AB100-engrossed,1568,9
1153.05
(8) Beginning April 1, 1992, the
office department shall collect, analyze
2and disseminate, in language that is understandable to lay persons, health care
3information under the provisions of this chapter, as determined by rules
4promulgated by the
commissioner department, from health care providers, as
5defined by rules promulgated by the
commissioner
department, other than hospitals
6and ambulatory surgery centers. Data from physicians shall be obtained through
7sampling techniques in lieu of collection of data on all patient encounters and data
8collection procedures shall minimize unnecessary duplication and administrative
9burdens.
AB100-engrossed,1568,1411
153.05
(9) The
office department shall provide orientation and training to
12physicians, hospital personnel and other health care providers to explain the process
13of data collection and analysis and the procedures for data verification,
14interpretation and release.
AB100-engrossed,1568,1916
153.05
(11) In order to elicit public comment concerning the reports required
17under ss. 153.10 to 153.35, the
office department shall, following the release of the
18reports and by a date that is determined by the board
, provide notice of and hold
19public hearings.
AB100-engrossed,1568,2321
153.05
(12) The
office department shall, to the extent possible and upon
22request, assist members of the public in interpreting data in health care information
23disseminated by the
office department.
AB100-engrossed,1569,3
1153.07
(1) The board shall advise the director of the
office department with
2regard to the collection, analysis and dissemination of health care information
3required by this chapter.
AB100-engrossed,1569,165
153.07
(2) The board, upon advice of the
office department, shall first
6determine whether to contract for services pursuant to s. 153.05 (6) or (6m). If the
7board determines to contract for such services, it shall approve specifications for a
8contract including the length of the contract and the standards for determining
9potential contractor conflicts with the purposes of the
office department as specified
10under s. 153.05 (1). In the alternative, the board may direct the
office to have the
11department of health and family services department to provide the services under
12s. 153.05 (6) or (6m). The board may subsequently determine to contract for these
13services in subsequent years. If the board decides to bid the contract for services
14under s. 153.05 (6) or (6m), the department
of health and family services may offer
15a bid as would any other potential contractor. The board shall evaluate a contractor's
16performance 6 months prior to the close of each existing contract.
AB100-engrossed,1569,1918
153.07
(3) The board shall approve all rules which are proposed by the
19commissioner department for promulgation to implement this chapter.
AB100-engrossed,1570,721
153.08
(2) (b) No sooner than 15 days after a notice is published under par. (a)
22and no later than 15 days before the date of the proposed rate change, conducts a
23public hearing on the proposed rate change. The hearing shall be on the expected
24impact of the proposed rate change on health care costs, the expected improvement,
25if any, in the local health care delivery system, and any other issue related to the
1proposed rate change. Management staff, if any, of the hospital proposing the rate
2change and, if possible, at least 3 members of the governing board of any
3not-for-profit hospital proposing the rate change shall attend the public hearing to
4review public testimony. The hospital shall record accurate minutes of the meeting
5and shall provide copies of the minutes and any written testimony presented at the
6hearing to the
office of health care information in the office of the commissioner of
7insurance department within 10 days after the date of the public hearing.
AB100-engrossed,1570,139
153.10
(1) Beginning in 1990 and quarterly thereafter, the
office department 10shall prepare and submit to the governor and the chief clerk of each house of the
11legislature for distribution to the legislature under s. 13.172 (2), in a manner that
12permits comparisons among hospitals, a report setting forth all of the following for
13every hospital for the preceding quarter:
AB100-engrossed,1570,1514
(a) The charges for up to 100 health care services or diagnostic-related groups
15selected by the
office department.
AB100-engrossed,1570,1716
(b) The utilization and charge information for ambulatory surgery and other
17outpatient health care services selected by the
office
department.
AB100-engrossed,1570,24
19153.15 Small area analysis reports. Beginning in 1990 and annually
20thereafter, the
office department shall prepare and submit to the governor and the
21chief clerk of each house of the legislature for distribution to the legislature under
22s. 13.172 (2) reports identifying health care services or procedures provided by one
23or more hospitals in specific areas of the state for which the rate of utilization of the
24service or procedure is significantly different than the state or area average.
AB100-engrossed,1571,8
1153.20 Uncompensated health care services report. (1) Beginning in
21990 and annually thereafter, the
office department shall prepare and submit to the
3governor and to the chief clerk of each house of the legislature for distribution to the
4legislature under s. 13.172 (2) a report setting forth the number of patients to whom
5uncompensated health care services were provided by each hospital and the total
6charges for the uncompensated health care services provided to the patients for the
7preceding year, together with the number of patients and the total charges that were
8projected by the hospital for that year in the plan filed under sub. (2).
AB100-engrossed,1571,13
9(2) Beginning in 1990 and annually thereafter, every hospital shall file with
10the
office department a plan setting forth the projected number of patients to whom
11uncompensated health care services will be provided by the hospital and the
12projected total charges for the uncompensated health care services to be provided to
13the patients for the ensuing year.
