reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0206 - FAMILY PLANNING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A local health
				department shall provide, contract for the provision of, or certify the
				availability of family planning services for all individuals within the
				jurisdiction of the local health department. A local health department shall
				establish, implement, and maintain written policies which shall include:
(1) A description of the procedures for
				family planning services provided by the local health department, a copy of the
				contract for the provision of family planning services, or a certification of
				availability of family planning services. These family planning services shall
				include:
(A) Patient history
				assessments;
(B) Physical
				examinations and laboratory services;
(C) Medical, nutritional, and social
				assessments;
(D) Provision of
				contraceptive information and the use of informed consent procedures when
				prescribing a method of contraception;
(E) Treatment, referral, and
				follow-up.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0207 - DENTAL PUBLIC HEALTH

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A local health
				department shall provide, contract for the provision of, or certify the
				availability of dental public health services for all individuals within the
				jurisdiction of the local health department. A local health department shall
				establish, implement, and maintain written policies which shall include:
(1) A description of the procedures for
				dental public health services provided by the local health department, a copy
				of a contract for the provision of dental public health services, or a
				certification of availability of dental public health services. These dental
				public health services shall include:
(A)
				Approved preventive dental health services for targeted children and
				adults.
(B) Dental screening and
				referral services for targeted children and adults.
(C) Cooperation with the Division in
				promoting and obtaining fluoridation of community and school water systems,
				including keeping records of all water systems within the jurisdiction of the
				local health department which are fluoridated.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0208 - HOME HEALTH

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A local health
				department shall provide, contract for the provision of, or certify the
				availability of home health services for all individuals within the
				jurisdiction of the local health department. A local health department shall
				establish, implement, and maintain written policies which shall include:
(1) A description of the home health services
				provided by the local health department, a copy of the contract for the
				provision of home health services, or a certification of availability of home
				health services.
(2) A description
				of fees for home health services provided by the local health
				department.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0209 - ADULT HEALTH

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A local health
				department shall provide, contract for the provision of, or certify the
				availability of adult health services for all individuals within the
				jurisdiction of the local health department. A local health department shall
				establish, implement, and maintain written policies which shall include:
(1) A description of the procedures for adult
				health services provided by the local health department, a copy of the contract
				for the provision of adult health services, or a certification of availability
				of adult health services. These shall include the following prevention and
				detection services for cancer, diabetes, and hypertension.
(A) Identification, recruitment, screening,
				including laboratory services, referral, and follow-up;
(B) Nutrition services to patients and
				persons at risk.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0210 - INDIVIDUAL (ON-SITE) WATER SUPPLY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A local
				health department shall provide individual (on-site) water supply sanitation
				services within the jurisdiction of the local health department. A local health
				department shall establish, implement, and maintain written policies which
				shall include:
(1) Provisions for inspecting
				individual water supplies upon request and identifying needed improvements.
				When indicated, water samples are collected for bacteriological or chemical
				analysis in an approved manner, and the samples are submitted to a certified
				lab for analysis.
(2) Provisions
				for investigating complaints and suspected outbreaks of illness associated with
				water supplies. Corrective actions shall be taken in cases of valid complaints
				and confirmed outbreaks of illness.
(3) Provisions for keeping records of
				activities described in Paragraphs (a)(1) and (2) of this Rule.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0211 - SANITARY SEWAGE COLLECTION, TREATMENT AND DISPOSAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				local health department shall regulate sewage collection, treatment, and
				disposal within the jurisdiction of the local health department. A local health
				department shall establish, implement, and maintain written policies which
				shall include:
(1) Provisions for the
				enforcement of permit requirements specified in the sewage law and
				rules.
(2) Provisions for
				investigating complaints and suspected outbreaks of illness associated with
				sewage collection, treatment, and disposal. Corrective actions shall be taken
				in cases of valid complaints and confirmed outbreaks of illness.
(3) Provisions for keeping records of
				activities described in Paragraphs (a)(1) and (2) of this Rule.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0212 - EXPIRED - GRADE A MILK SANITATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  130A-9;
Eff. October 1,
				  1984;
Amended Eff. October 1, 1985;
Transferred and
				  Recodified from
				  10 NCAC
				  12 .0238 Eff. April 4, 1990;
Repealed Eff. July 1, 2015;
Expired Eff. February 1, 2016 pursuant
				  to G.S.
				  150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0213 - FOOD, LODGING/INST SANITATION/PUBLIC SWIMMING POOLS/SPAS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A local health department shall provide
				food, lodging, and institutional sanitation and public swimming pools and spas
				services within the jurisdiction of the local health department. A local health
				department shall establish, implement, and maintain written policies which
				shall include:
(1) The frequency of
				inspections of food, lodging, and institutional facilities and public swimming
				pools and spas with the following being the minimum:
Type of Establishment
Frequency Per Fiscal Year (July 1 - June
							 30)
Adult Day Service Facilities
1/year
Bed and breakfast homes
1/year
Bed and breakfast inns
1/6 months
Child day-care facilities
1/6 months
Food Service Establishments
Risk Category I
1/year
Risk Category II
1/6 months
Risk Category III
1/4 months
Risk Category IV
1/3 months
Institutions
1/6 months
Local confinement facilities
1/year
Lodging
1/year
Migrant housing water and sewage
							 evaluation
1/year
Primitive Experience Camps
Operating 6 months or less per year
1/year
Operating more than 6 months per year
1/6 months
Private boarding schools and colleges
1/year
Public swimming pools and spas which operate only
							 between
1/operational
April 1 and October 31 each year
season
Public swimming pools and spas which operate at times
							 other
than between April 1 and October 31 each
							 year
2/year
Residential care facilities
1/year
Schools
1/year
Summer camps
1/year
Tattoo Artists
1/year
Risk Category I applies to food service establishments that
				  prepare only non-potentially hazardous foods.
Risk Category II applies to food service establishments that
				  cook and cool no more than two potentially hazardous foods. Potentially
				  hazardous raw ingredients shall be received in a ready-to-cook form.
Risk Category III applies to food service establishments that
				  cook and cool no more than three potentially hazardous foods.
Risk Category IV applies to food service establishments that
				  cook and cool an unlimited number of potentially hazardous foods. This category
				  also includes those facilities using specialized processes or serving a highly
				  susceptible population.
(2)
				Provisions for investigating complaints and suspected outbreaks of illness
				associated with food, lodging, and institutional facilities, and public
				swimming pools. Corrective actions shall be taken in cases of valid complaints
				and confirmed outbreaks of illness.
(3) Provisions for keeping records of
				activities described in Subparagraphs (1) and (2) of this Paragraph.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0214 - COMMUNICABLE DISEASE CONTROL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				local health department shall provide services and perform activities for the
				control of communicable disease within the jurisdiction of the local health
				department. A local health department shall establish, implement, and maintain
				written policies which shall include a description of the procedures for
				communicable disease control services and activities provided by the local
				health department which shall include:
(1)
				General Communicable Disease Control:
(A)
				Reporting communicable diseases as required by law. Additionally, cases of
				vaccine-preventable diseases shall be reported to the designated division
				program representative within 24 hours of receipt of the report.
(B) Investigating any outbreaks of a
				reportable communicable disease within the jurisdiction of the local health
				department to determine the cause of the outbreak and to ensure that
				appropriate steps are taken to arrest the outbreak and prevent its
				recurrence.
(C) Investigating each
				case of a communicable disease for which there is a surveillance form supplied
				by the Department. Forms shall be completed and submitted to the
				Department.
(D) Distributing
				communicable disease report cards with instructions for submission to all
				pediatricians, internists, and family or general practitioners practicing
				within the jurisdiction of the local health department.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0215 - VITAL RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A local health
				department shall provide vital records services within the jurisdiction of the
				local health department. The local health director shall serve as the local
				registrar and shall perform the duties of that office as prescribed by law. A
				local health department shall establish, implement, and maintain written
				policies which shall include:
(1) Procedures
				for reporting flagrant, willful violations of the vital records law and
				reporting known vital events for which a certificate has not been
				obtained.
(2) A file of all vital
				records laws, rules, and instructions issued by the state registrar.
(3) Procedures for the examination of birth,
				death, and fetal death certificates for accuracy and completeness.
(4) Procedures for returning incomplete or
				inaccurate certificates to or querying the persons responsible for filing them
				for completion and correction.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS › Section 46 .0216 - LABORATORY

