AB100,1273,2020
153.05
(5) The
office department:
AB100,1273,2321
(a) Shall require hospitals to submit information regarding medical
22malpractice, staffing levels and patient case-mix, and expenditures related to labor
23relations consultants, as specified by the
office
department.
AB100,1274,324
(b) May require hospitals to submit to the
office
department information from
25sources identified under sub. (1) (a) to (e) that the
office department deems necessary
1for the preparation of reports, plans and recommendations under ss. 153.10 to 153.35
2and any other reports required of the
office department in the form specified by the
3office department.
AB100,1274,74
(bm) Shall require a hospital to submit to the
office
department information
5from sources identified under sub. (1) (e) by the date that is 4 months following the
6close of the hospital's fiscal year unless the
office
department grants an extension of
7time to file the information.
AB100, s. 3050
8Section
3050. 153.05 (6) of the statutes is amended to read:
AB100,1274,149
153.05
(6) If the requirements of s. 153.07 (2) are first met, the
office 10department may contract with a public or private entity that is not a major
11purchaser, payer or provider of health care services in this state for the provision of
12data processing services for the collection, analysis and dissemination of health care
13information under sub. (1) or the department
of health and family services shall
14provide the services under s. 153.07 (2).
AB100, s. 3051
15Section
3051. 153.05 (6m) of the statutes is amended to read:
AB100,1274,2316
153.05
(6m) If the requirements of s. 153.07 (2) are first met, the
office 17department may contract with the group insurance board for the provision of data
18collection and analysis services related to health maintenance organizations and
19insurance companies that provide health insurance for state employes or the
20commissioner department shall provide the services under s. 153.07 (2). The
office 21department shall establish contract fees for the provision of the services. All moneys
22collected under this subsection shall be credited to the appropriation under s.
20.145
23(8) 20.435 (1) (kx).
AB100, s. 3052
24Section
3052. 153.05 (7) of the statutes is amended to read:
AB100,1275,4
1153.05
(7) The
office department may require each insurer authorized to write
2disability insurance to submit to the
office department information obtained on
3uniform patient billing forms regarding reported claims for health care services
4which insureds who are residents of this state obtain in another state.
AB100, s. 3053
5Section
3053. 153.05 (8) of the statutes is amended to read:
AB100,1275,146
153.05
(8) Beginning April 1, 1992, the
office department shall collect, analyze
7and disseminate, in language that is understandable to lay persons, health care
8information under the provisions of this chapter, as determined by rules
9promulgated by the
commissioner department, from health care providers, as
10defined by rules promulgated by the
commissioner
department, other than hospitals
11and ambulatory surgery centers. Data from physicians shall be obtained through
12sampling techniques in lieu of collection of data on all patient encounters and data
13collection procedures shall minimize unnecessary duplication and administrative
14burdens.
AB100, s. 3054
15Section
3054. 153.05 (9) of the statutes is amended to read:
AB100,1275,1916
153.05
(9) The
office department shall provide orientation and training to
17physicians, hospital personnel and other health care providers to explain the process
18of data collection and analysis and the procedures for data verification,
19interpretation and release.
AB100, s. 3055
20Section
3055. 153.05 (11) of the statutes is amended to read:
AB100,1275,2421
153.05
(11) In order to elicit public comment concerning the reports required
22under ss. 153.10 to 153.35, the
office department shall, following the release of the
23reports and by a date that is determined by the board
, provide notice of and hold
24public hearings.
AB100, s. 3056
25Section
3056. 153.05 (12) of the statutes is amended to read:
AB100,1276,3
1153.05
(12) The
office
department shall, to the extent possible and upon
2request, assist members of the public in interpreting data in health care information
3disseminated by the
office department.
AB100, s. 3057
4Section
3057. 153.07 (1) of the statutes is amended to read:
AB100,1276,75
153.07
(1) The board shall advise the director of the
office department with
6regard to the collection, analysis and dissemination of health care information
7required by this chapter.
AB100, s. 3058
8Section
3058. 153.07 (2) of the statutes is amended to read:
AB100,1276,209
153.07
(2) The board, upon advice of the
office department, shall first
10determine whether to contract for services pursuant to s. 153.05 (6) or (6m). If the
11board determines to contract for such services, it shall approve specifications for a
12contract including the length of the contract and the standards for determining
13potential contractor conflicts with the purposes of the
office department as specified
14under s. 153.05 (1). In the alternative, the board may direct the
office to have the
15department of health and family services department to provide the services under
16s. 153.05 (6) or (6m). The board may subsequently determine to contract for these
17services in subsequent years. If the board decides to bid the contract for services
18under s. 153.05 (6) or (6m), the department
of health and family services may offer
19a bid as would any other potential contractor. The board shall evaluate a contractor's
20performance 6 months prior to the close of each existing contract.
