2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 8 - Health Data, Vital Statistics, and Utah Medical Examiner › Part 5 - Utah Health Data Authority › Section 501 - Definitions.

Affected by 63I-1-226 on 7/1/2024
Effective 5/3/2023
26B-8-501.
Definitions.
As used in this part:
(1) "Committee" means the Health Data Committee created in Section 26B-1-413.
(2) "Control number" means a number assigned by the committee to an individual's health data as an identifier so that the health data can be disclosed or used in research and statistical analysis without readily identifying the individual.
(3) "Data supplier" means a health care facility, health care provider, self-funded employer, third-party payor, health maintenance organization, or government department which could reasonably be expected to provide health data under this part.
(4) "Disclosure" or "disclose" means the communication of health care data to any individual or organization outside the committee, its staff, and contracting agencies.
(5)
(a) "Health care facility" means a facility that is licensed by the department under Chapter 2, Part 2, Health Care Facility Licensing and Inspection.
(b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the committee, with the concurrence of the department, may by rule add, delete, or modify the list of facilities that come within this definition for purposes of this part.
(6) "Health care provider" means the same as that term is defined in Section 78B-3-403.
(7) "Health data" means information relating to the health status of individuals, health services delivered, the availability of health manpower and facilities, and the use and costs of resources and services to the consumer, except vital records as defined in Section 26B-8-101 shall be excluded.
(8) "Health maintenance organization" means the same as that term is defined in Section 31A-8-101.
(9) "Identifiable health data" means any item, collection, or grouping of health data that makes the individual supplying or described in the health data identifiable.
(10) "Organization" means any corporation, association, partnership, agency, department, unit, or other legally constituted institution or entity, or part thereof.
(11) "Research and statistical analysis" means activities using health data analysis including:
(a) describing the group characteristics of individuals or organizations;
(b) analyzing the noncompliance among the various characteristics of individuals or organizations;
(c) conducting statistical procedures or studies to improve the quality of health data;
(d) designing sample surveys and selecting samples of individuals or organizations; and
(e) preparing and publishing reports describing these matters.
(12) "Self-funded employer" means an employer who provides for the payment of health care services for employees directly from the employer's funds, thereby assuming the financial risks rather than passing them on to an outside insurer through premium payments.
(13) "Plan" means the plan developed and adopted by the Health Data Committee under Section 26B-1-413.
(14) "Third party payor" means:
(a) an insurer offering a health benefit plan, as defined by Section 31A-1-301, to at least 2,500 enrollees in the state;
(b) a nonprofit health service insurance corporation licensed under Title 31A, Chapter 7, Nonprofit Health Service Insurance Corporations;
(c) a program funded or administered by Utah for the provision of health care services, including the Medicaid and medical assistance programs described in Chapter 3, Part 1, Health Care Assistance; and
(d) a corporation, organization, association, entity, or person:
(i) which administers or offers a health benefit plan to at least 2,500 enrollees in the state; and
(ii) which is required by administrative rule adopted by the department in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to supply health data to the committee.
Renumbered and Amended by Chapter 306, 2023 General Session