HOUSE BILL No. 4365 March 3, 1999, Introduced by Reps. Stallworth, Thomas, Schauer, Daniels, Vaughn, Garza and Scott and referred to the Committee on Health Policy. A bill to amend 1978 PA 368, entitled "Public health code," (MCL 333.1101 to 333.25211) by adding sections 2913, 2915, and 2917. THE PEOPLE OF THE STATE OF MICHIGAN ENACT: 1 SEC. 2913. THE OBJECTIVES OF ESTABLISHING THE DATABASE AND 2 THE DATA PLANS APPROVED AND MADE EFFECTIVE UNDER SECTION 2909 ARE 3 TO OBTAIN, PROCESS, ANALYZE, AND PUBLICLY DISSEMINATE STATEWIDE 4 COMPARATIVE DATA IN A CLEAR, USABLE, AND STANDARDIZED FORM, 5 REGARDING THE COST, QUALITY, AND ORGANIZATION OF HEALTH CARE 6 SERVICES IN THIS STATE AND ON THE HEALTH STATUS OF THE STATE POP- 7 ULATION AS A WHOLE AND BY GEOGRAPHIC, DEMOGRAPHIC, AND OTHER 8 APPROPRIATE CATEGORIES. THE DATABASE SHALL INCLUDE, BUT IS NOT 9 LIMITED TO, CLINICAL AND FINANCIAL DATA TO PROVIDE THE MEANS TO 10 EVALUATE HEALTH PROVIDERS AND HEALTH CARE PAYMENT AND BENEFITS 00841'99 CPD 2 1 PLANS ON A COMPARATIVE, PROVIDER-SPECIFIC, PLAN-SPECIFIC, AND 2 TREATMENT-SPECIFIC BASIS. THE DATA SHALL BE SEVERITY-ADJUSTED 3 AND RISK-ADJUSTED. 4 SEC. 2915. EACH DATA PLAN APPROVED AND MADE EFFECTIVE UNDER 5 SECTION 2909 SHALL SPECIFY ALL OF THE FOLLOWING: 6 (A) DATABASE CONTENT, INCLUDING, BUT NOT LIMITED TO, ALL OF 7 THE FOLLOWING DATA ELEMENTS: 8 (i) CLINICAL AND FINANCIAL DETAIL, SPECIFIC AS TO DIAGNOSES, 9 TREATMENTS OR PROCEDURES, AND PROVIDERS, INCLUDING PLAN PER- 10 FORMANCE, HEALTH SETTINGS, AND PRACTITIONERS. 11 (ii) DATA RELATED TO THE ORGANIZATION OF HEALTH SERVICES. 12 (iii) DATA DESCRIBING THE HEALTH STATUS OF PATIENTS. 13 (iv) DATA CHARACTERIZING THE QUALITY OF HEALTH SERVICE 14 OUTCOMES. 15 (v) STATISTICAL ADJUSTMENT, AS APPROPRIATE, OF ALL DATA ELE- 16 MENTS ACCORDING TO THE HEALTH STATUS OF THE PATIENT. 17 (B) RELEASE OF DATA ANALYSES AND REPORTS PROMOTING ALL OF 18 THE FOLLOWING: 19 (i) VALUE FOR ALL USERS OF THE DATA SYSTEM, INCLUDING CON- 20 SUMERS, PLANNERS, POLICY MAKERS, PROVIDERS, PURCHASERS, AND 21 RESEARCHERS. 22 (ii) CONTINUOUS IMPROVEMENTS IN QUALITY, APPROPRIATENESS, 23 AND EFFICIENCY OF HEALTH SERVICE DELIVERY AND IN THE HEALTH 24 STATUS OF THE RESIDENTS OF THIS STATE. 25 (iii) TIMELY AVAILABILITY OF INFORMATION THAT MEETS PRIORITY 26 NEEDS OF THE USERS OF THE DATABASE. 00841'99 3 1 (C) APPROPRIATE RECOGNITION OF ADMINISTRATIVE CONSIDERATIONS 2 INCLUDING, BUT NOT LIMITED TO, ALL OF THE FOLLOWING: 3 (i) IMPLEMENTATION OF EACH DATA PLAN PHASED IN BASED ON 4 DETERMINATIONS OF PRIORITY NEEDS OF DATA USERS, VALUE OF DATA, 5 AND DATA AVAILABILITY AND ACCESSIBILITY. 