reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Heavy Metal and Pesticide Analysis Reporting › Section R. 325.67 - Heavy metal analysis report form

Current through Vol. 24-12, July 15, 2024
Rule 7. The heavy metal analysis report form reads as
				  follows:
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
HEAVY METAL ANALYSIS REPORT
DATA/INFORMATION REQUIRED BY ADMINISTRATIVE RULE
				  R
				  325.62
I. CLIENT INFORMATION
Last name First name M.I.
Sex (M/F) Race (White/Black/Asian/Pacific
				  Islander/American
Indian/Alaskan/mixed)
Ethnicity (Hispanic Y/N) Birth date or age Phone
				  number
Street address City State/Zip Code/County
Name of parent or guardian if individual is a minor Employer
				  name (if adult)
Employer street address City State/Zip Code
II. PHYSICIAN/PROVIDER INFORMATION
( )
Provider last name First name Phone number
Provider street address City State/Zip Code
III. LABORATORY INFORMATION
( )
Name of testing laboratory Phone number
Laboratory street address City State/Zip Code
Date sample taken Date sample analyzed
Results
Sample Arsenic Cadmium
Mercury
Blood µg/ml µg/L ng/ml
Urine µg/L µg/gram creatinine µg/L
OR
µg/L
MDCH - Bureau of Epidemiology, Division of Occupational and
				  Environmental Epidemiology 3423 N. M.L. King, Jr. Blvd., Lansing, MI 48909 o
				  Fax Number (517) 335-9775 o Phone number (517) 335-8350
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Heavy Metal and Pesticide Analysis Reporting › Section R. 325.68 - Pesticide poisoning analysis report form

Current through Vol. 24-12, July 15, 2024
Rule 8. The pesticide poisoning report form reads as
				  follows:
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
PESTICIDE POISONING REPORT
DATA/INFORMATION REQUIRED BY ADMINISTRATIVE RULE
				  R
				  325.62
I. CLIENT INFORMATION
Last name First name M.I.
Sex (M/F) Race (White/Black/Asian/Pacific Islander/American
				  Indian/Alaskan/mixed)
( )
Ethnicity (Hispanic Y/N) Birth date Phone number
Street address City State/Zip Code/County
Name and address of parent or guardian if individual is a
				  minor
Employer
Employer street address City State/Zip Code/County
II. PHYSICIAN/PROVIDER INFORMATION
( )
Provider last name First name Phone number
Name of medical facility of requesting
				  physician/provider
Facility street address City State/Zip Code
III. LABORATORY INFORMATION
( )
Name of testing laboratory Phone number
Laboratory street address City State/Zip Code
Date sample taken Date sample analyzed
Results
Test Laboratory normal range
Acetylcholinesterase U/g hemoglobin - U/g hemoglobin
Pseudocholinesterase U/L - U/L
MDCH - Bureau of Epidemiology, Division of Occupational and
				  Environmental Epidemiology 3423 N. M.L. King, Jr. Blvd., Lansing, MI 48909 o
				  Fax Number (517) 335-9775 o Phone number (517) 335-8350
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.125 - Definitions; A to D

Current through Vol. 24-12, July 15, 2024
Rule 1.
As used in these parts:
(a) "ACS
-
COT" means the American
				  College of Surgeons-Committee on Trauma.
(b) "Adult trauma patient" means an injured
				  or potentially injured individual that is, or reasonably appears to be, 15
				  years of age or older.
(c) "ATLS
				  course" means an advanced trauma life support course with an emphasis on the
				  first hour of initial assessment and primary management of an injured patient,
				  starting at the point in time of injury continuing through initial assessment,
				  life-saving intervention, reevaluation, stabilization, and transfer when
				  appropriate.
(d) "Administrative
				  hearing" means a hearing conducted pursuant to the administrative procedures
				  act, 1969 PA 306
,
MCL
				  24.201
				  to
				  24.328.
(e) "Code" means MCL
				  333.1101 to MCL
				  333.25211
				  and known as the Michigan public health code.
(f) "Department" means the Michigan
				  department of health and human services, or its duly appointed
				  successor.
(g) "Disciplinary
				  action" means an action taken by the department against a health care facility
				  or regional trauma network for failure to comply with the code, rules, or
				  protocols approved by the department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.126 - Definitions; E to O

