Bill Text: CA SB1023 | 2021-2022 | Regular Session | Amended
Bill Title: Health care: health workforce education and training.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Engrossed - Dead) 2022-06-21 - June 21 set for first hearing canceled at the request of author. [SB1023 Detail]
Download: California-2021-SB1023-Amended.html
|
Amended
IN
Senate
March 29, 2022 |
| Introduced by Senator Hurtado |
February 15, 2022 |
LEGISLATIVE COUNSEL'S DIGEST
This bill would, upon appropriation by the Legislature, require the Department of Health Care Access and Information to, by January 1, 2023, establish and facilitate operations of the Blue
Ribbon Commission on Strengthening our Health System by Transforming Medical Training and Education to Improve Patient Protection. The bill would provide for the membership and set forth the duties of the commission, including establishing subgroups to focus on specified topics related to streamlining the training and education of physicians, establishing an action plan related to medical education for use by the Medical Board of California and higher education institutions, conducting health studies and surveys in underserved communities, and facilitating a comprehensive review of various policy questions related to consumer protection and patient safety, as specified.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NOBill Text
The people of the State of California do enact as follows:
SECTION 1.
The Legislature finds and declares all of the following:(e)Medical school has not experienced significant change since 1965. Current physician training does not prepare medical students for skills that will be essential in the rapidly evolving health care landscape.
(f)After more than 40 years of stasis and stability, medical schools in the United States are entering a period of transformation.
(g)A growing awareness that young doctors are coming out of training unprepared to meet the needs of 21st-century patients and communities has forced a profound rethinking of how people are taught to practice medicine.
(h)This transformation is taking a variety of forms. Medical schools are changing curricula, instructional methodologies, and how they recruit students, and, in some cases, new medical
schools are being created from scratch both to address the perceived failings of the current educational framework and to replenish the ranks of primary care physicians, who are in short supply across the country.
(i)The revamp of medical education has been given extra impetus by the American Medical Association, which elevated the modernization of physician training to one of its top three strategic initiatives.
(j)The University of California at San Francisco (UCSF) and Davis medical schools are members of the original consortium. The UCSF Bridges program is geared toward improving population-based health outcomes. The Davis program, linked to the Kaiser Permanente Northern California division, emphasizes medically underserved populations, workforce diversity, and workforce gaps.
(k)In 1972, a World Health
Organization commission assessed that health professions education is inextricably linked with the health service system.
(l)When questions arise about the delivery of service, questions also arise about the training of health care providers.
(m)The urgent need for patient safety education for health care students has been recognized by many accreditation bodies, but to date, there has been sporadic attention to undergraduate and graduate programs.
(n)Medical students have identified quality and safety of care as an important area of instruction. As future doctors and health care leaders, they must be prepared to practice safe health care.
(o)Medical education has yet to fully embrace patient safety concepts and principles into existing medical
curricula. Universities are continuing to produce graduate doctors lacking in the patient safety knowledge, skills, and behaviors thought necessary to deliver safe care.
(p)A significant challenge is that patient safety is still a relatively new concept and area of study. Thus, many medical educators are unfamiliar with the literature and unsure how to integrate patient safety learning into the existing curriculum.
(q)Good medical leadership is the key to building high-quality health care.
(r)However, in the development of medical careers, the teaching of leadership has traditionally not equaled that of technical and academic competencies.
(s)As a result of changes in personal standards, the quality of medical leadership has led to variations
between different organizations, as well as occasional catastrophic failure in the standard of care provided for patients.
(t)Leaders in the medical profession have called for reform in health care in response to challenges in the system and improvements in public health.
(u)Therefore, it is the intent of the Legislature to establish the Blue Ribbon Commission on Strengthening our Health System by Transforming Medical Training and Education to Improve Patient Protection, which will represent an extremely diverse range of experience and perspectives, and will include strategic problem solvers with expertise in policy, management, and fiscal issues.
SEC. 2.
Section 128216 is added to the Health and Safety Code, to read:128216.
