Amendments for HB16-1236

House Journal, February 24
16 HB16-1236 be amended as follows, and as so amended, be referred to
17 the Committee of the Whole with favorable
18 recommendation:
19
20 Amend printed bill, page 2, strike lines 1 through 5 and substitute:
21 "SECTION 1. In Colorado Revised Statutes, 25-3-601, amend
22 (3); repeal (4); and add (2.5) as follows:
23 25-3-601. Definitions. As used in this part 6, unless the context
24 otherwise requires:
25 (2.5) "HEALTH CARE-ASSOCIATED INFECTION" MEANS A
26 LOCALIZED OR SYSTEMIC CONDITION THAT RESULTS FROM AN ADVERSE
27 REACTION TO THE PRESENCE OF AN INFECTIOUS AGENT OR ITS TOXINS THAT
28 WAS NOT PRESENT OR INCUBATING AT THE TIME OF ADMISSION TO THE
29 HEALTH FACILITY.
30 (3) "Health facility" means a hospital, a hospital unit, an
31 ambulatory surgical center, or a dialysis treatment clinic currently
32 licensed or certified by the department pursuant to the department's
33 authority under section 25-1.5-103 (1) (a), OR OTHER STATE LICENSED OR
34 CERTIFIED FACILITY THAT SUBMITS DATA TO THE NATIONAL HEALTHCARE
35 SAFETY NETWORK, OR ITS SUCCESSOR.
36 (4) "Hospital-acquired infection" means a localized or systemic
37 condition that results from an adverse reaction to the presence of an
38 infectious agent or its toxins that was not present or incubating at the time
39 of admission to the health facility.
40 SECTION 2. In Colorado Revised Statutes, 25-3-602, amend (1),
41 (2), (3) (a), (4) (a) (I), (4) (a) (II), (4) (a) (IV), (5) (a), (5) (c) introductory
42 portion, and (7) (a); and repeal (5) (b) and (5) (d) as follows:
43 25-3-602. Health facility reports - repeal. (1) (a) A health
44 facility SPECIFIED BY THE DEPARTMENT shall collect data on
45 hospital-acquired HEALTH CARE-ASSOCIATED infection rates for specific
46 clinical procedures including the following categories: AND HEALTH CARE
47 ASSOCIATED INFECTIONS AS DETERMINED BY THE DEPARTMENT.
48 (I) Cardiac surgical site infections;
49 (II) Orthopedic surgical site infections; and
50 (III) Central line-related bloodstream infections.
51 (b) The advisory committee may define criteria to determine when
52 data on a procedure listed OR HEALTH CARE-ASSOCIATED INFECTION
53 DESCRIBED in paragraph (a) of this subsection (1) shall be collected.
54 (c) An individual who collects data on hospital-acquired HEALTH
55 CARE-ASSOCIATED infection rates shall take the test for the appropriate
56 national certification for infection control and become certified within six
1 months after the individual becomes eligible to take the certification test,
2 AS RECOMMENDED BY THE CERTIFICATION BOARD OF INFECTION
3 CONTROL AND EPIDEMIOLOGY, INC., OR ITS SUCCESSOR. Mandatory
4 national certification requirements shall not apply to individuals
5 collecting data on hospital-acquired HEALTH CARE-ASSOCIATED infections
6 in hospitals licensed for fifty beds or less, licensed ambulatory surgical
7 centers, and certified LICENSED dialysis treatment centers, LICENSED
8 LONG-TERM CARE FACILITIES, AND OTHER LICENSED OR CERTIFIED HEALTH
9 FACILITIES SPECIFIED BY THE DEPARTMENT. Qualifications for these
10 individuals may be met through ongoing education, training, experience,
11 or certification, as defined by the department.
12 (2) Each physician HEALTH CARE PROVIDER who performs a
13 clinical procedure listed in SUBJECT TO DATA COLLECTION AS DETERMINED
14 BY THE DEPARTMENT PURSUANT TO subsection (1) of this section shall
15 report to the health facility at which the clinical procedure was performed
16 a hospital-acquired HEALTH CARE-ASSOCIATED infection that the
17 physician HEALTH CARE PROVIDER diagnoses at a follow-up appointment
18 with the patient using standardized criteria and methods consistent with
19 guidelines determined by the advisory committee. The reports made to the
20 health facility under this subsection (2) shall be included in the reporting
21 the health facility makes under subsection (3) of this section.
22 (3) (a) A health facility shall routinely submit its hospital-acquired
23 HEALTH CARE-ASSOCIATED infection data to the national healthcare safety
24 network in accordance with national healthcare safety network
25 requirements and procedures. The data submissions shall begin on or
26 before July 31, 2007, and continue thereafter.
