HB 224-FN – AS INTRODUCED
2005 SESSION
01/09
HOUSE BILL 224-FN
AN ACT relative to the collection of data on hospital-acquired infection rates.
SPONSORS: Rep. Kathleen Taylor, Straf 4; Rep. Marshall Quandt, Rock 13; Rep. Matthew Quandt, Rock 13
COMMITTEE: Health, Human Services and Elderly Affairs
This bill requires acute care hospitals and ambulatory surgical facilities to report their infection rates to the department of health and human services on an annual basis.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
05-0025
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Five
AN ACT relative to the collection of data on hospital-acquired infection rates.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Data Collection; Reporting of Infection Rates. Amend RSA 126:25 by inserting after paragraph III the following new paragraph:
IV.(a) In addition to the data required under paragraph I, acute care hospitals and ambulatory care facilities shall collect and submit data on their hospital-acquired infection rates, including, but not limited to, the following categories:
(1) Surgical site infections;
(2) Ventilator-associated pneumonia;
(3) Central line-related bloodstream infections;
(4) Urinary tract infections; and
(5) Other categories determined necessary by the commissioner of health and human services pursuant to RSA 126:27, VIII.
(b) For the purposes of this paragraph, “hospital-acquired infection” means a localized or systemic condition that results from adverse reaction to the presence of an infectious agent or its toxin and that was not present or incubated at the time of admission to the hospital.
2 New Paragraph; Rulemaking Added. Amend RSA 126:27 by inserting after paragraph VII the following new paragraph:
VIII. Any other categories of infection to be reported under RSA 126:25, IV(a)(5).
3 Effective Date. This act shall take effect January 1, 2006.
LBAO
05-0025
12/7/04
HB 224-FN - FISCAL NOTE
AN ACT relative to the collection of data on hospital-acquired infection rates.
FISCAL IMPACT:
The Department of Health and Human Services stated this bill will increase state expenditures by $40,752 in FY 2006, $56,851 in FY 2007, $59,322 in FY 2008 and $ 61,878 in FY 2009. There will be no impact on state, county and local revenue or county and local expenditures.
METHODOLOGY:
The Department assumed acute care hospitals and ambulatory care facilities would be required to collect and submit data on surgical site infections, ventilator associated pneumonia, central line related bloodstream infections, urinary tract infections, and other categories determined necessary by the Commissioner. Based on published information, an infection rate of 9.8 infections per 1,000 patient days is anticipated. Based on New Hampshire’s average of 553,585 inpatient days, it is expected that 5,425 hospital-acquired infections would be reported in each year.
The Department indicated a full-time Planning Analyst/Data Systems position would be required to perform the following duties:
• Analyze and enhance the cleanliness and quality of the data.
• Provide instruction to the 26 hospitals.
• Serve as the Bureau resource and contact for provider issues and questions.
• Compile and produce the required statistical reports for the General Court.
• Implement a data quality review program involving the non-hospital providers and the hospital association.
• Provide ongoing data collection and reporting training of hospital providers of data.
• Provide ongoing technical support to all providers.
In addition, the existing software would be enhanced to process the additional data. Non-hospital based providers would be supplied with software or hardcopy forms and would require training and on-going technical support. In addition, the Department assumed additional costs would be incurred for office supplies, postage and printing to produce and mail the forms and to publish the resulting data.
The estimated expenditures are as follows:
FY 2006) FY 2007 FY 2008 FY 2009
(effective 1/1/06)
Planning Analyst LG 24 $18,300 $37,674 $39,390 $41,165
Benefits @ 44% 8,052 16,577 17,332 18,113
Current Expenses 750 1,500 1,500 1,500
Computer and Office Furniture 3,500 0 0 0
Software Enhancements 10,000 0 0 0
Database Maintenance 0 800 800 800
In-State Travel 150 300 300 300
Total $40,752 $56,851 $59,322 $61,878