BILL ANALYSIS                                                                                                                                                                                                    �






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       SB 1297
          AUTHOR:         Hueso
          AMENDED:       April 2, 2014
          HEARING DATE:  April 30, 2014
          CONSULTANT:    Marchand

           SUBJECT  :  Hospital Safety and Transparency Act of 2014.
           
          SUMMARY  :  Requires OSHPD to publish on its Internet Web site  
          historical and current information collected by state and  
          federal regulators about hospitals, including information  
          regarding Medi-Cal withholds and provider preventable  
          conditions, as specified.

          Existing state law:
          1.Licenses general acute care hospitals under the California  
            Department of Public Health (CDPH).

          2.Establishes the Office of Statewide Health Planning and  
            Development (OSHPD), and designates OSHPD as the single state  
            agency to collect specified health facility or clinic data for  
            use by all state agencies.

          3.Establishes the Department of Health Care Services (DHCS),  
            which administers the Medi-Cal program, and requires DHCS to  
            place a provider under Medi-Cal payment suspension upon a  
            credible allegation of fraud, as defined. 

          Existing federal law: Requires, as part of the Affordable Care  
          Act (ACA), that state Medicaid programs prohibit payments by  
          states for services related to provider preventable conditions  
          (PPCs). Federal law defines a PPC, in part, as a condition  
          occurring in any health care setting that has been found to be  
          reasonably preventable through the application of procedures  
          supported by evidence-based guidelines.
          
          This bill:
          1.Requires OSHPD to publish on its Internet Web site, from  
            records in its possession, historical and current information  
            collected by state and federal regulators about hospitals,  
            including, but not limited to, information regarding Medi-Cal  
            withholds, as specified, and provider preventable conditions,  
            as specified.
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          2.Makes various legislative findings and declarations, including  
            that the findings of reviews are dispersed across multiple  
            state entities, often in multiple locations and varying  
            formats, and as a result, consumers do not have access to a  
            comprehensive profile of a hospital's status and performance  
            on quality and compliance with state and federal laws.

           FISCAL EFFECT  :  This bill has not been heard by a fiscal  
          committee.

           COMMENTS  :  
           1.Author's statement.  According to the author, currently, there  
            is a lack of transparency and clarity when it comes to finding  
            out which California hospitals have had severe,  
            performance-related sanctions imposed on them by regulators.  
            This lack of transparency makes it difficult for patients,  
            patient advocates, and purchasers of hospital services to  
            choose the safest hospitals when they need health care and  
            prevents the market from rewarding hospitals that are quality  
            providers. This bill addresses the need for transparency and  
            accountability in hospital reporting by consolidating  
            information collected by state and federal regulators along  
            with other hospital data in the OSHPD website. Examples of the  
            type of information to be included are: detail on deficiencies  
            and history of violations found by accreditors and  
            state/federal inspectors; any actions taken by the federal  
            Centers for Medical and Medicare Services (CMS) or state  
            regulators, including temporary or permanent exclusions or  
            withholdings from Medi-Cal or Medicare; and, reports of PPCs.

          2.Provider Preventable Conditions.  The ACA requires that  
            Medi-Cal withhold payment from providers for treatment  
            associated with PPCs. PPCs are defined to include Other  
            Provider-Preventable Conditions which are to be reported in  
            all health care settings, and Health Care-Acquired Conditions  
            in acute inpatient hospital settings only. Health  
            Care-Acquired Conditions include air embolisms, blood  
            incompatibility, catheter-associated urinary tract infections,  
            foreign object retained after surgery, and certain surgical  
            site infections, among others. According to DHCS, it will  
            investigate all reports of PPCs to determine if payment  
            adjustment is necessary. DHCS states that it uses PPC reports  
            to determine if payment adjustment is appropriate, that it is  
            required to report PPCs to CMS and abide by confidentiality  
            requirements, and that it will also evaluate the data of  




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            reported PPCs to develop quality improvement programs. It is  
            unclear if PPCs will be made publicly available.

          3.Information on hospitals can be hard to find, and is spread  
            out. Under existing state law, at least three different  
            agencies have some form of regulatory authority over  
            hospitals. CDPH licenses and regulates all health facilities,  
            including hospitals, and conducts inspections both for state  
            licensing purposes, and on behalf of CMS to ensure hospitals  
            can continue to be an approved provider under federal payment  
            programs. OSHPD has oversight over the construction and  
            modification of health facility buildings, including ensuring  
            compliance with seismic safety laws, and also serves as the  
            data collection entity for many different types of hospital  
            reports, including discharge data reports and summary  
            financial reports. DHCS, as the administrator of the Medi-Cal  
            program, approves, and can suspend, hospitals and other  
            providers for purposes of participation in the Medi-Cal  
            program.

          On CDPH's website, there is a link for "Consumer Information  
            System," which includes information about administrative  
            penalties levied against hospitals, penalties for breaches of  
            patient confidentiality, and a map of infection rates by  
            hospital.

          OSHPD has a "Healthcare Information Division," which includes  
            quality reports on hospitals (such as risk-adjusted outcome  
            reports), hospital financial reports, patient discharge  
            reports, emergency department encounters, ambulatory surgery  
            reports, and a number of other types of reports.

          DHCS, though not easy to find, has a link to an excel report  
            that lists all of the providers that have been suspended from  
            receiving payment from the Medi-Cal program. The vast majority  
            of the provider payment suspensions are for individual  
            physicians or clinics, but includes six hospitals that have  
            been suspended, the most recent being Los Angeles Doctors  
            Hospital, which was suspended indefinitely in 2012.
            
          4.Support.  This bill is sponsored by the California State  
            Council of the Service Employees International Union (SEIU  
            California), which states that this bill seeks to improve  
            transparency for Californians about hospital quality by  
            consolidating information already collected by state and  




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            federal regulators on the OSHPD website. SEIU California  
            states that there is no easily accessible online source that  
            shows whether a hospital was excluded from receiving  
            Medicare/Medicaid payments due to deficiencies revealed during  
            inspection, information about Medi-Cal withholds and  
            suspensions, and provider preventable conditions, however all  
            of these are significant to a consumer's understanding of a  
            provider's standing with its regulating bodies and the quality  
            of care delivered. SEIU California states that this  
            information is dispersed among numerous state departments and  
            entities. This bill would take a modest approach to offering  
            Californians greater transparency about hospital quality by  
            requiring OSHPD to post this important information along with  
            all the information it currently posts related to health  
            providers and facilities.

          5.Suggested amendments. 
               
               a.     This bill requires OSHPD to publish specified  
                 information "from records in its possession." However,  
                 information pertaining to the Medi-Cal program, including  
                 provider suspensions and the provider preventable  
                 conditions, as specified in the bill, would be in the  
                 possession of DHCS, which administers the Medi-Cal  
                 program. To ensure that this bill accomplishes its  
                 objective of consolidating information about hospitals in  
                 one location, the phrase "from records in its possession"  
                 should be deleted from the bill.

               b.     This bill requires that information published by  
                 OSHPD include information regarding Medi-Cal "program  
                 withholds," as specified. The bill should be amended to  
                 reflect the actual term used in that statute, which is  
                 "payment suspension."
          
           SUPPORT AND OPPOSITION  :
          Support:  Service Employees International Union - California  
                    State Council (sponsor)

          Oppose:   None received.





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