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Key: (1) language to be deleted (2) new language

CHAPTER 51--H.F.No. 588
An act
relating to health; requiring a hospital staffing report; requiring a study on
nurse staffing levels and patient outcomes; appropriating money.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

    Section 1. [144.7055] STAFFING PLAN DISCLOSURE ACT.
    Subdivision 1. Definitions. (a) For the purposes of this section, the following terms
have the meanings given.
(b) "Core staffing plan" means the projected number of full-time equivalent
nonmanagerial care staff that will be assigned in a 24-hour period to an inpatient care unit.
(c) "Nonmanagerial care staff" means registered nurses, licensed practical nurses,
and other health care workers, which may include but is not limited to nursing assistants,
nursing aides, patient care technicians, and patient care assistants, who perform
nonmanagerial direct patient care functions for more than 50 percent of their scheduled
hours on a given patient care unit.
(d) "Inpatient care unit" means a designated inpatient area for assigning patients and
staff for which a distinct staffing plan exists and that operates 24 hours per day, seven days
per week in a hospital setting. Inpatient care unit does not include any hospital-based
clinic, long-term care facility, or outpatient hospital department.
(e) "Staffing hours per patient day" means the number of full-time equivalent
nonmanagerial care staff who will ordinarily be assigned to provide direct patient care
divided by the expected average number of patients upon which such assignments are based.
(f) "Patient acuity tool" means a system for measuring an individual patient's need
for nursing care. This includes utilizing a professional registered nursing assessment of
patient condition to assess staffing need.
    Subd. 2. Hospital staffing report. (a) The chief nursing executive or nursing
designee of every reporting hospital in Minnesota under Minnesota Statutes, section
144.50, will develop a core staffing plan for each patient care unit.
(b) Core staffing plans shall specify the full-time equivalent for each patient care
unit for each 24-hour period.
(c) Prior to submitting the core staffing plan, as required in subdivision 3,
hospitals shall consult with representatives of the hospital medical staff, managerial and
nonmanagerial care staff, and other relevant hospital personnel about the core staffing plan
and the expected average number of patients upon which the staffing plan is based.
    Subd. 3. Standard electronic reporting developed. (a) Hospitals must submit
the core staffing plans to the Minnesota Hospital Association by January 1, 2014. The
Minnesota Hospital Association shall include each reporting hospital's core staffing plan on
the Minnesota Hospital Association's Minnesota Hospital Quality Report Web site by April
1, 2014. Any substantial changes to the core staffing plan shall be updated within 30 days.
(b) The Minnesota Hospital Association shall include on its Web site for each
reporting hospital on a quarterly basis the actual direct patient care hours per patient and
per unit. Hospitals must submit the direct patient care report to the Minnesota Hospital
Association by July 1, 2014, and quarterly thereafter.

    Sec. 2. STUDY.
The Department of Health shall convene a work group to consult with the department
as they study the correlation between nurse staffing levels and patient outcomes. This report
shall be presented to the chairs and ranking minority members of the health and human
services committees in the house of representatives and the senate by January 15, 2015.

    Sec. 3. APPROPRIATIONS; NURSING STAFFING.
$187,000 in fiscal year 2014 and $65,000 in fiscal year 2015 are appropriated from
the general fund to the commissioner of health for the completion of the study in section 2.
This is a onetime appropriation.
Presented to the governor May 8, 2013
Signed by the governor May 9, 2013, 3:45 p.m.

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