BP BHEAD INT S

AN ACT Relating to child death review and prevention; amending RCW 70.05.170; adding a new section to chapter 42.17 RCW; and adding a new chapter to Title 70 RCW.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

Sec. 1. RCW 70.05.170 and 1993 c 41 s 1 are each amended to read as follows:

(1)(a) The legislature finds that the mortality rate in Washington state among infants and children less than eighteen years of age is unacceptably high, and that such mortality may be preventable. The legislature further finds that, through the performance of child ((~~mortality~~)) death reviews, preventable causes of child mortality can be identified and addressed, thereby reducing the infant and child mortality in Washington state.

(b) It is the intent of the legislature ((~~to encourage the performance of child death reviews by local health departments by~~)) that community-based, multidisciplinary child death review will occur while providing necessary legal protections to the families of children whose deaths are studied, ((~~local health department officials and employees~~)) using local and state child death review teams, and ((~~health care professionals participating~~)) other participants in child ((~~mortality~~)) death review ((~~committee~~)) activities.

(2) ((As used in this section, "child mortality review" means a process authorized by a local health department as such department is defined in RCW 70.05.010 for examining factors that contribute to deaths of children less than eighteen years of age. The process may include a systematic review of medical, clinical, and hospital records; home interviews of parents and caretakers of children who have died; analysis of individual case information; and review of this information by a team of professionals in order to identify modifiable medical, socioeconomic, public health, behavioral, administrative, educational, and environmental factors associated with each death.

~~(3) Local health departments are authorized to conduct child mortality reviews. In conducting such reviews, the following provisions shall apply:~~

(a) All medical records, reports, and statements procured by, furnished to, or maintained by a local health department pursuant to chapter 70.02 RCW for purposes of a child mortality review are confidential insofar as the identity of an individual child and his or her adoptive or natural parents is concerned. Such records may be used solely by local health departments for the purposes of the review. This section does not prevent a local health department from publishing statistical compilations and reports related to the child mortality review, if such compilations and reports do not identify individual cases and sources of information.

(b) Any records or documents supplied or maintained for the purposes of a child mortality review are not subject to discovery or subpoena in any administrative, civil, or criminal proceeding related to the death of a child reviewed. This provision shall not restrict or limit the discovery or subpoena from a health care provider of records or documents maintained by such health care provider in the ordinary course of business, whether or not such records or documents may have been supplied to a local health department pursuant to this section.

(c) Any summaries or analyses of records, documents, or records of interviews prepared exclusively for purposes of a child mortality review are not subject to discovery, subpoena, or introduction into evidence in any administrative, civil, or criminal proceeding related to the death of a child reviewed.

(d) No local health department official or employee, and no members of technical committees established to perform case reviews of selected child deaths may be examined in any administrative, civil, or criminal proceeding as to the existence or contents of documents assembled, prepared, or maintained for purposes of a child mortality review.

(e) This section shall not be construed to prohibit or restrict any person from reporting suspected child abuse or neglect under chapter 26.44 RCW nor to limit access to or use of any records, documents, information, or testimony in any civil or criminal action arising out of any report made pursuant to chapter 26.44 RCW)) Chapter . . ., Laws of 1997 (this act) authorizes the department of health, in conjunction with the department of social and health services to:

(a) Consolidate and integrate all child death review activities;

(b) Review of all sudden, unexpected deaths of children from birth through seventeen years of age;

(d) Collection and analysis of standard data, including the development of a centralized child death data base;

(e) Reporting strategies to reduce the incidence of unexpected child death;

(f) Providing technical assistance and training to state and local child death review teams; and

(g) Considering and incorporating, as appropriate, recommendations of state and local teams into agency operating procedures.

NEW SECTION. Sec. 2. As used in chapter . . ., Laws of 1997 (this act), the following terms have the meanings indicated unless the context clearly indicates otherwise.

(1) "Child death review" means a systematic review of medical, clinical, and hospital records; home interviews of parents and caretakers of children who have died; analysis of individual case information; and review of this information by a multidisciplinary team of professionals in order to identify modifiable medical, socioeconomic, public health, behavioral, administrative, educational, and environmental factors associated with child death.

(2) "Child" or "children" means a person less than eighteen years of age.

(3) "Consistent process" means the use of a standard set of protocols that ensures the comprehensive evaluation of circumstances leading up to and all aspects of the sudden or unexpected death of a child.

(4) "Department" means the department of health.

