ALLcrimesfood&drugstaxestelecomcommercehealthconservationtransportationagricultureveteransbrowse all titles »
0

42 U.S.C. § 280jNational strategy for quality improvement in health care

submitted 82 years ago by Pub. L. 111-148 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 873 words · no verdicts yet

in plain englishAI-generated · not legal advice

This law tells HHS to create a national strategy for improving health care quality and outcomes. The Secretary must set national priorities, build a detailed strategic plan, and update the strategy every year. HHS must report the strategy to Congress and post it on a public website by January 1, 2011.

(a) Establishment of national strategy and priorities — (1) National strategy: the Secretary, using an open, collaborative process, must build a national strategy to improve how health care is delivered, how patients' health turns out, and the health of the population overall. (2) Identification of priorities — (A) In general: while building the strategy, the Secretary must identify national priorities for improvement. (B) Requirements: those priorities must (i) have the biggest potential to improve health outcomes, efficiency, and patient-centered care for everyone, including children and vulnerable groups; (ii) point to areas of health care delivery where quality and efficiency could improve fast; (iii) address gaps in quality, efficiency, comparative-effectiveness information (considering the limits set in section 1890(c) and (d) of the Social Security Act), and in health outcome measures and data-combining methods; (iv) improve federal payment policy to reward quality and efficiency; (v) make better use of health care data to improve quality, efficiency, transparency, and outcomes; (vi) address care for patients with costly, long-term illnesses; (vii) improve research and sharing of strategies and best practices that boost patient safety and cut medical errors, avoidable hospital admissions and readmissions, and infections caught in health care settings; (viii) reduce health disparities across disparity populations and geographic areas; and (ix) cover any other areas the Secretary decides are appropriate. (C) Considerations: the Secretary must consider recommendations from the entity under contract per section 1890(a) of the Social Security Act, and from other stakeholders. (D) Coordination with State agencies: the Secretary must work with state Medicaid and Children's Health Insurance Program agencies to build and share strategies, goals, models, and timelines that match the national priorities. (b) Strategic plan — (1) In general: the national strategy must include a full strategic plan for reaching the priorities in (a). (2) Requirements: that plan must address, at minimum, (A) coordination among HHS agencies, including steps to avoid duplicated work and to use shared quality measures where they exist; (B) strategic plans specific to each agency for reaching the national priorities; (C) annual benchmarks for each relevant agency; (D) a process for agencies to regularly report their progress to the Secretary; (E) strategies to align public and private insurers on quality and patient safety; and (F) building quality improvement and measurement into the strategic plan for health information technology required by the American Recovery and Reinvestment Act of 2009. (c) Periodic update of national strategy — The Secretary must update the national strategy at least once a year, including reviewing its short- and long-term goals. (d) Submission and availability of national strategy and updates — (1) Deadline for initial submission: by January 1, 2011, the Secretary must send the national strategy to the relevant congressional committees. (2) Updates — (A) In general: the Secretary must send those committees a yearly update. (B) Information submitted: each update must include (i) a review of the strategy's short- and long-term goals and any gaps; (ii) an analysis of the progress made — or not made — and what's blocking it; (iii) the information already required to be reported under section 1139A of the Social Security Act; and (iv) for updates on or after January 1, 2014, the information required under section 1139B(b)(4) of that Act. (C) Satisfaction of other reporting requirements: meeting the requirements in (B)(iii) and (iv) also satisfies the separate reporting duties under sections 1139A(a)(6) and 1139B(b)(4) of the Social Security Act. (e) Health care quality Internet website — By January 1, 2011, the Secretary must build a website that makes public (1) the national health care quality priorities identified under (a)(2); (2) the agency-specific strategic plans described in (b)(2)(B); and (3) any other information the Secretary decides is appropriate.
the actual law source: uscode.house.gov ↗public domain
(a) Establishment of national strategy and priorities
(1) National strategy

The Secretary, through a transparent collaborative process, shall establish a national strategy to improve the delivery of health care services, patient health outcomes, and population health.

(2) Identification of priorities
(A) In general

The Secretary shall identify national priorities for improvement in developing the strategy under paragraph (1).

