CHAPTER 4. HEALTH CARE QUALITY INDICATOR DATA PROGRAM

IC 16-40-4
    Chapter 4. Health Care Quality Indicator Data Program

IC 16-40-4-1
"Health care quality indicator data"
    Sec. 1. As used in this chapter, "health care quality indicator data"means information concerning the provision of health care servicesthat may be collected and used to measure and compare quality ofhealth care services.
As added by P.L.95-2005, SEC.5.

IC 16-40-4-2
"Health coverage provider"
    Sec. 2. As used in this chapter, "health coverage provider" meansany of the following:
        (1) An insurer (as defined in IC 27-1-2-3) that issues or deliversa policy of accident and sickness insurance (as defined inIC 27-8-5-1).
        (2) A health maintenance organization (as defined inIC 27-13-1-19).
        (3) The administrator of a program of self-insuranceestablished, implemented, or maintained to provide coverage forhealth care services to the extent allowed by the federalEmployee Retirement Income Security Act of 1974 (29 U.S.C.1001 et seq.).
        (4) The state Medicaid program (IC 12-15).
        (5) The children's health insurance program (IC 12-17.6).
        (6) The Indiana comprehensive health insurance association (IC27-8-10).
        (7) A person that is designated to maintain the records of aperson described in subdivisions (1) through (6).
As added by P.L.95-2005, SEC.5.

IC 16-40-4-3
"Program"
    Sec. 3. As used in this chapter, "program" refers to the health carequality indicator data program developed and implemented undersections 4 and 5 of this chapter.
As added by P.L.95-2005, SEC.5.

IC 16-40-4-4
Development of program plan
    Sec. 4. The state department shall, in compliance with state andfederal law, develop a plan for a health care quality indicator dataprogram. The plan shall be completed by December 31, 2006, andinclude the following:
        (1) A list of health care quality indicators for which data will becollected concerning health care services provided toindividuals who reside or receive health care services inIndiana. The state department shall seek the assistance of health

coverage providers and health care providers in developing thelist under this subdivision.
        (2) A methodology for health care quality indicator datacollection, analysis, distribution, and use.
        (3) The inclusion of data concerning ethnicity and minoritystatus, as allowed by the individuals about whom health carequality indicator data is collected.
        (4) A methodology to provide for a case mix system or otherscientific criteria to develop and adjust health quality indicators,including infection rates, that may be affected by risks andvariables.
As added by P.L.95-2005, SEC.5.

IC 16-40-4-5
Authorization to develop and implement program
    Sec. 5. The state department of health is authorized to develop andimplement a health care quality indicator program as provided for inthis chapter and to include the following:
        (1) Criteria listed under section 4 of this chapter.
        (2) Health care quality indicator data collected from a healthcoverage provider or health care provider under this chaptermust be obtainable from electronic records developed andmaintained in the health coverage provider's or health careprovider's ordinary course of business.
        (3) Health coverage providers and health care providers are notrequired to establish or amend medical record systems or othersystems to conform to the program.
As added by P.L.95-2005, SEC.5.

IC 16-40-4-6
Compliance with data collection requirements
    Sec. 6. The following shall comply with the data collectionrequirements of the program:
        (1) A health coverage provider.
        (2) A health care provider.
        (3) An out-of-state health coverage provider that:
            (A) provides health coverage;
            (B) administers health coverage provided; or
            (C) maintains records concerning health coverage provided;
        to an individual who resides or receives health care services inIndiana.
        (4) An out-of-state health care provider that:
            (A) provides health care services; or
            (B) maintains records concerning health care servicesprovided;
        to an individual who resides or receives health care services inIndiana.
As added by P.L.95-2005, SEC.5.

IC 16-40-4-7 Confidentiality of information
    Sec. 7. (a) Health care quality indicator data and other informationcollected under this chapter, or resulting from the program, fromwhich the identity of a person, including:
        (1) an individual;
        (2) a health coverage provider; or
        (3) a health care provider;
may be ascertained is confidential and, unless otherwise specifiedunder state or federal law, may not be released to any person withoutthe written consent of the identified person.
    (b) Communications, including printed documents, by:
        (1) an employee;
        (2) an officer;
        (3) a governing board member; or
        (4) an agent;
of a hospital (licensed under IC 16-21) for the purpose of collecting,identifying, reviewing, or producing data for a health care qualityindicator data program under this chapter are confidential.
As added by P.L.95-2005, SEC.5.

IC 16-40-4-8
Confidentiality of financial information
    Sec. 8. Financial information that:
        (1) is collected under this chapter; or
        (2) results from the program;
is confidential.
As added by P.L.95-2005, SEC.5.

IC 16-40-4-9
Rules
    Sec. 9. The state department shall adopt rules under IC 4-22-2 toimplement this chapter.
As added by P.L.95-2005, SEC.5.