SHB 2079 -
By Committee on Health & Long-Term Care
ADOPTED 04/14/2009
Strike everything after the enacting clause and insert the following:
"Sec. 1 RCW 43.370.020 and 2007 c 259 s 51 are each amended to
read as follows:
(1) The office shall serve as a coordinating body for public and
private efforts to improve quality in health care, promote cost-effectiveness in health care, and plan health facility and health
service availability. In addition, the office shall facilitate access
to health care data collected by public and private organizations as
needed to conduct its planning responsibilities.
(2) The office shall:
(a) Conduct strategic health planning activities related to the
preparation of the strategy, as specified in this chapter;
(b) Develop a computerized system for accessing, analyzing, and
disseminating data relevant to strategic health planning
responsibilities. The office may contract with an organization to
create the computerized system capable of meeting the needs of the
office;
(c) ((Maintain access to deidentified data collected and stored by
any public and private organizations as necessary to support its
planning responsibilities, including state purchased health care
program data, hospital discharge data, and private efforts to collect
utilization and claims-related data. The office is authorized to enter
into any data sharing agreements and contractual arrangements necessary
to obtain data or to distribute data. Among the sources of
deidentified data that the office may access are any databases
established pursuant to the recommendations of the health information
infrastructure advisory board established by chapter 261, Laws of 2005.
The office may store limited data sets as necessary to support its
activities. Unless specifically authorized, the office shall not
collect data directly from the records of health care providers and
health care facilities, but shall make use of databases that have
already collected such information)) Have access to the information
submitted as part of the health professional licensing application and
renewal process, excluding social security number and background check
information, whether the license is issued by the secretary of the
department of health or a board or commission. The office shall also
have access to information submitted to the department of health as
part of the medical or health facility licensing process. Access to
and use of all data shall be in accordance with state and federal
confidentiality laws and ethical guidelines, and the office shall
maintain the same degree of confidentiality as the department of
health. For professional licensing information provided to the office,
the department of health shall replace any social security number with
an alternative identifier capable of linking all licensing records of
an individual; and
(d) Conduct research and analysis or arrange for research and
analysis projects to be conducted by public or private organizations to
further the purposes of the strategy.
(3) The office shall establish a technical advisory committee to
assist in the development of the strategy. Members of the committee
shall include health economists, health planners, representatives of
government and nongovernment health care purchasers, representatives of
state agencies that use or regulate entities with an interest in health
planning, representatives of acute care facilities, representatives of
long-term care facilities, representatives of community-based long-term
care providers, representatives of health care providers, a
representative of one or more federally recognized Indian tribes, and
representatives of health care consumers. The committee shall include
members with experience in the provision of health services to rural
communities.
Sec. 2 RCW 43.70.050 and 2005 c 274 s 301 are each amended to
read as follows:
(1) The legislature intends that the department and board promote
and assess the quality, cost, and accessibility of health care
throughout the state as their roles are specified in chapter 9, Laws of
1989 1st ex. sess. in accordance with the provisions of this chapter.
In furtherance of this goal, the secretary shall create an ongoing
program of data collection, storage, assessability, and review. The
legislature does not intend that the department conduct or contract for
the conduct of basic research activity. The secretary may request
appropriations for studies according to this section from the
legislature, the federal government, or private sources.
(2) All state agencies which collect or have access to population-based, health-related data are directed to allow the secretary access
to such data. This includes, but is not limited to, data on needed
health services, facilities, and personnel; future health issues;
emerging bioethical issues; health promotion; recommendations from
state and national organizations and associations; and programmatic and
statutory changes needed to address emerging health needs. Private
entities, such as insurance companies, health maintenance
organizations, and private purchasers are also encouraged to give the
secretary access to such data in their possession. The secretary's
access to and use of all data shall be in accordance with state and
federal confidentiality laws and ethical guidelines. Such data in any
form where the patient or provider of health care can be identified
shall not be disclosed, subject to disclosure according to chapter
42.56 RCW, discoverable or admissible in judicial or administrative
proceedings. Such data can be used in proceedings in which the use of
the data is clearly relevant and necessary and both the department and
the patient or provider are parties.
(3) The department shall serve as the clearinghouse for information
concerning innovations in the delivery of health care services, the
enhancement of competition in the health care marketplace, and federal
and state information affecting health care costs.
(4) The secretary shall review any data collected, pursuant to this
chapter, to:
(a) Identify high-priority health issues that require study or
evaluation. Such issues may include, but are not limited to:
(i) Identification of variations of health practice which indicate
a lack of consensus of appropriateness;
(ii) Evaluation of outcomes of health care interventions to assess
their benefit to the people of the state;
(iii) Evaluation of specific population groups to identify needed
changes in health practices and services;
(iv) Evaluation of the risks and benefits of various incentives
aimed at individuals and providers for both preventing illnesses and
improving health services;
(v) Identification and evaluation of bioethical issues affecting
the people of the state; and
(vi) Other such objectives as may be appropriate;
(b) Further identify a list of high-priority health study issues
for consideration by the board, within their authority, for inclusion
in the state health report required by RCW 43.20.050. The list shall
specify the objectives of each study, a study timeline, the specific
improvements in the health status of the citizens expected as a result
of the study, and the estimated cost of the study; and
(c) Provide background for the state health report required by RCW
43.20.050.
(5) Any data, research, or findings may also be made available to
the general public, including health professions, health associations,
the governor, professional boards and regulatory agencies and any
person or group who has allowed the secretary access to data.
(6) Information submitted as part of the health professional
licensing application and renewal process, excluding social security
number and background check information, shall be available to the
office of financial management consistent with RCW 43.370.020, whether
the license is issued by the secretary of the department of health or
a board or commission. The department shall replace any social
security number with an alternative identifier capable of linking all
licensing records of an individual. The office of financial management
shall also have access to information submitted to the department of
health as part of the medical or health facility licensing process.
(7) The secretary may charge a fee to persons requesting copies of
any data, research, or findings. The fee shall be no more than
necessary to cover the cost to the department of providing the copy."
SHB 2079 -
By Committee on Health & Long-Term Care
ADOPTED 04/14/2009
On page 1, line 2 of the title, after "information;" strike the remainder of the title and insert "and amending RCW 43.370.020 and 43.70.050."