Current through Vol. 24-12, July 15, 2024
Rule 2.
As used in this part:
(a) "Health care facility" means a health
				  care facility licensed under MCL
				  333.20801
				  and
				  333.21501
				  that operates a service for treating emergency patients, 24 hours a day, 7 days
				  a week.
(b) "Hold itself out" means
				  the agency, health care facility, or trauma facility advertises, announces, or
				  charges specifically for providing trauma care as defined in the
				  code.
(c) "Inter-facility trauma
				  transfer" means identifying the group of trauma patients that require
				  additional trauma resources with the goal of providing optimal care to these
				  patients by the timely transfer of that patient to an appropriate level of care
				  to optimize outcome.
(d) "Medical
				  control" means the supervision and coordination of emergency medical services
				  through a medical control authority, as prescribed, adopted, and enforced
				  through department-approved protocols, within an emergency medical services
				  system.
(e) "Medical Control
				  Authority or "MCA" means an organization designated by the department to
				  provide medical control as defined in the code.
(f) "Medical control authority board" means a
				  board appointed by the participating organizations to carry out the
				  responsibilities and functions of the medical control authority.
(g) "Medical control authority region" means
				  the geographic area comprised of a county, group of counties, or parts of an
				  individual county, as designated by the department.
(h) "Non-designated health care
				  facility
"
means a health care facility that has chosen not to be a
				  part of Michigan's trauma care system, or a health care facility that the
				  department has not designated as a trauma facility.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.130 - Trauma facility verification; designation and redesignation

Current through Vol. 24-12, July 15, 2024
Rule 6.
(1) A
				  health care facility, which intends to provide trauma care, shall obtain
				  designation as a trauma facility. A health care facility shall not
				  self-designate itself as a trauma facility.
(2) A health care facility shall not use the
				  word "trauma" to describe its facility, or in its advertising, unless it
				  obtains and maintains a designation as a "trauma facility" from the
				  department.
(3) The department
				  shall redesignate the trauma capabilities of each health care facility on the
				  basis of verification and designation requirements in effect at the time of
				  redesignation.
(4) To obtain a
				  designation as a "trauma facility," the institution shall apply to the
				  department. An applicant health care facility has a right to an administrative
				  hearing if denied a specific trauma facility level designation.
(5) The department shall designate the
				  existing trauma resources of all participating health care facilities in the
				  state, based upon the following categories:
(a) A level I regional trauma research center
				  shall comply with the standards that are incorporated by reference and
				  verification criteria developed by ACS-COT for Level I trauma facilities
				  pursuant to
				  R
				  325.129(1)(e), and all of the
				  following:
(i) Comply with data submission
				  requirements in
				  R
				  325.133 and
				  R
				  325.134.
(ii) Participate in coordinating and
				  implementing regional injury prevention plans.
(iii) Provide staff assistance to the
				  department in the designation and verification process of community trauma
				  facilities and trauma support facilities.
(iv) Participate in the regional performance
				  improvement process.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.131 - Triage and transport

Current through Vol. 24-12, July 15, 2024
Rule 7.
(1) The
				  department, with the advice and recommendations of the state trauma advisory
				  subcommittee and emergency medical services coordination committee, shall
				  develop recommendations, based on standards that are incorporated by reference
				  in these rules, pursuant to
				  R
				  325.129(1)(e),
				  R
				  325.136,
				  R 325.137, and
				  R 325.138 for protocols which are
				  established and adopted by local medical control, for the triage, transport,
				  and inter-facility transfer of adult and pediatric trauma patients to
				  appropriate trauma care facilities.
(2) The standards that are incorporated by
				  reference in these rules, pursuant to
				  R
				  325.129(1)(e),
				  R
				  325.136,
				  R 325.137, and
				  R 325.138 for the triage, transport,
				  and the inter-facility transfer of trauma patients
,
provide
				  recommended minimum standards of care for protocols which are established and
				  adopted by local medical control that must be utilized during transport of
				  trauma patients. On an annual basis, or as needed, the department shall review
				  and update these recommended minimum standards with the advice and
				  recommendations of the state trauma advisory subcommittee and emergency medical
				  services coordination committee.
(3) The department, with the advice and
				  recommendations of the state trauma advisory subcommittee and emergency medical
				  services coordination committee, shall create regional trauma networks that
				  shall have the responsibility for developing triage and transport procedures
				  within that geographical area. Both of the following apply:
(a) Each regional trauma network shall be
				  created within the emergency preparedness region currently established within
				  the state.
(b) Each trauma region
				  may create its own triage and transport criteria and protocols, destination
				  criteria and protocols, and inter-facility transfer criteria and protocols,
				  which are established and adopted by local medical control, so long as they
				  meet or exceed the standards that are incorporated by reference in these rules,
				  pursuant to
				  R
				  325.129(1)(e),
				  R
				  325.129(1)(k),
				  R
				  325.136,
				  R 325.137, and
				  R 325.138, and that they are reviewed
				  by the quality assurance task force and approved by the department. This may
				  include coordination of triage and transport criteria and protocols, which are
				  established and adopted by local medical control, across geographic regions if
				  in the best interest of providing optimal trauma care to patients.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.132 - Trauma regions

