Resolve, Regarding Legislative Review of Portions of Chapter 270: Uniform Reporting System for Quality Data Sets, a Major Substantive Rule of the Maine Health Data Organization
Maine Legislature, Session 126, LD 0886
Committee Amendment CA_A_H411 (House)

F'IRST REGULAR SESSION 
COMMITTEE AMENDMENT "A" to H.P. 613, L.D. 886, "Resolve, Regarding 
Legislative Review of Portions of Chapter 270: Uniform Reporting System for Quality 
Data Sets, a Major Substantive Rule of the Maine Health Data Organization" 
Amend the resolve by striking out all of section 1 and inserting the following: 
'Sec. 1. Adoption. Resolved: That final adoption of portions of Chapter 270: 
Uniform Reporting System for Quality Data Sets, a provisionally adopted major 
substantive rule of the Maine Health Data Organization that has been submitted to the 
Legislature for review pursuant to the Maine Revised Statutes, Title 5, chapter 375, 
subchapter 2-A, is authorized if the rule is amended as follows. 
l. In section 1, the definitions are deleted for "angiotensin converting enzyme 
inhibitor," "aspirin," "discharge instructions," "left ventricular function assessment," "left 
ventricular systolic dysfunction," "oxygenation assessment," " percutaneous coronary 
intervention" and "thrombolytic/fibrinolytic agent," and a definition is added for 
"measure steward." 
2. In section 2, language is added identifying the federal Centers for Medicare and 
Medicaid Services as the measure steward, and reference to the Maine Health Data 
Organization website is deleted. 
3. In section 3, the following changes are made: 
A. Language is added identifying the National Healthcare Safety Network as the 
measure steward and exempting certain hospitals from submitting central line 
catheter-associated blood stream infection rates, and language is deleted referring to a 
former source document and the Maine Health Data Organization website; 
B. For hospital-acquired infections 3, 4 and 5, language is added identifying the 
Institute for Healthcare Improvement as the measure steward and reference to the 
Maine Health Data Organization website is deleted; 
C. Language is added identifying the National Healthcare Safety Network as the 
measure steward for methicillin-resistant Staphylococcus Aureus; 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT /1" to H.P. 613, L.D. 886 
D. Language is added identifying the National Healthcare Safety Network as the 
measure steward for Clostridium difficile laboratory-identified events and providing 
the Maine Health Data Organization access to the National Healthcare Safety 
Network for facility-specific reports of Clostridium difficile laboratory-identified 
events; and 
E. 
Language is added limiting the requirements of hospitals to participating 
hospitals. 
4. In section 4, language is added identifying the Joint Commission on Accreditation 
of Healthcare Organizations as the measure steward for nursing-sensitive patient-centered 
health care outcome measures 1 and 4 and the American Nurses Association as the 
measure steward for nursing-sensitive patient-centered health care outcome measures 2 
and 3, and language is added clarifying the source documents for National Database for 
Nursing Quality Indicators, Guidelines for Data Collection and the Joint Commission on 
Accreditation of Healthcare Organizations Implementation Guide for the National 
Quality Forum Endorsed Nursing Sensitive Care Measure Set. 
5. 
In section 5, language is deleted that refers to the National Quality Forum 
consensus standards and the Maine Health Data Organization website; language is added 
identifying the American Nurses Association as the measure steward for nursing-sensitive 
system-centered health care measures 1 to 6; language is added identifying the Joint 
Commission on Accreditation of Healthcare Organizations as the measure steward for 
nursing-sensitive system-centered health care outcome measures 7a and 7b; and language 
is added to identify 2 source documents, the National Database for Nursing Quality 
Indicators, Guidelines for Data Collection on the American Nurses Association's National 
Quality Forum Endorsed Measures and the Joint Commission on Accreditation of 
Healthcare Organizations Implementation Guide for the National Quality Forum 
Endorsed Nursing Sensitive Care Measure Set. 
6. In section 6, language is added identifying the federal Centers for Medicare and 
Medi~aid Services as the measure steward and citing the source document as the 
Consumer Assessment of Healthcare Providers and Systems Hospital Survey Quality 
Assurance Guidelines, Version 8, and replacing the 3 questions for which hospitals or 
their agents must report the individual survey question raw scores by respondent. 
7. In section 8, language is added to correct an error in the reference to the most 
current version of the National Database for Nursing Quality Indicators, Guidelines for 
Data Collection and the Joint Commission on Accreditation of Healthcare Organizations 
Implementation Guide for the National Quality Forum Endorsed Nursing Sensitive Care 
Measure Set and language is deleted with regard to that error. 
8. At the end of the rule, language is added to require the continuation of data 
collection when a measure steward announces a modification to a measure required under 
Chapter 270.' 
SUMMARY 
This amendment requires a number of technical changes, additions and deletions to 
Chapter 270: Uniform Reporting System for Quality Data Sets, a major substantive rule 
COMMITTEE AMENDMENT 
.l. \. 
~., 
COMMITTEE AMENDMENT 'A" to H.P. 613, L.D. 886 
of the Maine Health Data Organization. These changes, additions and deletions are made 
at the request of the Maine Health Data Organization. 
FISCAL .\OTE REQl.JlRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/05/13 ;f.vae 
LD886 
LR2013(02) 
Resolve, Regarding Legislative Review of Portions of Chapter 270: Uniform Reporting System for 
Quality Data Sets, a Major Substantive Rule of the Maine Health Data Organization 
Fiscal Note for Bill as Amended by Committee Amendment ~' CH -4-11\ 
Committee: Health and Human Services 
~ 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
Fiscal Detail and Notes 
Any additional costs to the Maine Health Data Organization are expected to be minor and can be absorbed within 
existing budgeted resources. 
LR2013(02) - Fiscal Note - Page 1 of 1