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2014 Session

Budget Amendments - HB30 (Committee Approved)

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Virginia Center for Health Innovation Research & Hospital Collaborative (language only)

Item 304 #2h

Item 304 #2h

Procedures for Prepayment of Civil Penalties in an Executive Order
Medical Assistance Services, Department of

Language
Page 266, line 34, after "K." insert "1."
Page 266, line 35, strike the second "for".
Page 266, strike line 36 and insert:
"to undertake research and create a statewide hospital collaborative to establish and share best practices to (i) lower measures of patient harm such as hospital acquired infections, medication errors, slips, falls, pressure ulcers and unexpected deaths, (ii) prevent overutilization of services, (iii) minimize defects in care delivery, (iv) minimize defects in care transitions, (v) reduce excessive administrative costs, and (vi) prevent fraud and abuse.  The Center shall partner with the state teaching hospitals,  the Department of Medical Assistance Services and the Virginia Hospital and Healthcare Association, and to determine data collection needs, data sharing processes and mechanisms, such as  the use of a clinical outcomes registry and telemedicine to share best practices and interventions, and to develop a statewide hospital learning collaborative comprised of the state's teaching hospitals, hospital systems and community hospitals.   The Center will report back on these efforts and participation by hospitals to the Chairmen of the House Appropriations and Senate Finance Committees by November 1, 2014.
2.  The Department of Medical Assistance Services shall withhold fiscal year 2016 Medicaid inflation adjustments to hospital operating costs in Item 301 for any hospital that chooses not to participate in the collaborative."


Explanation
(This amendment adds language directing that the $100,000 from the general fund each year contained in the introduced budget for the Virginia Center for Health Innovation be used to undertake research and create a statewide hospital collaborative to establish and share best practices to curb the increase in health care costs in six areas in which delivery system waste has been identified, including harm to patients (hospital acquired infections, medication errors, slips, falls, pressure ulcers and unexpected deaths), overutilization of services, defects in care delivery, defects in care transitions, excess administrative costs, and fraud and abuse. Language requires the Center to report on these efforts by November 1, 2014. Language also conditions the receipt of a Medicaid inflation adjustment to hospital operating payments in fiscal year 2016 on participation in the collaborative.)