§ 31-53-22. Purpose
The purpose of the Georgia Data Access Forum shall be to make recommendations to the office on: Conducting a baseline analysis of the current data base infrastructure; Identifying common goals for the state and stakeholders; Prioritizing desired data base functions; Securing proposals for data base platforms; Analyzing existing systems and technology that can be leveraged […]
§ 31-53-23. Consultation With Third Party Vendors
Third-party vendors may be contacted for expertise at the director’s discretion to assist the Georgia Data Access Forum in formulating its recommendations pursuant to Code Section 31-53-22. Third-party vendors may be consulted and permitted to offer proposals and make presentations to the office and the Georgia Data Access Forum. History. Code 1981, § 31-53-23 , […]
§ 31-53-40. Definitions
As used in this article, the term: “Administrator” means the administrator of the GAPCD. “Advisory committee” means the GAPCD Advisory Committee established pursuant to Code Section 31-53-41. “Claims data” means information included in an institutional, professional, or pharmacy claim or equivalent information transaction for a covered individual, including the amount paid to a provider of […]
§ 31-53-41. Gapcd Advisory Committee Established; Membership; Terms; Meeting; Reimbursement for Expenses; Appointment of Nonvoting Members
There is established the GAPCD Advisory Committee for the purpose of making recommendations regarding the creation of the framework and implementation plan for the GAPCD to facilitate the reporting of health care and health quality data resulting in transparent and public reporting of safety, quality, cost, and efficiency information at all levels of health care. […]
§ 31-53-42. Initial Recommendations Requirements; Ongoing Recommendations; Evaluations
The advisory committee shall make initial recommendations to the director no later than March 1, 2021, regarding the creation and operation of a state all-payer claims database, to be known as the GAPCD, that: Include specific strategies to measure and collect data related to health care safety and quality, utilization, health outcomes, and cost; Focus […]
§ 31-53-43. Funding; Beginning of Operations
The director shall seek funding for the creation of the all-payer health claims database and develop a plan for the financial stability of the GAPCD. No later than March 15, 2021, the director shall report to the Governor and the General Assembly on the status of the funding effort and on the status of the […]
§ 31-53-44. Objectives and Use of Gapcd
The objectives of the GAPCD shall be to facilitate data-driven, evidence-based improvements in access, quality, and cost of health care and to promote and improve public health through the understanding of health care expenditure patterns and operation and performance of the health care system. Specific uses of the GAPCD include, but are not limited to: […]
§ 31-53-45. Role of Administrator
The administrator of the GAPCD shall be the Center for Health Analytics and Informatics of the Georgia Institute of Technology. The administrator, in consultation with the advisory committee, shall: Determine the data to be collected from submitting entities and the method of collection, including mandatory and voluntary reporting of health care and health quality data; […]
§ 31-53-46. Design Criteria
The advisory committee and the administrator should consider the following design criteria: Allowing the use of federal Health Insurance Portability and Accountability Act of 1996 compliant, government level secured cloud computing resources to save funding; Ensuring all inbound data is converted to a common standard and ensuring that data quality checks are done on inbound […]
§ 31-53-47. Submission of Claims; Personal Identification Data Not Public Record
Beginning in January, 2023, and every month thereafter, all submitting entities shall submit claims data for state residents to the GAPCD in accordance with this article and rules and regulations promulgated pursuant to this article. Submitting entities shall submit 95 percent of data within 60 days from the day that the adjudicated claims were paid, […]