DAR File No. 39416

Health, Center for Health Data, Health Care Statistics

Rule R428-1

Health Data Plan and Incorporated Documents

Notice of Proposed Rule

(Amendment)

DAR File No.: 39416
Filed: 06/01/2015 12:51:49 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this amendment is to update the version of one document incorporated by reference within Rule R428-1; specifically, Utah Ambulatory Surgical Submittal Manual, Data Element Descriptions and Definitions, Version III, November 2009 should be replaced by Utah Ambulatory Surgery Data Submission Manual, Version IV, March 2015, effective for all ambulatory surgery discharges as 10/01/2015. Clarify data review deadlines where needed to make uniform with requirements in statute.

Summary of the rule or change:

The changes update material incorporated by reference to reflect technical requirements expected for compliance beginning with ambulatory surgical discharges on 10/01/2015. Also, makes minor technical edits.

State statutory or constitutional authorization for this rule:

• Title 26, Chapter 33a

This rule or change incorporates by reference the following material:

• Updates Utah Ambulatory Surgery Data Submission Manual, Version IV, March 2015, published by Utah Department of Health, 03/31/2015

Anticipated cost or savings to:

the state budget:

This rule amendment updates the version of technical document for submissions to the Ambulatory Surgical Database. The Utah Department of Health (UDOH) determines enactment of the amended version will not create any cost or savings impact to the state budget or UDOH's budget, since the change will not increase workload and can be carried out with existing budget.

local governments:

This filing does not create any direct cost or savings impact to local governments since they are not directly affected by the rule; nor are local governments indirectly impacted because the rule does not create a situation requiring services from local governments.

small businesses:

None--Small businesses are not impacted by this rule change, with all potentially impacted having more than 50 employees. As a result, the rule will have no effect on small business budgets for costs or savings.

persons other than small businesses, businesses, or local governmental entities:

Technical changes will not create any cost or savings to businesses, individuals, local governments or persons that are not small businesses.

Compliance costs for affected persons:

The most significant changes are format revisions of required submission elements, where needed, to comply with the federal-required transition from ICD-9 to ICD-10. Other changes have been identified as relatively minor and necessary to ensure usefulness of the data for required reporting. These changes are imperative as part of the ICD-10 conversion process and UDOH will continue to work with data suppliers to minimize the programming requirements. Overall cost to impacted health care facilities in the state--specifically to those currently required to comply with the Ambulatory Surgery Data Submittal Guide listed in R01--will total approximately $300,000 (25 freestanding facilities/systems x $12,000).

Comments by the department head on the fiscal impact the rule may have on businesses:

The proposed amendments update the rule to incorporated changes to the Utah Ambulatory Surgical Submittal Manual, Data Element Descriptions and Definitions to Version IV, March 2015. The changes are format revision for required submission elements in the transition from ICD-9 to ICD-10. The changes will have a minor one time financial impact to the 25 freestanding facilities that will be required to make programming changes to their reporting systems.

David Patton, PhD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Center for Health Data, Health Care Statistics
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY, UT 84116-3231

Direct questions regarding this rule to:

• Mike Martin at the above address, by phone at 801-538-9205, by FAX at 801-538-9916, or by Internet E-mail at [email protected]

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

07/15/2015

This rule may become effective on:

07/22/2015

Authorized by:

David Patton, Executive Director

R428. Health, Center for Health Data, Health Care Statistics.

R428-1. Health Data Plan and Incorporated Documents.

R428-1-1. Legal Authority.

This rule is promulgated in accordance with Title 26, Chapter 33a.

 

R428-1-2. Purpose.

This rule adopts and incorporates documents related to the collection, analysis, and dissemination of data covered in this title.

 

R428-1-3. Health Data Plan Adoption.

As required by Section 26-33a-104, the Health Data Committee adopts by rule the health data plan dated October 3, 1991.

 

R428-1-4. Incorporation by Reference.

The following documents are adopted and incorporated by reference:

(1) Utah Hospital Inpatient Discharge Data Submittal Manual, Data Element Descriptions and Definitions, Version VI, February 2014

(2) Utah Ambulatory [Surgical Submittal]Surgery Data Submission Manual, [Data Element Descriptions and Definitions, Version III, November 2009]Version IV, March 2015

(3) HEDIS 2014, Volume 3: Specifications for Survey Measures, published by NCQA

(4) HEDIS 2014, Volume 5: HEDIS Compliance Audit: Standards, Policies, and Procedures, published by NCQA

(5) Utah All-Payer Claims Database Data Submission Guide Version 2.0

(6) Utah All-Payer Claims Database Data Submission Guide Version 2.1

 

KEY: health, health policy, health planning

Date of Enactment or Last Substantive Amendment: [December 8, 2014]2015

Notice of Continuation: November 21, 2011

Authorizing, and Implemented or Interpreted Law: 26-33a-104