BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           911 (Lieu)
          
          Hearing Date:  8/17/2009        Amended: 7/23/2009
          Consultant: Katie Johnson       Policy Vote: Health 9-1
          _________________________________________________________________ 
          ____
          BILL SUMMARY:  AB 911 would require all hospitals that operate  
          emergency departments to assess the condition of its emergency  
          department by determining a crowding score of 1 - 6, with 1  
          being the least crowded and 6 being the most crowded. The bill  
          would require hospitals to develop and file full capacity  
          protocols that would correspond to the crowding score with the  
          Office of Statewide Health Planning and Development.
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2009-10      2010-11       2011-12     Fund
                                                                  
          CDPH inspection                 minor and absorbable   Special*

          OSHPD file collection    minor and absorbable          Special**
          and storage

          Publicly-funded health   unknown, potentially  
          significantGeneral/
          program impact           costs or savings              Federal

          *State Department of Public Health Licensing and Certification  
          Program Fund
          **California Health Data and Planning Fund
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: This bill may meet the criteria for referral to  
          the Suspense File.

          Staff notes that this bill may meet the criteria for referral to  
          the Suspense File for the following reasons:

          a) If this bill were to result in an emergency department's  
          ability to see patients more efficiently and thus cause a net  
          increase in the number of patients seen in a day, there could be  










          increased costs to the state in the form of claims for  
          reimbursement for services rendered to Medi-Cal, Healthy  
          Families, and other publicly-funded health care program  
          beneficiaries.

          b) In contrast, there could be savings to publicly-funded health  
          care programs to the extent that emergency department  
          efficiencies reduce wait time and correlate with improved health  
          outcomes.

          Existing law provides for the licensure of health facilities,  
          including hospitals, by the California Department of Public  
          Health (CDPH).


          Page 2
          AB 911 (Lieu)

          This bill would require every licensed acute care hospital with  
          an emergency department (ED) to calculate and record a crowding  
          score, as specified, a minimum of every four hours. The crowding  
          score would be a measure of the crowdedness of an ED. This bill  
          would make exceptions to recording the score every four hours  
          for hospitals with low crowding scores and those with fewer than  
          12,000 visits annually. Staff recommends a technical amendment  
          to insert a Section 1250 of the Health and Safety Code reference  
          to the definition of general acute care hospitals where  
          appropriate.

          This bill would require every licensed general acute care  
          hospital with an ED to determine the range of crowding scores  
          that constitute each of the six categories of the crowding scale  
          for its ED. Level one would be the lowest level of crowding and  
          level six would be the highest. This bill would establish a  
          formula for calculating the crowding scores and would provide  
          that no score may exceed 200.

          This bill would require hospitals with EDs, by January 1, 2011,  
          to develop and implement a full-capacity protocol for each of  
          the six categories of its crowding scale and to submit it to the  
          Office of Statewide Health Planning and Development (OSHPD). The  
          full-capacity protocol would address such factors as the  
          notification of hospital administrators and medical and nursing  
          staff of crowding scale category changes; hospital operations,  
          including bed utilization, discharges, and supplies; ED  
          operations, including diversion, triage, and alternative care  










          sites; planned response.

          This bill would provide that these provisions would sunset  
          January 1, 2014.

          Costs to CDPH to check for enforcement of these provisions  
          during site surveys would be minor and absorbable. Similarly,  
          costs to OSHPD to accept and file the hospitals' full-capacity  
          protocols would be minor and absorbable.

          There would be unknown, likely absorbable, one-time costs to  
          hospitals to develop the full-capacity protocols and to train  
          current staff on the crowding calculator and the full-capacity  
          protocol. Ongoing training costs and the calculation of the  
          crowding score would be minor.