reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 19 - Mississippi Healthcare Data Registry System › Rule 15-2-11-1.19.1 - Reporting Requirements and Procedures

Current through June 25, 2024
1.
					 By virtue of authority vested in it by the Mississippi Code Annotated Sections
					  41-63-4 or as otherwise amended, the Mississippi Department of Health does
					 hereby adopt and promulgate the following regulations and standards for the
					 Healthcare Data Registry System.
2.
					 Purpose -The Mississippi State Department of Health (MSDH), acting as the
					 state's public health authority, is required to design and establish a registry
					 program concerning the condition and treatment of persons seeking medical care
					 in the state of Mississippi ("Healthcare Data Registry System"). MSDH must
					 collect, analyze and disseminate these health care data in order to improve the
					 quality and efficiency of medical care.
3. Reporting Responsibility-Each of the
					 following licensed health care facilities in the state of Mississippi shall be
					 required to report the specified health care data described in these rules and
					 regulations:
A. Hospital Facilities - See Rule
					 1.19.2;
B. Ambulatory Surgical
					 Facilities - See Rule 1.19.3 [Reserved];
C. Outpatient Diagnostic Imaging Centers -
					 See Rule 1.19.4 [Reserved];
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 19 - Mississippi Healthcare Data Registry System › Rule 15-2-11-1.19.2 - Hospital Reporting

Current through June 25, 2024
1. Definitions
					 as used in this Subchapter:
A. Hospital -
					 means a place devoted primarily to the maintenance and operation of facilities
					 for the diagnosis, treatment and care of individuals suffering from physical
					 and mental infirmity, illness, disease, injury or deformity, or a place devoted
					 primarily to providing obstetrical or other medical, surgical, or nursing care
					 of individuals, whether or not any such place be organized or operated for
					 profit and whether any such place be publicly or privately owned, and is
					 licensed by the Department as a hospital. The term "hospital" does not include
					 convalescent or boarding homes, children's homes, homes for the aged or other
					 like establishments where room and board only are provided, nor does it include
					 offices or clinics where patients are not regularly kept as bed
					 patients.
B. Freestanding emergency
					 room- a facility open twenty-four (24) hours a day for the treatment of urgent
					 and emergent medical conditions which is not located on a hospital
					 campus.
C. Department - means the
					 Mississippi State Department of Health.
D. Student- an individual with a full-time
					 undergraduate or graduate enrollment status at a college or
					 university.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 19 - Mississippi Healthcare Data Registry System › Rule 15-2-11-1.19.3 - Ambulatory Surgical Facilities Reporting

Current through June 25, 2024
RESERVED FOR FUTURE USE.
Miss.
						Code Ann. §
												41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 19 - Mississippi Healthcare Data Registry System › Rule 15-2-11-1.19.4 - Outpatient Diagnostic Imaging Centers Reporting

Current through June 25, 2024
RESERVED FOR FUTURE USE.
Miss.Code Ann.
						§
												41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 19 - Mississippi Healthcare Data Registry System › Rule 15-2-11-1.19.5 - Outpatient Diagnostic Imaging Centers Reporting

Current through June 25, 2024
1.
					 Outpatient Diagnostic Imaging Centers
a.
					 Reporting Required- Each reporting facility will report discharge data on every
					 outpatient discharged directly to IODS as specified by law.
b. Data Elements - Each reporting facility
					 shall report data elements listed in the IODS policy manual.
c. Quality Assurance- Each reporting
					 outpatient diagnostic imaging center will be required to follow the IODS data
					 use council's guidelines for quality assurance and accuracy.
d. Time of Reporting and Methodology- Each
					 reporting facilities shall submit data quarterly to IODS, within 60 days after
					 the end of each quarter. However, these guidelines are subject to change based
					 on the Policies and Procedures established by the IODS.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 20 - HOSPITAL REPORTING OF HEALTHCARE ASSOCIATED INFECTIONS AND HEALTHCARE DATA VIA THE NATIONAL HEALTHCARE SAFETY NETWORK (NHSN) › Rule 15-2-11-1.20.1