Current through Vol. 24-12, July 15, 2024
Rule 8.
(1) The
				  department, with the advice and recommendations of the state trauma advisory
				  subcommittee and emergency medical services coordination committee, shall
				  support the establishment and operational activities of the trauma regions
				  through the commitment of resources.
(2) Each region shall establish a regional
				  trauma network as prescribed and defined by
				  R
				  325.125 to
				  R
				  325.135.
(3) All MCAs within a region must participate
				  in the regional trauma network, and life support agencies that care for trauma
				  patients shall be offered membership on the regional trauma advisory council.
				  Regional trauma advisory councils shall be operated in a manner that maximizes
				  inclusion of their constituents. All of the following must apply:
(a) At least quarterly, a regional trauma
				  network shall submit evidence of ongoing activity, such as meeting notices and
				  minutes, to the department. Annually, the regional trauma advisory council
				  shall file a report with the department which describes progress toward system
				  development, demonstrates on-going activity, and includes evidence that members
				  of the regional trauma advisory council are currently involved in trauma
				  care.
(b) The regional trauma
				  network shall develop a system regional trauma plan. The plan is subject to
				  review of the STAC and emergency medical services coordination committee and
				  approval by the department.
(c) The
				  department shall review the plan to assure that it contains at a minimum, all
				  of the following:
(i) All counties within the
				  regional trauma advisory council have been included unless a specific county,
				  or portion thereof, has been aligned within an adjacent network, and all health
				  care entities and MCAs, life support agencies have been given an opportunity to
				  participate in the planning process.
(ii) All of the following components have
				  been addressed:
(A) Injury
				  prevention.
(B)
				  Communications.
(C) Regional
				  performance improvement.
(D) Trauma
				  education.
(E)
				  Infrastructure.
(F) Continuum of
				  care.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.133 - Data collection

Current through Vol. 24-12, July 15, 2024
Rule 9.
(1) The
				  department, with the advice and recommendations of the state trauma advisory
				  subcommittee and emergency medical services coordination committee, shall
				  develop and maintain a statewide trauma data registry. The department shall do
				  all of the following:
(a) Adopt the national
				  trauma data standard elements and definitions as a minimum set of elements for
				  data collection, with the addition of elements as recommended by the STAC. The
				  following standards are incorporated by reference in these rules, as identified
				  in the National Trauma Data Standard: Data Dictionary, 2016 Admissions,
				  including subsequent amendments and editions. A link to the document is
				  available online at the Michigan trauma systems website. A copy may be obtained
				  at no cost by writing to the Bureau of EMS, Trauma and Preparedness.
(b) Implement a plan for data including the
				  following:
(i) Notify partners of data
				  dictionary changes and new iterations annually.
(ii) Define the data validation process for
				  designated trauma facility data submissions to the statewide trauma
				  registry.
(iii) Participate in
				  state data collaboration activities.
(iv) Establish and maintain processes for the
				  following:
(A) Data related to trauma
				  incidents shall be submitted to the statewide trauma registry according to the
				  data submission timelines.
(B)
				  Monitor national standards, regional issues, facility, and RPSROs to determine
				  the need for additional data metrics needed for system function.
(C) For those trauma incidents that met the
				  inclusion criteria identified for data submission, the following data elements
				  shall be submitted to the department:
(1) All
				  national trauma data standard data elements.
(2) All data elements recommended by the
				  STAC.
(v)
				  Develop annual reports using regional and state data defined by the STAC which
				  assesses the state trauma system and regional trauma networks.
(vi) Evaluate and import additional data from
				  existing databases as needed.
(vii)
				  Support and evaluate probabilistic and deterministic data linkages.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.134 - Statewide trauma registry

