Annual Report Concerning Appropriate Quality Measures

For every certificate of need issued after July 1, 2016, reporting shall be made to the Health Facilities Commission each year on the anniversary date of implementation of the certificate of need, on forms prescribed by the Commission. Reporting shall include an assessment of each applicable quality standard and shall include results of any surveys or disciplinary actions by state licensing agencies, payors, or CMS, which are relevant to the health care institution or service authorized by the certificate of need. The existence and results of any remedial action, including any plan of correction, shall also be provided, unless the information is considered confidential under state or federal law. Reporting may be made for the entire health care institution, relevant department, service, equipment or beds, rather than segregating the portion authorized by the particular certificate of need; reporting for the portion authorized by the particular certificate of need is preferred if the data is easily segregated and doing so would not be unduly burdensome or costly to the provider.