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Hospital for Children in Orlando. 10. Nemours Children’s Hospital in Orlando. Appointments made under subparagraphs 1.-10. are contingent upon the hospital’s maintenance of pediatric certificates of need and the hospital’s compliance with this section and rules adopted thereunder, as determined by the Secretary of Health Care Administration. A member appointed under subparagraphs 1.-10. whose hospital fails to maintain such certificates or comply with standards may serve only as a nonvoting member until the hospital restores such certificates or complies with such standards. (c) The Secretary of Health Care Administration may appoint nonvoting members to the panel. Nonvoting members may include: 1. The Secretary of Health Care Administration. 2. The Surgeon General. 3. The Deputy Secretary of Children’s Medical Services. 4. Any current or past Division Director of Children’s Medical Services. Ch. 2018-24 LAWS OF FLORIDA Ch. 2018-24 21 CODING: Words stricken are deletions; words underlined are additions. 5. A parent of a child with congenital heart disease. 6. An adult with congenital heart disease. 7. A representative from each of the following organizations: the Florida Chapter of the American Academy of Pediatrics, the Florida Chapter of the American College of Cardiology, the Greater Southeast Affiliate of the American Heart Association, the Adult Congenital Heart Association, the March of Dimes, the Florida Association of Children’s Hospitals, and the Florida Society of Thoracic and Cardiovascular Surgeons. (d) The panel shall meet biannually, or more frequently upon the call of the Secretary of Health Care Administration. Such meetings may be conducted telephonically, or by other electronic means. (e) The duties of the panel include recommending to the agency standards for quality of care, personnel, physical plant, equipment, emergency transportation, and data reporting for hospitals that provide pediatric cardiac services. (f) Beginning on January 1, 2020, and annually thereafter, the panel shall submit a report to the Governor, the President of the Senate, the Speaker of the House of Representatives, the Secretary of Health Care Administration, and the State Surgeon General. The report must summarize the panel’s activities during the preceding fiscal year and include data and performance measures on surgical morbidity and mortality for all pediatric cardiac programs. (b) Based on the recommendations of the panel, the agency shall develop and adopt rules for pediatric cardiac catheterization programs and pediatric open-heart surgery programs which include at least the following: 1. A risk adjustment procedure that accounts for the variations in severity and case mix found in hospitals in this state; 2. Outcome standards specifying expected levels of performance in pediatric cardiac programs. Such standards may include, but are not limited to, in-hospital mortality, infection rates, nonfatal myocardial infarctions, length of postoperative bleeds, and returns to surgery; and 3. Specific steps to be taken by the agency and licensed facilities that do not meet the outcome standards within a specified time, including time required for detailed case reviews and development and implementation of corrective action plans. (c) This subsection is repealed on July 1, 2022. (10) Based on the recommendations of the advisory panel in subsection (9), the agency shall adopt rules for pediatric cardiac programs which, at a minimum, include: Ch. 2018-24 LAWS OF FLORIDA Ch. 2018-24 22 CODING: Words stricken are deletions; words underlined are additions. (a) Standards for pediatric cardiac catheterization services and pediatric cardiovascular surgery including quality of care, personnel, physical plant, equipment, emergency transportation, data reporting, and appropriate operating hours and timeframes for mobilization for emergency procedures. (b) Outcome standards consistent with nationally established levels of performance in pediatric cardiac programs. (c) Specific steps to be taken by the agency and licensed facilities when the facilities do not meet the outcome standards within a specified time, including time required for detailed case reviews and the development and