is added to subsection (3)
19  of section 408.05, Florida Statutes, to read:
20         408.05  State Center for Health Statistics.--
22  to produce comparable and uniform health information and
23  statistics, the agency shall perform the following functions:
24         (l)  Develop, in conjunction with the State
25  Comprehensive Health Information System Advisory Council, and
26  implement a long-range plan for making available performance
27  outcome and financial data that will allow consumers to
28  compare health care services. The performance outcomes and
29  financial data the agency must make available shall include,
30  but is not limited to, pharmaceuticals, physicians, health
31  care facilities, and health plans and managed care entities.
    9:00 PM   04/23/04                              s2910c3b-02j02

SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 104900 1 The agency shall submit the initial plan to the Governor, the 2 President of the Senate, and the Speaker of the House of 3 Representatives by March 1, 2005, and shall update the plan 4 and report on the status of its implementation annually 5 thereafter. The agency shall also make the plan and status 6 report available to the public on its Internet website. As 7 part of the plan, the agency shall identify the process and 8 timeframes for implementation, any barriers to implementation, 9 and recommendations of changes in the law that may be enacted 10 by the Legislature to eliminate the barriers. As preliminary 11 elements of the plan, the agency shall: 12 1. Make available performance outcome and patient 13 charge data collected from health care facilities pursuant to 14 s. 408.061(1)(a) and (2). The agency shall determine which 15 conditions and procedures, performance outcomes, and patient 16 charge data to disclose based upon input from the council. 17 When determining which conditions and procedures are to be 18 disclosed, the council and the agency shall consider variation 19 in costs, variation in outcomes, and magnitude of variations 20 and other relevant information. When determining which 21 performance outcomes to disclose, the agency: 22 a. Shall consider such factors as volume of cases; 23 average patient charges; average length of stay; complication 24 rates; mortality rates; and infection rates, among others, 25 which shall be adjusted for case mix and severity, if 26 applicable. 27 b. May consider such additional measures that are 28 adopted by the Centers for Medicare and Medicaid Studies, 29 National Quality Forum, the Joint Commission on Accreditation 30 of Healthcare Organizations, the Agency for Healthcare 31 Research and Quality, or a similar national entity that 2 9:00 PM 04/23/04 s2910c3b-02j02
SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 104900 1 establishes standards to measure the performance of health 2 care providers, or by other states. 3 4 When determining which patient charge data to disclose, the 5 agency shall consider such measures as average charge, average 6 net revenue per adjusted patient day, average cost per 7 adjusted patient day, and average cost per admission, among 8 others. 9 2. Make available performance measures, benefit 10 design, and premium cost data from health plans licensed 11 pursuant to chapter 627 or chapter 641. The agency shall 12 determine which performance outcome and member and subscriber 13 cost data to disclose, based upon input from the council. When 14 determining which data to disclose, the agency shall consider 15 information that may be required by either individual or group 16 purchasers to assess the value of the product, which may 17 include membership satisfaction, quality of care, current 18 enrollment or membership, coverage areas, accreditation 19 status, premium costs, plan costs, premium increases, range of 20 benefits, copayments and deductibles, accuracy and speed of 21 claims payment, credentials of physicians, number of 22 providers, names of network providers, and hospitals in the 23 network. Health plans shall make available to the agency any 24 such data or information that is not currently reported to the 25 agency or the office. 26 3. Determine the method and format for public 27 disclosure of data reported pursuant to this paragraph. The 28 agency shall make its determination based upon input from the 29 Comprehensive Health Information System Advisory Council. At a 30 minimum, the data shall be made available on the agency's 31 Internet website in a manner that allows consumers to conduct 3 9:00 PM 04/23/04 s2910c3b-02j02
SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 104900 1 an interactive search that allows them to view and compare the 2 information for specific providers. The website must include 3 such additional information as is determined necessary to 4 ensure that the website enhances informed decision making 5 among consumers and health care purchasers, which shall 6 include, at a minimum, appropriate guidance on how to use the 7 data and an explanation of why the data may vary from provider 8 to provider. The data specified in subparagraph 1. shall be 9 released no later than March 1, 2005. The data specified in 10 subparagraph 2. shall be released no later than March 1, 2006. 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 4 9:00 PM 04/23/04 s2910c3b-02j02
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