BILL ANALYSIS                                                                                                                                                                                                    



          SENATE COMMITTEE ON APPROPRIATIONS
                             Senator Ricardo Lara, Chair
                            2015 - 2016  Regular  Session

          SB 275 (Hernandez) - Health facility data
          
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          |Version: February 19, 2015      |Policy Vote: HEALTH 7 - 0       |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: April 20, 2015    |Consultant: Brendan McCarthy    |
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          This bill does not meet the criteria for referral to the  
          Suspense File.



          


          Bill  
          Summary:  SB 275 would require the Office of Statewide Health  
          Planning and Development to adopt a regulation adding physician  
          identifiers to existing reports regarding patient care that  
          hospitals and surgical clinics are required to submit to the  
          state.


          Fiscal  
          Impact:  One-time costs of about $100,000 to develop policies,  
          adopt regulations, and make necessary changes to computer  
          systems (California Health Data and Planning Fund).


          Background:  Under current law, the Office of Statewide Health Planning and  
          Development requires hospitals and ambulatory surgery centers to  







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          file reports on patient encounters or discharges. These reports  
          include information on all inpatient visits to hospitals, all  
          patient encounters in hospital emergency departments, and all  
          patient encounters when a surgery procedure is performed. The  
          required reports include 19 data elements, including information  
          on the patient's diagnosis and clinical outcomes upon discharge.  

          Current law allows the Office to add data elements to these  
          required reports. To date the office has not added any  
          additional data elements. Under current law, the required  
          reports do not need to include identifying information on  
          treating physicians and the Office has not added this data  
          element to the reports. (There is a separately required report  
          specific to coronary artery bypass graft surgery that hospitals  
          must also file. Those reports are risk-adjusted, meaning that  
          the clinical outcome data is adjusted to reflect the underlying  
          condition of patients, so that accurate comparisons can be made  
          between hospitals and physicians who treat more high-risk  
          patients with those who treat lower-risk patients. Those reports  
          include information identifying the treating physician.)




          Proposed Law:  
            SB 275 would require the Office of Statewide Health Planning  
          and Development to adopt a regulation adding physician  
          identifiers to existing reports regarding patient care that  
          hospitals and surgical clinics are required to submit to the  
          state.


          Related Legislation:

           SB 906 (Correa, Statutes of 2014) expanded an existing pilot  
            program which allowed physicians at certain hospitals to  
            perform percutaneous transluminal coronary angioplasty and  
            stent placement, to allow physicians at all qualifying  
            hospitals to do so. That bill included a requirement that the  
            Office publish a risk-adjusted report on clinical outcomes  
            from the authorized procedures.
           SB 830 (Galgiani, 2014) would have required the Office to  
            include heart valve repair and replacement surgeries in the  
            annual report on coronary artery bypass graft surgeries and to  








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            annually provide a risk-adjusted outcome reports for all  
            percutaneous cardiac interventions. That bill was held on this  
            committee's Suspense File.


          Staff  
          Comments:  Current law requires the Office to publish nine  
          risk-adjusted outcome reports on medical procedures in several  
          categories, on a specified schedule. Those reports are supposed  
          to include physician identifiers, unless the Office determines  
          it is not appropriate to include physician identifiers. To date,  
          the Office has not published any of those studies (although the  
          Office has generated other reports specifically required under  
          other provisions of law).
          Of the 48 states that collect outcome data from hospitals, only  
          California does not include physician identifiers in those  
          reports.




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