2014 Kentucky Revised Statutes CHAPTER 216 - HEALTH FACILITIES AND SERVICES 216.2929 Data on health-care services charges and quality and outcome measures to be publicly available on cabinet's web site -- Reports required by board.
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216.2929
Data on health-care services charges and quality and outcome
measures to be publicly available on cabinet's web site -- Reports
required by board.
(1)
(2)
(a)
The Cabinet for Health and Family Services shall make available on its
Web site information on charges for health-care services at least annually
in understandable language with sufficient explanation to allow
consumers to draw meaningful comparisons between every hospital and
ambulatory facility, differentiated by payor if relevant, and for other
provider groups as relevant data becomes available.
(b) Any charge information compiled and reported by the cabinet shall
include the median charge and other percentiles to describe the typical
charges for all of the patients treated by a provider and the total number
of patients represented by all charges, and shall be risk-adjusted
according to recommendations of the Health Services Data Advisory
Committee.
(c) The report shall clearly identify the sources of data used in the report and
explain limitations of the data and why differences between provider
charges may be misleading. Every provider that is specifically identified in
any report shall be given thirty (30) days to verify the accuracy of its data
prior to public release and shall be afforded the opportunity to submit
comments on its data that shall be included on the Web site and as part
of any printed report of the data.
(d) The cabinet shall only provide linkages to organizations that publicly
report comparative-charge data for Kentucky providers using data for all
patients treated regardless of payor source, which may be adjusted for
outliers, is risk-adjusted, and meets the requirements of paragraph (c) of
this subsection.
(a) The cabinet shall make information available on its Web site at least
annually describing quality and outcome measures in understandable
language with sufficient explanations to allow consumers to draw
meaningful comparisons between every hospital and ambulatory facility in
the Commonwealth and other provider groups as relevant data becomes
available.
(b) 1.
The cabinet shall utilize only national quality indicators that have
been endorsed and adopted by the Agency for Healthcare Research
and Quality, the National Quality Forum, or the Centers for Medicare
and Medicaid Services; or
2.
The cabinet shall provide linkages only to the following
organizations that publicly report quality and outcome measures on
Kentucky providers:
a.
The Centers for Medicare and Medicaid Services;
b.
The Agency for Healthcare Research and Quality;
c.
The Joint Commission on the Accreditation of Health Care
Organizations; and
d.
Other organizations that publicly report relevant outcome data
for Kentucky providers as determined by the Health Services
(3)
(4)
(5)
(6)
(7)
Data Advisory Committee.
(c) The cabinet shall utilize or refer the general public to only those nationally
endorsed quality indicators that are based upon current scientific
evidence or relevant national professional consensus and have definitions
and calculation methods openly available to the general public at no
charge.
Any report the cabinet disseminates or refers the public to shall:
(a) Not include data for a provider whose caseload of patients is insufficient
to make the data a reliable indicator of the provider's performance;
(b) Meet the requirements of subsection (1)(c) of this section;
(c) Clearly identify the sources of data used in the report and explain the
analytical methods used in preparing the data included in the report; and
(d) Explain any limitations of the data and how the data should be used by
consumers.
The cabinet shall at least annually, on or before October 1, submit a report on
the operations and activities of the cabinet under KRS 216.2920 to 216.2929
during the preceding fiscal year, including a copy of each study or report
required or authorized under KRS 216.2920 to 216.2929 and any
recommendations relating thereto.
The cabinet shall report at least biennially, no later than October 1 of each
odd-numbered year, on matters pertaining to comparative health-care charges,
quality, and outcomes, the effectiveness of its activities relating to educating
consumers and containing health-care costs, and any recommendations
regarding its data collection and dissemination activities.
The cabinet shall report at least biennially, no later than October 1 of each
odd-numbered year, on the special health needs of the minority population in
the Commonwealth as compared to the population in the Commonwealth as
compared to the population at large. The report shall contain an overview of
the health status of minority Kentuckians, shall identify the diseases and
conditions experienced at disproportionate mortality and morbidity rates within
the minority population, and shall make recommendations to meet the
identified health needs of the minority population.
The reports required under subsections (4), (5), and (6) of this section shall be
submitted to the Interim Joint Committees on Appropriations and Revenue and
Health and Welfare and to the Governor.
Effective:July 15, 2008
History: Amended 2008 Ky. Acts ch. 71, sec. 4, effective July 15, 2008. -Amended 2005 Ky. Acts ch. 99, sec. 476, effective June 20, 2005. -- Amended
1998 Ky. Acts ch. 426, sec. 421, effective July 15, 1998. -- Amended 1996 Ky.
Acts ch. 371, sec. 29, effective July 15, 1996. -- Created 1994 Ky. Acts ch. 512,
Pt. 2, sec. 10, effective July 15, 1994.
Legislative Research Commission Note (7/15/2008). The internal numbering of
subsections (1) and (2) of this section has been altered by the Reviser of
Statutes from the numbering in 2008 Ky. Acts ch. 71, sec. 4, under the authority
of KRS 7.136.
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