SB369: Bill Text

SB369,4,12 (h) One nurse who holds a certificate of registration under s. 441.06 (1) or a license under s. 441.10 (3) and who is nominated by the Wisconsin Nurses Association Incorporated.

SB369,4,14 (i) A representative of the office of the commissioner of insurance who is designated by the commissioner of insurance.

SB369,4,16 (j) A representative of the department of employe trust funds who is designated by the secretary of employe trust funds.

SB369,4,18 (k) A representative of the department of health and social services who is designated by the secretary of health and social services.

SB369, s. 5 Section 5. 20.145 (8) (hg) of the statutes is amended to read:

SB369,4,24 20.145 (8) (hg) General program operations; office of health care information. The amounts in the schedule to fund the activities of the office of health care information and the board on health care information data oversight board under ch. 153. The assessments paid under s. 153.60 shall be credited to this appropriation account.

SB369, s. 6 Section 6. 20.145 (8) (mr) of the statutes is amended to read:

SB369,5,4 20.145 (8) (mr) Federal funds; office of health care information. All moneys received from the federal government, as authorized by the governor under s. 16.54, for the purposes of the office of health care information and the board on health care information data oversight board under ch. 153.

SB369, s. 7 Section 7. 153.01 (2) of the statutes is amended to read:

SB369,5,7 153.01 (2) "Board" means the board on health care information data oversight board.

SB369, s. 8 Section 8. 153.01 (4r) of the statutes is created to read:

SB369,5,12 153.01 (4r) "Encounter-level data" means data related to the use of health care services by and the provision of health care services to individual patients or insureds, including claims data, abstracts of medical records and data from patient interviews and surveys.

SB369, s. 9 Section 9. 153.01 (8m) of the statutes is created to read:

SB369,5,14 153.01 (8m) "State agency" has the meaning given in s. 16.004 (12) (a).

SB369, s. 10 Section 10. 153.07 (3) of the statutes is renumbered 153.07 (8).

SB369, s. 11 Section 11. 153.07 (3) to (7) of the statutes are created to read:

SB369,5,17 153.07 (3) The board shall work to accomplish all of the following:

SB369,5,18 (a) Increased accessibility to and usefulness of health care data.

SB369,5,21 (b) Development of a detailed plan of procedure for the release of health care data that distinguishes health care data intended to be available for public use from health care data intended to be restricted for research and other nonpublic use.

SB369,5,24 (c) Consideration of the feasibility of developing a health care data institute for public and private use or instituting a publicly sponsored program for private health care data collection.

SB369,6,2 (4) The board shall seek advice from the committees specified under 1995 Wisconsin Act .... (this act), section 12 (2), on all of the following:

SB369,6,4 (a) The identification of health care data policy issues that require extensive research.

SB369,6,6 (b) Recommended health care data collection, analysis and dissemination techniques for meeting the needs of policy makers and the public.

SB369,6,8 (c) Any recommended adjustments to the health care data collection and dissemination systems improvement plan under sub. (5).

SB369,6,10 (5) Beginning on January 1, 1996, the health care data oversight board shall do all of the following:

SB369,6,12 (a) Develop recommendations on the use of health plan performance measures, including recommendations on standardizing measures.

SB369,6,14 (b) Develop a health care data collection and dissemination systems improvement plan for this state that addresses the following areas:

SB369,6,16 1. Identification of health care data collection needs of the state, with priority given to data collection necessary to support public policy decisions.

SB369,6,18 2. Identification of data that can be collected through the private sector and data for which state data collection and analysis is appropriate.

SB369,6,20 3. Identification of data that should be collected on an ongoing basis and data that should be collected on a one-time or periodic basis.

SB369,6,24 4. An analysis of the costs and benefits of linking state data systems that are specific to programs of services, including services under the mental health system in this state, with encounter-level data related to the use of health care services in the private sector.

SB369,6,25 5. Recommendations on the collection and dissemination of all of the following:

SB369,7,1 a. Comparisons of costs, including costs of health insurance plan premiums.

SB369,7,3 b. Information on costs of various health care services that is available through existing data collection mechanisms.

SB369,7,5 c. Information not currently available that addresses overall costs and charges for care for selected high-cost or high-volume conditions and episodes of care.

SB369,7,9 (c) In developing the plan under par. (b), the board shall give consideration to the administrative costs imposed on health care providers and insurers as a result of state data collection requirements and shall seek to minimize those costs, consistent with providing necessary information to state policy makers.

SB369,7,11 (d) 1. Review existing health care data collection undertaken by state agencies, and where appropriate, recommend any of the following:

SB369,7,12 a. Elimination of unnecessary data collection.

