CLINICAL PROCESS GUIDELINES S.B. 938 (S-1):
SUMMARY OF BILL
REPORTED FROM COMMITTEE
Senate Bill 938 (Substitute S-1 as reported)
CONTENT
The bill would amend the Public Health Code to require nursing homes to use evidence-based, nationally recognized clinical process guidelines or best practice resources in specified clinical areas; delete requirements that the Department of Licensing and Regulatory Affairs (LARA) develop clinical process guidelines; and make related changes.
The Code required LARA to develop and adopt clinical process guidelines, and establish and adopt clinical process guidelines and compliance protocols with outcome measures for specific areas and for other topics where LARA determined that clarification would benefit providers and consumers of long-term care. The bill would delete these requirements.
The bill would require a nursing home would have to use evidence-based, nationally recognized clinical process guidelines or best-practice resources to develop and implement patient care policies and compliance protocols with measureable outcomes in the specified clinical practice areas.
The clinical practice areas include the following: use of bed rails, adverse drug effects, falls, pressure sores, nutrition and hydration, pain management, depression and depression pharmacotherapy, heart failure, urinary incontinence, dementia care, osteoporosis, altered mental states, and physical and chemical restraints.
MCL 333.20155 & 333.21734 Legislative Analyst: Julie Cassidy
FISCAL IMPACT
The bill would have no fiscal impact on State or local government.
Date Completed: 7-22-14 Fiscal Analyst: Josh Sefton
This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.