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55 "SEC. 399NN. READMISSIONS. ";

"SEC. 399NN. READMISSIONS.

(a) PURPOSE.-The purpose of this section is to im-prove the quality and value of inpatient hospital services in order to-

(1) improve the coordination of care; and

(2) appropriately reduce inefficiency and waste, such as unnecessary hospital readmissions, in the care furnished.

(b) INFORMATION GATHERING AND ANALYSIS.-

Beginning 2010, the Secretary shall analyze and calculate

hospital-specific and national applicable readmissions

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53 "SEC. 1281. GRANTS TO STATES. ";

"PART H-TRAUMA SERVICE AVAILABILITY "SEC. 1281. GRANTS TO STATES.

(a) ESTABLISHMENT.-To promote universal access to trauma care services provided by trauma centers and trauma-related physician specialties, the Secretary shall provide funding to States to enable such States to award grants to eligible entities for the purposes described in this section.

(b) AWARDING OF GRANTS BY STATES.-Each State may award grants to eligible entities within the State for the purposes described in subparagraph (d).

(c) ELIGIBILITY.-

(1) IN GENERAL.-To be eligible to receive a

grant under subsection (b) an entity shall-

(A) be-

(i) a public or nonprofit trauma cen

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54 SEC. 216. REDUCING AND REPORTING HOSPITAL READMISSIONS. ";

SEC. 216. REDUCING AND REPORTING HOSPITAL READMISSIONS.

(a) IN GENERAL.-Part S of title III of the Public Health Service Act, as amended by section 205, is further amended by adding at the end the following:

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52 "SEC. 498D. SUPPORT FOR EMERGENCY MEDICINE RESEARCH. ";

"SEC. 498D. SUPPORT FOR EMERGENCY MEDICINE RESEARCH.

(a) EMERGENCY MEDICAL RESEARCH.-The Sec-retary shall support Federal programs administered by the National Institutes of Health, the Agency for Healthcare Research and Quality, the Health Resources and Services Administration, the Centers for Disease Control and Pre-vention, and other agencies involved in improving the emergency care system to expand and accelerate research in emergency medical care systems and emergency medi-cine, including-

(1) the basic science of emergency medicine;

(2) the model of service delivery and the com

ponents of such models that contribute to enhanced

patient health outcomes;

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50 "SEC. 935. GRANTS TO IMPLEMENT MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASES. ";

"SEC. 935. GRANTS TO IMPLEMENT MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASES.

(a) IN GENERAL.-The Secretary, acting through the Patient Safety Research Center established in section 933 (referred to in this section as the Center) shall estab-lish a program to provide grants to eligible entities to im-plement medication management (referred to in this sec-tion as MTM) services provided by licensed pharmacists, as a collaborative, multidisciplinary, inter-professional ap-proach to the treatment of chronic diseases for targeted individuals, to improve the quality of care and reduce over-all cost in the treatment of such diseases. The Secretary shall commence the grant program not later than May 1, 2010.

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51 SEC. 214. DESIGN AND IMPLEMENTATION OF REGIONALIZED SYSTEMS FOR EMERGENCY CARE. ";

SEC. 214. DESIGN AND IMPLEMENTATION OF REGIONALIZED SYSTEMS FOR EMERGENCY CARE.

(a) IN GENERAL.-Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.) is amended-

(1)
in section 1203-

(A)
in the section heading, by inserting FOR TRAUMA SYSTEMS after GRANTS; and

(B)
in subsection (a), by striking Administrator of the Health Resources and Services Administration and inserting Assistant Secretary for Preparedness and Response;

(2) by inserting after section 1203 the following:

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49 SEC. 213. GRANTS TO IMPLEMENT MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASE. ";

SEC. 213. GRANTS TO IMPLEMENT MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASE.

Title IX of the Public Health Service Act (42 U.S.C. 299 et seq.), as amended by section 211, is further amend-ed by inserting after section 936 the following:

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48 SEC. 212. GRANTS TO ESTABLISH COMMUNITY HEALTH TEAMS TO SUPPORT A MEDICAL HOME MODEL. ";

SEC. 212. GRANTS TO ESTABLISH COMMUNITY HEALTH TEAMS TO SUPPORT A MEDICAL HOME MODEL.

