79R6908 YDB-D
By: Truitt H.B. No. 1845
A BILL TO BE ENTITLED
AN ACT
relating to the establishment of an advisory panel to conduct a
study on the reporting of health care associated infection rates
and process measures.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subtitle D, Title 2, Health and Safety Code, is
amended by adding Chapter 96 to read as follows:
CHAPTER 96. HEALTH CARE ASSOCIATED INFECTION RATE
AND PROCESS MEASURE REPORTING
SUBCHAPTER A. GENERAL PROVISIONS
Sec. 96.001. DEFINITIONS. (a) In this chapter:
(1) "Advisory panel" means the Advisory Panel on
Health Care Associated Infections.
(2) "Commissioner" means the commissioner of state
health services.
(3) "Department" means the Department of State Health
Services.
(4) "Health care associated infection" means a
localized or symptomatic condition resulting from an adverse
reaction to an infectious agent or its toxins to which a person is
exposed in the course of health care delivery.
(5) "Health care facility" means a hospital licensed
under Chapter 241 or an ambulatory surgical center licensed under
Chapter 243.
(6) "Infection rate" means the number of health care
associated infections at a health care facility divided by a
numerical measure over time of the population at risk for
contracting the infection.
(7) "Process measure" means a measure of a health care
facility's compliance with recommended infection control
practices.
(b) The advisory panel may modify or define the term
"infection rate" as necessary to accomplish the purposes of this
chapter.
Sec. 96.002. APPLICABILITY OF OTHER LAW. Chapter 2110,
Government Code, does not apply to the advisory panel created under
Subchapter B.
Sec. 96.003. EXPIRATION. This chapter expires January 1,
2007.
[Sections 96.004-96.050 reserved for expansion]
SUBCHAPTER B. ADVISORY PANEL ON
HEALTH CARE ASSOCIATED INFECTIONS
Sec. 96.051. ESTABLISHMENT. The commissioner shall
establish the Advisory Panel on Health Care Associated Infections
within the division for regulatory services of the health care
quality section of the department.
Sec. 96.052. MEMBERSHIP. The advisory panel is composed of
14 members as follows:
(1) two infection control practitioner members who:
(A) are certified by the Certification Board of
Infection Control and Epidemiology; and
(B) are practicing in hospitals in this state, at
least one of which must be a rural hospital;
(2) two infection control practitioner members who:
(A) are certified by the Certification Board of
Infection Control and Epidemiology; and
(B) are nurses licensed to engage in professional
nursing under Chapter 301, Occupations Code;
(3) three board-certified or board-eligible physician
members who:
(A) are licensed to practice medicine in this
state under Chapter 155, Occupations Code, at least two of whom have
active medical staff privileges at a hospital in this state;
(B) are active members of the Society for
Healthcare Epidemiology of America; and
(C) have demonstrated expertise in infection
control in health care facilities;
(4) one member who is a chief executive officer of a
hospital licensed under Chapter 241;
(5) one member who is a chief executive officer of an
ambulatory surgical center licensed under Chapter 243;
(6) three members who:
(A) are department employees representing the
department in epidemiology and the licensing of hospitals or
ambulatory surgical centers; and
(B) serve as nonvoting members of the advisory
panel; and
(7) two members who represent the public as consumers.
Sec. 96.053. MEMBER ELIGIBILITY. A person may not be a
member of the advisory panel if the person is required to register
as a lobbyist under Chapter 305, Government Code, because of the
person's activities for compensation on behalf of a profession
related to health care.
Sec. 96.054. OFFICERS. The members of the advisory panel
annually shall elect a presiding officer and an assistant presiding
officer from among the members.
Sec. 96.055. COMPENSATION; EXPENSES. (a) Except as
provided by Subsection (b), a member of the advisory panel is not
entitled to compensation for service on the advisory panel and is
not entitled to reimbursement for travel expenses.
(b) A member who is a representative of a state agency shall
be reimbursed for travel expenses incurred while conducting the
business of the advisory panel from the funds of the agency the
person represents in accordance with the General Appropriations
Act.
Sec. 96.056. VACANCY. A vacancy on the advisory panel shall
be filled by appointment by the commissioner.
Sec. 96.057. ABOLISHED. The Advisory Panel on Health Care
Associated Infections is abolished January 1, 2007.
[Sections 96.058-96.100 reserved for expansion]
SUBCHAPTER C. POWERS AND DUTIES OF ADVISORY PANEL
Sec. 96.101. GENERAL POWERS AND DUTIES. (a) The advisory
panel using nationally accepted measures shall study and recommend
definitions and methodologies for collecting and reporting
evidence-based data on:
(1) infection rates;
(2) process measures; or
(3) both infection rates and process measures.
(b) In developing the recommendations described in
Subsection (a), the advisory panel shall consider:
(1) revision of the reported infection rates to
account for the differences in patient populations and for factors
outside the control of the health care facility;
(2) the standardization of data collection
methodology and reporting;
(3) the systems other entities have in place to
collect and report infection rate data, such as the National
Nosocomial Infection Surveillance System of the federal Centers for
Disease Control and Prevention;
(4) the systems other entities have in place to
collect and report process measure data, such as the Joint
Commission on Accreditation of Healthcare Organizations or the
Centers for Medicare and Medicaid Services;
(5) methods to maximize the efficient use of the
resources necessary for health care facilities to conduct required
surveillance and reporting;
(6) methods to minimize the potential unintended
consequences of public reporting that is poorly designed or
executed and that may, all things considered, diminish the quality
of this state's health care or mislead or fail to protect health
care consumers who use the data; and
(7) the provision of additional benefits to health
care consumers.
Sec. 96.102. REPORT TO LEGISLATURE. (a) Not later than
November 1, 2006, the commissioner shall file a report with the
presiding officer of each house of the legislature on the advisory
panel's recommendations for legislation regarding the collection
and reporting of infection rates, process measures, or both.
(b) The report shall include a recommendation that the
legislation set September 1, 2007, as the date for hospitals and
ambulatory surgical centers to comply with the legislation.
SECTION 2. As soon as practicable after the effective date
of this Act, the commissioner of the Department of State Health
Services shall appoint members to the Advisory Panel on Health Care
Associated Infections as required by Chapter 96, Health and Safety
Code, as added by this Act.
SECTION 3. This Act takes effect September 1, 2005.