72nd OREGON LEGISLATIVE ASSEMBLY--2003 Regular Session
 
NOTE:  Matter within  { +  braces and plus signs + } in an
amended section is new. Matter within  { -  braces and minus
signs - } is existing law to be omitted. New sections are within
 { +  braces and plus signs + } .
 
LC 506
 
                         Senate Bill 144
 
Printed pursuant to Senate Interim Rule 213.28 by order of the
  President of the Senate in conformance with presession filing
  rules, indicating neither advocacy nor opposition on the part
  of the President (at the request of Governor Theodore R.
  Kulongoski for the Department of Human Services)
 
 
                             SUMMARY
 
The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure as
introduced.
 
  Requires hospitals to record external cause of injury,
poisoning or adverse effect code on hospital uniform billing form
and ambulatory surgery and inpatient discharge records.
 
                        A BILL FOR AN ACT
Relating to required recording of certain information by
  hospitals; creating new provisions; and amending ORS 442.120.
  Whereas the cost of injuries and deaths associated with
injuries are a vital concern to the residents of Oregon; and
  Whereas the availability of reliable data on injuries is
necessary to provide for the protection and promotion of the
health of Oregonians; and
  Whereas it is the intent of the Seventy-second Legislative
Assembly to assist in and encourage injury prevention by
requiring that specific data about injuries be made available to
the Office of Disease Prevention and Epidemiology in the
Department of Human Services so that this data may be used for
research, analytical and statistical purposes; now, therefore,
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + Section 2 of this 2003 Act is added to and made
a part of ORS 442.015 to 442.420. + }
  SECTION 2.  { + (1) As used in this section, 'uniform billing
form' means the Health Care Financing Administration claim form
developed by the National Uniform Billing Committee and mandated
for use in the Medicare program by the federal Social Security
Act.
  (2) A hospital must include on the hospital uniform billing
form for each patient who is discharged, receives outpatient
services or is released from observation a code indicating any
external cause of injury, poisoning or adverse effect. The code
must be the appropriate code from the International
Classification of Diseases, Ninth Revision, Clinical
Modification. The code indicating the external cause of injury,
poisoning or adverse effect must be used in addition to other
codes required under state or federal statute, rule or
regulation.
 
  (3) The Department of Human Services shall adopt rules for
recording, compiling and disseminating data collected under this
section and ORS 442.120. + }
  SECTION 3. ORS 442.120 is amended to read:
  442.120. In order to provide data essential for health planning
programs:
  (1) The Office for Oregon Health Policy and Research may
request, by July 1 of each year, each general hospital to file
with the office ambulatory surgery and inpatient discharge
abstract records covering all patients discharged during the
preceding calendar year. The ambulatory surgery and inpatient
discharge abstract record for each patient must include the
following information, and may include other information deemed
necessary by the office for developing or evaluating statewide
health policy:
  (a) Date of birth;
  (b) Sex;
  (c) Zip code;
  (d) Inpatient admission date or outpatient service date;
  (e) Inpatient discharge date;
  (f) Type of discharge;
  (g) Diagnostic related group or diagnosis;
   { +  (h) Codes for external cause of injury, poisoning and
adverse effect from the International Classification of Diseases,
Ninth Revision, Clinical Modification; + }
    { - (h) - }   { + (i) + } Type of procedure performed;
    { - (i) - }   { + (j) + } Expected source of payment, if
available;
    { - (j) - }   { + (k) + } Hospital identification number; and
    { - (k) - }   { + (L) + } Total hospital charges.
  (2) By July 1 of each year, the office may request from
ambulatory surgery centers licensed under ORS 441.015 ambulatory
surgery discharge abstract records covering all patients admitted
during the preceding year. Ambulatory surgery discharge abstract
records must include information similar to that requested from
general hospitals under subsection (1) of this section.
  (3) In lieu of abstracting and compiling the records itself,
the office may solicit the voluntary submission of such data from
Oregon hospitals or other sources to enable it to carry out its
responsibilities under this section. If such data is not
available to the office on an annual and timely basis, the office
may establish by rule a fee to be charged each hospital.
  (4) Subject to prior approval of the Oregon Department of
Administrative Services and a report to the Emergency Board, if
the Legislative Assembly is not in session, prior to adopting the
fee, and within the budget authorized by the Legislative Assembly
as the budget may be modified by the Emergency Board, the fee
established under subsection (3) of this section shall not exceed
the cost of abstracting and compiling the records.
  (5) The office may specify by rule the form in which the
records are to be submitted. If the form adopted by rule requires
conversion from the form regularly used by a hospital, reasonable
costs of such conversion shall be paid by the office.
  (6) Abstract records must include a patient identifier that
allows for the statistical matching of records over time to
permit public studies of issues related to clinical practices,
health service utilization and health outcomes. Provision of such
a patient identifier must not allow for identification of the
individual patient.
  (7) In addition to the records required in subsection (1) of
this section, the office may obtain abstract records for each
patient that identify specific services, classified by
International Classification of Disease Code, for special studies
on the incidence of specific health problems or diagnostic
practices. However, nothing in this subsection shall authorize
the publication of specific data in a form that allows
identification of individual patients or licensed health care
professionals.
  (8) The office may provide by rule for the submission of
records for enrollees in a health maintenance organization from a
hospital associated with such an organization in a form the
office determines appropriate to the office's needs for such data
and the organization's record keeping and reporting systems for
charges and services.
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