2107.E2 AMH SHMK BLAC 066

2EHB 2107 - H AMD 629

By Representative Schmick

NOT CONSIDERED 01/05/2018

On page 3, line 2, after "contracts with" strike "behavioral health organizations" and insert "((behavioral health organizations)) facilities certified by the department to provide treatment to adults on a ninety or one hundred eighty day inpatient involuntary commitment order"

On page 6, beginning on line 22, after "(2)" strike all material through "information" on line 29 and insert "Contracts developed by the department to implement this section must be constructed to allow the department to obtain complete identification information and admission and discharge dates for patients served under this authority. Prior to requesting identification information and admission and discharge dates or reports from certified facilities, the department must determine that this information cannot be identified or obtained from existing data sources available to state agencies. In addition, until January 1, 2022, facilities certified by the department to provide community long-term involuntary treatment to adults shall report to the department:

(a) All instances where a patient on a ninety or one hundred eighty day involuntary commitment order experiences an adverse event required to be reported to the department of health pursuant to chapter 70.56 RCW; and

(b) All hospital-based inpatient psychiatric service core measures reported to the joint commission or other accrediting body occurring from psychiatric departments, in the format in which the report was made to the joint commission"

On page 8, line 6, after "contracts with" strike "behavioral health organizations" and insert "((behavioral health organizations)) facilities certified by the department to provide treatment to adults on a ninety or one hundred eighty day inpatient involuntary commitment order"

On page 11, beginning on line 27, after "(2)" strike all material through "information" on line 34 and insert "Contracts developed by the authority to implement this section must be constructed to allow the authority to obtain complete identification information and admission and discharge dates for patients served under this authority. Prior to requesting identification information and admission and discharge dates or reports from certified facilities, the authority must determine that this information cannot be identified or obtained from existing data sources available to state agencies. In addition, until January 1, 2022, facilities certified by the authority to provide community long-term involuntary treatment to adults shall report to the authority:

(a) All instances where a patient on a ninety or one hundred eighty day involuntary commitment order experiences an adverse event required to be reported to the department of health pursuant to chapter 70.56 RCW; and

    (b) All hospital-based inpatient psychiatric service core measures reported to the joint commission or other accrediting body occurring from psychiatric departments, in the format in which the report was made to the joint commission"

EFFECT:   Removes the requirement that facilities certified to provide long-term inpatient mental health treatment (certified facilities) report on measures that align with data reported by the Department of Social and Health Services (DSHS) to the Select Committee on Quality Improvement in State Hospitals, including length of stay of patients, outcomes after discharge, employee-related measures, and demographic information.

Establishes a requirement that contracts between the DSHS and certified facilities allow the DSHS to obtain complete identification information and admission and discharge dates for patients served in certified facilities. Requires the DSHS to determine whether or not the information can be identified or obtained through existing data sources. Requires certified facilities to report, until January 1, 2022, (1) all instances in which a patient on a 90- or 180-day involuntary commitment order experiences an adverse event that requires a report to the Department of Health, and (2) all hospital-based inpatient psychiatric service core measures reported to the Joint Commission or other accrediting body from psychiatric departments.

Changes the DSHS responsibility to enter into contracts to provide long-term inpatient mental health treatment capacity in the community from a contract with behavioral health organizations to a contract with certified facilities.

Provides that the DSHS contracting functions described above shall be performed by the Health Care Authority in the event that either HB 1388 or SB 5259 is enacted.

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