6312-S2 AMH APP H4472.1

2SSB 6312  - H COMM AMD TO APP COMM AMD (H-4412.2/14)
     By Committee on Appropriations

ADOPTED 03/05/2014

     On page 151, after line 27, insert the following:

"Sec. 94   RCW 70.320.020 and 2013 c 320 s 2 are each amended to read as follows:
     (1) The authority and the department shall base contract performance measures developed under RCW 70.320.030 on the following outcomes when contracting with service contracting entities: Improvements in client health status and wellness; increases in client participation in meaningful activities; reductions in client involvement with criminal justice systems; reductions in avoidable costs in hospitals, emergency rooms, crisis services, and jails and prisons; increases in stable housing in the community; improvements in client satisfaction with quality of life; and reductions in population-level health disparities.
     (2) The performance measures must demonstrate the manner in which the following principles are achieved within each of the outcomes under subsection (1) of this section:
     (a) Maximization of the use of evidence-based practices will be given priority over the use of research-based and promising practices, and research-based practices will be given priority over the use of promising practices. The agencies will develop strategies to identify programs that are effective with ethnically diverse clients and to consult with tribal governments, experts within ethnically diverse communities and community organizations that serve diverse communities;
     (b) The maximization of the client's independence, recovery, and employment;
     (c) The maximization of the client's participation in treatment decisions; and
     (d) The collaboration between consumer-based support programs in providing services to the client.
     (3) In developing performance measures under RCW 70.320.030, the authority and the department shall consider expected outcomes relevant to the general populations that each agency serves. The authority and the department may adapt the outcomes to account for the unique needs and characteristics of discrete subcategories of populations receiving services, including ethnically diverse communities.
     (4) The authority and the department shall coordinate the establishment of the expected outcomes and the performance measures between each agency as well as each program to identify expected outcomes and performance measures that are common to the clients enrolled in multiple programs and to eliminate conflicting standards among the agencies and programs.
     (5)(a) The authority and the department shall establish timelines and mechanisms for service contracting entities to report data related to performance measures and outcomes, including phased implementation of public reporting of outcome and performance measures in a form that allows for comparison of performance measures and levels of improvement between geographic regions of Washington.
     (b) The authority and the department may not release any public reports of client outcomes unless the data have been deidentified and aggregated in such a way that the identity of individual clients cannot be determined through directly identifiable data or the combination of multiple data elements."

     Renumber the remaining sections consecutively, correct any internal references accordingly, and correct the title.

EFFECT:  Prohibits the Department of Social and Health Services and the Health Care Authority from releasing any public reports of client outcomes unless the data have been deidentified and aggregated so that client identities cannot be determined.

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