Current through Vol. 24-12, July 15, 2024
Rule 10.
(1) The
				  purpose of the trauma registry is to collect and analyze trauma system data to
				  evaluate the delivery of adult and pediatric trauma care, develop injury
				  prevention strategies for all ages, and provide resources for research and
				  education.
(2) The department shall
				  coordinate data collected by the trauma care facilities and emergency medical
				  service providers. The department shall develop and publish a data submission
				  manual that specifies all of the following:
(a) Data elements and definitions. The
				  standards that are incorporated by reference pursuant to
				  R
				  325.133(1)(a), and all of the
				  following:
(i) Definitions of what
				  constitutes a reportable trauma case.
(ii) Method of submitting data to the
				  department.
(iii) Timetables for
				  data submission.
(iv) Data
				  submission format.
(v) Protections
				  for individual record confidentiality.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.135 - Regional performance improvement

Current through Vol. 24-12, July 15, 2024
Rule 11.
(1) Each
				  trauma care region shall be required to develop and implement a regional trauma
				  performance improvement program. This program shall include the standards that
				  are incorporated by reference pursuant to
				  R
				  325.129(1)(e),
				  R
				  325.129(1)(k), and
				  R 325.130(6)(d), and
				  shall include the development of an annual process for reporting to the
				  department a review of all region-wide policies, procedures, and
				  protocols.
(2) Each regional trauma
				  network is responsible for monitoring, assessing, and evaluating its regional
				  trauma system to improve trauma care, reduce death and disability, surveillance
				  of injury, and implementation of injury prevention activities.
(3) Each regional trauma network shall
				  appoint a RPSRO.
(4) Deviations
				  from protocols, which are established and adopted by local medical control and
				  approved by the department for trauma patients, shall be addressed through a
				  documented trauma performance improvement process established by a professional
				  standards review organization.
(5)
				  Each regional trauma advisory council shall observe the confidentiality
				  provisions of the health insurance portability and accountability act under 45
				  CFR Part 164, data confidentiality provisions under the code, or as established
				  by the regional professional standards review organization.
(6) The performance improvement process shall
				  include the following standards that are incorporated by reference in these
				  rules, pursuant to
				  R
				  325.129(1)(e),
				  R
				  325.129(1)(k), and
				  R 325.130(6)(d) and
				  include all of the following system components to be evaluated for both
				  pediatrics and adults:
(a) Components of the
				  regional trauma plan.
(b) Triage
				  criteria and effectiveness.
(c)
				  Trauma center diversion.
(d) Data
				  driven provision of care defined by available data metrics supported by the
				  region, the statewide trauma advisory subcommittee, and the
				  department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.136 - Destination protocols

Current through Vol. 24-12, July 15, 2024
Rule 12.
Local MCAs shall develop and submit trauma destination
					 protocols to the EMS and trauma section for review by the quality assurance
					 task force, pursuant to MCL
					 333.20916.
					 Upon review and approval by the department
,
the MCA must formally
					 adopt and implement the protocol. The following factors will be used in
					 evaluating those destination protocols:
(a) Trauma patients shall not be transported
				  to a facility not participating in the state trauma system unless there is no
				  other reasonable alternative available.
(b) Trauma patients shall be transported to
				  the closest appropriate trauma facility as identified in regional and local
				  medical control protocols.
(c) If a
				  level I or level II trauma facility is not within a reasonable distance from
				  the scene, the trauma patient shall be transported to the closest appropriate
				  trauma facility.
(d) Each region
				  shall make appropriate determinations for destination based on what is best for
				  the patient.
(e) In areas of the
				  state close to state borders, the most appropriate facility may be out of the
				  state. If possible, transport trauma patients within state borders. Local
				  protocols shall address this issue.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.137 - Trauma patient inter-facility transfer protocols

Current through Vol. 24-12, July 15, 2024
Rule 13.
(1) All
				  designated trauma centers shall maintain inter-facility transfer protocols for
				  trauma patients that are consistent with regional and local medical control
				  protocol and that are compliant with the emergency medical treatment and labor
				  act,
				  42
				  USC 1395dd.
(2) All level III and level IV designated
				  hospitals will develop and implement formal policies based on published
				  guidelines for the transfer of trauma patients who need care at level I or
				  level II trauma facilities.
(3)
				  Trauma patients will be transported to a hospital that is designated as a
				  trauma facility.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.161 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1. As used in these rules:
(a) "Act" means 1978 PA 368, MCL 333.1001 to
				333.35211.
(b) "Body mass index" or
				"BMI" means a calculation from a persons height and weight used as a screening
				tool for identifying overweight and obese individuals who may be at risk for
				weight related health problems. It is commonly expressed in percentiles to
				control for differences in childrens body sizes due to gender and
				age.
(c) "Department" means the
				Michigan department of community health or its authorized agent.
(d) "Health care provider" has the same
				meaning as defined in section 9206(5) of the act.
(e) "MCIR" means the Michigan care
				improvement registry which is a registry of health information, including but
				not limited to
,
children's
				immunizations
;
immunization
				history; height, weight, and other reportable information; and
,
identification information on children, adolescents, and adults.
(f) "User" means any of the following
				entities:
(i) A health care
				provider.
(ii) Michigan
				schools.
(iii) Michigan day-care
				providers.
(iv) Healthcare
				organizations.
(v) Department
				personnel.
(vi) A person or
				organization otherwise authorized by the department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.162 - Users; access authorization; revocation of access privilege