(B) Requirements

The Secretary shall ensure that priorities identified under subparagraph (A) will—

(i)

have the greatest potential for improving the health outcomes, efficiency, and patient-centeredness of health care for all populations, including children and vulnerable populations;

(ii)

identify areas in the delivery of health care services that have the potential for rapid improvement in the quality and efficiency of patient care;

(iii)

address gaps in quality, efficiency, comparative effectiveness information (taking into consideration the limitations set forth in subsections (c) and (d) of section 1182 of the Social Security Act [42 U.S.C. 1320e–1(c), (d)]), and health outcomes measures and data aggregation techniques;

(iv)

improve Federal payment policy to emphasize quality and efficiency;

(v)

enhance the use of health care data to improve quality, efficiency, transparency, and outcomes;

(vi)

address the health care provided to patients with high-cost chronic diseases;

(vii)

improve research and dissemination of strategies and best practices to improve patient safety and reduce medical errors, preventable admissions and readmissions, and health care-associated infections;

(viii)

reduce health disparities across health disparity populations (as defined in section 285t 1 of this title) and geographic areas; and

(ix)

address other areas as determined appropriate by the Secretary.

(C) Considerations

In identifying priorities under subparagraph (A), the Secretary shall take into consideration the recommendations submitted by the entity with a contract under section 1890(a) of the Social Security Act [42 U.S.C. 1395aaa(a)] and other stakeholders.

(D) Coordination with State agencies

The Secretary shall collaborate, coordinate, and consult with State agencies responsible for administering the Medicaid program under title XIX of the Social Security Act [42 U.S.C. 1396 et seq.] and the Children’s Health Insurance Program under title XXI of such Act [42 U.S.C. 1397aa et seq.] with respect to developing and disseminating strategies, goals, models, and timetables that are consistent with the national priorities identified under subparagraph (A).

(b) Strategic plan
(1) In general

The national strategy shall include a comprehensive strategic plan to achieve the priorities described in subsection (a).

(2) Requirements

The strategic plan shall include provisions for addressing, at a minimum, the following:

(A)

Coordination among agencies within the Department, which shall include steps to minimize duplication of efforts and utilization of common quality measures, where available. Such common quality measures shall be measures identified by the Secretary under section 1139A or 1139B of the Social Security Act [42 U.S.C. 1320b–9a, 1320b–9b] or endorsed under section 1890 of such Act [42 U.S.C. 1395aaa].

(B)

Agency-specific strategic plans to achieve national priorities.

(C)

Establishment of annual benchmarks for each relevant agency to achieve national priorities.

(D)

A process for regular reporting by the agencies to the Secretary on the implementation of the strategic plan.

(E)

Strategies to align public and private payers with regard to quality and patient safety efforts.

(F)

Incorporating quality improvement and measurement in the strategic plan for health information technology required by the American Recovery and Reinvestment Act of 2009 (Public Law 111–5).

(c) Periodic update of national strategy

The Secretary shall update the national strategy not less than annually. Any such update shall include a review of short- and long-term goals.

(d) Submission and availability of national strategy and updates
(1) Deadline for initial submission of national strategy

Not later than January 1, 2011, the Secretary shall submit to the relevant committees of Congress the national strategy described in subsection (a).

(2) Updates
(A) In general

The Secretary shall submit to the relevant committees of Congress an annual update to the strategy described in paragraph (1).

(B) Information submitted

Each update submitted under subparagraph (A) shall include—

(i)

a review of the short- and long-term goals of the national strategy and any gaps in such strategy;

(ii)

an analysis of the progress, or lack of progress, in meeting such goals and any barriers to such progress;

(iii)

the information reported under section 1139A of the Social Security Act [42 U.S.C. 1320b–9a], consistent with the reporting requirements of such section; and

(iv)

in the case of an update required to be submitted on or after January 1, 2014, the information reported under section 1139B(b)(4) of the Social Security Act [42 U.S.C. 1320b–9b(b)(4)], consistent with the reporting requirements of such section.

(C) Satisfaction of other reporting requirements

Compliance with the requirements of clauses (iii) and (iv) of subparagraph (B) shall satisfy the reporting requirements under sections 1139A(a)(6) and 1139B(b)(4), respectively, of the Social Security Act [42 U.S.C. 1320b–9a(a)(6), 1320b–9b(b)(4)].

(e) Health care quality Internet website

Not later than January 1, 2011, the Secretary shall create an Internet website to make public information regarding—

(1)

the national priorities for health care quality improvement established under subsection (a)(2);

(2)

the agency-specific strategic plans for health care quality described in subsection (b)(2)(B); and

(3)

other information, as the Secretary determines to be appropriate.

Source credit: (July 1, 1944, ch. 373, title III, § 399HH, as added and amended Pub. L. 111–148, title III, § 3011, title X, § 10302, Mar. 23, 2010, 124 Stat. 378, 937.)

history & why it existsrecord from the source credit
  • 1944Enacted · Pub. L. 111-148 · 124 Stat. 378, 937

A history note hasn’t been published yet. The record shows enactment by Pub. L. 111-148 on 1944-07-01.

all 0 arguments · sorted by: best

0/280

no arguments yet — make the first case