BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  AB 1382
          Author:   Assembly Health Committee
          Amended:  As introduced
          Vote:     21


           SENATE HEALTH COMMITTEE  :  9-0, 6/5/13
          AYES:  Hernandez, Anderson, Beall, De León, DeSaulnier, Monning,  
            Nielsen, Pavley, Wolk

           ASSEMBLY FLOOR  :  75-0, 4/11/13 (Consent) - See last page for  
            vote


           SUBJECT  :    Reporting

           SOURCE  :     Office of Statewide Health Planning and Development


           DIGEST  :    This bill updates obsolete terminology in existing  
          statute used in the reporting of health data information by  
          specified health facilities to the Office of Statewide Health  
          Planning and Development (OSHPD) in order to be consistent with  
          national standards.

           ANALYSIS  :    

          Existing law:

          1.Establishes OSHPD, and requires each organization that  
            operates, conducts, or maintains a health facility to make and  
            file with OSPHD certain specified reports, including a  
            Hospital Discharge Abstract Data Record that currently  
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            includes 19 elements of data per admission.

          2.Requires hospitals, commencing January 1, 2004, to file with  
            OSHPD an Emergency Care Data Record and an Ambulatory Surgery  
            Data Record, each with 15 elements of data per patient.

          3.Required OSHPD, commencing July 2002 through July 2006, to  
            publish risk-adjusted outcome reports in accordance with a  
            schedule that required reports to be published on three  
            conditions or procedures each year for five years, for a total  
            of 15 reports by July 2006.  Required the procedures and  
            conditions to be reported to be equally divided among medical,  
            surgical, and obstetric conditions or procedures, and to be  
            selected by OSHPD in accordance with specified criteria.

          This bill:

          1.Updates obsolete terminology in existing statute used in the  
            reporting of health data information by specified health  
            facilities to OSHPD in order to be consistent with national  
            standards.

          2.Revises the following terms:  "principal language spoken" to  
            "preferred language spoken;" "(condition or external cause)  
            present at admission" to "(condition or external cause)  
            present on admission"; and, "external cause of injury" to  
            "external causes of morbidity."

           Prior Legislation
           
          AB 2381 (Mojonnier, Chapter 1326, Statutes of 1984), transferred  
          the hospital data collection programs from the California Health  
          Facilities Commission to OSHPD.

          SB 680 (Figueroa, Chapter 898, Statutes of 2001), revised the  
          schedule and expanded the number of reports OSHPD is required to  
          publish on risk-adjusted outcomes, added physician outcomes for  
          those reports on surgical conditions or procedures, and  
          permitted OSHPD to obtain all data elements reasonably necessary  
          to complete the risk-adjusted outcome reports required.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No   Local:  
           No


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           SUPPORT  :   (Verified  6/6/13)

          Office of Statewide Health Planning and Development (source)
          American Federation of State, County and Municipal Employees,  
          AFL-CIO


           ARGUMENTS IN SUPPORT  :    According to OSHPD, the terminology for  
          three health data elements currently reported to OSHPD are  
          outdated when compared to national reporting standards.  OSHPD  
          maintains that aligning with national standards will streamline  
          patient-level data collection programs, make the data collected  
          more useful to data users, and reduce regulatory burdens on data  
          providers.

          The American Federation of State, County and Municipal Employees  
          (AFSCME), AFL-CIO, writes in support that by modernizing our  
          health statute, this bill ensures that our data collection terms  
          match with current national data collection standards.  AFSCME  
          maintains that, as California expands its pool of insured  
          patients, it is critical to ensure a smooth transition to  
          compliance with the Affordable Care Act.

          ASSEMBLY FLOOR  :  75-0, 4/11/13
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Blumenfield, Bocanegra, Bonilla, Bonta, Bradford, Brown,  
            Buchanan, Ian Calderon, Campos, Chau, Chávez, Chesbro, Conway,  
            Cooley, Dahle, Daly, Dickinson, Donnelly, Eggman, Fong, Fox,  
            Frazier, Beth Gaines, Garcia, Gatto, Gomez, Gordon, Gorell,  
            Gray, Grove, Hagman, Hall, Roger Hernández, Holden, Jones,  
            Levine, Linder, Logue, Maienschein, Mansoor, Medina, Melendez,  
            Mitchell, Morrell, Mullin, Muratsuchi, Nazarian, Nestande,  
            Olsen, Pan, Perea, V. Manuel Pérez, Quirk, Quirk-Silva,  
            Rendon, Salas, Skinner, Stone, Ting, Torres, Wagner, Waldron,  
            Weber, Wieckowski, Wilk, Williams, Yamada, John A. Pérez
          NO VOTE RECORDED:  Harkey, Jones-Sawyer, Lowenthal, Patterson,  
            Vacancy


          JL:ej  6/6/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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