Short title
Short title. This Act may be cited as the Long Term Acute Care Hospital Quality Improvement Transfer Program Act. (Source: P.A. 96-1130, eff. 7-20-10.)
Illinois · statute · 210 ILCS 155 · 13 active provisions
Short title. This Act may be cited as the Long Term Acute Care Hospital Quality Improvement Transfer Program Act. (Source: P.A. 96-1130, eff. 7-20-10.)
Purpose of Act. The General Assembly finds that it is vital for the State of Illinois to find methods to improve the health care outcomes of patients served by the healthcare programs operated by the Department of Healthcare and Family Services. Improving a patient's health not only benefits the patient's quality of li…
Definitions. As used in this Act: (a) "CARE tool" means the Continuity and Record Evaluation (CARE) tool. It is a patient assessment instrument that has been developed to document the medical, cognitive, functional, and discharge status of persons receiving health care services in acute and post-acute care settings. Th…
Qualifying hospitals. (a) Beginning October 1, 2010, the Department shall establish the Long Term Acute Care Hospital Quality Improvement Transfer Program. Any hospital may participate in the program if it meets the requirements of this Section as determined by the Department. (b) To participate in the program a hospit…
Quality and outcome measurement data. (a) For proper evaluation and monitoring of the program, each LTAC hospital must provide quality and outcome measurement data ("measures") identical to Medicare as specified in Medicare's LTCH Quality Reporting Program Manual (version 2.0) and any subsequent revisions. (b) Two sets…
Quality improvement transfer program. (a) The Department may exempt the following STAC hospitals from the requirements in this Section: (1) A hospital operated by a county with a population of 3,000,000 or more. (2) A hospital operated by a State agency or a State university. (b) STAC hospitals may transfer patients wh…
LTAC hospital duties. (a) The LTAC hospital must notify the Department within 5 calendar days if it no longer meets the requirements under subsection (b) of Section 15. (b) The LTAC hospital may terminate the agreement under subsection (c) of Section 15 with 30 calendar days' notice to the Department. (c) The LTAC hosp…
LTAC supplemental per diem rate. (a) The Department must pay an LTAC supplemental per diem rate calculated under this Section to LTAC hospitals that meet the requirements of Section 15 of this Act for patients: (1) who upon admission to the LTAC hospital meet LTAC hospital criteria; and (2) whose care is primarily paid…
Rate adjustments for quality measures. (a) The Department may adjust the LTAC supplemental per diem rate calculated under Section 35 of this Act based on the requirements of this Section. (b) After the first year of operation of the Program established by this Act, the Department may reduce the LTAC supplemental per di…
Program evaluation. (a) By September 30, 2012, the Department must complete an evaluation of the Program to determine the actual savings or costs generated by the Program, both on an aggregate basis and on an LTAC hospital-specific basis. (b) The Department shall consult with qualified LTAC hospitals to determine the a…
Duties of the Department. (a) The Department is responsible for implementing, monitoring, and evaluating the program. This includes but is not limited to: (1) Collecting data required under Section 15 and data necessary to calculate the measures under Section 20 of this Act. The Department must make every effort to col…
Demonstration care coordination program for post-acute care. (a) The Department may develop a demonstration care coordination program for LTAC hospital appropriate patients with the goal of improving the continuum of care for patients who have been discharged from an LTAC hospital. (b) The program shall require risk-sh…
Effective date. This Act takes effect upon becoming law. (Source: P.A. 96-1130, eff. 7-20-10.)