6 (ii) DATA COLLECTION IN A STANDARDIZED MANNER. 7 (iii) RELIANCE ON EXISTING DATA SETS, IN ORDER TO MINIMIZE 8 DUPLICATION IN REPORTING DATA. 9 (iv) MINIMIZATION OF ADMINISTRATIVE COST AND BURDEN ON THOSE 10 INITIALLY GENERATING AND THOSE DIRECTLY SUPPLYING DATA. 11 (v) PROMOTION OF THE USE OF ELECTRONIC INFORMATION TECHNOL- 12 OGY AND UNIFORM CLAIMS PROCEDURES, INCLUDING DATA QUALITY 13 ASSESSMENT. 14 (vi) PROTECTION OF PRIVACY AND CONFIDENTIALITY OF INDIVIDUAL 15 PATIENT INFORMATION. 16 (vii) AVAILABILITY OF ADEQUATE RESOURCES TO COVER ALL INCRE- 17 MENTAL COSTS RELATED TO INITIATION AND ONGOING OPERATION OF THE 18 DATABASE, WITHOUT REGARD TO WHO INCURS THE COSTS. 19 SEC. 2917. (1) THE DATABASE SHALL INCLUDE, AT A MINIMUM, 20 DATA FROM THE MICHIGAN INPATIENT DATABASE OR COMPARABLE DATA, 21 DATA FROM THE MEDICAID PROGRAM, DATA FROM UNIFORM CLAIM FORMS 22 USED BY HOSPITALS TO SUBMIT BILLS AND, AS NEEDED TO EVALUATE 23 HEALTH CARE PAYMENT AND BENEFIT PLANS ON A COMPARATIVE BASIS, 24 DATA FROM HEALTH MAINTENANCE ORGANIZATIONS LICENSED UNDER PART 25 210, ALTERNATIVE HEALTH CARE DELIVERY AND FINANCING SYSTEMS 26 LICENSED UNDER SECTION 21042, ORGANIZATIONS OFFERING PRUDENT 27 PURCHASER ARRANGEMENTS UNDER THE PRUDENT PURCHASER ACT, INSURERS 00841'99 4 1 AS DEFINED UNDER SECTION 106 OF THE INSURANCE CODE OF 1956, MCL 2 500.106, AND A HEALTH CARE CORPORATION INCORPORATED UNDER THE 3 NONPROFIT HEALTH CARE CORPORATION REFORM ACT. 4 (2) DATA COLLECTED FOR THE DATABASE SHALL BE COORDINATED TO 5 THE EXTENT PERMITTED BY LAW WITH INFORMATION COLLECTED BY THE 6 DEPARTMENT FOR MEDICAL RESEARCH PROJECTS AND AS OTHERWISE 7 REQUIRED BY THE CODE AND WITH INFORMATION CONTAINED IN ALL OF THE 8 FOLLOWING REGISTRIES AND REPORTS: 9 (A) THE OCCUPATIONAL DISEASE OR HEALTH CONDITION REPORTS 10 REQUIRED UNDER SECTION 5611. 11 (B) THE BIRTH DEFECTS REGISTRY ESTABLISHED UNDER SECTION 12 5721. 13 Enacting section 1. This amendatory act does not take 14 effect unless all of the following bills of the 90th Legislature 15 are enacted into law: 16 (a) Senate Bill No. _____ or House Bill No. _____ (request 17 no. 00838'99). 18 (b) Senate Bill No. _____ or House Bill No. _____ (request 19 no. 00839'99). 20 (c) Senate Bill No. _____ or House Bill No. _____ (request 21 no. 00839'99 a). 22 (d) Senate Bill No. _____ or House Bill No. _____ (request 23 no. 00840'99). 00841'99 Final page. CPD