(5) "Local child death review and prevention teams" or "local team" means a multidisciplinary, multiagency team, which may include, but is not limited to, professionals in the area of law enforcement, medicine, mental health, pathology, social services, chemical dependency treatment, child welfare, tribal governments, military, public health, and social work and representation from the foster parent community and the general public, who perform a comprehensive evaluation of circumstances leading up to the unexpected death of a child.

(6) "State child death review and prevention team" or "state team" means that entity which may include, but is not limited to, the state child, youth, and family ombudsman, and professionals in the area of law enforcement, medicine, mental health, pathology, chemical dependency treatment, social services, military, tribal governments, and public health for the purposes of conducting state child death review activities.

(7) "Unexpected death" means a death not resulting from a diagnosed terminal illness or other debilitating or deteriorating illness or condition where death is anticipated.

NEW SECTION. Sec. 3. (1) Local health departments in conjunction with regional offices of the department of social and health services have primary responsibility for the assurance that local child death review teams review all sudden, unexpected deaths of children. These reviews will:

(a) Report activities and aggregate data, on an annual basis, in a consistent process;

(b) Identify and refer to the state team those cases requiring further review;

(c) Report findings of child death reviews to appropriate local and state agencies, and the state child death review team; and

(d) Recommend strategies and solutions to local and state agencies regarding the prevention of unexpected child death.

(2) Local teams may access all relevant records, reports, and statements for purposes of conducting child death reviews, including but not limited to health care records, mental health records, substance abuse treatment records, child welfare records, birth records, and law enforcement records, so long as release of the records does not impair a law enforcement investigation. Records accessed by local teams are not subject to public disclosure, but information from the records can be used for statistical purposes. Local teams may also access statistical records in the state child death review data base occurring in their jurisdiction.

NEW SECTION. Sec. 4. (1) The state child death review team will coordinate and monitor the activities of local child death review teams, and will:

(a) Provide consultation and training to local teams;

(b) Compile and provide child death review reports;

(d) Recommend strategies and solutions to state agencies regarding the prevention of unexpected child death; and

(e) Review cases that have been identified by local teams as needing further review.

(2) The state team may access all relevant records, reports, and statements for purposes of conducting child death reviews including but not limited to health care records, mental health records, substance abuse treatment records, child welfare records, birth records, and law enforcement records, so long as release of the records does not impair a law enforcement investigation. Records accessed by local teams are not subject to public disclosure, but information from the records can be used for statistical purposes.

NEW SECTION. Sec. 5. Local and state child death review teams are authorized to conduct child death reviews. In conducting the reviews, the following rules apply:

(1) All medical records or documents maintained by local and state teams for purposes of a child death review are confidential and not subject to public disclosure. The records may be used solely by local and state teams for the purposes of review. This section does not prevent a local or state team from publishing statistical compilations and reports related to the child death review, as long as the compilations and reports do not identify individual cases and sources of information.

(2) All records or documents maintained by local and state teams for the purposes of a child death review are not subject to discovery or subpoena in any administrative, civil, or criminal proceeding. This subsection does not restrict or limit the discovery or subpoena from a health care provider of records or documents maintained by the health care provider in the ordinary course of business, whether or not the records or documents may have been supplied to a local or state team under this section.

(3) Any summaries or analyses of records, documents, or records of interviews prepared exclusively for purposes of a child death review are not subject to discovery, subpoena, or introduction into evidence in any administrative, civil, or criminal proceeding related to the death of a child reviewed.

(4) A local or state team employee or a member of technical committees established to perform case reviews of selected child deaths shall not be examined in any administrative, civil, or criminal proceeding as to any information regarding child death reviews or the existence or contents of documents assembled, prepared, or maintained for purposes of a child death review.

(5) This section does not prohibit or restrict a person from reporting suspected child abuse or neglect under chapter 26.44 RCW, or limit access to or use of any records, documents, information, or testimony in any civil or criminal action arising out of a report made under chapter 26.44 RCW.

NEW SECTION. Sec. 6. The department of health and the department of social and health services may adopt rules as necessary for implementation of chapter . . ., Laws of 1997 (this act).

NEW SECTION. Sec. 7. Chapter . . ., Laws of 1997 (this act) may be known and cited as the child death review and prevention act.

NEW SECTION. Sec. 8. Chapter . . ., Laws of 1997 (this act) does not supersede local regulations or initiatives that exceed the scope of the activities described in chapter . . ., Laws of 1997 (this act).

NEW SECTION. Sec. 9. If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected.

NEW SECTION. Sec. 10. A new section is added to chapter 42.17 RCW to read as follows:

Records compiled and used by local and state child death review teams are not subject to public disclosure.

NEW SECTION. Sec. 11. Sections 1 through 9 of this act constitute a new chapter in Title 70 RCW.