Current through June 25, 2024
Purpose - CMS currently requires that all acute care hospitals, long term acute care hospitals, inpatient rehabilitation facilities and outpatient dialysis centers participating in the Prospective Payment System (PPS) report specific measures related to HAI's and infection prevention to CDC via NHSN. CMS currently publishes selected measures on the Hospital Compare website for the previous reporting year. As a mechanism of responding to specific HAI's exceeding acceptable thresholds, MSDH Department of Epidemiology will use these data to respond to specific outbreaks or aberrant events in collaboration with facilities involved.
Facility-specific data obtained from NHSN by MSDH will be used for epidemiological purposes related to prevention and surveillance and will not be disclosed to third parties by MSDH. MSDH will also assist facilities to improve reporting where deficiencies are identified.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 20 - HOSPITAL REPORTING OF HEALTHCARE ASSOCIATED INFECTIONS AND HEALTHCARE DATA VIA THE NATIONAL HEALTHCARE SAFETY NETWORK (NHSN) › Rule 15-2-11-1.20.2

Current through June 25, 2024
Reporting Required - Any facility, including acute care hospitals, long term acute care hospitals, inpatient rehabilitation facilities and outpatient dialysis centers, required to report to NHSN by CMS shall confer NHSN viewing rights to MSDH. MSDH will not require reporting of additional measures, beyond those required by CMS.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 20 - HOSPITAL REPORTING OF HEALTHCARE ASSOCIATED INFECTIONS AND HEALTHCARE DATA VIA THE NATIONAL HEALTHCARE SAFETY NETWORK (NHSN) › Rule 15-2-11-1.20.3

Current through June 25, 2024
Time of Reporting - Timeliness of reporting shall be as directed by existing CMS /NHSN reporting requirements
Miss.
						Code Ann. §
												41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-3-1-1.1.1 - Legal Authority

Current through June 25, 2024
The Mississippi State Department of Health (the
						Department) is assigned the responsibility for creating, implementing and
						managing the statewide trauma care system. The Department shall be designated
						as the lead agency for trauma care system development. The Department shall
						develop and administer trauma regulations that include, but are not limited to,
						the Mississippi Trauma Care System Plan, trauma system standards, trauma center
						designations, field triage, inter-facility trauma transfer, pediatric trauma
						care, burn care, trauma data collection, trauma care system evaluation and
						management of state trauma system funding. The Department shall promulgate
						regulations specifying the methods and procedures by which Mississippi-licensed
						acute care facilities shall participate in the statewide trauma system. Those
						regulations shall include mechanisms for determining the appropriate level of
						participation for each facility or class of facilities. The Department shall
						also adopt a schedule of fees to be assessed for facilities that choose not to
						participate in the statewide trauma care system, or which participate at a
						level lower than the level at which they are capable of participating. The
						Department shall take the necessary steps to develop, adopt and implement the
						Mississippi Trauma Care System Plan and all associated trauma care system
						regulations necessary to implement the Mississippi trauma care system. The
						Department shall cause the implementation of both professional and lay trauma
						education programs. These trauma educational programs shall include both
						clinical trauma education and injury prevention. As it is recognized that
						rehabilitation services are essential for traumatized individuals to be
						returned to active, productive lives, the Department shall coordinate the
						development of the inclusive trauma system with the Mississippi Department of
						Rehabilitation Services and all other appropriate rehabilitation
						systems.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-3-1-1.1.2 - Mississippi Trauma Advisory Committee

Current through June 25, 2024
The Mississippi Trauma Advisory Committee (MTAC) is
						created as a committee of the Emergency Medical Services Advisory Council. The
						membership of the MTAC is comprised of the members of the Emergency Medical
						Services Advisory Council (EMSAC); the members of which are appointed by the
						Governor. The Chairman of EMSAC shall appoint EMSAC members to the MTAC. This
						committee shall act as the advisory body for trauma care system development,
						and provide technical support to the Department in all areas of trauma care
						system design, trauma standards, data collection and evaluation, continuous
						quality improvement, trauma care system funding, and evaluation of the trauma
						care system and trauma care programs.
Miss. Code Ann.
						§
												41-59-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 1 - General › Rule 15-3-1-1.1.3 - Mississippi Trauma Advisory Committee Meetings

