To provide for the development of quality indicators for the priority areas of the Institute of Medicine, for the standardization of quality indicators for Federal agencies, and for the establishment of a demonstration program for the reporting of health care quality data at the community level.
What it does: Adds SEC. ____. PRIORITY AREA QUALITY INDICATORS on page 389, between lines 6 and 7
Sen. Hillary Rodham Clinton (D-NY)Adds SEC. ____. PRIORITY AREA QUALITY INDICATORS on page 389, between lines 6 and 7
Adds a sectionPrinted pageInserted: SEC. ____. PRIORITY AREA QUALITY INDICATORS.
Inserted: (a) In General.--The Director of the Agency for Healthcare Research and Quality, in consultation with the Quality Interagency Coordination Task Force, the Institute of Medicine, the Joint Commission on Accreditation of Healthcare Organizations, the National Committee for Quality Assurance, the American Health Quality Association, the National Quality Forum, and other individuals and organizations determined appropriate by the Secretary of Health and Human Services, shall assemble, evaluate, and, where necessary, develop or update quality indicators for each of the 20 priority areas for improvement in health care quality as identified by the Institute of Medicine in their report entitled "Priority Areas for National Action" in 2003, in order to assist medicare beneficiaries in making informed choices about health plans. The selection of appropriate quality indicators under this subsection shall include the evaluation criteria formulated by clinical professionals, consumers, data collection experts.
Inserted: (b) Risk Adjustment.--In developing the quality indicators under subsection (a), the Director of the Agency for Healthcare Research and Quality shall ensure that adequate risk adjustment is provided for.
Inserted: (c) Best Practices.--In carrying out this section, the Director of the Agency for Healthcare Research and Quality shall--
Inserted: (1) assess data concerning appropriate clinical treatments based on the best scientific evidence available;
Inserted: (2) determine areas in which there is insufficient evidence to determine best practices; and
Inserted: (3) compare existing quality indicators to best clinical practices, validate appropriate indicators, and report on areas where additional research is needed before indicators can be developed.
Inserted: (d) Report.--Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Director of the Agency for Healthcare Research and Quality shall--
Inserted: (1) submit to the Director of the National Institutes of Health a report concerning areas of clinical care requiring farther research necessary to establish effective clinical treatments that will serve as a basis for quality indicators; and
Inserted: (2) submit to Congress a report on the state of quality measurement for priority areas that links data to the report submitted under paragraph (1) for the year involved.
Inserted: (e) Authorization of Appropriations.--There are authorized to be appropriated to carry out this section $12,000,000 for fiscal year 2004, and $8,000,000 for each of fiscal years 2005 through 2009.
Inserted: SEC. ____. STANDARDIZED QUALITY INDICATORS FOR FEDERAL AGENCIES.
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Inserted: (a) In General.--In addition to other activities to be carried out by the Quality Interagency Coordination Taskforce (as established by executive order on March 13, 1998), such Taskforce shall standardize indicators of health care quality that are used in all Federal agencies, as appropriate.
Inserted: (b) Consultation.--In carrying out subsection (a), the Quality Interagency Coordination Taskforce shall consult with a public-private consensus organization (such as the National Quality Forum) to enhance the likelihood of the simultaneous application of the standardized indicators under subsection (a) in the private sector.
Inserted: (c) Report.--Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Secretary of Health and Human Services shall submit to Congress a report on the progress made by the Quality Interagency Coordination Taskforce to standardizing quality indicators throughout the Federal Government.
Inserted: SEC. ____. DEMONSTRATION PROGRAM FOR COMMUNITY HEALTH CARE QUALITY DATA REPORTING.
Inserted: (a) In General.--The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention and the Director of the Agency for Healthcare Quality and Research, shall award not to exceed 20 grants to eligible communities for the establishment of demonstration programs for the reporting of health care quality information at the community level.