Current through Vol. 24-12, July 15, 2024
Rule 2. The department shall maintain a registry of all
				  users. Users may apply to the department to be authorized for MCIR access. The
				  department may grant access and issue an authorization code only upon receipt
				  and acceptance of a written agreement between the user and the department that
				  stipulates the terms and conditions of obtaining information, including the
				  data elements that may be obtained and how the user will maintain the
				  confidentiality of the information. The department may revoke a user's access
				  privileges if the user violates the agreement.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.163 - Reportable information

Current through Vol. 24-12, July 15, 2024
Rule 3.
(1) A person
				who administers an immunization, as defined in section 5101(e) of the act after
				the effective date of these rules to a child who was born after December 31,
				1993, shall report the immunization to the department in a manner consistent
				with the rules and under either of the following circumstances, unless the
				immunization need not be reported under section 9206(2) and (3):
(a) The individual was born after December
				31, 1993.
(b) The individual is
				less than 20 years of age.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.163a - Reportable information regarding height and weight

Current through Vol. 24-12, July 15, 2024
Rule 3a
(1) A health
				care provider that provides health care services to a child ages birth to 18
				may report to MCIR the childs height and weight measured during a patient
				encounter after obtaining the consent of the childs parent(s) and/or
				guardian(s). The health care provider must provide the childs parent(s) and/or
				guardian(s) with a written consent that explains that the reporting of the
				childs height and weight information is optional, and that the parent(s) and/or
				guardian(s) may opt-out of the reporting.
(2) A health care provider who receives
				written notification from an adult requesting that his or her (or his or her
				child's) data not be reported to the registry shall forward the request to the
				department. The department shall not add any information about the childs
				height and weight to that individual's or child's record after receipt of the
				request.
(3) For each report of
				height and weight, the department shall calculate and include in MCIR the BMI
				for the child. The department may make this information accessible to health
				care providers that provide health care services to a child ages birth to
				18.
(4) To promote clinical quality
				and provider and patient education, the department shall identify
				evidence-based resource materials and reference information concerning BMI to
				be made available to health care providers. Provider oriented resource
				materials shall be consistent with clinical guidelines established by
				professional medical associations and quality improvement guidelines recognized
				by the department. Patient and family oriented resource materials shall be
				consistent with public education materials published by either federal public
				health agencies or the department. These materials are to be intended for
				informational purposes only and shall include a disclaimer that the department
				does not provide clinical guidance or assume responsibility for health care
				provided to a patient.
(5) The
				department may convene an expert advisory panel to review and advise the
				department on resource materials and reference information described in
				subsection (4) of this rule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.164 - Quality assurance

Current through Vol. 24-12, July 15, 2024
Rule 4.
(1) For the
				purpose of assuring the quality of submitted data, a provider shall allow the
				department to inspect the parts of a patient's medical records as necessary to
				verify the accuracy of submitted data.
(2) A health care provider who meets the
				standards of quality and completeness of submitted data set by the department
				is subject to inspection not more than once every 3 years for the purpose of
				assessing the quality and completeness of reporting from the provider, unless
				summary data for the provider indicate a significant deviation from
				expectation.
(3) A health care
				provider shall, at the request of the department, supply missing information,
				if known, or clarify information submitted to the department.
(4) Upon mutual agreement between a health
				care provider and the department, the provider may elect to submit copies of
				medical records instead of submitting to an inspection. The department shall
				use a copy of a submitted medical record or part of a record only to verify
				corresponding reported data, shall not recopy the record, and shall keep the
				record in a locked file cabinet when the record is not being used. The
				department shall promptly destroy a copy of a medical record submitted under
				this rule after verifying corresponding reported data or, if the reported data
				appear to be inaccurate, after clarifying or correcting the reported
				data.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.165 - Amendment, replacement, and removal of records