Current through June 25, 2024
The Mississippi Trauma Advisory Committee (MTAC) shall
						meet at least quarterly and report to the State Board of Health at its
						regularly scheduled meetings on the performance of Trauma System. For
						attendance at such meetings, the members of the MTAC shall be reimbursed for
						their actual and necessary expenses including food, lodging and mileage as
						authorized by law, and they shall be paid per diem
						compensation.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.1 - Application for Initial Trauma/Burn Center designation

Current through June 25, 2024
a.
					 To receive designation as a trauma center, or as a burn center, or as a
					 tertiary pediatric trauma center, an applicant hospital shall submit an
					 application to the Department. Within 60 days of receipt of the application,
					 the Department shall provide written notification to the applicant hospital
					 that the application has been received by the Department; whether the
					 Department accepts or rejects the application; if accepted, the date scheduled
					 for an education visit; if rejected, the reasons for rejection and a deadline
					 for submission of the corrected application to the Department.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.2 - Trauma Center Education Visit

Current through June 25, 2024
1. Designated Level
					 I, II, III Trauma Center; Burn Center; or Tertiary Pediatric Trauma Center may
					 request an education visit. This visit is used to assist the applicant hospital
					 in preparation for the trauma center survey. The results of the visit will be
					 held in confidence by the Department. The Department will work with, and
					 provide assistance to, the applicant hospital to correct any deficiencies noted
					 during the education visit. Education visits may be conducted on-site or by
					 telephone/video conference; the applicant hospital shall request the preferred
					 type of visit. The composition of the education team shall be determined by the
					 Department.
2. If an applicant
					 hospital requests a trauma center survey without having first received an
					 education visit and the hospital fails to meet designation criteria, the survey
					 shall be deemed an education visit. Any subsequent survey for designation as a
					 trauma center shall be at the applicant hospital's expense.
3. Upon successful completion of the initial
					 education visit, the Department shall notify the applicant hospital that the
					 hospital may receive patients by EMS in accordance with the state trauma
					 destination guidelines. The notification process is described in the Site
					 Survey Manual which is posted on the Department's website.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.3 - Hospital Surveys

Current through June 25, 2024
1. The Department
					 shall provide for the survey of the applicant hospital, provided that its
					 application has been formally approved by the Department, on the date scheduled
					 and indicated in the Department's acceptance letter to the applicant hospital,
					 unless the Department provides written notification with justification of
					 change to the applicant hospital no later than 14 days prior to the survey
					 date; or the applicant hospital provides written request with justification for
					 a change in the survey date to the Department no later than 30 days prior to
					 the survey date.
2. Results of
					 Trauma Center surveys will be provided by the Department in writing to the
					 applicant hospital. Details related to the hospital's survey will be considered
					 confidential and will not be released.
3. No survey process provided by any other
					 agency, organization, or group may be substituted for a Department designation
					 survey of Mississippi licensed hospitals.
4. Surveys of non-Mississippi licensed
					 hospitals may be conducted by national accrediting organizations, i.e.,
					 American College of Surgeons or American Burn Association. The Department must
					 receive the complete report from the accrediting organization, including
					 any/all Corrective Action Plans (CAP). The Department shall review the report
					 for compliance with the Mississippi Trauma System regulations and shall make a
					 recommendation to the State Health Officer for designation.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.4 - Level I, II, and III Trauma Center, Burn Center, and Tertiary Pediatric Trauma Center On-site Surveys

