PRIA, Government Policy, Made Personal

Summary

The Secretary must make and use a clear plan to collect, combine, analyze, and publicly report health care quality and cost data. The plan can include methods and timelines. The Secretary must gather consistent measures from health care information systems and may give grants or contracts to help do this. Those efforts must follow health information technology and interoperability standards that were in effect on March 23, 2010. Over time the data systems must cover more patients, more kinds of providers, and more places. The Secretary may fund groups that start or improve ways to collect and combine summary quality and cost data. Eligible groups include multi-stakeholder groups, organizations that can submit population-level data (for example, a disease registry, regional group, or health plan), and Indian Health Service or tribal health programs. Funded groups must use the data to help care, give timely and consistent information to providers with a chance to fix errors, and agree to report measures to the public under the Secretary’s reporting process. Data must be usable across sources and kept private and secure under Secretary’s standards. Grants require non-Federal contributions of $1 for each $5 of Federal funds; those contributions can be cash or in-kind (for example, equipment or services). Money may be appropriated as needed for fiscal years 2010 through 2014.

Title 42, §280j–1

The Public Health and Welfare, Source: USLM XML via OLRC

(a)(1)The Secretary shall establish and implement an overall strategic framework to carry out the public reporting of performance information, as described in section 280j–2 of this title. Such strategic framework may include methods and related timelines for implementing nationally consistent data collection, data aggregation, and analysis methods.

(2)The Secretary shall collect and aggregate consistent data on quality and resource use measures from information systems used to support health care delivery, and may award grants or contracts for this purpose. The Secretary shall align such collection and aggregation efforts with the requirements and assistance regarding the expansion of health information technology systems, the interoperability of such technology systems, and related standards that are in effect on March 23, 2010.

(3)The Secretary shall ensure that the data collection, data aggregation, and analysis systems described in paragraph (1) involve an increasingly broad range of patient populations, providers, and geographic areas over time.

(b)(1)The Secretary may award grants or contracts to eligible entities to support new, or improve existing, efforts to collect and aggregate quality and resource use measures described under subsection (c).

(2)To be eligible for a grant or contract under this subsection, an entity shall—

(A)be—

(i)a multi-stakeholder entity that coordinates the development of methods and implementation plans for the consistent reporting of summary quality and cost information;

(ii)an entity capable of submitting such summary data for a particular population and providers, such as a disease registry, regional collaboration, health plan collaboration, or other population-wide source; or

(iii)a Federal Indian Health Service program or a health program operated by an Indian tribe (as defined in section 1603 of title 25);

(B)promote the use of the systems that provide data to improve and coordinate patient care;

(C)support the provision of timely, consistent quality and resource use information to health care providers, and other groups and organizations as appropriate, with an opportunity for providers to correct inaccurate measures; and

(D)agree to report, as determined by the Secretary, measures on quality and resource use to the public in accordance with the public reporting process established under section 280j–2 of this title.

(c)The Secretary may award grants or contracts under this section only to entities that enable summary data that can be integrated and compared across multiple sources. The Secretary shall provide standards for the protection of the security and privacy of patient data.

(d)The Secretary may not award a grant or contract under this section to an entity unless the entity agrees that it will make available (directly or through contributions from other public or private entities) non-Federal contributions toward the activities to be carried out under the grant or contract in an amount equal to $1 for each $5 of Federal funds provided under the grant or contract. Such non-Federal matching funds may be provided directly or through donations from public or private entities and may be in cash or in-kind, fairly evaluated, including plant, equipment, or services.

(e)To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2010 through 2014.

Notes & Related Subsidiaries

Editorial Notes

Amendments

2010—Subsec. (a). Pub. L. 111–148, § 10305, amended subsec. (a) generally. Prior to amendment, text read as follows: “The Secretary shall collect and aggregate consistent data on quality and resource use measures from information systems used to support health care delivery to implement the public reporting of performance information, as described in section 280j–2 of this title, and may award grants or contracts for this purpose. The Secretary shall ensure that such collection, aggregation, and analysis systems span an increasingly broad range of patient populations, providers, and geographic areas over time.”

§280j–1 Collection and Analysis of Data for Quality and Resource Use Measures

Summary

Title 42, §280j–1

Notes & Related Subsidiaries

Editorial Notes

Amendments

Citations & Metadata