42 U.S.C. § 299b–6: Coordination of Federal…

Summary

Require the Secretary, working through the Director, to coordinate all federal research, evaluations, and demonstration projects about health services, quality measurement, and quality improvement so money and effort are not wasted. The Director must set up a process with other federal agencies to improve how agencies work together, set priorities, share research and data (including databases), set clear goals for agencies, and improve how federal quality programs are run. Require the Secretary to hire the Institute of Medicine to review and report on current quality monitoring, improvement, and research activities. The review must give an overview of federal efforts, with special attention to Medicare (title XVIII), Medicaid (title XIX), and CHIP (title XXI), and summarize HHS’s partnerships with private quality groups. The Institute must offer options and recommendations to improve coordination across those programs and research, strengthen patient choice and use of modern quality tools, and consolidate or remove duplicate efforts. The Institute must give an initial report within 12 months after December 6, 1999, and a final report within 24 months after that date. The Secretary must send both reports to the Senate Finance and HELP Committees and the House Ways and Means and Commerce Committees.

Title 42, §299b–6

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

(a)Requirement

(1)In general

To avoid duplication and ensure that Federal resources are used efficiently and effectively, the Secretary, acting through the Director, shall coordinate all research, evaluations, and demonstrations related to health services research, quality measurement and quality improvement activities undertaken and supported by the Federal Government.

(2)Specific activities

The Director, in collaboration with the appropriate Federal officials representing all concerned executive agencies and departments, shall develop and manage a process to—

(A)improve interagency coordination, priority setting, and the use and sharing of research findings and data pertaining to Federal quality improvement programs, technology assessment, and health services research;

(B)strengthen the research information infrastructure, including databases, pertaining to Federal health services research and health care quality improvement initiatives;

(C)set specific goals for participating agencies and departments to further health services research and health care quality improvement; and

(D)strengthen the management of Federal health care quality improvement programs.

(b)Study by the Institute of Medicine

(1)In general

To provide Congress, the Department of Health and Human Services, and other relevant departments with an independent, external review of their quality oversight, quality improvement and quality research programs, the Secretary shall enter into a contract with the Institute of Medicine—

(A)to describe and evaluate current quality improvement, quality research and quality monitoring processes through—

(i)an overview of pertinent health services research activities and quality improvement efforts conducted by all Federal programs, with particular attention paid to those under titles XVIII, XIX, and XXI of the Social Security Act [42 U.S.C. 1395 et seq., 1396 et seq., 1397aa et seq.]; and

(ii)a summary of the partnerships that the Department of Health and Human Services has pursued with private accreditation, quality measurement and improvement organizations; and

(B)to identify options and make recommendations to improve the efficiency and effectiveness of quality improvement programs through—

(i)the improved coordination of activities across the medicare, medicaid and child health insurance programs under titles XVIII, XIX and XXI of the Social Security Act and health services research programs;

(ii)the strengthening of patient choice and participation by incorporating state-of-the-art quality monitoring tools and making information on quality available; and

(iii)the enhancement of the most effective programs, consolidation as appropriate, and elimination of duplicative activities within various Federal agencies.

(2)Requirements

(A)In general

The Secretary shall enter into a contract with the Institute of Medicine for the preparation—

(i)not later than 12 months after December 6, 1999, of a report providing an overview of the quality improvement programs of the Department of Health and Human Services for the medicare, medicaid, and CHIP programs under titles XVIII, XIX, and XXI of the Social Security Act; and

(ii)not later than 24 months after December 6, 1999, of a final report containing recommendations.

(B)Reports

The Secretary shall submit the reports described in subparagraph (A) to the Committee on Finance and the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Ways and Means and the Committee on Commerce of the House of Representatives.

Notes & Related Subsidiaries

Editorial Notes

References in Text

The Social Security Act, referred to in subsec. (b), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII, XIX, and XXI of the Act are classified generally to subchapters XVIII (§ 1395 et seq.), XIX (§ 1396 et seq.), and XXI (§ 1397aa et seq.), respectively, of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables. Codification December 6, 1999, referred to in subsec. (b)(2)(A), was in the original “the date of the enactment of this title”, which was translated as meaning the date of enactment of Pub. L. 106–129, which amended this subchapter generally, to reflect the probable intent of Congress.

Statutory Notes and Related Subsidiaries

Change of Name

Committee on Commerce of House of Representatives changed to Committee on Energy and Commerce of House of Representatives, and jurisdiction over matters relating to securities and exchanges and insurance generally transferred to Committee on Financial Services of House of Representatives by House Resolution No. 5, One Hundred Seventh Congress, Jan. 3, 2001.

§299b–6 Coordination of Federal Government Quality Improvement Efforts