AB100, s. 3059
21Section
3059. 153.07 (3) of the statutes is amended to read:
AB100,1276,2322
153.07
(3) The board shall approve all rules which are proposed by the
23commissioner department for promulgation to implement this chapter.
AB100, s. 3060
24Section
3060. 153.08 (2) (b) of the statutes is amended to read:
AB100,1277,12
1153.08
(2) (b) No sooner than 15 days after a notice is published under par. (a)
2and no later than 15 days before the date of the proposed rate change, conducts a
3public hearing on the proposed rate change. The hearing shall be on the expected
4impact of the proposed rate change on health care costs, the expected improvement,
5if any, in the local health care delivery system, and any other issue related to the
6proposed rate change. Management staff, if any, of the hospital proposing the rate
7change and, if possible, at least 3 members of the governing board of any
8not-for-profit hospital proposing the rate change shall attend the public hearing to
9review public testimony. The hospital shall record accurate minutes of the meeting
10and shall provide copies of the minutes and any written testimony presented at the
11hearing to the
office of health care information in the office of the commissioner of
12insurance department within 10 days after the date of the public hearing.
AB100, s. 3061
13Section
3061. 153.10 (1) of the statutes is amended to read:
AB100,1277,1814
153.10
(1) Beginning in 1990 and quarterly thereafter, the
office department 15shall prepare and submit to the governor and the chief clerk of each house of the
16legislature for distribution to the legislature under s. 13.172 (2), in a manner that
17permits comparisons among hospitals, a report setting forth all of the following for
18every hospital for the preceding quarter:
AB100,1277,2019
(a) The charges for up to 100 health care services or diagnostic-related groups
20selected by the
office department.
AB100,1277,2221
(b) The utilization and charge information for ambulatory surgery and other
22outpatient health care services selected by the
office
department.
AB100, s. 3062
23Section
3062. 153.15 of the statutes is amended to read:
AB100,1278,4
24153.15 Small area analysis reports. Beginning in 1990 and annually
25thereafter, the
office department shall prepare and submit to the governor and the
1chief clerk of each house of the legislature for distribution to the legislature under
2s. 13.172 (2) reports identifying health care services or procedures provided by one
3or more hospitals in specific areas of the state for which the rate of utilization of the
4service or procedure is significantly different than the state or area average.
AB100, s. 3063
5Section
3063. 153.20 of the statutes is amended to read:
AB100,1278,13
6153.20 Uncompensated health care services report. (1) Beginning in
71990 and annually thereafter, the
office department shall prepare and submit to the
8governor and to the chief clerk of each house of the legislature for distribution to the
9legislature under s. 13.172 (2) a report setting forth the number of patients to whom
10uncompensated health care services were provided by each hospital and the total
11charges for the uncompensated health care services provided to the patients for the
12preceding year, together with the number of patients and the total charges that were
13projected by the hospital for that year in the plan filed under sub. (2).
AB100,1278,18
14(2) Beginning in 1990 and annually thereafter, every hospital shall file with
15the
office department a plan setting forth the projected number of patients to whom
16uncompensated health care services will be provided by the hospital and the
17projected total charges for the uncompensated health care services to be provided to
18the patients for the ensuing year.
AB100, s. 3064
19Section
3064. 153.25 of the statutes is amended to read:
AB100,1279,2
20153.25 Mortality and morbidity report. Beginning in 1990 and annually
21thereafter, the
office department shall prepare and submit to the governor and to the
22chief clerk of each house of the legislature for distribution to the legislature under
23s. 13.172 (2) reports setting forth mortality and morbidity rates for every hospital.
24Before the release of a report under this section, the
office department shall provide
1the physicians, hospitals or other health care providers identified in the report with
2the opportunity to review and comment under s. 153.40 (6).
AB100, s. 3065
3Section
3065. 153.30 of the statutes is amended to read:
AB100,1279,9
4153.30 Health care insurance report. Beginning in 1990 and annually
5thereafter, the
office department and the office of the commissioner of insurance may
6jointly prepare and submit to the governor, and to the legislature under s. 13.172 (2),
7a report specifying, to the extent possible, on a regional basis, the number, nature of
8coverage and costs of health care coverage plans covering residents of this state
9during the preceding year.
AB100, s. 3066
10Section
3066. 153.35 (intro.) of the statutes is amended to read:
AB100,1279,15
11153.35 (title)
Report by the office department. (intro.) The
office 12department shall annually, by October 1, under rules promulgated by the
13commissioner department, submit under s. 13.172 (3) a report to the legislature for
14distribution to standing committees with jurisdiction over health matters, that shall
15include all of the following:
AB100, s. 3067
16Section
3067. 153.35 (1) of the statutes is amended to read:
AB100,1279,1917
153.35
(1) The range, median and mean of charges and increases or decreases
18in specific charges by hospitals for up to 100 charge elements, as selected by the
office 19department, as reported to the
office
department under s. 153.05 (1) (c) 1.