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) To
				protect the integrity and accuracy of the MCIR, information contained in the
				MCIR may only be amended, replaced, or removed as prescribed by these
				rules.
(2) A provider who submits
				health information or the department may amend the information in the MCIR by
				providing the minimum information needed to identify the record, a valid
				authorization code, and the replacement information on a form or in an
				electronic format prescribed by the department.
(3) A provider or the department may amend or
				update information in the MCIR by providing the minimum information needed to
				identify the record, a valid authorization code, and replacement or additional
				information on a form or in an electronic format prescribed by the
				department.
(4) A subject of a
				record, the subject's parents, a provider who did not submit the information to
				be amended, or a legal representative of either the subject or the subject's
				parents may apply to amend information contained in the MCIR. An application
				shall be in writing on a form prescribed by the department and shall be
				accompanied by documentary evidence specified by the department to support the
				amendment. The department shall review the application and supporting evidence
				and either make the amendments or deny the request. An applicant shall be
				informed in writing of the denial and of the reason for the denial.
(5) The department shall delete or replace
				birth registration information transmitted to the MCIR when original birth
				registration information is deleted or replaced by the department.
(6) The department shall make immunization
				information inaccessible or reinstate immunization information from the MCIR
				upon receipt of a written request to make inaccessible or reinstate
				immunization information. The request shall be on a form prescribed or
				authorized by the department, be signed by the subject of the record, the
				subject's parents, or legal representative of the subject or the subject's
				parents and be witnessed as required in
				R
				325.166(3).
(7) If a parent or legal guardian requests
				that the department terminate its notices regarding required immunization for
				the parent's child, then the department shall terminate the notices. A request
				shall be in writing and may be submitted to the department or to a
				provider.
(8) The department shall
				maintain a record of all changes to information in the MCIR, except for changes
				where the original birth information supplied by the department is deleted or
				replaced by the department. At a minimum, the record shall indicate the date of
				the change, the item changed, and the user who made the change.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.166 - Confidentiality of reports

Current through Vol. 24-12, July 15, 2024
Rule 6.
(1) The
				department shall maintain the confidentiality of all health information
				submitted to the department and shall not release the reports, immunization
				assessments, BMI screening data, or any information that, because of name,
				identifying number, mark, or description, can be readily associated with a
				particular individual, except in accordance with subrules (2), (3), (4), (5),
				and (6) of this rule. The department shall not release any information that
				would indicate whether or not the name of a particular person is listed in the
				registry, except in accordance with subrules (2), (3), (4), (5), and (6) of
				this rule.
(2) An immunization,
				height and weight, or any other report submitted to the MCIR concerning a
				particular individual, and any other information maintained in the MCIR that,
				because of name, identifying number, mark, or description, can be readily
				associated with a particular individual, shall be released by the department
				only as follows:
(a) To the particular
				individual upon compliance with both of the following provisions:
(i) Receipt of a written request which is
				signed by the particular individual and which is witnessed or notarized as
				required by subrule (3) of this rule.
(ii) Presentation by the particular
				individual of suitable identification as required by subrule (4) of this
				rule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.167 - Scientific advisory panel; release of information for research

Current through Vol. 24-12, July 15, 2024
Rule 7.
(1) A
				research proposal that requires the release of information which identifies
				individuals in the MCIR shall be reviewed by the department's scientific
				advisory panel as established under
				R 325.9055.
(2) The panel shall advise the director in
				writing concerning the merits of the study.
(3) A release of information for research
				that identifies individuals in the MCIR is subject to the terms and conditions
				set by the department. A person who conducts a study or research project shall
				not publish the name of any individual who is or was in the MCIR and shall not
				release any identifying number, mark, or description that can be readily
				associated with an individual who is or was the subject of an immunization
				report submitted to the department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.168 - Exchange of records

Current through Vol. 24-12, July 15, 2024
Rule 8. By written agreement, the department may transmit
				  transcripts or copies of public health records or reports to state or national
				  secure public health data systems or individuals responsible for the health
				  care of a person if the records or reports relate to residents of other states
				  or countries. The agreement shall require that the transcripts or records be
				  used only for public health purposes and that the identity of a person who is
				  subject to the report is confidential and shall only be released as specified
				  in the agreement.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Michigan Care Improvement Registry › Section R. 325.169 - Acceptance of immunization record as official record

