What it changes

1 change to S. 2410

Adds a section
  1. Adds SEC. __. DATABASE ON PATIENT SAFETY, QUALITY OF CARE, AND OUTCOME MEASURES REGARDING HEALTH CARE PROVIDED BY THE DEPARTMENT OF DEFENSE wherever appropriate

    Adds a section

    Inserted: SEC. __. DATABASE ON PATIENT SAFETY, QUALITY OF CARE, AND OUTCOME MEASURES REGARDING HEALTH CARE PROVIDED BY THE DEPARTMENT OF DEFENSE.

    Inserted: (a) Publicly Available Database.--

    Inserted: (1) In general.--Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall develop and make available to the public a comprehensive database containing all applicable patient safety, quality of care, and outcome measures for health care provided by the Department of Defense that are tracked by the Secretary.

    Inserted: (2) Updates.--The Secretary shall update the database required by paragraph (1) not less frequently than once every six months.

    Inserted: (3) Unavailable measures.--For any measure that the Secretary would otherwise publish in the database required by paragraph (1) but has not done so because such measure is not available, the Secretary shall publish notice in the database of the reason for such unavailability and a timeline for making such measure available in the database.

    Inserted: (4) Accessibility.--The Secretary shall ensure that the database required by paragraph (1) is accessible to the public through the primary Internet website of the Department and through each primary Internet website of a Department medical center.

    Inserted: (b) Sharing of Information Between Department Medical Centers and Defense Health Agency.--The Secretary of Defense shall take appropriate actions to facilitate and enhance sharing between the medical centers of the Department of Defense and the Defense Health Agency on information on patient safety, quality of care, and outcomes for health care provided by such medical centers, including information obtained through the measures developed pursuant to subsection (a).

    Inserted: (c) Hospital Compare Website of Department of Health and Human Services.--

    Inserted: (1) Agreement required.--Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall enter into an agreement with the Secretary of Health and Human Services for the provision by the Secretary of Defense of such information as the Secretary of Health and Human Services may require to report and make publicly available patient quality and outcome information concerning Department of Defense medical centers through the Hospital Compare Internet website of the Department of Health and Human Services or any successor Internet website.

    Inserted: (2) Information provided.--The information provided by the Secretary of Defense to the Secretary of Health and Human Services under paragraph (1) shall include the following:

    Inserted: (A) Measures of timely and effective health care.

    Inserted: (B) Measures of readmissions, complications of death, including with respect to 30-day mortality rates and 30-day readmission rates, surgical complication measures, and health care related infection measures.

    Show 4 more inserted paragraphs

    Inserted: (C) Survey data of patient experiences, including the Hospital Consumer Assessment of Healthcare Providers and Systems or any similar successor survey developed by the Department of Health and Human Services.

    Inserted: (D) Any other measures required of or reported with respect to hospitals participating in the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).

    Inserted: (3) Unavailable information.--For any applicable metric collected by the Department of Defense or required to be provided under paragraph (2) and withheld from or unavailable in the Hospital Compare Internet website or successor Internet website, the Secretary of Defense shall publish a notice on such Internet website stating the reason why such metric was withheld from public disclosure and a timeline for making such metric available, if applicable.

    Inserted: (d) Comptroller General Review of Publicly Available Safety and Quality Metrics.--Not later than 18 months after the date of the enactment of this Act, the Comptroller General of the United States shall conduct a review of the safety and quality metrics made publicly available by the Secretary of Defense under this section to assess the degree to which the Secretary is complying with the provisions of this section.

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    Original wording

    At the appropriate place, insert the following:

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As printed

SA 3839. Mr. COBURN submitted an amendment intended to be proposed by him to the bill S. 2410, to authorize appropriations for fiscal year 2015 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes; which was ordered to lie on the table; as follows:

At the appropriate place, insert the following:

SEC. __. DATABASE ON PATIENT SAFETY, QUALITY OF CARE, AND OUTCOME MEASURES REGARDING HEALTH CARE PROVIDED BY THE DEPARTMENT OF DEFENSE.

(a) Publicly Available Database.--

(1) In general.--Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall develop and make available to the public a comprehensive database containing all applicable patient safety, quality of care, and outcome measures for health care provided by the Department of Defense that are tracked by the Secretary.

(2) Updates.--The Secretary shall update the database required by paragraph (1) not less frequently than once every six months.

(3) Unavailable measures.--For any measure that the Secretary would otherwise publish in the database required by paragraph (1) but has not done so because such measure is not available, the Secretary shall publish notice in the database of the reason for such unavailability and a timeline for making such measure available in the database.

(4) Accessibility.--The Secretary shall ensure that the database required by paragraph (1) is accessible to the public through the primary Internet website of the Department and through each primary Internet website of a Department medical center.

(b) Sharing of Information Between Department Medical Centers and Defense Health Agency.--The Secretary of Defense shall take appropriate actions to facilitate and enhance sharing between the medical centers of the Department of Defense and the Defense Health Agency on information on patient safety, quality of care, and outcomes for health care provided by such medical centers, including information obtained through the measures developed pursuant to subsection (a).

(c) Hospital Compare Website of Department of Health and Human Services.--

(1) Agreement required.--Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall enter into an agreement with the Secretary of Health and Human Services for the provision by the Secretary of Defense of such information as the Secretary of Health and Human Services may require to report and make publicly available patient quality and outcome information concerning Department of Defense medical centers through the Hospital Compare Internet website of the Department of Health and Human Services or any successor Internet website.

(2) Information provided.--The information provided by the Secretary of Defense to the Secretary of Health and Human Services under paragraph (1) shall include the following:

(A) Measures of timely and effective health care.

(B) Measures of readmissions, complications of death, including with respect to 30-day mortality rates and 30-day readmission rates, surgical complication measures, and health care related infection measures.

(C) Survey data of patient experiences, including the Hospital Consumer Assessment of Healthcare Providers and Systems or any similar successor survey developed by the Department of Health and Human Services.

(D) Any other measures required of or reported with respect to hospitals participating in the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).

(3) Unavailable information.--For any applicable metric collected by the Department of Defense or required to be provided under paragraph (2) and withheld from or unavailable in the Hospital Compare Internet website or successor Internet website, the Secretary of Defense shall publish a notice on such Internet website stating the reason why such metric was withheld from public disclosure and a timeline for making such metric available, if applicable.

(d) Comptroller General Review of Publicly Available Safety and Quality Metrics.--Not later than 18 months after the date of the enactment of this Act, the Comptroller General of the United States shall conduct a review of the safety and quality metrics made publicly available by the Secretary of Defense under this section to assess the degree to which the Secretary is complying with the provisions of this section.

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Senate amendment submitted

September 17, 2014