- § 280j. National strategy for quality improvement in health care
- § 280j-1. Collection and analysis of data for quality and resource use measures
- § 280j-2. Public reporting of performance information
- § 280j-3. Quality improvement program for hospitals with a high severity adjusted readmission rate
§ 280j. National strategy for quality improvement in health care
(a) Establishment of national strategy and priorities
(1) National strategy
(2) Identification of priorities
(A) In general
(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
1 See References in Text note below.
of this title) and geographic areas; and(ix) address other areas as determined appropriate by the Secretary.
(C) Considerations
(D) Coordination with State agencies
(b) Strategic plan
(1) In general
(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
(d) Submission and availability of national strategy and updates
(1) Deadline for initial submission of national strategy
(2) Updates
(A) In general
(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
(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.
(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.)
§ 280j–1. Collection and analysis of data for quality and resource use measures
(a) In general
(1) Establishment of strategic framework
(2) Collection and aggregation of data
(3) Scope
(b) Grants or contracts for data collection
(1) In general
(2) Eligible entitiesTo be eligible for a grant or contract under this subsection, an entity shall—
(A) be—
(i) a multi-stakeholder entity that coordinates the development of methods and implementation plans for the consistent reporting of summary quality and cost information;
(ii) an entity capable of submitting such summary data for a particular population and providers, such as a disease registry, regional collaboration, health plan collaboration, or other population-wide source; or
(iii) a Federal Indian Health Service program or a health program operated by an Indian tribe (as defined in section 1603 of title 25);
(B) promote the use of the systems that provide data to improve and coordinate patient care;
(C) support the provision of timely, consistent quality and resource use information to health care providers, and other groups and organizations as appropriate, with an opportunity for providers to correct inaccurate measures; and
(D) agree to report, as determined by the Secretary, measures on quality and resource use to the public in accordance with the public reporting process established under section 280j–2 of this title.
(c) Consistent data aggregation
(d) Matching funds
(e) Authorization of appropriations
(July 1, 1944, ch. 373, title III, § 399II, as added and amended Pub. L. 111–148, title III, § 3015, title X, § 10305, Mar. 23, 2010, 124 Stat. 387, 938.)
§ 280j–2. Public reporting of performance information
(a) Development of performance websites
(b) Information on conditions
(c) Consultation
(1) In general
(2) Consultation with stakeholders
(d) Coordination
(e) Authorization of appropriations
(July 1, 1944, ch. 373, title III, § 399JJ, as added Pub. L. 111–148, title III, § 3015, Mar. 23, 2010, 124 Stat. 388.)
§ 280j–3. Quality improvement program for hospitals with a high severity adjusted readmission rate
(a) Establishment
(1) In general
(2) Eligible hospital defined
(3) Risk adjustment
(b) Report to the Secretary
(July 1, 1944, ch. 373, title III, § 399KK, as added Pub. L. 111–148, title III, § 3025(b), Mar. 23, 2010, 124 Stat. 412.)