31-53-42. Advisory committee recommendations and evaluations.

The advisory committee shall make initial recommendations to the director no later than March 1, 2021, regarding the creation and operation of a state all-payer claims database, to be known as the GAPCD, that:#

1. (1)

   Include specific strategies to measure and collect data related to health care safety and quality, utilization, health outcomes, and cost;#

2. (2)

   Focus on data elements that foster quality improvement and peer group comparisons;#

3. (3)

   Facilitate value based, cost-effective purchasing of health care services by public and private purchasers and consumers;#

4. (4)

   Result in usable and comparable information that allows public and private health care purchasers, consumers, and data analysts to identify and compare health plans, health insurers, health care facilities, and health care providers regarding the provision of safe, value based, cost-effective, high-quality health care services;#

5. (5)

   Use and build upon existing data collection standards and methods to establish and maintain the GAPCD in a cost-effective and efficient manner;#

6. (6)

   Are designed to measure the following performance domains: safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness;#

7. (7)

   Incorporate and utilize claims, eligibility, and other publicly available data to the extent it is the most cost-effective method of collecting data to minimize the cost and administrative burden on data sources;#

8. (8)

   Include recommendations about whether to include data on the uninsured;#

9. (9)

   Address the harmonization of the GAPCD with other states’, regions’, and federal efforts concerning all-payer claims databases;#

10. (10)

    Address the harmonization of the GAPCD with federal legislation concerning an all-payer claims database;#

11. (11)

    Address a limit on the number of times the administrator may require submission of the required data elements;#

12. (12)

    Address a limit on the number of times the administrator may change the required data elements for submission in a calendar year considering administrative costs, resources, and time required to fulfill the requests; and#

13. (13)

    Address compliance with the Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, as amended, and other proprietary information related to collection and release of data.#

The advisory committee shall make ongoing recommendations to the director to ensure the operations and design of the GAPCD continue to be effective and meet the objectives of the GAPCD.#

The advisory committee shall conduct an evaluation of the GAPCD at least every five years to ensure that the purposes are met.#