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Part II of Senate HELP Legislation Pharmacy/Informatics Highlights

06/11/2009

13 SEC. 435. GERIATRIC EDUCATION AND TRAINING; CAREER

14 AWARDS; COMPREHENSIVE GERIATRIC EDU15

CATION.

16 (a) WORKFORCE DEVELOPMENT; CAREER

17 AWARDS.Section 753 of the Public Health Service Act

18 (42 U.S.C. 294) is amended by adding at the end the fol

19 lowing:

20 ‘‘(d) GERIATRIC WORKFORCE DEVELOPMENT.

21 ‘‘(1) IN GENERAL.The Secretary shall award

22 grants or contracts under this subsection to entities

23 that operate a geriatric education center pursuant to

24 subsection (a)(1).

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1 ‘‘(2) APPLICATION.To be eligible for an

2 award under paragraph (1), an entity described in

3 such paragraph shall submit to the Secretary an ap

4 plication at such time, in such manner, and con

5 taining such information as the Secretary may re

6 quire.

7 ‘‘(3) USE OF FUNDS.Amounts awarded under

8 a grant or contract under paragraph (1) shall be

9 used to

10 ‘‘(A) carry out the fellowship program de

11 scribed in paragraph (4); and

12 ‘‘(B) carry out 1 of the 2 activities de

13 scribed in paragraph (5).

14 ‘‘(4) FELLOWSHIP PROGRAM.

15 ‘‘(A) IN GENERAL.Pursuant to para

16 graph (3), a geriatric education center that re

17 ceives an award under this subsection shall use

18 such funds to offer short-term intensive courses

19 (referred to in this subsection as a fellowship)

20 that focus on geriatrics, chronic care manage

21 ment, and long-term care that provide supple

22 mental training for faculty members in medical

23 schools and other health professions schools

24 with programs in psychology, pharmacy, nurs

25 ing, social work, dentistry, public health, allied

514

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1 health, or other health disciplines, as approved

2 by the Secretary. Such a fellowship shall be

3 open to current faculty, and appropriately

4 credentialed volunteer faculty and practitioners,

5 who do not have formal training in geriatrics,

6 to upgrade their knowledge and clinical skills

7 for the care of older adults and adults with

8 functional limitations and to enhance their

9 interdisciplinary teaching skills.

10 ‘‘(B) LOCATION.A fellowship shall be of

11 fered either at the geriatric education center

12 that is sponsoring the course, in collaboration

13 with other geriatric education centers, or at

14 medical schools, schools of nursing, schools of

15 pharmacy, schools of social work, graduate pro

16 grams in psychology, or allied health and other

17 health professions schools approved by the Sec

18 retary with which the geriatric education cen

19 ters are affiliated.

20 ‘‘(C) CME CREDIT.Participation in a fel

21 lowship under this paragraph shall be accepted

22 with respect to complying with continuing med

23 ical education requirements. As a condition of

24 such acceptance, the recipient shall agree to

25 subsequently provide a minimum of 18 hours of

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1 voluntary instructional support through a geri

2 atric education center that is providing clinical

3 training to students or trainees in long-term

4 care settings.

5 ‘‘(5) ADDITIONAL REQUIRED ACTIVITIES

Page 3

Sec. 181. Reinsurance for retirees.

Subtitle GImproving the Use of Health Information Technology for

Enrollment; Miscellaneous Provisions

Sec. 185. Health information technology enrollment standards and protocols.

Sec. 186. Rule of construction regarding Hawaiis Prepaid Health Care Act.

Page 13

‘‘SEC. 2707. ENSURING THE QUALITY OF CARE.

19 ‘‘(a) IN GENERAL.A group health plan and a health

20 insurance issuer offering group or individual health insur-

21 ance coverage shall develop and implement a reimburse-

22 ment structure for making payments to health care pro-

23 viders that provides incentives for

14

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1 ‘‘(1) the provision of high quality health care

2 under the plan or coverage in a manner that in-

3 cludes

4 ‘‘(A) the implementation of case manage-

5 ment, care coordination, chronic disease man-

6 agement, and medication and care compliance

7 activities that includes the use of the medical

8 home model as defined in section 212 of the Af-

9 fordable Health Choices Act for treatment or

10 services under the plan or coverage;

11 ‘‘(B) the implementation of activities to

12 prevent hospital readmissions through a com-

13 prehensive program for hospital discharge that

14 includes patient-centered education and coun-

15 seling, comprehensive discharge planning, and

16 post discharge reinforcement by an appropriate

17 health care professional;

18 ‘‘(C) the implementation of activities to

19 improve patient safety and reduce medical er-

20 rors through the appropriate use of best clinical

21 practices, evidence based medicine, and health

22 information technology under the plan or cov-

23 erage;

Technology and enrollment

Page 48

7) FACILITATING ENROLLMENT.

