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First Substitute H.B. 355

Representative Jack R. Draxler proposes the following substitute bill:


             1     
HEALTHCARE-ASSOCIATED INFECTIONS

             2     
2011 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Jack R. Draxler

             5     
Senate Sponsor: ____________

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill amends the Utah Health Code, Title 26, by requiring an ambulatory surgical
             10      facility, a general acute hospital, and a specialty hospital to provide data on
             11      healthcare-associated infections and requiring the Department of Health to release a
             12      quarterly report on healthcare-associated infections.
             13      Highlighted Provisions:
             14          This bill:
             15          .    defines the term "healthcare-associated infection";
             16          .    requires an ambulatory surgical facility, a general acute hospital, and a specialty
             17      hospital to provide data on healthcare-associated infections to the Department of
             18      Health and the National Healthcare Safety Network on a quarterly basis;
             19          .    requires the Department of Health to use the data described in the preceding
             20      paragraph to prepare and publicly disclose a quarterly report on
             21      healthcare-associated infection rates at ambulatory surgical facilities, general acute
             22      hospitals, and specialty hospitals, so long as funding allows;
             23          .    establishes a protocol for the creation of the quarterly report;
             24          .    states that the report shall not be used as evidence in a criminal, civil, or
             25      administrative proceeding; and


             26          .    makes technical changes.
             27      Money Appropriated in this Bill:
             28          None
             29      Other Special Clauses:
             30          None
             31      Utah Code Sections Affected:
             32      ENACTS:
             33          26-6c-1, Utah Code Annotated 1953
             34     
             35      Be it enacted by the Legislature of the state of Utah:
             36          Section 1. Section 26-6c-1 is enacted to read:
             37          26-6c-1. Public reporting of healthcare-associated infections.
             38          (1) As used in this section, "healthcare-associated infection" means:
             39          (a) an infection acquired in an ambulatory surgical facility, a general acute hospital, or
             40      a specialty hospital by a patient who was admitted for a reason other than the infection; or
             41          (b) an infection occurring in a patient of an ambulatory surgical facility, a general acute
             42      hospital, or a specialty hospital in whom the infection was not present or incubating at the time
             43      of admission, including infections acquired in the ambulatory surgical facility, general acute
             44      hospital, or specialty hospital but appearing after discharge.
             45          (2) In accordance with Subsection (3), an ambulatory surgical facility, a general acute
             46      hospital, or a specialty hospital shall submit data on the incidence and rate of
             47      healthcare-associated infections and any other data specified by the department by rule made in
             48      accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act:
             49          (a) to the National Healthcare Safety Network and to the Department of Health in a
             50      format established by rule adopted by the department; and
             51          (b) on a quarterly basis, no more than 30 days after the last day of a calendar quarter,
             52      for all healthcare-associated infections that occurred in that quarter.
             53          (3) The data described in Subsection (2) shall be broken down into the following
             54      categories of infections:
             55          (a) central line associated bloodstream infections;
             56          (b) surgical site infections;


             57          (c) ventilator associated pneumonia;
             58          (d) catheter associated urinary tract infections;
             59          (e) methicillin-resistant staphylococcus aureus (MRSA);
             60          (f) clostridium difficile; and
             61          (g) other infections as designated by department rule.
             62          (4) The department shall, as funding allows:
             63          (a) use the data described in Subsections (2) and (3) to compile a report on
             64      healthcare-associated infections in Utah ambulatory surgical facilities, general acute hospitals,
             65      and specialty hospitals for public distribution in accordance with the requirements of this
             66      Subsection (4);
             67          (b) prepare the report described in Subsection (4)(a) on a quarterly basis;
             68          (c) post the report on the department's website, and in a press release to major Utah
             69      news outlets, no later than 90 days after the deadline described in Subsection (2)(b);
             70          (d) include in the report:
             71          (i) data on the rate of healthcare-associated infections per 100 patient admissions, or as
             72      defined by the National Healthcare Safety Network, for the infection types described in
             73      Subsection (3); and
             74          (ii) data on how the rate of healthcare-associated infections in Utah ambulatory
             75      surgical facilities, general acute hospitals, and specialty hospitals compares with the rates in
             76      other states;
             77          (e) in compiling the report described in Subsection (4)(a), use data collection and
             78      analytical methodologies that meet accepted standards of validity and reliability;
             79          (f) clearly identify and acknowledge, in the report, the limitations of the data sources
             80      and analytic methodologies used to develop comparative hospital information;
             81          (g) decide whether information supplied by a facility or hospital under Subsection
             82      (5)(b) is appropriate to include in the report;
             83          (h) adjust comparisons among facilities and hospitals for patient case mix and other
             84      relevant factors, when appropriate; and
             85          (i) control for provider peer groups, when appropriate.
             86          (5) Before posting or releasing the report described in Subsection (4), the department
             87      shall:


             88          (a) disclose to each ambulatory surgical facility, general acute hospital, and specialty
             89      hospital whose data is included in the report:
             90          (i) the entire methodology for collecting and analyzing the data; and
             91          (ii) the comparative hospital information and other information the department has
             92      compiled for the facility or hospital; and
             93          (b) give the facility or hospital 30 days to suggest corrections or add explanatory
             94      comments about the data.
             95          (6) The department shall develop and implement effective safeguards to protect against
             96      the unauthorized use or disclosure of ambulatory surgical facility, general acute hospital, and
             97      specialty hospital data, including the dissemination of inconsistent, incomplete, invalid,
             98      inaccurate, or subjective data.
             99          (7) The report described in Subsection (4)(a):
             100          (a) shall contain only statistical, non-identifying information and may not disclose the
             101      identify of:
             102          (i) an employee of an ambulatory surgical facility, a general acute hospital, or a
             103      specialty hospital;
             104          (ii) a patient; or
             105          (iii) health care provider; and
             106          (b) may not be used as evidence in a criminal, civil, or administrative proceeding.
             107          (8) The department shall regularly evaluate the quality and accuracy of hospital
             108      information reported under this section.


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