Current through June 25, 2024
1. The Department
					 shall provide multidisciplinary teams for all on-site surveys.
2. Trauma Center survey teams shall consist
					 of disciplines as follows:
a. Level I and II
					 Trauma Centers: Teams shall consist of the following representative
					 disciplines: trauma/general surgeon, emergency medicine physician, and trauma
					 nursing. The Department may add additional team members as necessary. All
					 members of teams for Level I and II Trauma Center inspections shall reside and
					 practice outside the State of Mississippi.
b. Level III Trauma Centers: As a minimum-
					 teams shall consist of the following representative disciplines:
					 trauma/general. surgeon and trauma nursing. Team members may reside in
					 Mississippi; however, they may not practice in any hospital or reside within 60
					 miles of the applicant hospital. The Department may add team members as
					 necessary.
c. Burn Centers: Teams
					 shall consist of the following representative disciplines: surgeon with
					 experience/credentials in burn care and trauma/burn nursing. Team members may
					 reside in or outside of Mississippi. The Department may add team members as
					 necessary.
d. Tertiary Pediatric
					 Trauma Centers: Teams shall consist of the following representative
					 disciplines: trauma/general surgeon with pediatric experience/credentials,
					 emergency medicine physician with pediatric experience, and trauma nursing with
					 pediatric experience. The Department may add team members as necessary. All
					 team members shall reside outside of the State of Mississippi.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.5 - Categories of Trauma Center Designations

Current through June 25, 2024
1. Complete
					 Designation: The hospital has completed the requirements for designation at the
					 application level.
2. Complete
					 Designation with Conditions: The hospital has completed the requirements for
					 Complete Designation at the application level with the exception of minor (no
					 patient or operational impact) condition(s). This designation category may be
					 used for initial designations or an interim change in status from Complete
					 Designation due to a temporary loss of a capacity or capability.
a. Any hospital receiving written
					 notification of Complete Designation with Conditions must submit to the
					 Department within thirty (30) days from the receipt of notification a written
					 Corrective Action Plan (CAP) including timelines for completion.
b. The Department, upon receipt, shall either
					 approve or disapprove the plan within thirty (30) days. The Department may
					 require a "Focused Survey" with an inspection team to review the hospital's CAP
					 for complete implementation. If the Focused Survey team deems the CAP fully
					 implemented, the hospital will receive Complete Designation.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.6 - Term of Trauma Center Designations

Current through June 25, 2024
a. The Department
					 shall designate trauma centers for a period not to exceed three (3) years.
					 Designations shall remain active for three years provided no substantive
					 changes or variances have occurred. The Department may perform periodic trauma
					 center audit/reviews at each designated trauma center. The State Health Officer
					 (SHO) may extend trauma center designations for one (1) year.
b. After completion of a designation survey,
					 the team conducting the survey will make a recommendation to the Department for
					 designation. The Director of the Bureau of Acute Care Systems (BACS) will
					 present the survey report and the team's recommendation to the state Trauma
					 System Medical Director (TSMD). The TSMD may seek advice or further
					 recommendation from the Mississippi Trauma Advisory Committee (MTAC) during its
					 executive session, if the TSMD disagrees with the recommendations of the team;
					 otherwise the TSMD may make direct recommendations to the State Health Officer.
c. The Director of BACS will
					 prepare a memorandum detailing the recommendations of the team and signed by
					 the TSMD for the State Health Officer and will forward the memorandum and the
					 designation letter to the State Health Officer for signature. Once signed, the
					 letter will be sent to the hospital receiving the survey.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.7 - Trauma/Burn/Tertiary Pediatric Trauma Center Designation Renewal

Current through June 25, 2024
Hospitals desiring renewal of designation must submit an
						application no later than 120 days prior to expiration of designation. The
						Department will acknowledge receipt of the application within 30 days to the
						applicant hospital and begin the designation process as provided by this
						regulation
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.8 - Loss of Required Trauma Care Capability

Current through June 25, 2024
Any designated Trauma/Burn Center that loses, either
						permanently or temporarily, physician, nursing, or other patient care
						specialties required by this regulation, shall report that loss to the
						Department utilizing the state approved reporting system. If the loss will
						result in diminished capability for a period longer than 30 days, the facility
						must also submit a Corrective Action Plan (CAP) that addresses how the facility
						will become compliant.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.9 - Suspension of Trauma Center Designation

