2SSB 6312 -
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.