AB100, s. 3068
20Section
3068. 153.40 (1) of the statutes is amended to read:
AB100,1280,221
153.40
(1) Prior to data submission, hospitals, ambulatory surgery centers or
22other health care providers shall review discharge data for accuracy and shall obtain
23verification by the physician of the principal and secondary diagnoses and primary
24and secondary procedures. The verification shall occur within the time specified by
25rules promulgated by the
commissioner department for data submission to the
office
1department. If the verification is not made on a timely basis, the hospital or other
2health care provider shall submit the data noting the lack of verification.
AB100, s. 3069
3Section
3069. 153.40 (2) of the statutes is amended to read:
AB100,1280,114
153.40
(2) The
office department shall be responsible for assuring that
5appropriate editing is conducted for all submitted data to identify systematic errors,
6missing data, values beyond an allowed range, illegal codes within a range, illogical
7sequence of dates, diagnoses and procedures inconsistent with age and sex, other
8data failing internal consistency checks and other patterns inconsistent with what
9would be expected. The
office department shall notify hospitals, ambulatory surgery
10centers or, beginning April 1, 1992, other health care providers of missing or incorrect
11information under this subsection.
AB100, s. 3070
12Section
3070. 153.40 (3) of the statutes is amended to read:
AB100,1280,1613
153.40
(3) Hospitals, ambulatory surgery centers or, beginning April 1, 1992,
14other health care providers shall be responsible for resolving the errors found by the
15editing under sub. (2) and shall resubmit corrected data within 10 working days after
16receiving written notification from the
office department of the errors.
AB100, s. 3071
17Section
3071. 153.40 (4) of the statutes is amended to read:
AB100,1280,2018
153.40
(4) The
office department shall send edited and corrected data to
19hospitals, ambulatory surgery centers or, beginning April 1, 1992, other health care
20providers for a 10-working-day review period before the data are released.
AB100, s. 3072
21Section
3072. 153.40 (5) of the statutes is amended to read:
AB100,1280,2522
153.40
(5) The
office department may, by rules promulgated by the
23commissioner department, require that other forms of data verification, including
24reabstracting studies and comparisons with information collected from other data
25systems, be conducted prior to the release of physician-specific data.
AB100, s. 3073
1Section
3073. 153.40 (6) of the statutes is amended to read:
AB100,1281,102
153.40
(6) At least 30 calendar days prior to the release of a report under s.
3153.25, the
office department shall notify a physician, hospital or other health care
4provider identified in the report of the
office's
department's intent to release the
5report. The notification shall include a copy of the draft report and a statement that
6those identified may submit comments on the report to the
office department. If the
7office department receives comments prior to the release of the report, the
office 8department shall append the comments to the report. If the
office department 9receives comments after the report is released, the
office department shall make the
10comments available to anyone requesting the comments.
AB100, s. 3074
11Section
3074. 153.45 (1) (intro.) of the statutes is amended to read:
AB100,1281,1312
153.45
(1) (intro.) After completion of data verification and review procedures
13under s. 153.40, the
office department shall release data in the following forms:
AB100, s. 3075
14Section
3075. 153.45 (1) (b) of the statutes is amended to read:
AB100,1281,1915
153.45
(1) (b) Public use tapes which do not permit the identification of specific
16patients, physicians, employers or other health care providers, as defined by rules
17promulgated by the
commissioner department. The identification of these groups
18shall be protected by all necessary means, including the deletion of patient
19identifiers and the use of calculated variables and aggregated variables.
AB100, s. 3076
20Section
3076. 153.45 (2) of the statutes is amended to read:
AB100,1281,2321
153.45
(2) The
office department shall provide to other entities the data
22necessary to fulfill their statutory mandates for epidemiological purposes or to
23minimize the duplicate collection of similar data elements.
AB100, s. 3077
24Section
3077. 153.45 (3) of the statutes is amended to read:
AB100,1282,3
1153.45
(3) The
office department shall release physician-specific and
2employer-specific data, except in public use tapes as specified under sub. (1) (b), in
3a manner that is specified in rules promulgated by the
commissioner department.
AB100, s. 3078
4Section
3078. 153.50 of the statutes is amended to read:
AB100,1282,16
5153.50 Protection of patient confidentiality. Patient-identifiable data
6obtained under this chapter and contained in the discharge data base of the
office 7department is not subject to inspection, copying or receipt under s. 19.35 (1) and may
8not be released by the
office department, except to the patient or to a person granted
9permission for release by the patient and except that a hospital, a physician
, or the
10agent of a hospital or physician
or the commissioner may have access to
11patient-identifiable data to ensure the accuracy of the information in the discharge
12data base.
