Title IV is entitled Quality. Subtitle A is about Comparative Effectiveness Research. The bill calls for a study on the effectiveness of "health care items and services".
Subtitle B deals with Nursing Home Transparency. Skilled nursing facilities would be required to develop compliance and ethics programs. The Department of Health and Human Services would be required to have a comparison feature of nursing homes with the information obtained from the study mandated in this bill on their web site. The bill calls for a standardized formal complaint procedure for all skilled nursing facilities, as well as a complaint resolution process. The bill establishes some minimum and maximum civil penalties based on certain types of violations. This subtitle is very detailed.
Subtitle C deals with Quality Measurements. The bill calls for the establishment of national priorities for performance improvement, such as those that have the greatest potential to decrease morbidity and mortality.
Subtitle D is the Physician Payments Sunshine Provision. The bill calls for financial reports on physicians' financial relationships with the manufacturers and distributors of drugs and other supplies that bill under Medicare.
Subtitle E deals with Public Reporting on Health Care-Associated Infections. Title IV concludes at the end of Page 658.
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