Current through Vol. 24-12, July 15, 2024
Rule 9. An immunization record obtained from the MCIR shall
				  be accepted as the official immunization record of the person for the purposes
				  of satisfying the requirements of sections 9208 and 9211 of the
				  act.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Communicable and Related Disease › Section R. 325.171 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1.
(1) As used
				in these rules:
(a) "Appropriate local health
				department" means the local health department that has jurisdiction where an
				individual who has a disease or condition that is required to be reported
				resides or the local health department of the county in which the service
				facility is located.
(b) "Code"
				means 1978 PA 368, MCL 333.1101 to 333.25211.
(c) "Communicable" means capable of being
				transmitted from individual to individual, from animal to individual, or from
				an inanimate reservoir to an individual.
(d) "Department" means the Michigan
				department of community health.
(e)
				"Director" means the state director of community health or his or her
				designee.
(f) "Epidemic" means any
				increase in the number of cases, above the number of expected cases, of any
				disease, infection, or other condition in a specific time period, area, or
				demographic segment of the population.
(g) "Local health officer" means the health
				officer, or his or her designee, in the appropriate local health
				department.
(h) "Medical and
				epidemiological information" means any of the following:
(i) Medical histories.
(ii) Results of examinations.
(iii) Findings on laboratory tests.
(iv) Diagnoses.
(v) Treatments employed.
(vi) Outcomes.
(vii) Description and source of suspected
				causative agents.
(viii) Any other
				information that is pertinent to an investigation which is requested by the
				local health department or the department in the course of that
				investigation.
(i)
				"Novel influenza" means any strains or subtypes of influenza viruses not
				included in the current year influenza vaccine formulation.
(k) "Venereal disease" means any of the
				following:
(i) Syphilis.
(ii) Gonorrhea.
(iii) Chancroid.
(iv) Lymphogranuloma venereum.
(v) Granuloma inguinale.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Communicable and Related Disease › Section R. 325.172 - Disease reporting

Current through Vol. 24-12, July 15, 2024
Rule 2.
(1) The
				department, as required in MCL 333.5111 (1), annually review,
				maintain, and publishe a list of reportable diseases, infections, and
				disabilities on the departments website.
(2) Physicians and laboratories shall report
				the unusual occurrence, outbreak, or epidemic of any condition, including
				healthcare-associated infections, to the local health department and to the
				department as required in
				R
				325.173.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Communicable and Related Disease › Section R. 325.173 - Reporting and surveillance requirements

Current through Vol. 24-12, July 15, 2024
Rule 3.
(1) A
				physician shall report each case of a serious communicable disease that is
				listed and maintained by the department as required in, MCL 333.5111(1), except
				for human immunodeficiency virus infection and acquired immunodeficiency
				syndrome, within 24 hours of diagnosis or discovery, to the appropriate health
				department. Reporting requirements for human immunodeficiency virus infection
				and acquired immunodeficiency syndrome are set out in MCL 333. 5114 and
				subrules (12) to (14) of this rule.
(2) A physician shall report the unusual
				occurrence of any disease, infection, or condition that threatens the health of
				the public, within 24 hours of diagnosis or discovery, to the appropriate local
				health department.
(3) A physician
				shall report noncommunicable diseases that are listed and maintained by the
				department as required in MCL 333.5111(1) within 3 days of diagnosis or
				discovery, to the appropriate local health department.
(4) A physician may report any disease,
				infection, or condition that is not included in subrule (1), (2), or (3) of
				this rule to the appropriate local health department according to the
				physician's medical judgment.
(5) A
				laboratory shall report, within 24 hours of discovery, both of the following to
				the appropriate local health department:
(a)
				Laboratory evidence of any serious infection that is listed and maintained by
				the department as required in MCL333.5111(1), except for human immunodeficiency
				virus which is governed by MCL 333.5114.
(b) Laboratory evidence of any other disease,
				infection, or condition that is judged by the laboratory director to indicate
				that the health of the public is threatened. A laboratory in this state that
				receives or processes specimens to be tested for the listed agents shall report
				a result confirming presence of a listed agent, even if the testing is not done
				on-site, for example, the specimen is shipped to an out-of-state reference
				laboratory for testing.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Communicable and Related Disease › Section R. 325.174 - Investigation of diseases, infections, epidemics, and situations with potential for causing diseases

