Bill Text: CA SB212 | 2009-2010 | Regular Session | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Pupil health: communicable diseases.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Vetoed) 2010-01-19 - Stricken from Senate file. [SB212 Detail]

Download: California-2009-SB212-Introduced.html

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BILL NUMBER: SB 212	INTRODUCED
	BILL TEXT


INTRODUCED BY   Senator Florez

                        FEBRUARY 23, 2009

   An act to amend Section 1288.55 of the Health and Safety Code,
relating to health care facilities.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 212, as introduced, Florez. Health facilities: infections.
   Existing law provides for the licensure and regulation of health
facilities by the State Department of Public Health. A violation of
these provisions is a crime.
   Existing law requires health facilities to report to the
department and the federal Centers for Disease Control and Prevention
specified infections. Existing law also requires the department to
develop and implement various Internet-based reporting systems, as
prescribed.
   This bill would make technical, nonsubstantive changes to these
provisions.
   Vote: majority. Appropriation: no. Fiscal committee: no.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 1288.55 of the Health and Safety Code is
amended to read:
   1288.55.  (a) (1)  Each   A  health
facility, as defined in paragraph (3) of subdivision (a) of Section
1255.8, shall quarterly report all cases of health-care-associated
MRSA bloodstream infection, health-care-associated clostridium
difficile infection, and health-care-associated Vancomycin-resistant
enterococcal bloodstream infection, and the number of inpatient days.

   (2)  Each   A   health facility
shall report quarterly to the department all central line associated
bloodstream infections and the total central line days.
   (3)  Each  A  health facility shall
report quarterly to the department all health-care-associated
surgical site infections of deep or organ space surgical sites,
health-care-associated infections of orthopedic surgical sites,
cardiac surgical sites, and gastrointestinal surgical sites
designated as clean and clean-contaminated, and the number of
surgeries involving deep or organ space, and orthopedic, cardiac, and
gastrointestinal surgeries designated clean and clean-contaminated.
   (b) The department's licensing and certification program shall do
all of the following:
   (1) Commencing January 1, 2011, post on the department's 
Internet  Web site information regarding the incidence rate of
health-care-acquired central line associated bloodstream infections
acquired at each health facility in California, including information
on the number of inpatient days.
   (2) Commencing January 1, 2012, post on the department's 
Internet  Web site information regarding the incidence rate of
deep or organ space surgical site infections, orthopedic, cardiac,
and gastrointestinal surgical procedures designated as clean and
clean-contaminated, acquired at each health facility in California,
including information on the number of inpatient days.
   (3) No later than January 1, 2011, post on the department's 
Internet  Web site information regarding the incidence rate of
health-care-associated MRSA bloodstream infection,
health-care-associated clostridium difficile infection, and
health-care-associated Vancomycin-resistant enterococcal bloodstream
infection, at each health facility in California, including
information on the number of inpatient days.
   (c) Any information reported publicly as required under this
section shall meet all of the following requirements:
   (1) The department shall follow a risk adjustment process that is
consistent with the federal Centers for Disease Control and
Prevention's National Healthcare Safety Network (NHSN), or its
successor, risk adjustment, and use its definitions, unless the
department adopts, by regulation, a fair and equitable risk
adjustment process that is consistent with the recommendations of the
Healthcare Associated Infection Advisory Committee (HAI-AC),
established pursuant to Section 1288.5, or its successor.
   (2) For purposes of reporting, as required in subdivisions (a) and
(b), an infection shall be reported using the NHSN definitions
unless the department accepts the recommendation of the HAI-AC or its
successor.
   (3) If the federal Centers for Disease Control and Prevention do
not use a public reporting model for specific health-care-acquired
infections, then the department shall base its public reporting of
incidence rate on the number of inpatient days for infection
reporting, or the number of specified device days for relevant
device-related infections, and the number of specified surgeries
conducted for surgical site infection reporting, unless the
department adopts a public reporting model that is consistent with
recommendations of the HAI-AC or its successor.
   (d) Health facilities that report data pursuant to the system
shall report this data to the NHSN and the department, as
appropriate.