AB100-engrossed,1571,21
15153.25 Mortality and morbidity report. Beginning in 1990 and annually
16thereafter, the
office department shall prepare and submit to the governor and to the
17chief clerk of each house of the legislature for distribution to the legislature under
18s. 13.172 (2) reports setting forth mortality and morbidity rates for every hospital.
19Before the release of a report under this section, the
office department shall provide
20the physicians, hospitals or other health care providers identified in the report with
21the opportunity to review and comment under s. 153.40 (6).
AB100-engrossed,1572,3
23153.30 Health care insurance report. Beginning in 1990 and annually
24thereafter, the
office department and the office of the commissioner of insurance may
25jointly prepare and submit to the governor, and to the legislature under s. 13.172 (2),
1a report specifying, to the extent possible, on a regional basis, the number, nature of
2coverage and costs of health care coverage plans covering residents of this state
3during the preceding year.
AB100-engrossed,1572,9
5153.35 (title)
Report by the office department. (intro.) The
office 6department shall annually, by October 1, under rules promulgated by the
7commissioner department, submit under s. 13.172 (3) a report to the legislature for
8distribution to standing committees with jurisdiction over health matters, that shall
9include all of the following:
AB100-engrossed,1572,1311
153.35
(1) The range, median and mean of charges and increases or decreases
12in specific charges by hospitals for up to 100 charge elements, as selected by the
office 13department, as reported to the
office
department under s. 153.05 (1) (c) 1.
AB100-engrossed,1572,2115
153.40
(1) Prior to data submission, hospitals, ambulatory surgery centers or
16other health care providers shall review discharge data for accuracy and shall obtain
17verification by the physician of the principal and secondary diagnoses and primary
18and secondary procedures. The verification shall occur within the time specified by
19rules promulgated by the
commissioner department for data submission to the
office 20department. If the verification is not made on a timely basis, the hospital or other
21health care provider shall submit the data noting the lack of verification.
AB100-engrossed,1573,523
153.40
(2) The
office department shall be responsible for assuring that
24appropriate editing is conducted for all submitted data to identify systematic errors,
25missing data, values beyond an allowed range, illegal codes within a range, illogical
1sequence of dates, diagnoses and procedures inconsistent with age and sex, other
2data failing internal consistency checks and other patterns inconsistent with what
3would be expected. The
office department shall notify hospitals, ambulatory surgery
4centers or, beginning April 1, 1992, other health care providers of missing or incorrect
5information under this subsection.
AB100-engrossed,1573,107
153.40
(3) Hospitals, ambulatory surgery centers or, beginning April 1, 1992,
8other health care providers shall be responsible for resolving the errors found by the
9editing under sub. (2) and shall resubmit corrected data within 10 working days after
10receiving written notification from the
office department of the errors.
AB100-engrossed,1573,1412
153.40
(4) The
office department shall send edited and corrected data to
13hospitals, ambulatory surgery centers or, beginning April 1, 1992, other health care
14providers for a 10-working-day review period before the data are released.
AB100-engrossed,1573,1916
153.40
(5) The
office department may, by rules promulgated by the
17commissioner department, require that other forms of data verification, including
18reabstracting studies and comparisons with information collected from other data
19systems, be conducted prior to the release of physician-specific data.
AB100-engrossed,1574,421
153.40
(6) At least 30 calendar days prior to the release of a report under s.
22153.25, the
office department shall notify a physician, hospital or other health care
23provider identified in the report of the
office's
department's intent to release the
24report. The notification shall include a copy of the draft report and a statement that
25those identified may submit comments on the report to the
office department. If the
1office department receives comments prior to the release of the report, the
office 2department shall append the comments to the report. If the
office department 3receives comments after the report is released, the
office department shall make the
4comments available to anyone requesting the comments.
AB100-engrossed,1574,76
153.45
(1) (intro.) After completion of data verification and review procedures
7under s. 153.40, the
office department shall release data in the following forms:
AB100-engrossed,1574,139
153.45
(1) (b) Public use tapes which do not permit the identification of specific
10patients, physicians, employers or other health care providers, as defined by rules
11promulgated by the
commissioner department. The identification of these groups
12shall be protected by all necessary means, including the deletion of patient
13identifiers and the use of calculated variables and aggregated variables.
AB100-engrossed,1574,1715
153.45
(2) The
office department shall provide to other entities the data
16necessary to fulfill their statutory mandates for epidemiological purposes or to
17minimize the duplicate collection of similar data elements.
AB100-engrossed,1574,2119
153.45
(3) The
office department shall release physician-specific and
20employer-specific data, except in public use tapes as specified under sub. (1) (b), in
21a manner that is specified in rules promulgated by the
commissioner department.
AB100-engrossed,1575,9
23153.50 Protection of patient confidentiality. Patient-identifiable data
24obtained under this chapter and contained in the discharge data base of the
office 25department is not subject to inspection, copying or receipt under s. 19.35 (1) and may
1not be released by the
office department, except to the patient or to a person granted
2permission for release by the patient and except that a hospital, a physician
, or the
3agent of a hospital or physician
or the commissioner may have access to
4patient-identifiable data to ensure the accuracy of the information in the discharge
5data base.