SB369,7,14 b. Modifications to existing data collection that will improve the utility of the data or reduce the administrative costs to the public and private sectors.

SB369,7,16 c. Steps that would improve linkages between data systems if the linkages would assist policy makers in evaluating policy issues and alternatives.

SB369,7,19 2. As part of the review and recommendations under subd. 1., study issues associated with consolidating all health care data collection and dissemination that is performed by state agencies into a single state agency.

SB369,7,23 (6) (a) Beginning on January 1, 1997, the board shall direct the office, except as provided under par. (b), to apply the health care data collection and dissemination systems improvement plan under sub. (5) to the collection and dissemination of encounter-level data from all of the following:

SB369,7,24 1. Health care providers under s. 153.05 (8).

SB369,8,3 2. The data bases of programs of state agencies under which health and mental health services are provided and under which vital statistics, as defined in s. 69.01 (27), are collected.

SB369,8,7 (b) The board may select private contractors or a partnership of public and private entities to perform the duty assigned to the office under par. (a). The board shall first promulgate rules that specify the selection criteria and the manner in which the encounter-level data shall be so collected and disseminated.

SB369,8,11 (c) By June 30, 1997, and biennially thereafter, the board shall submit a report to the appropriate standing committees under s. 13.172 (3), to the commissioner and to the governor, concerning the recommendations made under sub. (5) and progress made toward the implementation of those recommendations.

SB369,8,15 (d) By January 1, 1998, the board shall submit a report to the appropriate standing committees under s. 13.172 (3), to the commissioner and to the governor, concerning the application of the health care data collection and dissemination systems improvement plan to encounter-level data under par. (a) or (b).

SB369,8,18 (7) State agencies that receive requests for information and assistance from the board under this section shall assist the board and provide access to information that is not patient-identifiable to enable the board to complete its tasks.

SB369, s. 12 Section 12 . Nonstatutory provisions.

SB369,8,23 (1)  Initial appointments of members of the health care data oversight board. Notwithstanding the length of terms specified in section 15.735 (3) of the statues, as created by this act, the initial members of the health care data oversight board shall be appointed for the following terms:

SB369,8,25 (a)  The members specified in section 15.735 (3) (a), (b), (c), (d), (g) and (i) of the statutes, as created by this act, for terms expiring on May 1, 1999.

SB369,9,2 (b)  The members specified in section 15.735 (3) (e), (f), (h), (j) and (k) of the statutes, as created by this act, for terms expiring on May 1, 2001.

SB369,9,12 (2)  Committees of health care data oversight board. After first consulting with the office of health care information and soliciting names of appropriate persons from other sources, the health care data oversight board shall provide the commissioner of insurance with recommendations of persons as members of an ethics and confidentiality committee, a technical systems administration committee and a performance and measurement committee of the health care data oversight board. Each committee shall have as a member at least one licensed physician. By the first day of the 7th month beginning after the effective date of this subsection, the commissioner of insurance shall appoint the recommended persons as members of the committees.

SB369,9,17 (3)  Report on state agency consolidation. By July 1, 1996, the health care data oversight board, as created by this act, shall submit a report to the legislature in the manner provided under section 13.172 (3) of the statutes, concerning the board's recommendations as to consolidation of health care data collection and dissemination by state agencies into a single state agency.

SB369,9,23 (4)  Report on health care data plan. By January 1, 1997, the health care data oversight board, as created by this act, shall submit a report to the legislature in the manner provided under section 13.172 (3) of the statutes, to the commissioner of insurance and to the governor, concerning the development of the health care data collection and dissemination systems improvement plan under section 153.07 (5) (b) of the statutes, as created by this act.

SB369,9,25 (5)  Report on recommended statutory or rules changes. By January 1, 1997, the health care data oversight board, as created by this act, shall submit a report to the legislature in the manner provided under section 13.172 (3) of the statutes, to the commissioner of insurance and to the governor, concerning the board's recommendations for changes in state statutes or administrative rules needed to implement policies for the release of health care data under section 153.07 (3) (b) of the statutes, as created by this act.

SB369,10,12 (6)  Report on health care data institute or publicly sponsored program. By June 30, 1997, the health care data oversight board, as created by this act, shall submit a report to the legislature in the manner provided under section 13.172 (3) of the statutes, to the commissioner of insurance and to the governor, concerning the board's findings regarding the feasibility of developing a health care data institute or instituting a publicly sponsored program for private health care data collection under section 153.07 (3) (c) of the statutes, as created by this act.

SB369,10,13 (End)