Inserted: (b) Quality Indicators.--
Inserted: (1) In general.--For purposes of reporting information under the demonstration programs under this section, indicators of health care quality may include the indicators developed for the 20 priority areas as identified by the Institute of Medicine in the report entitled "Priority Areas for National Action", 2003, or other indicators determined appropriate by the Secretary of Health and Human Services.
Inserted: (2) Type of data.--All quality indicators with respect to which reporting will be carried out under the demonstration program shall be reported by race, ethnicity, gender, and age.
Inserted: (c) Eligibility.--The Secretary of Health and Human Services shall award grants to communities under this section based on competitive proposals and criteria to be determined jointly by the Director of the Centers for Disease Control and Prevention and the Director of the Agency for Healthcare Research and Quality. Such criteria may include a demonstrated ability of the community to collect data on quality indicators and a demonstrated ability to effectively transmit community-level health status results to relevant stakeholders.
Inserted: (d) Technical Advisory Committee.--The Secretary of Health and Human Services shall establish a technical advisory committee to assist grantees in data collection, data analysis, and report dissemination.
Inserted: (e) Report.--Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Director of the Centers for Disease Control and Prevention and the Director of the Agency for Healthcare Research and Quality shall--
Inserted: (1) submit to the Congress a report on the results of the demonstration programs under this section; and
Inserted: (2) make such reports publicly available, including by posting the reports on the Internet.
Inserted: (f) Evaluation.--The Secretary of Health and Human Services shall, upon awarding grants under subsection (a), enter into a contract for the evaluation of demonstration programs under this section. Such evaluation shall compare the effectiveness of such demonstration programs in collecting and reporting required data, and on the effectiveness of distributing information to key stakeholders in a timely fashion. Such evaluations shall provide for a report on best practices.
Inserted: (g) Authorization of Appropriations.--There are authorized to be appropriated to carry out this section $25,000,000 for fiscal year 2004, and such sums as may be necessary for each fiscal year thereafter.
Original wording
On page 389, between lines 6 and 7, insert the following:
Read automatically from the Congressional Record. Check the original before relying on it.
As printed
On page 389, between lines 6 and 7, insert the following:
SEC. ____. PRIORITY AREA QUALITY INDICATORS.
(a) In General.--The Director of the Agency for Healthcare Research and Quality, in consultation with the Quality Interagency Coordination Task Force, the Institute of Medicine, the Joint Commission on Accreditation of Healthcare Organizations, the National Committee for Quality Assurance, the American Health Quality Association, the National Quality Forum, and other individuals and organizations determined appropriate by the Secretary of Health and Human Services, shall assemble, evaluate, and, where necessary, develop or update quality indicators for each of the 20 priority areas for improvement in health care quality as identified by the Institute of Medicine in their report entitled “Priority Areas for National Action” in 2003, in order to assist medicare beneficiaries in making informed choices about health plans. The selection of appropriate quality indicators under this subsection shall include the evaluation criteria formulated by clinical professionals, consumers, data collection experts.
(b) Risk Adjustment.--In developing the quality indicators under subsection (a), the Director of the Agency for Healthcare Research and Quality shall ensure that adequate risk adjustment is provided for.
(c) Best Practices.--In carrying out this section, the Director of the Agency for Healthcare Research and Quality shall--
(1) assess data concerning appropriate clinical treatments based on the best scientific evidence available;
(2) determine areas in which there is insufficient evidence to determine best practices; and
(3) compare existing quality indicators to best clinical practices, validate appropriate indicators, and report on areas where additional research is needed before indicators can be developed.
(d) Report.--Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Director of the Agency for Healthcare Research and Quality shall--
(1) submit to the Director of the National Institutes of Health a report concerning areas of clinical care requiring farther research necessary to establish effective clinical treatments that will serve as a basis for quality indicators; and
(2) submit to Congress a report on the state of quality measurement for priority areas that links data to the report submitted under paragraph (1) for the year involved.
(e) Authorization of Appropriations.--There are authorized to be appropriated to carry out this section $12,000,000 for fiscal year 2004, and $8,000,000 for each of fiscal years 2005 through 2009.
