HOUSE BILL REPORT
SHB 1569
As Passed Legislature
Title: An act relating to quality assurance in boarding homes, nursing homes, hospitals, peer review organizations, and coordinated quality improvement plans.
Brief Description: Regarding quality assurance in boarding homes, nursing homes, hospitals, peer review organizations, and coordinated quality improvement plans.
Sponsors: By House Committee on Health Care (originally sponsored by Representatives Morrell, Clibborn, Skinner, Schual-Berke, Green, Moeller, Cody, Curtis, Condotta, Chase, O'Brien and Kenney).
Brief History:
Health Care: 2/22/05, 2/28/05 [DPS].
Floor Activity:
Passed House: 3/9/05, 96-0.
Passed Senate: 4/4/05, 41-0.
Passed Legislature.
Brief Summary of Substitute Bill |
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HOUSE COMMITTEE ON HEALTH CARE
Majority Report: The substitute bill be substituted therefor and the substitute bill do pass. Signed by 15 members: Representatives Cody, Chair; Campbell, Vice Chair; Morrell, Vice Chair; Bailey, Ranking Minority Member; Curtis, Assistant Ranking Minority Member; Alexander, Appleton, Clibborn, Condotta, Green, Hinkle, Lantz, Moeller, Schual-Berke and Skinner.
Staff: Dave Knutson (786-7146).
Background:
Many believe that facilitation of the quality assurance process in licensed boarding homes
and nursing homes will promote safe patient care and may reduce property and liability
insurance premium costs for such facilities.
It is the opinion of many that heightening the protection of quality assurance committee
records will promote self-monitoring of patient care outcomes and allow facilities to correct
identified problems at the earliest point in time.
Summary of Substitute Bill:
Nursing homes may maintain a quality assurance committee. The committee must, at a
minimum include a director of nursing services, a physician and three other members from
the staff of the facility. The committee must meet quarterly with the purpose of identifying
issues that may adversely affect quality of care and services.
The Department of Social and Health Services (DSHS) may not require, and the long-term
care ombudsman cannot request, disclosure of any quality assurance committee records or
reports unless otherwise statutorily required.
The information and documents, including complaints and incident reports, created
specifically for, and collected and maintained by a quality improvement committees for
boarding homes and nursing homes, are not subject to discovery or introduction into evidence
in any civil action.
Participants in the processes of the quality assurance committees for boarding homes and
nursing homes, are not permitted or required to testify in any civil action as to the content of
proceedings or the documents and information prepared specifically for the committee.
Information and documents disclosed by one quality assurance committee to another quality
assurance committee and any information and documents created or maintained as a result of
the sharing of information is not subject to the discovery process.
The DSHS is immune from liability for inadvertent disclosures, disclosures related to federal
or state audits, or incorrectly labeled documents, used by quality assurance committees.
Appropriation: None.
Fiscal Note: Available.
Effective Date: The bill takes effect 90 days after adjournment of session in which bill is passed.
Testimony For: Quality assurance committees will improve the services for clients living in boarding homes and nursing homes. The same protections that apply to hospital quality assurance committees should also apply to boarding home and nursing home quality assurance committees.
Testimony Against: None.
Persons Testifying: (In support) Deb Murphy, Washington Association of Housing and
Services for the Aging; and Jonathan Eames, Washington Health Care Association and
Washington Center for Assisted Living.
(With concerns) Jeff Crollard, Long Term Care Ombudsman Program.