New Jersey Administrative Code › Title 8 - HEALTH › Chapter 56 - HEALTH CARE FACILITY INFECTION REPORTING › Subchapter 1 - GENERAL PROVISIONS › Section 8:56-1.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this chapter, shall
				  have the following meanings, unless the context clearly indicates otherwise:
"Act" means the Health Care Facility-Associated Infection
				  Reporting and Prevention Act at
				  26:2H-12.3 9 through 12.45
				  (P.L.
				  2007, c. 196) when
				  referencing a general hospital and
				  26:2H-5.1e (P.L. 2009,
				  c. 263) when referencing an ambulatory surgery
				  facility.
"Administrator" means the person at a health care facility
				  assigned to have all rights to the health care facility's data for reporting to the
				  NHSN; the ability to create authorized users and confer rights to them in the NHSN;
				  the ability to nominate groups with which the health care facility wants to share
				  some or all of its data reported in NHSN; and the responsibility for accepting
				  official documents regarding the NHSN and this chapter.
"Authorized user" means any person the administrator designates
				  through NHSN to submit information to, receive information from, or access or review
				  information contained in NHSN, on behalf of his or her health care facility.
"CDC" means the Centers for Disease Control and Prevention within
				  the United States Department of Health and Human Services.
"CMS" means the Centers for Medicare and Medicaid Services within
				  the United States Department of Health and Human Services.
"Commissioner" means the Commissioner of the Department of Health,
				  or his or her designee.
"Confer rights" means the electronic process by which a facility
				  grants access to the New Jersey State HAI Group to view and analyze data submitted
				  to the NHSN.
"Department" means the New Jersey Department of Health.
"Device days" means device days as such term is defined in the
				  NHSN manual.
"Health care facility" or "facility" means any facility that the
				  Department licenses as:
1. A general
				hospital pursuant to
				26:2H-1 et seq., and in accordance with
				the definition of hospital and classification of general hospital set forth in the
				Department's Hospital Licensing Standards at
				8:43G-1.2 and 1.3(b); and
2. An ambulatory surgery facility licensed
				pursuant to the standards at N.J.A.C. 8:43A.
"Healthcare-associated infection" or "HAI" means a localized or
				  systemic condition resulting from an adverse reaction to the associated presence of
				  an infectious agent(s) or its toxin(s) that meets classification criteria defined by
				  the CDC in the NHSN Manual.
"Health care facility" or "facility" means any facility that the
				  Department licenses as:
1. A general
				hospital pursuant to N.J.S.A. 26:2H-1 et seq., and in accordance with the definition
				of hospital and classification of general hospital set forth in the Department's
				Hospital Licensing Standards at
				N.J.A.C.
				8:43G-1.2 and 1.3(b); and
2. An ambulatory surgery facility licensed
				pursuant to the standards at N.J.A.C. 8:43A.
"Healthcare-associated infection" or "HAI" means a localized or
				  systemic condition resulting from an adverse reaction to the associated presence of
				  an infectious agent(s) or its toxin(s) that meets classification criteria defined by
				  the CDC in the NHSN Manual.
"Identifying information" means the following NHSN patient
				  identity fields: name, social security number, identification number, gender and
				  date of birth.
"Major site category" means the site associated with the
				  development of a HAI, and includes, but is not limited to, the following categories:
				  device-associated, procedure-associated and medications-associated, containing
				  subcategories, such as, central-line associated bloodstream infections, surgical
				  site infections, ventilator-associated pneumonia, and other categories identified by
				  the CDC.
"New Jersey State HAI Group" means Department employees who are
				  authorized to access and analyze data submitted to the NHSN.
1. The NHSN website is available at
http://www.cdc.gov/nhsn/
.
"NHSN manual" means the publication, CDC, NHSN Patient Safety
				  Component Manual, incorporated herein by reference, as amended and supplemented,
				  which is available electronically on the internet at
http://www.cdc.gov/nhsn/psc/index.html
and at
http://www.cdcgov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf
.
"Process quality measure" means a specific quantitative indicator
				  used to identify whether the care provided by a health care facility conforms to
				  nationally accepted treatment goals and care processes for specific clinical
				  presentations.
"QIAC" means the Quality Improvement Advisory Committee
				  established by the Department pursuant to
				  N.J.A.C.
				  8:43G-27.6 as an advisory group regarding the
				  development of a health care facility performance measurement and assessment
				  system.
"Surgical site infection" means an incisional or organ/space
				  infection that is associated with an operative procedure performed on the patient.
1. Surgical site infection shall be
				further defined according to CDC surgical site infection classification criteria and
				operative procedure categories established in the NHSN Manual.