The department of health and family services may have access to the
6discharge data base for the purposes of completing epidemiological reports and
7eliminating the need to maintain a data base that duplicates that of the office, if the
8department of health and family services does not release or otherwise provide
9access to the patient-identifiable data.
AB100-engrossed,1575,12
11153.60 (title)
Assessments to fund operations of office department and
12board.
AB100-engrossed,1575,2514
153.60
(1) The
office department shall, by the first October 1 after the
15commencement of each fiscal year, estimate the total amount of expenditures
under
16this chapter for the
office department and the board for that fiscal year. The
office 17department shall assess the estimated total amount for that fiscal year less the
18estimated total amount to be received under s.
20.145 (8) (hi), (hj), (kx) and (mr) 1920.435 (1) (hi) during the fiscal year and the unencumbered
balances balance of the
20amounts amount received under s.
20.145 (8) (hi), (hj) and (mr) 20.435 (1) (hi) from
21the prior fiscal year, to hospitals in proportion to each hospital's respective gross
22private-pay patient revenues during the hospital's most recently concluded entire
23fiscal year. Each hospital shall pay the assessment on or before December 1. All
24payments of assessments shall be deposited in the appropriation under s.
20.145 (8) 2520.435 (1) (hg).
AB100-engrossed,1576,52
153.60
(2) The
office department may assess ambulatory surgery centers under
3this section, using as the basis for individual ambulatory surgery center assessments
4the methods and criteria promulgated by rule by the
commissioner department 5under s. 153.75 (1) (k).
AB100-engrossed,1576,14
7153.65 Provision of special information; user fees. The
office department 8may provide, upon request from a person, a data compilation or a special report based
9on the information collected by the
office department under s. 153.05 (1), (3), (4) (b),
10(5), (7) or (8) or 153.08. The
office department shall establish user fees for the
11provision of these compilations or reports, payable by the requester, which shall be
12sufficient to fund the actual necessary and direct cost of the compilation or report.
13All moneys collected under this section shall be credited to the appropriation under
14s.
20.145 (8) 20.435 (1) (hi).
AB100-engrossed,1576,1716
153.75
(1) (intro.) Following approval by the board, the
commissioner 17department shall promulgate the following rules:
AB100-engrossed,1576,2119
153.75
(1) (b) Establishing procedures under which hospitals and health care
20providers are permitted to review and verify patient-related information prior to its
21submission to the
office department.
AB100-engrossed,1576,2423
153.75
(2) (intro.) With the approval of the board, the
commissioner 24department may promulgate all of the following rules:
AB100-engrossed,1577,3
1153.75
(2) (c) Providing for the efficient collection, analysis and dissemination
2of health care information which the
office department may require under this
3chapter.
AB100-engrossed,1577,115
153.90
(3) The
commissioner department may directly assess forfeitures under
6sub. (2). If the
commissioner department determines that a forfeiture should be
7assessed for a particular violation or for failure to correct the violation, the
8commissioner department shall send a notice of assessment to the alleged violator.
9The notice shall specify the alleged violation of the statute or rule and the amount
10of the forfeiture assessed and shall inform the alleged violator of the right to contest
11the assessment under s. 227.44.
AB100-engrossed,1577,1713
154.17
(1) "Do-not-resuscitate bracelet" means a standardized identification
14bracelet of uniform size, color, and design, approved by the department, that bears
15the inscription "Do Not Resuscitate" and signifies that the wearer is a qualified
16patient who has obtained a do-not-resuscitate order and that
the wearer has not
17revoked the request for the order
has not been revoked.
AB100-engrossed,1577,2019
154.19
(1) (b)
The Except as provided in s. 154.225 (2), the patient requests the
20order.
AB100-engrossed,1577,2322
154.19
(1) (bm) Except as provided in s. 154.225 (2), the patient consents to the
23order after being provided the information specified in sub. (2) (a).
AB100-engrossed,1578,2
1154.19
(1) (d)
The Except as provided in s. 154.225 (2), the patient signs the
2order.
AB100-engrossed,1578,84
154.19
(2) (a)
Upon issuing the do-not-resuscitate order, the The attending
5physician, or a person directed by the attending physician, shall provide the patient
6with written information about the resuscitation procedures that the patient has
7chosen to forego and the methods by which the patient may revoke the
8do-not-resuscitate order.
AB100-engrossed,1578,1110
154.19
(3) (b) 1. The
patient has revoked the order
is revoked under s. 154.21
11or 154.225 (2).
AB100-engrossed,1578,13
13154.225 Guardians and health care agents. (1) In this section:
AB100-engrossed,1578,1414
(a) "Guardian" has the meaning given in s. 51.40 (1) (f).
AB100-engrossed,1578,1515
(b) "Health care agent has the meaning given in s. 155.01 (4).