216.2929 Data on health-care services charges and quality and outcome measures
789 words·~4 min read·
/ky/216-2929A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
to be publicly available on cabinet's website -- Reports required.
(a)The Cabinet for Health and Family Services shall make available on its
website information on charges for health-care services at least annually in
understandable language with sufficient explanation to allow consumers to
draw meaningful comparisons between every hospital and ambulatory facility,
differentiated by payor if relevant, and for other provider groups as relevant
data becomes available.
(b)Any charge information compiled and reported by the cabinet shall include
the median charge and other percentiles to describe the typical charges for all
of the patients treated by a provider and the total number of patients
represented by all charges, and shall be risk-adjusted.
(c)The report shall clearly identify the sources of data used in the report and
explain limitations of the data and why differences between provider charges
may be misleading. Every provider that is specifically identified in any report
shall be given thirty
(30)days to verify the accuracy of its data prior to public
release and shall be afforded the opportunity to submit comments on its data
that shall be included on the website and as part of any printed report of the
data.
(d)The cabinet shall only provide linkages to organizations that publicly report
comparative-charge data for Kentucky providers using data for all patients
treated regardless of payor source, which may be adjusted for outliers, is risk-
adjusted, and meets the requirements of paragraph
(c)of this subsection.
(a)The cabinet shall make information available on its website at least annually
describing quality and outcome measures in understandable language with
sufficient explanations to allow consumers to draw meaningful comparisons
between every hospital and ambulatory facility in the Commonwealth and
other provider groups as relevant data becomes available.
(b)1. The cabinet shall utilize only national quality indicators that have been
endorsed and adopted by the Agency for Healthcare Research and
Quality, the National Quality Forum, or the Centers for Medicare and
Medicaid Services; or
2. The cabinet shall provide linkages only to the following organizations
that publicly report quality and outcome measures on Kentucky
providers:
a. The Centers for Medicare and Medicaid Services;
b. The Agency for Healthcare Research and Quality;
c. The Joint Commission; and
d. Other organizations that publicly report relevant outcome data for
Kentucky providers.
(c)The cabinet shall utilize or refer the general public to only those nationally
endorsed quality indicators that are based upon current scientific evidence or
relevant national professional consensus and have definitions and calculation
methods openly available to the general public at no charge.
(3)Any report the cabinet disseminates or refers the public to shall:
(a)Not include data for a provider whose caseload of patients is insufficient to
make the data a reliable indicator of the provider's performance;
(b)Meet the requirements of subsection (1)(c) of this section;
(c)Clearly identify the sources of data used in the report and explain the
analytical methods used in preparing the data included in the report; and
(d)Explain any limitations of the data and how the data should be used by
consumers.
(4)The cabinet shall report at least biennially, no later than October 1 of each odd-
numbered year, on the special health needs of the minority population in the
Commonwealth as compared to the population in the Commonwealth as compared
to the population at large. The report shall contain an overview of the health status
of minority Kentuckians, shall identify the diseases and conditions experienced at
disproportionate mortality and morbidity rates within the minority population, and
shall make recommendations to meet the identified health needs of the minority
population.
(5)Beginning December 1, 2024, and at least annually thereafter, the Cabinet for
Health and Family Services shall publish a report on its website for the most recent
five
(5)years of available data on the number and types of delivery procedures for
pregnancy by hospital, including but not limited to the following procedures:
(a)Augmentation of labor;
(b)Cesarean section;
(c)Episiotomy;
(d)Induction of labor;
(e)Primary cesarean section;
(f)Nulliparous, term, singleton, vertex
(NTSV)cesarean section;
(g)Use of forceps;
(h)Use of vacuum;
(i)Vaginal birth after cesarean (VBAC); and
(j)Vaginal delivery.
The cabinet shall use health data collected pursuant to KRS 216.2920 to 216.2929
to obtain the required information, and may use additional sources including data
derived from birth certificates if the required information is not available from data
collected pursuant to KRS 216.2920 to 216.2929.
(6)The reports required under subsections
(4)and
(5)of this section shall be submitted
to the Legislative Research Commission for referral to the Interim Joint
Committees on Appropriations and Revenue, Families and Children, and Health
Services, and to the Governor.