(a)
IN GENERAL.-The Secretary of Health and Human Services (referred to in this section as the Sec-retary) shall establish a program to provide grants to eli-gible entities to establish community-based multidisci-plinary, interprofessional teams (referred to in this section as health teams) to support primary care practices with-in the hospital service areas served by the eligible entities. Grants shall be used to-

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47 "SEC. 399MM. COLLECTION AND ANALYSIS OF QUALITY MEASURE DATA. ";

"SEC. 399MM. COLLECTION AND ANALYSIS OF QUALITY MEASURE DATA.

(a) ESTABLISHMENT OF PROCESS.-The Secretary shall establish a process to collect, and validate, aggregate data on quality measures described in section 399JJ to facilitate public reporting. Such process shall-

(1) be focused, scientifically sound, and practicable to implement;

(2) where practicable, be incorporated into health information technology to allow collection of measures at the point of care; and

(3) integrate data from public sources (such as data from Federal health programs) and private sources (such as health insurance issuers). (b) DATA COLLECTION AND AGGREGATION.-

(1) IN GENERAL.-

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45 "SEC. 399LL. EVALUATION OF DATA COLLECTION PROCESSFOR QUALITY MEASUREMENT. ";

"SEC. 399LL. EVALUATION OF DATA COLLECTION PROCESSFOR QUALITY MEASUREMENT.

(a) GAO EVALUATIONS.-The Comptroller General of the United States shall conduct periodic evaluations of the implementation of the data collection processes for quality measures used by the Secretary.

(b) CONSIDERATIONS.-In carrying out the evalua-tion under subsection (a), the Comptroller General shall determine-

(1) whether the system for the collection of data for quality measures provides for validation of data as relevant, fair, and scientifically credible;

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46 SEC. 205. COLLECTION AND ANALYSIS OF QUALITY MEASURE DATA. ";

SEC. 205. COLLECTION AND ANALYSIS OF QUALITY MEASURE DATA.

(a) IN GENERAL.-Part S of title III of the Public Health Service Act, as amended by section 204, is further amended by adding at the end the following:

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43 SEC. 204. QUALITY MEASURE ENDORSEMENT; PUBLIC REPORTING; DATA COLLECTION. ";

SEC. 204. QUALITY MEASURE ENDORSEMENT; PUBLIC REPORTING; DATA COLLECTION.

Title III of the Public Health Service Act (42 U.S.C. 241 et seq.), as amended by section 201, is further amended by adding at the end the following:

"Subpart II-Health Care Quality Programs "SEC. 399JJ. QUALITY MEASURE ENDORSEMENT.

(a) DEFINITIONS.-In this subpart:

(1) QUALIFIED CONSENSUS-BASED ENTITY.- The term qualified consensus-based entity means an entity with a contract with the Secretary under section 1890 of the Social Security Act.

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44 "SEC. 399KK. PUBLIC REPORTING OF PERFORMANCE INFORMATION. ";

"SEC. 399KK. PUBLIC REPORTING OF PERFORMANCE INFORMATION.

(a) REPORTING OF QUALITY MEASURES.- (1) IN GENERAL.-

(A) REPORTING SYSTEM.-Not later than 5 years after the date of enactment of the Af-fordable Health Choices Act, and after notice and opportunity for public comment, the Sec-retary shall implement a system for the report-

ing on quality measures that protect patient privacy and, where appropriate- (i) assess health outcomes and functional status of patients;

(ii) assess the continuity and coordination of care and care transitions, including episodes of care, for patients across the continuum of providers and health care settings;

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40 SEC. 202. INTERAGENCY WORKING GROUP ON HEALTH CARE QUALITY. ";

SEC. 202. INTERAGENCY WORKING GROUP ON HEALTH CARE QUALITY.

(a)
IN GENERAL.-The President shall convene a working group to be known as the Interagency Working Group on Health Care Quality (referred to in this section as the Working Group).

(b)
GOALS.-The goals of the Working Group shall be to achieve the following:

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41 SEC. 203. QUALITY MEASURE DEVELOPMENT. ";

SEC. 203. QUALITY MEASURE DEVELOPMENT.

Title IX of the Public Health Service Act (42 U.S.C. 299 et seq.) is amended-

(1) by redesignating part D as part E;

(2)
by redesignating sections 931 through 938 as sections 941 through 948, respectively;

(3)
in section 948(1), as so redesignated, by striking 931 and inserting 941; and

(4) by inserting after section 926 the following:

"PART D-HEALTH CARE QUALITY

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