Current through June 25, 2024
The State Health Officer may suspend the Trauma Center
						designation of any hospital for:
1.
					 Documented conditions of serious threat or jeopardy to patients' health or
					 welfare;
2. Failure to comply with
					 laws or regulations;
3. Failure to
					 satisfactorily meet the minimum requirements as a Trauma Center as defined by
					 regulations for the designation level.
4. Failure to complete a Corrective Action
					 Plan (CAP) within the timeframe specified by the Department.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.10

Current through June 25, 2024
Hospitals having their designation suspended may reapply
						for designation after resolution of all issues related to the suspension, and
						completion of a new application and survey. When a hospital's designation is
						suspended or withheld, the hospital is responsible for paying the pro-rata fees
						as set forth in the "Play or Pay" section of these regulations from the date of
						suspension until the center is redesignated.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.11 - Change of Trauma Center Designation

Current through June 25, 2024
Trauma Centers will be permitted to change their
						designation if the following conditions are met in their entirety:
1. The Trauma Center has been surveyed and
					 designated by the Department, the designation is current, and the Trauma Center
					 is in full compliance with Department and Region rules, regulations, policies,
					 procedures, and protocols;
2. The
					 request to change designation has been approved by the applicable Trauma Care
					 Region;
3. The Department's Trauma
					 Consultant has reviewed the request and determines that there is no adverse
					 impact to the Region or Trauma Care System;
4. The Mississippi Trauma Advisory Council
					 (MTAC) has recommended approval of the request.
5. The Bureau of Acute Care Systems concurs
					 with the request;
6. The State
					 Health Officer (SHO) or designee issues the new designation.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.12 - Appeal Process

Current through June 25, 2024
1. A hospital shall
					 have 30 calendar days from the date of notification of suspension of Trauma
					 Center designation to appeal the decision, in writing, to the Department and to
					 request a due process hearing.
2.
					 The Director of the Bureau of Acute Care Systems, upon receipt of a request for
					 a hearing, shall set a date no more than 30 calendar days from the receipt of
					 the request for a hearing.
3. The
					 hearing officer appointed to conduct the hearing shall be a person appointed by
					 the Director of the Office of Health Protection. A stenographic record of the
					 hearing shall be made by a certified reporter/stenographer. The record shall
					 consist of all sworn testimony taken, written, documentary or other relevant
					 evidence taken at said hearing.
4.
					 Within 30 calendar days of the receipt by the hearing officer of the certified
					 record, he/she shall render findings of fact and conclusions of law contained
					 in an order. The order so produced by the hearing officer shall be the final
					 order of the Mississippi State Department of Health and shall be appealable to
					 a court of competent jurisdiction.
5. If the decision of the Department is
					 unfavorable to the hospital, the hospital may apply for trauma center
					 designation at another level, but must pay all costs associated with the
					 survey.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 2 - Designation of Trauma/Burn Centers › Rule 15-3-1-1.2.13 - Partial Capability

Current through June 25, 2024
Any trauma center that chooses to offer patient care
						services that are above the level of their trauma center designation, must
						comply with the standards for the higher level of designation, including
						response times for physician specialties, protocols and procedures, performance
						improvement processes, equipment, training, and personnel as listed on the
						Essentials and Desirables ("E&D") chart of the appropriate trauma center
						level. Additionally, the higher patient care must be reviewed by the hospital
						performance improvement committee, the statewide Performance Improvement
						Committee and the Department
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.1 - Trauma Care Trust Fund

Current through June 25, 2024
The Trauma Care Trust Fund (TCTF) shall serve as the
						financial support mechanism for development of the Mississippi Trauma Care
						System. The Department may contract for specific services, including but not
						limited to TCTF distribution to designated trauma centers and EMS agencies,
						administrative support and trauma education activities
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.2 - Trauma Care Trust Fund Eligibility

