BILL ANALYSIS �
AB 1382
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Date of Hearing: April 2, 2013
ASSEMBLY COMMITTEE ON HEALTH
Richard Pan, Chair
AB 1382 (Committee on Health) - As Introduced: February 27,
2013
SUBJECT : Reporting.
SUMMARY : Makes technical changes to terms used in the reporting
of health data information by specified health facilities to the
Office of Statewide Health Planning and Development (OSHPD).
Deletes references to "principal language spoken" and "external
cause of injury" and replaces these terms with "preferred
language spoken" and "external causes of morbidity," and deletes
the reporting requirement of "other external cause of injury."
Makes other technical and conforming changes.
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
includes 19 elements of data per admission that are required
to be included.
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)Requires OSHPD, commencing July 2002 through July 2006, to
publish risk-adjusted outcome reports in accordance with a
schedule that requires reports to be published on three
conditions or procedures each year for five years, for a total
of 15 reports by July 2006, and requires reports for
subsequent years to include conditions and procedures and
cover periods as appropriate. Requires 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.
FISCAL EFFECT : None
COMMENTS :
AB 1382
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1)PURPOSE OF THIS BILL . OSHPD is the sponsor of this bill.
According to the sponsor and author, this bill would replace
obsolete terms in existing statute with new national standards
being adopted by hospitals, many of which are already
reflected in OSHPD regulations.
2)BACKGROUND . In 1971, the Legislature passed the Hospital
Disclosure Act (Act), the original Act which created the
California Hospital Commission to collect the hospital data.
Under the Act, hospitals were required to disclose detailed,
uniform data about hospital operations to the state. The Act
was renamed the Health Facilities Disclosure Act and the
California Hospital Commission was renamed the California
Health Facilities Commission (CHFC). The CHFC was abolished
in 1984 and the data collection programs were transferred to
OSHPD.
Over the years, additions have been made to the Act to require
OSHPD to collect additional data sets including patient level
encounter data and discharge data from hospital emergency
departments, ambulatory surgery departments, and licensed
freestanding ambulatory surgery clinics.
3)RELATED LEGISLATION .
a) AB 975 (Wieckowski and Bonta) revises California's
nonprofit community benefits requirements to include
multispecialty clinics and narrows the activities that
constitute community benefits, creates a definition of
charity care, requires OSHPD to develop a standardized
methodology for calculating community benefit, calculate
the value of community benefit for submitting entities, and
to issue civil penalties for noncompliance with filing
requirements. Provides a rebuttable presumption that
hospitals are organized as for profit if operating revenue
exceeds 10% of operating expenses during the immediate
preceding fiscal year.
b) AB 1312 (Brown) authorizes the Department of Public
Health to, without taking regulatory action, update the
California Code of Regulations to standards of practice
developed by recognized state or national associations by
posting on its Internet Web site in accordance with
specified notice, public comment, and hearing requirements.
AB 1382
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c) SB 508 (Ed Hernandez) requires OSHPD, with the support
from the California Health and Human Services Agency, to
use hospital inpatient discharge data to develop a health
disparity report to assess the levels of measurable health
disparities in the state.
4)PREVIOUS LEGISLATION .
a) SB 181 (Campbell), Chapter 1326, Statutes of 1984,
transferred the hospital data collection programs from the
California Health Facilities Commission to OSHPD.
b) 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.
REGISTERED SUPPORT / OPPOSITION :
Support
American Federation of State, County and Municipal Employees,
AFL-CIO
Opposition
None on file.
Analysis Prepared by : Patty Rodgers / HEALTH / (916) 319-2097