BILL ANALYSIS Ó
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
SB 275 (Hernandez) Page 1 of
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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
SB 275 (Hernandez) Page 2 of
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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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