03/22/17 01:21 PM 1.1 1.2 1.3 1.4 1.5 COUNSEL LM/RDR SCS0911A-9 Senator .................... moves to amend committee engrossment (SCS0911CE1) of S.F. No. 911 as follows: Page 6, after line 12, insert: "Sec. 5. HEALTH FACILITY COMPLAINTS AND PATIENT PROTECTION WORKING GROUP. 1.6 Subdivision 1. Members. (a) The commissioner of health shall establish the health 1.7 facility complaints and patient protection working group. The working group shall consist 1.8 of at least 25 members appointed as follows: 1.9 (1) one representative appointed by Stratis Health; 1.10 (2) one representative appointed by the Minnesota Alliance for Patient Safety; 1.11 (3) two representatives of the membership leaders of the Minnesota Alliance for Patient 1.12 Safety appointed by the Board of Directors of the Minnesota Alliance for Patient Safety; 1.13 (4) the ombudsman for long-term care or a designee; 1.14 (5) the ombudsman for mental health and developmental disabilities or a designee; 1.15 (6) the commissioner of health or a designee; 1.16 (7) the commissioner of human services or a designee; 1.17 (8) one representative appointed by the Minnesota Elder Justice Center; 1.18 (9) two providers of older adult services, one appointed by LeadingAge Minnesota and 1.19 1.20 1.21 1.22 1.23 one appointed by Care Providers of Minnesota; (10) two providers licensed under Minnesota Statutes, chapter 245D, appointed by the commissioner of human services; (11) two direct-care staff employed by providers of older adult services, appointed by the commissioner of human services; 1.24 (12) one representative appointed by AARP Minnesota; 1.25 (13) one representative appointed by ARRM; 1.26 (14) two family members of individuals receiving services appointed by the commissioner 1.27 of health; 1.28 (15) one consumer advocate appointed by the commissioner of health; 1.29 (16) one law enforcement official appointed by commissioner of health; 1.30 (17) one county attorney appointed by commissioner of health; Sec. 5. 1 03/22/17 01:21 PM 2.1 2.2 2.3 2.4 2.5 2.6 COUNSEL LM/RDR SCS0911A-9 (18) two senators, one appointed by the majority leader and one appointed by the minority leader; and (19) two members of the house of representatives, one appointed by the speaker of the house and one appointed by the minority leader. (b) The appointing authorities under this subdivision must complete their appointments no later than July 15, 2017. 2.7 Subd. 2. Duties; recommendations. The health facility complaints and patient protection 2.8 working group must consider ways of improving the reporting and investigation of reports 2.9 of maltreatment of vulnerable adults by the Office of Health Facility Complaints, and 2.10 consider ways of implementing proven safety and quality improvement practices and 2.11 infrastructures for long-term services and supports. In developing its recommendations, the 2.12 working group shall consider at least the following: 2.13 (1) immediate interim actions that can be taken by the Office of Health Facility 2.14 Complaints in order to immediately improve systems for processing reports and complaints 2.15 forwarded to the office; 2.16 2.17 (2) implementing data collection and data analysis requirements to identify systemic issues and trends found while investigating maltreatment reports; 2.18 (3) data analysis requirements to provide more fine-grained analysis of reports and 2.19 investigations by provider self-reports, consumer maltreatment reports, and regulatory 2.20 compliance complaints; 2.21 (4) disseminating findings of systemic issues and trends to providers and caregivers; 2.22 (5) improving reporting and investigation workflow by, for example, outsourcing 2.23 functions, centralizing or integrating reporting between the Minnesota Adult Abuse Reporting 2.24 Center and Office of Health Facility Complaints, improving staff resource utilization, and 2.25 published decision trees for providers and regulators; 2.26 2.27 2.28 2.29 (6) developing collaborative work processes between law enforcement and the Office of Health Facility Complaints; (7) integrating the functions of the Office of Health Facility Complaints into other functions of the Department of Health; 2.30 (8) staffing the Office of Health Facility Complaints 24 hours a day, every day; and 2.31 (9) developing methods for improving patient safety in long-term care settings by, for 2.32 example, implementing data analytics capable of identifying early trends in patient safety, Sec. 5. 2 03/22/17 01:21 PM COUNSEL LM/RDR SCS0911A-9 3.1 encouraging root-cause analysis following adverse patient safety events, and sharing best 3.2 practices and training protocols among providers. 3.3 Subd. 3. Meetings. The commissioner of health must convene the first meeting of the 3.4 working group no later than August 15, 2017. The representative of Stratis Health shall act 3.5 as chair. The meetings of the working group shall be open to the public. 3.6 3.7 3.8 3.9 Subd. 4. Compensation. Members of the working group serve without compensation and shall not be reimbursed for expenses. Subd. 5. Administrative support. The commissioner of health shall provide administrative support and arrange meeting space for the working group. 3.10 Subd. 6. Report. The commissioner of health shall submit a report providing the 3.11 recommendations of the working group, including any draft legislation necessary to 3.12 implement the recommendations, to the chairs and ranking minority members of the 3.13 legislative committees with jurisdiction over health by January 15, 2018. If the working 3.14 group continues its work after the submission of its initial recommendations, the 3.15 commissioner of health shall submit a second report containing the working group's 3.16 supplementary recommendations and draft legislation. 3.17 3.18 3.19 3.20 Subd. 7. Expiration. The health facility complaints and patient protection working group expires on June 30, 2019. Sec. 6. APPROPRIATION. $50,000 is appropriated in fiscal year 2018 from the general fund to the commissioner 3.21 of health for the health facility complaints and patient protection working group and is 3.22 available until June 30, 2019. This is a onetime appropriation." 3.23 Renumber the sections in sequence and correct the internal references 3.24 Amend the title accordingly Sec. 6. 3
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