DAR File No. 40760

This notice was published in the October 1, 2016, issue (Vol. 2016, No. 19) of the Utah State Bulletin.

Health, Administration

Rule R380-200

Patient Safety Surveillance and Improvement Program

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 40760
Filed: 09/13/2016 10:11:10 AM


Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:

This rule exists under the Utah Public Health Authority to protect Utah citizens from adverse events, to facilitate quality improvement and to provide public transparency under Subsections 26-1-30(2)(a), 26-1-30(2)(b), 26-1-30(2)(d), 26-1-30(2)(e), and 26-1-30(2)(g), and Section 26-3-8.

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

This rule was revised, and the final version published in December 2015. Revisions were conducted in partnership with representatives from the hospitals and ambulatory care centers. The revisions updated the list of reported events to be consistent with National Standards, to reduce duplication, and to improve transparency and outcome improvement. Comments were captured through the monthly users group which is comprised of hospital quality managers and include expanding to skilled nursing facilities, expanding concept of root cause analysis to causal analysis to give more flexibility to reporting facilities, adding a harm scale, and instituting annual reporting requirements. The last revision conducted in 2015 expanded reporting to be consistent with the National Quality Forum list of serious reportable events and to include Skilled Nursing Facilities.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

No oppositions to date have been encountered. There is an ongoing users group that meets monthly to determine what the reporting rules and use of the data should be. Continuation is needed to provide public accountability and transparency, to protect the public, to analyze trends, and to identify opportunities for improvement consistent with national standards and public demand. Therefore, this rule should be continued.

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

288 N 1460 W
SALT LAKE CITY, UT 84116-3231

Direct questions regarding this rule to:

  • Iona Thraen at the above address, by phone at 801-273-6643, by FAX at 801-273-4150, or by Internet E-mail at ithraen@utah.gov



Authorized by:

Joseph Miner, Executive Director

Additional Information

More information about a Five-Year Notice of Review and Statement of Continuation is available online.

The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at https://rules.utah.gov/publicat/bull-pdf/2016/b20161001.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version.

For questions regarding the content or application of this rule, please contact Iona Thraen at the above address, by phone at 801-273-6643, by FAX at 801-273-4150, or by Internet E-mail at ithraen@utah.gov.  For questions about the rulemaking process, please contact the Office of Administrative Rules.