Page:United States Statutes at Large Volume 88 Part 2.djvu/938

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National health planning information center. Establishment.

Operation c o s t system.

Cost accounting system.

R a t e s, calculation system.

PUBLIC LAW 93-641-JAN. 4, 1975

[88

STAT.

" (B) the conduct of the planning and development processes; " (C) the performance of health systems agency functions in accordance with section 1513; and " (D) the performance of State Agency functions in accordance with section 1523. "(c) I n order to facilitate the exchange of information concerning health services, health resources, and health planning and resources development practice and methodology, the Secretary shall establish a national health planning information center to support the health planning and resources development programs of health systems agencies, State Agencies, and other entities concerned with health planning and resources development; to provide access to current information on health planning and resources development; and to provide information for use in the analysis of issues and problems related to health planning and resources development. " (d) The Secretary shall establish the following within one year of the date of enactment of this title: "(1) A uniform system for calculating the aggregate cost of operation and the aggregate volume of services provided by health services institutions as defined by the Secretary in regulations. Such system shall provide for the calculation of the aggregate volume to be based on: " (A) The number of patient days; " (B) The number of patient admissions; "(C) The number of out-patient visits; and " (D) Other relevant factors as determined by the Secretary. "(2) A uniform system for cost accounting and calculating the volume of services provided by health services institutions. Such system shall: " (A) Include the establishment of specific cost centers and, where appropriate, subcost centers. " (B) Include the designation of an appropriate volume factor for each cost center. " (C) Provide for an appropriate application of such system in the different types of institutions (including hospitals, nursing homes, and other types of health services institutions), and different sizes of such types of institutions. "(3) A uniform system for calculating rates to be charged to health insurers and other health institutions payors by health service institutions. Such system shall: " (A) Be based on an all-inclusive rate f»r various categories of patients (including, but not limited to individuals receiving medical, surgical, pediatric, obstetric, and psychiatric institutional health services). " (B) Provide that sach rates reflect the true cost of providing services to each such category of patients. The system shall provide that revenues derived from patients in one category shall not be used to support the provision of services to patients in any other category. " (C) Provide for an appropriate application of such system in the different types of institutions (including hospitals, nursing homes, and other types of health service institutions) and different sizes of such types of institutions. " (D) Provide that differences in rates to various classes of purchasers (including health insurers, direct service pay-

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