2 ‘‘(A) IN GENERAL.A Gateway shall

3 (through, to the extent practicable, the use of

4 information technology) implement policies and

5 procedures to

6 ‘‘(i) facilitate the identification of in-

7 dividuals who lack qualifying coverage; and

8 ‘‘(ii) assist such individuals in en

Page 50

‘‘(9) STANDARDS AND PROTOCOLS.

8 ‘‘(A) IN GENERAL.The Secretary, in con-

9 sultation with the Office of the National Coor-

10 dinator for Health Information Technology,

11 shall develop interoperable, secure, scalable, and

12 reusable standards and protocols that facilitate

13 enrollment of individuals in Federal and State

14 health and human services programs.

Page 229

B) SELECTION OF ORGANIZATIONS PAR2

TICIPATING IN MULTI-STAKEHOLDER

3 GROUPS.The process under subparagraph (A)

4 shall ensure that the selection of representatives

5 comprising such groups provides for public

6 nominations for, and the opportunity for public

7 comment on, such selection.

8 ‘‘(3) CONSIDERATIONS IN RECOMMENDING PRI9

ORITIES.In making recommendations under para

10 graph (1), the qualified consensus-based entity shall

11 ensure that priority is given to areas in the delivery

12 of health care services for all populations including

13 children, and other vulnerable populations that

14 ‘‘(A) address the health care provided to

15 patients with prevalent, high-cost chronic dis

16 eases;

17 ‘‘(B) improve the design, development,

18 demonstration, and adoption of infrastructure

19 and innovative methodologies and strategies for

20 quality improvement practices in the delivery of

21 health care services, including those that im

22 prove patient safety and reduce medical errors,

23 readmissions, and health care-associated infec

24 tions;

Page 242

SEC. 399MM. COLLECTION AND ANALYSIS OF QUALITY

7 MEASURE DATA.

8 ‘‘(a) ESTABLISHMENT OF PROCESS.The Secretary

9 shall establish a process to collect, and validate, aggregate

10 data on quality measures described in section 399JJ to

11 facilitate public reporting. Such process shall

12 ‘‘(1) be focused, scientifically sound, and prac13

ticable to implement;

14 ‘‘(2) where practicable, be incorporated into

15 health information technology to allow collection of

16 measures at the point of care; and

17 ‘‘(3) integrate data from public sources (such

18 as data from Federal health programs) and private

19 sources (such as health insurance issuers).

20 ‘‘(b) DATA COLLECTION AND AGGREGATION.

21 ‘‘(1) IN GENERAL.

22 ‘‘(A) COLLECTION AND AGGREGATION BY

23 SECRETARY.The Secretary shall collect, vali24

date, and aggregate data on quality measures

25 described in subsection (a) from providers re26

ceiving funds under this Act.

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1 ‘‘(B) GRANTS AND CONTRACTS.The Sec2

retary may award grants or contracts to eligible

3 entities to collect, validate, and aggregate data

4 on quality measures under subparagraph (A).

5 ‘‘(2) ELIGIBLE ENTITIES.To be eligible for

230

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1 ‘‘(C) have the greatest potential for im

2  proving the health outcomes, efficiency, and pa

3 tient-centeredness of health care;

4 ‘‘(D) reduce health disparities across popu

5 lations (as defined in section 485E) and geo

6 graphic areas;

7 ‘‘(E) address gaps in quality and health

8 outcomes measures, comparative effectiveness

9 information, and data aggregation techniques,

10 including the use of data registries;

11 ‘‘(F) identify areas in the delivery of

12 health care services that have the potential for

13 rapid improvement in the quality of patient

14 care; and

15 ‘‘(G) address the appropriate use of health

16 care technology, resources and services.

Page 252

‘‘(H) expand demonstration projects for

2 improving the quality of childrens health care

3 and the use of health information technology,

4 such as through Pediatric Quality Improvement

5 Collaboratives and Learning Networks, con6

sistent with provisions of section 1139A of the

7 Social Security Act for assessing and improve

Page 253

‘‘(2) LINKAGE TO HEALTH INFORMATION TECH7

NOLOGY.The Secretary shall ensure that research

8 findings and results generated by the Center are

9 shared with the Office of the National Coordinator

10 of Health Information Technology and used to in

11 form the activities of the health information tech

12 nology extension program under section 3012, as

13 well as any relevant standards, certification criteria,

14 or implementation specifications.

15 ‘‘(f) PRIORITIZATI

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