(a) (1) The council shall prepare and submit a report to the Legislature, setting forth findings and recommendations related to all of the following:(a)For the purposes of this article, the following definitions apply:
(1)“Commission” means the Blue Ribbon Commission on Strengthening our Health System by Transforming Medical Training and Education to Improve Patient Protection.
(2)“Department” means the Department of Health Care Access and Information.
(3)“Director” means the Director of the Department of Health Care Access and Information.
(b)The department shall establish, and facilitate the operations of, the Blue Ribbon Commission on Strengthening our Health System by Transforming Medical
Training and Education to Improve Patient Protection, commencing January 1, 2023.
(c)(1)The implementation of this article is contingent upon the appropriation by the Legislature of sufficient funds, which may include funds from federal or private sources, for its purposes.
(2)The department, Medical Board of California, and higher education institutions involved with the commission may assist in the procurement of funds for the implementation of this article, and shall seek funds from federal or private sources.
(d)The commission shall consist of 19 members, made up of the following individuals:
(1)The director, or the director’s designee.
(2)An administrative
law judge who has experience with cases involving the Medical Board.
(3)A lawyer who is licensed, and practices in medical malpractice, in the state.
(4)An individual who has experienced injuries from a medical procedure.
(5)A consumer representative or advocate that has expertise in advocating for communities in health professional shortage areas in the state.
(6)A representative from the Medical Board of California.
(7)The president of the Medical Board of California, or their designee.
(8)A professor that specializes in medical education in the state.
(9)Two medical professionals with experience practicing in historically underserved areas.
(10)The Surgeon General, or their designee.
(11)The President of the University of California, or their designee.
(12)The Chancellor of the California State University, or their designee.
(13)The Chancellor of the California Community Colleges, or their designee.
(14)Three students enrolled in medical schools in the state.
(15)Two members of the public.
(e)In making appointments to the commission, the department shall take into consideration the
cultural, ethnic, and geographic diversity of the state to ensure that the commission composition reflects the communities of California.
(a)(1)The commission shall prepare and submit a report to the Legislature, setting forth findings and recommendations related to all of the following:
(A)How to promote self-improvement among medical schools.
(B)How to increase students in an equitable manner, particularly in low-income communities.
(C)How to expand the number of health personnel, particularly in low-income communities.
(D)How to improve training of health personnel in low-income communities.
(E)What are the components of training and education transformation as tenets of public health and prevention.
(F)How communities may adapt training more closely to the needs of local health care systems, as opposed to the native values of medical academics.
(G)How to operationalize concerns and improve the quality and safety of medical practice.
(2)Before submitting the report, the commission shall host a commenting period for advocates and the public to weigh in on the findings and recommendations.
(3)The commission shall post the report on the department’s internet website and hold informational hearings online regarding its findings and recommendations.
(b)(1)The requirement for submitting a report imposed under subdivision (a) is inoperative on January 1, 2027, pursuant to Section 10231.5 of the Government Code.
(2)A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(c)The commission shall facilitate a comprehensive review of various policy questions related to, but not limited to, all of the following:
(1)The functioning of the Medical Board of California and how to support the board in better exercising its mission of consumer protection.
(2)How to implement a strong, robust, and fair licensing and disciplinary process that focuses on necessary reforms that put the safety of patients first.
(3)Whether lowering the burden of proof of the “beyond a reasonable doubt” standard in criminal prosecutions is fair and in the best interest of consumer protection.
(d)The commission may create subgroups within the commission that shall focus on specific topics, including, but not limited to, streamlining of training for physicians, accelerating the timeframe for the education of physicians, improving the quality of medical education, developing new strategies for competency-based evaluation, increasing the numbers of physicians being trained, and developing new approaches to team based training.
(e)Based on the report and public comments, as described in subdivision (a), the commission shall establish a comprehensive, realistic, and executable action plan that the Medical Board of California and higher education
institutions in the state may use to follow and guide their principals on medical education.
(f)The commission shall conduct studies and surveys of needs, resources, and facilities in underserved communities across the state. Those surveys and studies shall include, but not be limited to, findings related to the quality and quantity of health personnel and training facilities, and assessments of community health.
The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
