Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15103 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. For the purposes
				  of these regulations, the following words and phrases, when used herein, shall
				  be construed as listed below.
Act
-the Act 622 of the 1997 Regular
					 Legislative Session, R.S. 40: 1300.111 et seq.
Aggregate Data Set
-an array of counts of
					 patient level records, or of totals of patient level record quantities
					 (example: Total Charges), classified by data categories (example: "year of
					 discharge"). Aggregate data sets may be used to present health data usefully,
					 yet in a manner which can minimize potential for identification of confidential
					 information, since they can be assured to have any necessary minimum cell size.
					 Aggregate data sets shall not include the following information:
a. facility identifiers;
b. patient or insured identifiers;
c. physician or other health care service provider
					 identifiers;
d. payor identifiers;
e. employer identifiers.
a. employer identifiers, facility identifiers, patient or
					 insured identifiers, payor identifiers, or physician or other service provider
					 identifiers;
b. information identified by the identifiers;
c. combinations of data categories derived from part or all
					 of the hospital discharge database information that would identify or tend to
					 identify an employer, facility, patient or insured person, payor, or physician
					 or other service provider; and
d. information identified by combinations of these data
					 categories.
Data Base
-a structured repository of
					 data, consisting of one or more related structured data tables.
Data Category
-one of the typically
					 (though not necessarily) non-unique data values of a data element, or to
					 equivalent labels for these values. For example, the data categories of the
					 data element years may be three in number: "98," "99," and "00," and may be
					 labeled "1998," "1999," and "2000," whereas the data categories of the data
					 element patient birth date may have thousands of possible values, some of which
					 are probably uniquely associated with exactly one person.
Data Element
-a logical field of a data
					 record or a column of a data table, and includes both the named data elements
					 in this rule, and any other data elements obtained or created by analytic or
					 synthetic methods. Examples: discharge year, age group, sex, or disease
					 group.
Data Record
-the row of a data table, or
					 the set of related rows from related tables in a database.
Data Set
-a structured subset of data from
					 a database.
Department
-the Louisiana Department of
					 Health and Hospitals.
Employer Identifier
-employer name,
					 employer location/address excluding the first three digits of the ZIP code, or
					 other information that identifies an employer.
Facility Identifier
-provider name,
					 provider telephone number, provider fax number, federal tax number or ein,
					 federal tax sub ID, Medicare provider number, national provider identifier,
					 mailing address excluding the first three digits of the ZIP code, or other
					 information that identifies a facility.
Guide
-the Hospital Discharge Data
					 Submittal Guide included in §15113-15129 of this rule.
Health Research-the study of patterns or trends in health
					 or health care.
Hospital
-any institution, place, building
					 or agency, public or private, whether organized for profit or not-for-profit,
					 which is subject to licensure as a hospital by the Louisiana Department of
					 Health and Hospitals.
Hospital Discharge Information
-all
					 billing, medical, and personal information describing a patient, the services
					 received, and charges billed, associated with a single inpatient hospital stay,
					 including all elements of the Uniform Billing form, UB-92.
Hospital Discharge (Data) Record
-the
					 structured document, in paper or electronic form, of all the UB 92 data for a
					 single hospital stay, or the data content of that document. This often will
					 include more than one data record.
Hospital Stay or Inpatient Hospital
					 Stay
-the period, activities, events, and conditions associated with a
					 patient, from the time of admission to a hospital, to the time of discharge
					 from that hospital. Facilities licensed as hospitals and having different
					 provider numbers are, for the purpose of this definition, distinct hospitals
					 having discrete hospital stays and hospital discharges.
Intermediary
-a data processing agent of a
					 hospital, who is contracted or employed by that hospital to relay their
					 Hospital Discharge Records to OPH in compliance with these rules.
Office, also OPH
-the Louisiana Office of
					 Public Health;
Panel or Research Panel
-the Hospital
					 Discharge Data Research Panel as described in §15007 of this rule.
Patient or Insured Identifier
-patient
					 name, insured's name, patient address or insured's address (specifically
					 including P.O. Box or street address, but not city, 5-digit ZIP Code, or
					 state), patient control number, SSN, medical record number, health insurance
					 claim identification number, or information that would identify or tend to
					 identify an individual patient or insured person under whom the patient may be
					 covered.
Patient Level Data
-the non-aggregate, one
					 logical record per discharge, form of data submitted by hospitals which
					 includes part or all of the submitted data elements or recoded data derived
					 from submitted data elements. This term refers to both the raw patient level
					 data still in the form in which it is submitted, and the cleaned patient level
					 data which may have had error checking or edits applied or which may have been
					 separated into the specifically named patient or insured identifier data
					 elements and the remaining data elements. Patient level data may include all or
					 part of the hospital discharge data record.
Payor Identifier
-the payor name, payor
					 identification, insured group name, insurance group number, or other
					 information that identifies a payor.
Physician and Other Service Provider
					 Identifier
-attending physician name, attending physician number,
					 operating physician name, operating physician number, other physician name,
					 other physician number, or other information that identifies a physician or
					 other service provider.
Publish
-to make any hospital discharge
					 information available in paper or electronic form to person(s) who are
					 not:
a. part of the research group authorized to use that
					 information by the research panel as described in §15109; or
b. OPH staff authorized to use that information.
Release
-a conditional distribution of
					 hospital discharge information for purposes authorized by this rule.
Secure Information
-that information which
					 is not subject to release by OPH or the research panel, and will not be
					 released for any purpose. Secure information includes patient and insured
					 identifiers.
Submit
-(with respect to a submission
					 date, and data, reports, surveys, statements or documents required to be
					 submitted to the Louisiana Office of Public Health) to deliver, or to cause to
					 be delivered, to the Office of Public Health, in the form and format specified,
					 by the close of business on the prescribed date.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:1300.112(D).