27 (4) (a) The executive director of the department shall appoint an
28 advisory committee. The advisory committee shall consist of:
29 (I) One representative from a public AN URBAN hospital;
30 (II) One representative from a private RURAL hospital;
31 (IV) Four infection control practitioners as follows:
32 (A) One from a stand-alone ambulatory surgical center; and
33 (B) Three ONE health care professionals PROFESSIONAL certified
34 by the Certification Board of Infection Control and Epidemiology, Inc.,
35 or its successor;
36 (C) ONE FROM A LONG-TERM CARE SETTING; AND
37 (D) ONE OTHER HEALTH CARE PROFESSIONAL.
38 (5) (a) The advisory committee shall recommend additional
39 clinical procedures based upon the criteria set forth in paragraph (c) of
40 this subsection (5) AND OTHER HEALTH CARE-ASSOCIATED INFECTIONS
41 that must be reported pursuant to subsection (1) of this section in the
42 manner specified in paragraph (b) of this subsection (5). The
43 recommendations of the advisory committee shall MUST be consistent
44 with information that may be collected by the national healthcare safety
45 network.
46 (b) (I) On or before November 1, 2008, the advisory committee
47 shall either recommend to the department the addition of abdominal
48 surgical site infections and at least one other clinical procedure to the data
49 collected on hospital-acquired infection rates as required in this section
50 or comply with the provisions of paragraph (d) of this subsection (5) and
51 shall recommend to the department whether to include long-term acute
52 care centers as health facilities that are subject to the reporting
53 requirements of this part 6.
54 (II) In addition to the requirements of subparagraph (I) of this
55 paragraph (b), on or before November 1, 2010, the advisory committee
56 shall either recommend to the department the addition of at least two
1 clinical procedures to the data collected on hospital-acquired infection
2 rates as required in this section or comply with the provisions of
3 paragraph (d) of this subsection (5).
4 (c) In making its recommendations under paragraph (a) or (b) of
5 this subsection (5), the advisory committee shall recommend clinical
6 procedures AND HEALTH CARE-ASSOCIATED INFECTIONS, using the
7 following considerations:
8 (d) If the advisory committee determines that it is unable to
9 identify at least two clinical procedures for addition to the data collected
10 by the deadline, the committee shall report to the department its reasons
11 for not identifying at least two new clinical procedures.
12 (7) (a) Subsections (4), (5), and (6) of this section and this
13 subsection (7) are repealed, effective July SEPTEMBER 1, 2016 2021.
14 SECTION 3. In Colorado Revised Statutes, 25-3-603, amend (3)
15 (b); and repeal (2) as follows:
16 25-3-603. Department reports. (2) The department shall issue
17 semi-annual informational bulletins summarizing all or part of the
18 information submitted in the health-facility reports.
19 (3) (b) The annual report shall MUST compare the risk-adjusted,
20 hospital-acquired HEALTH CARE-ASSOCIATED infection rates, collected
21 under section 25-3-602 FOR HEALTH FACILITIES SPECIFIED BY THE
22 DEPARTMENT for each individual health facility in the state. The
23 department, in consultation with the advisory committee, shall make this
24 comparison as easy to comprehend as possible. The report shall MUST
25 include an executive summary, written in plain language, that includes,
26 but is not limited to, a discussion of findings, conclusions, and trends
27 concerning the overall state of hospital-acquired HEALTH
28 CARE-ASSOCIATED infections in the state, including a comparison to prior
29 years when available. The report may include policy recommendations as
30 appropriate.".
31
32 Renumber succeeding sections accordingly.
33
34 Page 2, line 7, strike "(hh)" and substitute "(hh.5) (II)".
35
36 Page 2, strike lines 16 and 17 and substitute:
37
38 "(hh.5) September 1, 2021:
39 (II) THE ADVISORY COMMITTEE APPOINTED BY THE EXECUTIVE".
40
41

House Journal, February 29
17 Amendment No. 1, Health, Insurance, & Environment Report, dated
18 February 23, 2016, and placed in member's bill file; Report also printed
201619 in House Journal, February 24,
20
21 Amendment No. 2, by Representative(s) Primavera.
22
23 Amend the Health, Insurance, & Environment Committee Report, dated
24 February 23, 2016, page 3, strike line 35 and substitute "procedures AND
25 OTHER HEALTH CARE-ASSOCIATED INFECTIONS TO MONITOR AND REPORT,
26 using the".
27
28 As amended, ordered engrossed and placed on the Calendar for Third
29 Reading and Final Passage.
30