§ 23-17.17-1. Purpose. The legislature finds that: (1) The health care service system is under transition; (2) The growth of managed care and utilization review, the merger of facilities and regionalization of care systems, and increased competition and conversions from nonprofit to for-profit status, are evidence of this transition; (3) The changes have created strong […]
§ 23-17.17-10. Reporting requirements for the health care database. (a) Insurers, health care providers, health care facilities and governmental agencies shall file reports, data, schedules, statistics or other information determined by the director to be necessary to carry out the purposes of this chapter. The reports required by this chapter shall be accepted by the […]
§ 23-17.17-11. Data collection and information sharing for the health care database. (a) All insurers shall electronically provide to the director in accordance with standards and procedures adopted by the director in regulation: (1) their health insurance claims data; (2) cross-matched claims data on requested members, subscribers or policyholders; and (3) member, subscriber or policyholder […]
§ 23-17.17-2. Definitions. (a) “Clinical outcomes” means information about the results of patient care and treatment. (b) “Director” means the director of the department of health or his or her duly authorized agent. (c) “Healthcare facility” has the same meaning as contained in the regulations promulgated by the director of health pursuant to chapter 17 […]
§ 23-17.17-3. Establishment of health care quality performance measurement and reporting program. The director of health is authorized and directed to develop a state health care quality performance measurement and reporting program. The health care quality performance measurement and reporting program shall include quality performance measures and reporting for health care facilities licensed in Rhode […]
§ 23-17.17-4. Program requirements — Adoption of rules and regulations. (a) The quality performance measurement and reporting program established under this chapter shall, at a minimum, incorporate the following: (1) A standardized data set of clinical performance measures, risk-adjusted for patient variables, that shall be collected and reported periodically to the department, and (2) Comparable, […]
§ 23-17.17-5. Annual report. (a) The director shall prepare and submit by January fifteenth (15th) of each year an annual report to the general assembly and governor on the status of the health care quality performance measurement and reporting program. The annual report shall include information on trends in health care quality performance measures, identify […]
§ 23-17.17-6. Health care quality steering committee. (a) The director shall establish and serve as chairperson of a health care quality steering committee of no more than nineteen (19) members to advise in the following matters: (1) Determination of the comparable performance measures to be reported on; (2) Assessment of factors, including, but not limited […]
§ 23-17.17-7. Repealed.
§ 23-17.17-8. Annual hospital staffing report. (a) Annually in the month of January, every licensed hospital shall submit to the Rhode Island department of health, its core-staffing plan. Such plan shall specify for each patient care unit and each shift, the number of registered nurses, licensed practical nurses and/or certified nursing assistants who shall ordinarily […]
§ 23-17.17-9. Health care quality and value database. (a) The director shall establish and maintain a unified health care quality and value database to: (1) Determine the capacity and distribution of existing resources; (2) Identify health care needs and inform health care policy; (3) Evaluate the effectiveness of intervention programs on improving patient outcomes; (4) […]
