DAR File No. 40173

Health, Center for Health Data, Health Care Statistics

Rule R428-11

Health Data Authority Ambulatory Surgical Data Reporting Rule

Notice of Proposed Rule

(Repeal)

DAR File No.: 40173
Filed: 01/29/2016 12:42:49 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

This rule is being repealed because its substantive elements are being incorporated into a new Rule R428-10. Rule R428-11 can be repealed without any effect on work done by the Utah Health Data Committee or Utah Department of Health (UDOH). At its meeting on 01/12/2016, the Committee voted with unanimous consent to repeal Rule R428-11. Therefore, this rule is no longer needed. (DAR NOTE: the proposed repeal and reenactment of Rule R428-10 is under DAR No. 40172 in this issue, February 15, 2016, of the Bulletin.)

Summary of the rule or change:

The rule is repealed in its entirety.

State statutory or constitutional authorization for this rule:

• Title 26, Chapter 33a

Anticipated cost or savings to:

the state budget:

Staff will no longer need to monitor rule text for Rule R428-10. Repeal of this rule will result in approximate savings to the state of $50 per year, which equals about 1.5 hours staff time.

local governments:

Because the substantive provisions of this rule are being incorporated into the new Rule R428-10, no costs or savings to local governments should result from this filing.

small businesses:

Because the substantive provisions of this rule are being incorporated into the new Rule R428-10, no costs or savings to small businesses should result from this filing.

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

Because the substantive provisions of this rule are being incorporated into the new Rule R428-10, no costs or savings to other persons should result from this filing.

Compliance costs for affected persons:

No compliance costs are expected with this repeal, which relieves affected persons from any obligations to comply with the rule.

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

There is no fiscal impact on business because technical changes do not add compliance costs to affected businesses.

Joseph Miner, MD, 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]
• Stephanie Saperstein at the above address, by phone at 801-538-6430, by FAX at , 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:

03/16/2016

This rule may become effective on:

03/23/2016

Authorized by:

Joseph Miner, Executive Director

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

[R428-11. Health Data Authority Ambulatory Surgical Data Reporting Rule.

R428-11-1. Legal Authority.

This rule is promulgated under authority granted by Title 26, Chapter 33a, and in accordance with the Health Data Plan.

 

R428-11-2. Purpose.

This rule establishes the reporting standards for ambulatory surgery data by licensed hospitals and ambulatory surgical facilities. The data will be used to develop and maintain a statewide ambulatory surgical data base.

 

R428-11-3. Source of Ambulatory Surgical Data.

The reporting sources for ambulatory surgery data are Utah licensed general acute care hospitals and ambulatory surgical facilities.

(1) A general acute care hospital shall report discharge data records for each surgical outpatient discharged from its facility.

(2) An ambulatory surgical facility shall report surgical and diagnostic procedure data records for each patient discharged from its facility.

(3) For a patient with multiple discharges, each hospital or ambulatory surgical facility submitting electronic media shall submit a single data record for each discharge. For a patient with multiple billing claims each hospital or ambulatory surgical facility shall consolidate the multiple billings into a single data record for submission after the patient's discharge.

(4) A hospital or ambulatory surgical facility may designate an intermediary or may submit ambulatory surgery data directly to the Office.

(5) Each hospital and ambulatory surgical facility is responsible for compliance with the rule. Use of a designated intermediary does not relieve the hospital or ambulatory surgical facility of its reporting responsibility.

(6) Each hospital and ambulatory surgical facility shall designate a department or other appropriate entity and a person who is responsible for submitting the discharge data records. This person shall also be responsible for communicating with the Office.

(7) The Department of Health may conduct on-site audits to verify the accuracy of all submittals.

 

R428-11-4. Data Submittal Schedule.

(1) Each hospital and ambulatory surgical facility shall submit ambulatory surgery data to the Office.

(2) Each quarterly submission is due no later than the 15th day of the second month following the last day of a calendar quarter. The Director of the Office may approve an alternate schedule as long as it meets the needs of the committee.

 

R428-11-5. Data Reporting.

(1) Each hospital and ambulatory surgical facility shall submit ambulatory surgery data described in the Submittal Manual for Ambulatory Surgery Data.

(2) Each hospital and ambulatory surgical facility shall submit data for all fields contained in the Submittal Manual for Ambulatory Surgery Data if the data are available to the hospital and ambulatory surgical facility.

(3) The Office shall adopt an encryption method for the patient social security number by creating a record linkage number as the control number.

(4) Each hospital and ambulatory surgical facility shall submit ambulatory surgery data on encrypted electronic media acceptable to the Office or send them electronically through the Utah Health Information Network or another compatible electronic data interchange network or other secure upload or secure email method.

 

KEY: health, hospital policy, health planning

Date of Enactment or Last Substantive Amendment: October 1, 2015

Notice of Continuation: November 14, 2012

Authorizing, and Implemented or Interpreted Law: 26-33a-104; 26-33a-108]