Sec. 1002.102. GOALS FOR QUALITY AND EFFICIENCY OF HEALTH CARE; STATEWIDE PLAN


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  • (a) The institute shall study and develop recommendations to improve the quality and efficiency of health care delivery in this state, including:

    (1) quality-based payment systems that align payment incentives with high-quality, cost-effective health care;

    (2) alternative health care delivery systems that promote health care coordination and provider collaboration;

    (3) quality of care and efficiency outcome measurements that are effective measures of prevention, wellness, coordination, provider collaboration, and cost-effective health care; and

    (4) meaningful use of electronic health records by providers and electronic exchange of health information among providers.

    (b) The institute shall study and develop recommendations for measuring quality of care and efficiency across:

    (1) all state employee and state retiree benefit plans;

    (2) employee and retiree benefit plans provided through the Teacher Retirement System of Texas;

    (3) the state medical assistance program under Chapter 32, Human Resources Code; and

    (4) the child health plan under Chapter 62.

    (c) In developing recommendations under Subsection (b), the institute shall use nationally accredited measures or, if no nationally accredited measures exist, measures based on expert consensus.

    (d) The institute may study and develop recommendations for measuring the quality of care and efficiency in state or federally funded health care delivery systems other than those described by Subsection (b).

    (e) In developing recommendations under Subsections (a) and (b), the institute may not base its recommendations solely on actuarial data.

    (f) Using the studies described by Subsections (a) and (b), the institute shall develop recommendations for a statewide plan for quality and efficiency of the delivery of health care.

Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 , Sec. 3.01, eff. September 28, 2011.