333-018-0100 Health Care Acquired Infection Reporting and Public Disclosure: Definitions The following definitions apply to OAR 333-018-0100 through 333-018-0145: (1) "Adult ICU" means all specialty and non-specialty intensive care units that care for adults as defined in the NHSN Manual. (2) "ASC" means an ambulatory surgical center as defined in ORS 442.015 and that is licensed pursuant to ORS 441.015. (3) "Authority" means the Oregon Health Authority. (4) "CBGB" means coronary bypass graft surgery with both chest and graft incisions, as defined in the NHSN Manual. (5) "CAUTI" means catheter-associated urinary tract infection as defined in the NHSN Manual. (6) "CDC" means the federal Centers for Disease Control and Prevention. (7) "CDI" means Clostridium difficile infection as defined in the NHSN Manual. (8) "CLABSI" means central line associated bloodstream infection as defined in the NHSN Manual. (9) "CMS" means the federal Centers for Medicare and Medicaid Services. (10) "Collection month" means the month in which an infection was identified. (11) "COLO" means colon procedures as defined in the NHSN Manual. (12) "Committee" means the Health Care Acquired Infections Advisory Committee established in ORS 442.856. (13) "Dialysis facility" means outpatient renal dialysis facility as defined in ORS 442.015. (14) "Dialysis event" means an event that occurs in individuals who receive dialysis as defined by the NHSN Manual. (15) "Follow-up" means post-discharge surveillance intended to detect CBGB, COLO, HPRO, HYST, and KPRO surgical site infection (SSI) cases occurring after a procedure. (16) "HAI" means health care acquired infection as defined in ORS 442.854. (17) "Hospital" means a facility as defined in ORS 442.015 and that is licensed pursuant to ORS 441.015. (18) "Hospital Inpatient Quality Reporting Program (HIQRP)" means the initiative administered by CMS that provides a financial incentive to hospitals to report designated quality measures, mandated by section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. (19) "HPRO" means hip prosthesis procedure as defined in the NHSN Manual. (20) "HYST" means abdominal hysterectomy procedure as defined in the NHSN Manual. (21) "Inpatient rehabilitation ward" means an area within a hospital used for evaluation, treatment, and restoration of function to patients who have lost function due to acute or chronic pain, musculoskeletal problems, stroke, brain or spinal cord dysfunction, or catastrophic events resulting in complete or partial paralysis. (22) "ICU" means an intensive care unit as defined in the NHSN Manual. (23) "KPRO" means knee prosthesis procedure as defined in the NHSN Manual. (24) "Lab ID" means laboratory-identified event as defined in the NHSN Manual. (25) "LTCF" means a long term care facility as defined in ORS 442.015. (26) "MDS" means the CMS minimum data set nursing home resident assessment and screening tool. (27) "Medical ICU" means a non-specialty intensive care unit in which at least 80 percent of patients served are adult medical patients. (28) "Medical/Surgical ICU" means a non-specialty intensive care unit in which less than 80 percent of patients served are adult medical, adult surgical, or specialty patients. (29) "Medical ward" means an area within a hospital used for the evaluation and treatment of patients with medical conditions or disorders. (30) "Medical/surgical ward" means an area within a hospital used for the evaluation of patients with medical or surgical conditions. (31) "MRSA" means methicillin-resistant Staphylococcus aureus as defined in the NHSN Manual. (32) "NHSN" means the CDC’s National Healthcare Safety Network. (33) "NHSN Inpatient" means a patient whose date of admission to the healthcare facility and the date of discharge are different days as defined in the NHSN Manual. (34) "NHSN Manual" means the 2014 patient safety component protocols, established by the CDC’s NHSN, which govern the HAIs and other information required by CMS to be reported by health care facilities, found at http://www.cdc.gov/nhsn/Training/patient-safety-component/, and incorporated by reference. (35) "NICU" means a specialty intensive care unit that cares for neonatal patients. (36) "Non-specialty ICU" means an intensive care unit in which