The department of health and family services may have access to the
13discharge data base for the purposes of completing epidemiological reports and
14eliminating the need to maintain a data base that duplicates that of the office, if the
15department of health and family services does not release or otherwise provide
16access to the patient-identifiable data.
AB100, s. 3079
17Section
3079. 153.60 (title) of the statutes is amended to read:
AB100,1282,19
18153.60 (title)
Assessments to fund operations of office department and
19board.
AB100, s. 3080
20Section
3080. 153.60 (1) of the statutes is amended to read:
AB100,1283,721
153.60
(1) The
office department shall, by the first October 1 after the
22commencement of each fiscal year, estimate the total amount of expenditures
under
23this chapter for the
office department and the board for that fiscal year. The
office 24department shall assess the estimated total amount for that fiscal year less the
25estimated total amount to be received under s.
20.145 (8) (hi), (hj), (kx) and (mr)
120.435 (1) (hi) during the fiscal year and the unencumbered
balances balance of the
2amounts amount received under s.
20.145 (8) (hi), (hj) and (mr) 20.435 (1) (hi) from
3the prior fiscal year, to hospitals in proportion to each hospital's respective gross
4private-pay patient revenues during the hospital's most recently concluded entire
5fiscal year. Each hospital shall pay the assessment on or before December 1. All
6payments of assessments shall be deposited in the appropriation under s.
20.145 (8) 720.435 (1) (hg).
AB100, s. 3081
8Section
3081. 153.60 (2) of the statutes is amended to read:
AB100,1283,129
153.60
(2) The
office department may assess ambulatory surgery centers under
10this section, using as the basis for individual ambulatory surgery center assessments
11the methods and criteria promulgated by rule by the
commissioner department 12under s. 153.75 (1) (k).
AB100, s. 3082
13Section
3082. 153.65 of the statutes is amended to read:
AB100,1283,21
14153.65 Provision of special information; user fees. The
office department 15may provide, upon request from a person, a data compilation or a special report based
16on the information collected by the
office department under s. 153.05 (1), (3), (4) (b),
17(5), (7) or (8) or 153.08. The
office department shall establish user fees for the
18provision of these compilations or reports, payable by the requester, which shall be
19sufficient to fund the actual necessary and direct cost of the compilation or report.
20All moneys collected under this section shall be credited to the appropriation under
21s.
20.145 (8) 20.435 (1) (hi).
AB100, s. 3083
22Section
3083. 153.75 (1) (intro.) of the statutes is amended to read:
AB100,1283,2423
153.75
(1) (intro.) Following approval by the board, the
commissioner 24department shall promulgate the following rules:
AB100, s. 3084
25Section
3084. 153.75 (1) (b) of the statutes is amended to read:
AB100,1284,3
1153.75
(1) (b) Establishing procedures under which hospitals and health care
2providers are permitted to review and verify patient-related information prior to its
3submission to the
office department.
AB100, s. 3085
4Section
3085. 153.75 (2) (intro.) of the statutes is amended to read:
AB100,1284,65
153.75
(2) (intro.) With the approval of the board, the
commissioner 6department may promulgate all of the following rules:
AB100, s. 3086
7Section
3086. 153.75 (2) (c) of the statutes is amended to read:
AB100,1284,108
153.75
(2) (c) Providing for the efficient collection, analysis and dissemination
9of health care information which the
office department may require under this
10chapter.
AB100, s. 3087
11Section
3087. 153.90 (3) of the statutes is amended to read:
AB100,1284,1812
153.90
(3) The
commissioner department may directly assess forfeitures under
13sub. (2). If the
commissioner department determines that a forfeiture should be
14assessed for a particular violation or for failure to correct the violation, the
15commissioner department shall send a notice of assessment to the alleged violator.
16The notice shall specify the alleged violation of the statute or rule and the amount
17of the forfeiture assessed and shall inform the alleged violator of the right to contest
18the assessment under s. 227.44.
AB100, s. 3088
19Section
3088. 157.06 (1) (j) and (k) of the statutes are created to read:
AB100,1284,2220
157.06
(1) (j) "Technician" means an individual who is appropriately trained
21to remove or process tissue or bone while under the direction or supervision of a
22physician.
AB100,1284,2323
(k) "Tissue" includes all of the following:
AB100,1284,2525
2. Connective tissue, including tendons and ligaments.
AB100,1285,2
13. Cardiovascular tissue, including valves, blood vessels and pericardium, that
2is not suitable for use for cardiovascular organ transplantation.