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 services
that may be collected and used to measure and compare quality of
health 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" means
any of the following:
(1) An insurer (as defined in IC 27-1-2-3) that issues or delivers
a policy of accident and sickness insurance (as defined in
IC 27-8-5-1).
(2) A health maintenance organization (as defined in
IC 27-13-1-19).
(3) The administrator of a program of self-insurance
established, implemented, or maintained to provide coverage for
health care services to the extent allowed by the federal
Employee 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 (IC
27-8-10).
(7) A person that is designated to maintain the records of a
person 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 care
quality indicator data program developed and implemented under
sections 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 and
federal law, develop a plan for a health care quality indicator data
program. The plan shall be completed by December 31, 2006, and
include the following:
(1) A list of health care quality indicators for which data will be
collected concerning health care services provided to
individuals who reside or receive health care services in
Indiana. The state department shall seek the assistance of health
coverage providers and health care providers in developing the
list under this subdivision.
(2) A methodology for health care quality indicator data
collection, analysis, distribution, and use.
(3) The inclusion of data concerning ethnicity and minority
status, as allowed by the individuals about whom health care
quality indicator data is collected.
(4) A methodology to provide for a case mix system or other
scientific criteria to develop and adjust health quality indicators,
including infection rates, that may be affected by risks and
variables. 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 and
implement a health care quality indicator program as provided for in
this chapter and to include the following:
(1) Criteria listed under section 4 of this chapter.
(2) Health care quality indicator data collected from a health
coverage provider or health care provider under this chapter
must be obtainable from electronic records developed and
maintained in the health coverage provider's or health care
provider's ordinary course of business.
(3) Health coverage providers and health care providers are not
required to establish or amend medical record systems or other
systems 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 collection
requirements 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 in
Indiana.
(4) An out-of-state health care provider that:
(A) provides health care services; or
(B) maintains records concerning health care services
provided;
to an individual who resides or receives health care services in
Indiana. 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 information
collected under this chapter, or resulting from the program, from
which 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 specified
under state or federal law, may not be released to any person without
the 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 quality
indicator 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 to
implement this chapter. As added by P.L.95-2005, SEC.5.
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 services
that may be collected and used to measure and compare quality of
health 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" means
any of the following:
(1) An insurer (as defined in IC 27-1-2-3) that issues or delivers
a policy of accident and sickness insurance (as defined in
IC 27-8-5-1).
(2) A health maintenance organization (as defined in
IC 27-13-1-19).
(3) The administrator of a program of self-insurance
established, implemented, or maintained to provide coverage for
health care services to the extent allowed by the federal
Employee 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 (IC
27-8-10).
(7) A person that is designated to maintain the records of a
person 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 care
quality indicator data program developed and implemented under
sections 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 and
federal law, develop a plan for a health care quality indicator data
program. The plan shall be completed by December 31, 2006, and
include the following:
(1) A list of health care quality indicators for which data will be
collected concerning health care services provided to
individuals who reside or receive health care services in
Indiana. The state department shall seek the assistance of health
coverage providers and health care providers in developing the
list under this subdivision.
(2) A methodology for health care quality indicator data
collection, analysis, distribution, and use.
(3) The inclusion of data concerning ethnicity and minority
status, as allowed by the individuals about whom health care
quality indicator data is collected.
(4) A methodology to provide for a case mix system or other
scientific criteria to develop and adjust health quality indicators,
including infection rates, that may be affected by risks and
variables. 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 and
implement a health care quality indicator program as provided for in
this chapter and to include the following:
(1) Criteria listed under section 4 of this chapter.
(2) Health care quality indicator data collected from a health
coverage provider or health care provider under this chapter
must be obtainable from electronic records developed and
maintained in the health coverage provider's or health care
provider's ordinary course of business.
(3) Health coverage providers and health care providers are not
required to establish or amend medical record systems or other
systems 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 collection
requirements 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 in
Indiana.
(4) An out-of-state health care provider that:
(A) provides health care services; or
(B) maintains records concerning health care services
provided;
to an individual who resides or receives health care services in
Indiana. 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 information
collected under this chapter, or resulting from the program, from
which 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 specified
under state or federal law, may not be released to any person without
the 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 quality
indicator 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 to
implement this chapter. As added by P.L.95-2005, SEC.5.
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 services
that may be collected and used to measure and compare quality of
health 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" means
any of the following:
(1) An insurer (as defined in IC 27-1-2-3) that issues or delivers
a policy of accident and sickness insurance (as defined in
IC 27-8-5-1).
(2) A health maintenance organization (as defined in
IC 27-13-1-19).
(3) The administrator of a program of self-insurance
established, implemented, or maintained to provide coverage for
health care services to the extent allowed by the federal
Employee 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 (IC
27-8-10).
(7) A person that is designated to maintain the records of a
person 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 care
quality indicator data program developed and implemented under
sections 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 and
federal law, develop a plan for a health care quality indicator data
program. The plan shall be completed by December 31, 2006, and
include the following:
(1) A list of health care quality indicators for which data will be
collected concerning health care services provided to
individuals who reside or receive health care services in
Indiana. The state department shall seek the assistance of health
coverage providers and health care providers in developing the
list under this subdivision.
(2) A methodology for health care quality indicator data
collection, analysis, distribution, and use.
(3) The inclusion of data concerning ethnicity and minority
status, as allowed by the individuals about whom health care
quality indicator data is collected.
(4) A methodology to provide for a case mix system or other
scientific criteria to develop and adjust health quality indicators,
including infection rates, that may be affected by risks and
variables. 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 and
implement a health care quality indicator program as provided for in
this chapter and to include the following:
(1) Criteria listed under section 4 of this chapter.
(2) Health care quality indicator data collected from a health
coverage provider or health care provider under this chapter
must be obtainable from electronic records developed and
maintained in the health coverage provider's or health care
provider's ordinary course of business.
(3) Health coverage providers and health care providers are not
required to establish or amend medical record systems or other
systems 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 collection
requirements 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 in
Indiana.
(4) An out-of-state health care provider that:
(A) provides health care services; or
(B) maintains records concerning health care services
provided;
to an individual who resides or receives health care services in
Indiana. 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 information
collected under this chapter, or resulting from the program, from
which 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 specified
under state or federal law, may not be released to any person without
the 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 quality
indicator 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 to
implement this chapter. As added by P.L.95-2005, SEC.5.