patients are medical, surgical, or medical/surgical patients. (37) "Oregon HAI group" means the NHSN group administered by the Authority. (38) "Overall-facility wide" means data are collected for the entire facility as defined in the NHSN Manual. (39) "Patient information" means individually identifiable health information as defined in ORS 179.505. (40) "Pediatric inpatient rehabilitation ward" means an area within a hospital used for evaluation, treatment, and restoration of function to patients under 18 years of age who have lost function due to acute or chronic pain, musculoskeletal problems, stroke, brain or spinal cord dysfunction, or catastrophic events resulting in complete or partial paralysis (41) "Pediatric ICU" means a specialty intensive care unit that cares for pediatric patients. (42) "Pediatric medical ward" means an area within a hospital used for the evaluation and treatment of patients under 18 years of age with medical conditions or disorders. (43) "Pediatric medical/surgical ward" means a hospital area where patients under 18 years of age with medical or surgical conditions are managed. (44) "Pediatric surgical ward" means an area within a hospital used for the evaluation and treatment of patients under 18 years of age who have undergone a surgical procedure. (45) "Person" has the meaning given that term in ORS 442.015. (46) "Procedure" means an operative procedure as defined in the NHSN Manual. (47) "Provider" means health care services provider as defined in ORS 179.505. (48) "QIO" means the quality improvement organization designated by CMS for Oregon. (49) "SCIP" means the Surgical Care Improvement Project, established through collaborative efforts of the Joint Commission and CMS. (50) "SCIP-Inf-1" means the HAI process measure defined as prophylactic antibiotic received within one hour prior to surgical incision, published by SCIP effective July 1, 2006. (51) "SCIP-Inf-2" means the HAI process measure defined as prophylactic antibiotic selection for surgical patients, published by SCIP effective July 1, 2006. (52) "SCIP-Inf-3" means the HAI process measure defined as prophylactic antibiotics discontinued within 24 hours after surgery end time (48 hours for cardiac patients), published by SCIP effective July 1, 2006. (53) "SCIP-Inf-4" means the HAI process measure defined as cardiac surgery patients with controlled 6 a.m. postoperative serum glucose, published by SCIP effective July 1, 2006. (54) "SCIP-Inf-6" means the HAI process measure defined as surgery patients with appropriate hair removal, published by SCIP effective July 1, 2006. (55) "SCIP-Inf-9" means the HAI process measure defined as urinary catheter removed on postoperative day one or postoperative day two with day of surgery being day zero, published by SCIP effective July 1, 2006. (56) "SCIP-Inf-10" means the HAI process measure defined as surgery patients with perioperative temperature management, published by SCIP effective July 1, 2006. (57) "Specialty ICU" means an intensive care unit in which at least 80 percent of adult patients served are specialty patients, including but not limited to oncology, trauma, and neurology. (58) "SSI" means a surgical site infection event as defined in the NHSN manual. (59) "Staff" means any employee of a health care facility or any person contracted to work within a health care facility. (60) "State agency" has the meaning given that term in ORS 192.410. (61) "Surgical ICU" means a non-specialty intensive care unit in which at least 80 percent of patients served are adult surgical patients. (62) "Surgical ward" means an area within a hospital used for the evaluation and treatment of patients who have undergone a surgical procedure. Statutory/Other Authority: ORS 442.420 & 442.853 - 442.856 Statutes/Other Implemented: ORS 441.015, 442.400, 442.405 & 442.853 - 442.856 History: PH 17-2020, amend filed 03/26/2020, effective 04/06/2020 PH 24-2016, f. 8-8-16, cert. ef. 8-16-16 PH 17-2014, f. & cert. ef. 6-9-14 Renumbered from 409-023-0000 by PH 13-2013, f. 12-26-13, cert. ef. 1-1-14 OHP 7-2011, f. 9-30-11, cert. ef. 10-1-11 OHP 4-2011(Temp), f. 7-28-11, cert. ef. 8-1-11 thru 1-25-12 OHP 4-2010, f. 6-30-10, cert. ef. 7-1-10 OHP 1-2009, f. & cert. ef. 7-1-09 OHP 1-2008, f. & cert. ef. 7-1-08