DAR File No. 40170

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.: 40170
Filed: 01/29/2016 11:47:31 AM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this amendment is to update material incorporated by reference to reflect technical requirements expected for compliance with submissions from health care facilities, including both inpatient and ambulatory surgery encounters; to make minor technical edits; and to also update version numbering for the "All Payer Claims Database Data Submittal Guide".

Summary of the rule or change:

The changes are as follows: 1) to update versions of documents incorporated by reference within Rule R428-1, specifically, "Utah Hospital Inpatient Discharge Data Submittal Manual, Data Element Descriptions and Definitions, Version VI", February 2014 and "Utah Ambulatory Surgical Submittal Manual, Data Element Descriptions and Definitions, Version III", November 2009 should be replaced by "Utah Healthcare Facility Data Submission Guide, Version 1", January 15, 2016; 2) to clarify data elements and related requirements where needed to make uniform with existing practice; and 3) to update the version number for "All Payer Claims Database Data Submittal Guide" from version 2.2 to version 2.2.1.

State statutory or constitutional authorization for this rule:

• Title 26, Chapter 33a

This rule or change incorporates by reference the following material:

• Adds Utah Healthcare Facility Data Submission Guide, published by Utah Department of Health, 01/15/2016
• Updates Utah All-Payer Claims Database Data Submission Guide, published by Utah Department of Health, 01/29/2016

Anticipated cost or savings to:

the state budget:

This rule amendment adds a new data submittal guide which covers both inpatient and ambulatory care encounters and updates version numbering where appropriate. 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 since all potentially impacted businesses have 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:

There are no compliance costs for affected persons for the consolidated facilities data submittal guide (DSG) or for the updated version numbering associated with the "All Payer Claims Database DSG".

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 mikemartin@utah.gov
• Stephanie Saperstein at the above address, by phone at 801-538-6430, by FAX at , or by Internet E-mail at stephaniesaperstein@utah.gov

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.

R428-1. 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 Surgery Data Submission Manual, Version IV, March 2015]Utah Healthcare Facility Data Submission Guide, Version 1, January 15, 2016

( 2[3]) HEDIS 2014, Volume 3: Specifications for Survey Measures, published by NCQA

( 3[4]) HEDIS 2014, Volume 5: HEDIS Compliance Audit: Standards, Policies, and Procedures, published by NCQA

( 4[5]) Utah All-Payer Claims Database Data Submission Guide Version 2.1

( 5[6]) Utah All-Payer Claims Database Data Submission Guide Version 2.2 .1

 

KEY: health, health policy, health planning

Date of Enactment or Last Substantive Amendment: [November 30, 2015]2016

Notice of Continuation: November 21, 2011

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