SEC. ____. STANDARDIZED QUALITY INDICATORS FOR FEDERAL AGENCIES.
(a) In General.--In addition to other activities to be carried out by the Quality Interagency Coordination Taskforce (as established by executive order on March 13, 1998), such Taskforce shall standardize indicators of health care quality that are used in all Federal agencies, as appropriate.
(b) Consultation.--In carrying out subsection (a), the Quality Interagency Coordination Taskforce shall consult with a public-private consensus organization (such as the National Quality Forum) to enhance the likelihood of the simultaneous application of the standardized indicators under subsection (a) in the private sector.
(c) Report.--Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Secretary of Health and Human Services shall submit to Congress a report on the progress made by the Quality Interagency Coordination Taskforce to standardizing quality indicators throughout the Federal Government.
SEC. ____. DEMONSTRATION PROGRAM FOR COMMUNITY HEALTH CARE QUALITY DATA REPORTING.
(a) In General.--The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention and the Director of the Agency for Healthcare Quality and Research, shall award not to exceed 20 grants to eligible communities for the establishment of demonstration programs for the reporting of health care quality information at the community level.
(b) Quality Indicators.--
(1) In general.--For purposes of reporting information under the demonstration programs under this section, indicators of health care quality may include the indicators developed for the 20 priority areas as identified by the Institute of Medicine in the report entitled “Priority Areas for National Action”, 2003, or other indicators determined appropriate by the Secretary of Health and Human Services.
(2) Type of data.--All quality indicators with respect to which reporting will be carried out under the demonstration program shall be reported by race, ethnicity, gender, and age.
(c) Eligibility.--The Secretary of Health and Human Services shall award grants to communities under this section based on competitive proposals and criteria to be determined jointly by the Director of the Centers for Disease Control and Prevention and the Director of the Agency for Healthcare Research and Quality. Such criteria may include a demonstrated ability of the community to collect data on quality indicators and a demonstrated ability to effectively transmit community-level health status results to relevant stakeholders.
(d) Technical Advisory Committee.--The Secretary of Health and Human Services shall establish a technical advisory committee to assist grantees in data collection, data analysis, and report dissemination.
(e) Report.--Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Director of the Centers for Disease Control and Prevention and the Director of the Agency for Healthcare Research and Quality shall--
(1) submit to the Congress a report on the results of the demonstration programs under this section; and
(2) make such reports publicly available, including by posting the reports on the Internet.
(f) Evaluation.--The Secretary of Health and Human Services shall, upon awarding grants under subsection (a), enter into a contract for the evaluation of demonstration programs under this section. Such evaluation shall compare the effectiveness of such demonstration programs in collecting and reporting required data, and on the effectiveness of distributing information to key stakeholders in a timely fashion. Such evaluations shall provide for a report on best practices.
(g) Authorization of Appropriations.--There are authorized to be appropriated to carry out this section $25,000,000 for fiscal year 2004, and such sums as may be necessary for each fiscal year thereafter.
Legislative Activity
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Proposed amendment SA 999 withdrawn in Senate.
June 27, 2003
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Proposed amendment SA 999 withdrawn in Senate.
June 27, 2003
Considered by Senate. (consideration: CR S8606, S8687)
June 26, 2003
Considered by Senate. (consideration: CR S8480)
June 25, 2003
Senate amendment proposed (on the floor): Amendment SA 999 proposed by Senator Clinton.(consideration: CR S8418-8419; text: CR S8418-8419)
June 24, 2003
Amendment SA 999 proposed by Senator Clinton. (consideration: CR S8418-8419; text: CR S8418-8419) To provide for the development of quality indicators for the priority areas of the Institute of Medicine, for the standardization of quality indicators for Federal agencies, and for the establishment of a demonstration program for the reporting of health care quality data at the community level.
June 24, 2003
Senate amendment submitted
June 23, 2003