Current through Vol. 24-12, July 15, 2024
Rule 4.
(1) The
				department or the local health department that has jurisdiction where an
				individual who has a reported condition resides or where an illness or
				infection is being or may be spread shall initiate an investigation as
				necessary.
(2) An investigator who
				presents official identification of the local health department or the
				department shall promptly be provided with medical, epidemiologic, and other
				information pertaining to any of the following:
(a) Individuals who have designated
				conditions or other conditions of public health significance.
(b) Individuals, whether ill or well, who are
				part of a group in which an unusual occurrence, outbreak, or epidemic has
				occurred.
(c) Individuals who are
				not known to have a designated condition but whose medical or epidemiological
				information is needed for investigation into the cause of the occurrence of the
				condition.
(d) Individuals who were
				potentially exposed to a designated condition.
(e) Individuals who may be a carrier or
				health threat to others under MCL 333.5201.
(f) Any other information that may be
				relevant to an investigation under this rule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Communicable and Related Disease › Section R. 325.175 - Procedures for physicians, local health officers, and schools for control of diseases and infections

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) A
				physician or other person who attends to a case of communicable disease shall
				arrange for appropriate barrier precautions, treatment, or isolation if needed
				to prevent the spread of infection to other household members, patients, or the
				community. A physician or other person who seeks information on appropriate
				precautionary measures may request the local health officer or the department
				to provide the necessary information. Appropriate isolation or other barrier
				precautions may be instituted for a case or a suspected case of disease,
				infection, or other condition by the local health officer or the department as
				necessary to protect the public health.
(2) When a school official reasonably
				suspects that a student has a communicable disease except for AIDS, HIV
				infection, and noncommunicable diseases, the official may exclude the student
				for a period sufficient to obtain a determination by a physician or local
				health officer as to the presence of a communicable disease.
(3) The local health officer may initiate the
				exclusion from school or group programs of a student or individual who has a
				communicable disease. A student or individual may be returned to school or a
				group program when a physician or local health officer indicates that the
				excluded individual does not represent a risk to other individuals.
(4) When a local health officer confirms or
				reasonably suspects that a student or individual attending school or a group
				program has a communicable disease, the health officer may, as a disease
				control measure, exclude from attendance any individuals lacking documentation
				of immunity or otherwise considered susceptible to the disease until such time
				as the health officer deems there to be no likely further risk of disease
				spread.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Communicable and Related Disease › Section R. 325.176 - Immunizations required of children attending group programs or entering school

Current through Vol. 24-12, July 15, 2024
Rule 6.
(1) As used
				in this rule:
(a) "Certificate of
				immunization" means a medical, health department, school, or personal record
				which indicates the dates when each dose of a vaccine was given to an
				individual and which is certified by a health professional or local health
				department.
(b) "Exemption" means a
				temporary or permanent waiver of 1 or more of the specific immunization
				requirements for medical, religious, or other reasons.
(c) "Medical exemption" means a written
				statement from a physician that a vaccination is medically contraindicated for
				a particular child for a specified period of time.
(d) "Religious or other exemption" means a
				written statement which is signed by the parent, guardian, or person in loco
				parentis of a child, which certifies that immunization is in conflict with
				religious or other convictions of the signer, and which includes the name and
				date of birth of the child.
(e)
				"Vaccine" means an agent for immunization against an infection or disease
				caused by an infectious agent.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Communicable and Related Disease › Section R. 325.177 - Provision of care by local health departments for venereal disease; maintenance of test records after provision of pregnancy care

Current through Vol. 24-12, July 15, 2024
Rule 7.
(1) As used
				in this rule, "venereal disease case" means an individual who is diagnosed or
				treated for venereal disease on the basis of symptoms, signs, or laboratory
				tests.
(2) A local health
				department shall provide for the diagnosis, treatment, and case intervention of
				venereal disease cases within its jurisdiction. Through direct service or
				referrals, the local health department shall ensure that professional care and
				case follow-up are provided without regard to race, age, sex, national origin,
				or income. All of the following services shall be provided for the diagnosis,
				treatment, and case intervention of venereal disease cases:
(a) Relevant medical history and physical
				examination.
(b) Diagnostic
				tests.
(c) Treatment utilizing
				guidelines provided by the department.
(d) Follow-up examination and
				testing.
(e) Patient
				education.
(f) Identification and
				notification of sexual contacts.
(g) The examination and treatment of sexual
				contacts and other designated high-risk individuals exposed to venereal disease
				cases.
(h) The maintenance of
				records for not less than 5 years after the last reactive test in syphilis
				cases and for not less than 1 calendar year, not including the present year,
				for other venereal diseases.