Current through June 25, 2024
1. Trauma Care
					 Trust Fund (TCTF) distribution shall be provided to designated Level I, II, and
					 III Trauma Centers, designated Burn Centers, eligible physicians and eligible
					 licensed ambulance services. Designated Level IV Trauma Centers will receive an
					 annual stipend for satisfactory participation in the Mississippi Trauma Care
					 System. To be eligible for trauma funding as provided in these rules, EMS
					 providers must comply with the Mississippi Guidelines for Field Triage of
					 Injured Patients and transport patients to the most appropriate trauma center
					 (determined through Trauma Registry data reporting and statewide Performance
					 Improvement Committee). Eligible expenditures for EMS providers are listed in
					 the Trauma System Audit Manual posted on the MSDH website.
2. Level I Trauma Centers and stand-alone
					 Tertiary Pediatric Trauma Centers located in a state contiguous to the State of
					 Mississippi that participate in the Mississippi Trauma Care System and have
					 been designated by the Department shall be eligible to receive distributions
					 from the TCTF.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.3 - Trauma Care Trust Fund Distribution Formula

Current through June 25, 2024
1. Funds for
					 the administration and development of the Trauma Care System will be budgeted
					 from available funds from the TCTF. Examples of administrative and development
					 costs include, but are not limited to, salaries and benefit costs for personnel
					 (full-time and part-time equivalents) who expend a portion of their time in
					 trauma care administration and/or development, travel and training costs for
					 such personnel, use of trauma care physicians and/or other trauma professionals
					 used in the development and/or maintenance of the trauma care system,
					 development and/or maintenance of accounting and auditing of the use and
					 distribution of the TCTF, costs of vendors involved in administrative and
					 educational activities and the costs associated with the development and/or
					 implementation of the Trauma Care System (i.e., telecommunication systems, data
					 storage and/or retrieval systems, advertising, equipment, etc.)
2. Eighty-five percent (85%) of the remaining
					 funds from the TCTF are allocated to participating Level I, II, and III Trauma
					 Centers and Burn Centers which shall further allocate at least thirty percent
					 (30%) of the funds received to eligible physicians.
3. Fifteen percent (15%) of the remaining
					 funds from the TCTF are allocated to eligible licensed ambulance services that
					 provide pre-hospital care to trauma victims.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.4 - Trauma Care Trust Fund Distribution Calculation

Current through June 25, 2024
Amounts to be disbursed from the Trauma Care Trust Fund
						(TCTF) shall be calculated as follows:
1. On or about June 1 and December 1 of each
					 year, or at such other times as the State Health Officer may direct, the Bureau
					 of Acute Care Systems shall obtain a financial report showing the fund balance
					 in the TCTF.
2. To obtain the
					 amount to be distributed, the following amounts will be subtracted from the
					 fund balance:
a. One half of an amount to be
					 determined by the Department for administrative expenses of the Department
					 Division of Trauma as of the date of the calculation including costs associated
					 with vendors providing administrative and educational activities;
b. One half of an amount not to exceed Ten
					 Thousand Dollars ($10,000) for each Level IV Trauma Center which has completed
					 at least one year of satisfactory participation in the Mississippi Trauma Care
					 System as of the date of the calculation (annual stipend
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.6 - Trauma Care Trust Fund Hospital Fixed Distribution

Current through June 25, 2024
1.
					 Eighty-five percent (85%) of the amount remaining after the expenses noted in
					 Rule 1.3.4 have been determined shall be distributed to the vendor for further
					 distribution. The vendor shall further distribute said funds to participating
					 trauma centers as prescribed by the accounting vendor.
2. Thirty percent (30%) of the amount
					 reserved for distribution to hospitals shall be distributed according to a
					 "Fixed Distribution," based on the designated level of each eligible trauma
					 center.
3. For purposes of
					 determining amounts to be distributed to trauma centers pursuant to this rule,
					 the following definitions shall apply:
a.
					 Number of Facilities - the number of licensed acute care facilities designated
					 as a Level I, Level II or Level III Trauma Centers
b. Relative Weights - Level I shall equal
					 100%; Level II shall equal 87.5%; Level III shall equal 62.5%
c. Calculated Weight - Equals the number of
					 facilities designated at a particular level of trauma center multiplied by the
					 relative weight.
d. Total Weight -
					 equals the sum of calculated weights
e. Disbursement by Hospital Type - equals
					 Total Hospital Fixed Fund / Total Weight X Relative Weight
f. Total Disbursement by Hospital Type -
					 equals the sum of Disbursement by Hospital Type
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.7 - Trauma Card Trust Fund Hospital Variable Distribution

