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First Substitute H.B. 408

Representative Bradley G. Last proposes the following substitute bill:




Chief Sponsor: Bradley G. Last

Senate Sponsor: Stephen H. Urquhart

             7      LONG TITLE
             8      General Description:
             9          This bill amends the Health Code to authorize a demonstration project administered by
             10      the department.
             11      Highlighted Provisions:
             12          This bill:
             13          .    authorizes the Department of Health to establish a demonstration project to
             14      facilitate:
             15              .    open and honest dialogue between a health care provider and a patient or the
             16      patient's representative regarding unexpected medical outcomes; and
             17              .    timely and cost effective resolution of unexpected medical outcomes; and
             18          .    gives the department rulemaking authority to implement the demonstration project.
             19      Monies Appropriated in this Bill:
             20          None
             21      Other Special Clauses:
             22          None
             23      Utah Code Sections Affected:
             24      AMENDS:
             25          26-1-30.5, as last amended by Laws of Utah 2001, Chapter 53

             27      Be it enacted by the Legislature of the state of Utah:
             28          Section 1. Section 26-1-30.5 is amended to read:
             29           26-1-30.5. Duty to establish pilot program for monitoring quality in health care.
             30          (1) [The] (a) Beginning July 1, 2010, the department shall develop a [two year]
             31      voluntary demonstration project to promote and monitor [quality health care] early intervention
             32      and resolution of unanticipated outcomes from medical care received by a patient.
             33          (b) Implementation and execution of the demonstration project is contingent upon
             34      [appropriations from the Legislature.] the amendment of a rule of evidence to protect the
             35      statements, affirmations, gestures, or conduct described in Section 78B-3-422 .
             36          (c) The department shall adopt administrative rules in accordance with Title 63G,
             37      Chapter 3, Utah Administrative Rulemaking Act, which establish:
             38          (i) the principles upon which the demonstration project shall be based; and
             39          (ii) the method for implementation and evaluation of an open and honest dialogue
             40      between a health care provider and a patient, or the patient's representative, after an
             41      unanticipated event resulting from medical care provided to the patient.
             42          (2) The demonstration project shall include at least the following:
             43          (a) a collaborative, public-private effort to [promote clinical quality and cost
             44      effectiveness in health care through community wide continuous quality improvement
             45      methods; and]:
             46          (i) avoid expensive and acrimonious litigation as a result of an unanticipated medical
             47      outcome; and
             48          (ii) replace litigation with open and honest dialogue about issues raised in the course of
             49      a patient's medical care which resulted in the unanticipated outcome;
             50          (b) a process for evaluating the effectiveness of [health care continuous quality
             51      improvement efforts in the state.] the demonstration project in:
             52          (i) preventing litigation of medical malpractice claims; and
             53          (ii) providing appropriate and timely resolution of medical malpractice claims.
             54          (c) a report to the Legislature's Judiciary, Law Enforcement, and Criminal Justice
             55      Interim Committee no later than November 30, 2012, which shall include the results of the
             56      demonstration project.

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