Current through June 25, 2024
1.
					 Fifty percent (50%) of the amount reserved for distribution to hospitals shall
					 be distributed according to a "Variable Distribution" formula.
2. Using patient data collected in the Trauma
					 Registry, assign all trauma cases of each Level I, Level II, and Level II
					 Trauma Center an ISS severity index and category of A, B, C, or D according to
					 the following table:
ISS
ISS Severity Index
ISS Severity Category
1-9
1.02
A
10-15
2.02
B
16-24
3.80
C
>24
6.57
D
3. Using patient data collected in the Trauma
					 Registry, Calculate the number of cases treated by each trauma center which
					 fall within each ISS Severity Category.
4. Multiply the total number of ISS Severity
					 Category A cases by the relative value assignment of 1.02 to arrive at the
					 total number of Category A points.
5. Multiply the total number of ISS Severity
					 Category B cases by the relative value assignment of 2.02 to arrive at the
					 total number of Category B points.
6. Multiply the total number of ISS Severity
					 Category C cases by the relative value assignment of 3.80 to arrive at the
					 total number of Category C points.
7. Multiply the total number of ISS Severity
					 Category D cases by the relative value assignment of 6.57 to arrive at the
					 total number of Category D points.
8. Add the points from Categories A, B, C,
					 and D to arrive at a total number of points for each trauma center.
9. Sum the number of points from all
					 categories and all hospitals to arrive at a total number of points for all
					 trauma centers.
10. Take the number
					 of points for each hospital and multiply that number by the total dollar amount
					 for the 50 percent of the TCTF available for distribution to participating,
					 eligible trauma centers. Take the product of that calculation and divide the
					 resulting number by the total number of points for all trauma
					 centers.
11. The resulting quotient
					 is the dollar amount of the Hospital Variable Fund to be distributed to that
					 trauma center.
12. Sum all the
					 amounts to be distributed pursuant to the Hospital Variable Fund Calculation.
					 The sum of all distributions should not exceed fifty percent (50%) of the
					 eighty-five percent (85%) of the TCTF available for distribution to
					 hospitals.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.8 - Trauma Care Trust Fund Burn Center Distribution

Current through June 25, 2024
Five percent (5%) of the amount reserved for distribution
						to hospitals shall be distributed to designated burn centers within the Trauma
						Care System. If more than one burn center is operating within the system, the
						5% will be distributed based on a pro-rata share of patients as determined by
						Trauma Registry inputs. (Note: Trauma patients counted toward burn center
						distribution cannot be used to determine hospital variable distribution.) If no
						hospital has been desig nated as a burn center at the time of the distribution,
						the 5% shall be included in the Hospital Fixed Distribution.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.9 - Play or Pay General Requirements

Current through June 25, 2024
1. Every
					 Mississippi licensed acute care facility (hospital) having an organized
					 emergency service or department shall participate in the Mississippi Statewide
					 Trauma Care System. Every hospital having an organized emergency service or
					 department shall submit data to the Trauma Registry.
2. Hospitals with the potential to serve as
					 Level I, II, or III Trauma Centers must participate at the highest trauma
					 designation level consistent with its capabilities as assessed by the
					 Department.
3. Any hospital
					 determined capable of participating as a Level IV Trauma Center may make
					 application to be designated as a Level IV Trauma Center. A Level IV Trauma
					 Center is required to submit data to the Trauma Registry and is eligible for
					 $10,000 for administrative costs as a participant in the Trauma Care
					 System.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.10 - Annual Capability Assessment

Current through June 25, 2024
1. Each year, all
					 licensed acute care facilities shall complete a survey on forms provided by the
					 Department. The facility will attest to the presence or absence of clinical
					 services. Based on the facility's response, as well as other supporting
					 evidence, the Department shall render an assessment of the facility's potential
					 to participate in the Trauma Care System.
2. Each facility shall receive a
					 pre-assessment survey during the first week of July to be completed and
					 returned to the Department by the first week of August.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.11 - Annual Assessment Criteria

Current through June 25, 2024
For the purposes of the annual assessment, clinical
						services must be available 24 hours per day, seven days per week to be
						considered.
1. Level I Trauma Center
					 required services:
a. Emergency
					 Medicine
b. General
					 Surgery
c. Orthopedic
					 Surgery
d. Neurological
					 Surgery
e. Anesthesia
f. Post Anesthesia Care Unit (PACU)
g. Intensive Care Unit
					 (ICU)
h. Surgical Residency
					 Program
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.12 - Play or Pay Non-Participation Fee

Current through June 25, 2024
1. Any hospital
					 that chooses not to participate in the Trauma Care System as a Level I, II, or
					 III Trauma Center, or participates at a level lower than the level at which it
					 is capable of participating, as determined by the Department, or fails to
					 maintain or becomes incapable of maintaining its designation as a Level I, II
					 or III Trauma Center, or has its designation as a Level I, II, or III Trauma
					 Center suspended by the Department, or becomes "non-designated" as a Level I,
					 II, or III Trauma Center, shall be assessed and shall pay a non-participation
					 fee as defined by this regulation.
2. All fees are due and payable annually
					 before January 1 of each year. Any event above, occurring during the calendar
					 year shall result in the hospital owing a pro-rata portion of the fee. The fee
					 assessed shall be pro-rated on a monthly basis. The fee shall be paid in full
					 upon written notification from the Department.
3. The fee schedule shall be reassessed and
					 adjusted, as necessary, each year by the Mississippi Trauma Advisory Committee.
4. The fee schedule is as follows:
Current Level
Projected Level
Fee for Non Participation
Non Designated
Level II
$1,492,000.00
Non Designated
Level III
$ 758,000.00
Level III to
Level II
$ 423,500.00
Level IV to
Level II
$1,492,000.00
Level IV to
Level III
$ 758,000.00
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-3-1-1.3.13 - Play or Pay Appeal Process

Current through June 25, 2024
1. Following the
					 receipt of an invoice from the Department for a Non-Participation fee, the
					 hospital assessed the fee may request a due process hearing on the assessment.
					 Any such request for hearing must be filed by the assessed facility with the
					 Director of the Bureau of Acute Care Systems, Mississippi State Department of
					 Health, within thirty (30) days of the date of the assessment.
2. The date of the assessment is defined as
					 the date which the assessment is placed in the United States Mail, postage
					 pre-paid, addressed to the facility assessed, at the address furnished by the
					 hospital to Trauma Registry, or to the address published by the party as its
					 usual and customary business address. The date of the postmark shall be prima
					 facie evidence of the date of the assessment.
3. The Director of the Bureau of Acute Care
					 Systems, upon receipt of a valid, timely request for a hearing, shall set a
					 date no more than thirty (30) calendar days from the receipt of the request for
					 hearing.
4. The hearing officer
					 appointed to conduct the hearing shall be a person chosen or appointed by the
					 Director of the Office of Health Protection. A stenographic record of the
					 hearing shall be made by a certified reporter/stenographer. The record shall
					 consist of all sworn testimony taken, written, documentary or other relevant
					 evidence taken at said hearing.
5.
					 The only issues for adjudication are:
a. The
					 timeliness of notice of the assessment and delivery of the same;
b. The trauma classification of the party;
					 and
c. The calculation of the
					 amount of the assessment.