Current through Register Vol. 39, No. 2, July 15, 2024
A local health department shall provide, contract for the
				  provision of, or certify the availability of public health laboratory services
				  appropriate to the activities of the Department for all individuals within the
				  jurisdiction of the local health department. A local health department shall
				  establish, implement, and maintain written policies which shall include:
(1) A description of the public health
				laboratory services provided by the local health department, a copy of a
				contract for the provision of public health laboratory services, or a
				certification of availability of public health laboratory services. These
				public health laboratory services shall include:
(a) Clinical tests to aid in the diagnosis
				and treatment of diseases and conditions.
(b) Clinical tests to monitor the response to
				treatment.
(c) Clinical tests to
				screen for asymptomatic diseases and conditions.
(d) Analyses required for environmental
				activities of the local health department.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0300 - LOCAL HEALTH DEPARTMENT STAFF › Section 46 .0301 - MINIMUM STANDARD HEALTH DEPARTMENT: STAFFING

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting the requirements in
				  10A NCAC
				  48B .0103, to be accredited pursuant to
				  G.S.
				  130A-34.1, a local health department shall
				  meet the following requirements:
(1)
				The local health department shall employ a full-time health director, a
				full-time public health nurse, a full-time registered sanitarian, and a
				full-time secretary. For this Rule, full-time means the employee is employed to
				work a standard work week of the local health department. However, the local
				health department may share a local health director with one or more other
				local health departments.
(2) All
				local health department nurses shall either:
(a) Have a nursing degree from a
				baccalaureate school accredited by the National League for Nursing or the
				Commission on Collegiate Nursing Education; or
(b) Complete within one year of employment
				with the health department an introductory course in principles and practices
				of public health and public health nursing sponsored by the Department. The
				curriculum for the course shall be developed by the Department with input from
				local health departments and schools of nursing.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0300 - LOCAL HEALTH DEPARTMENT STAFF › Section 46 .0302 - MEDICAL CONSULTANTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The local
				health department shall ensure adequate medical consultation in accordance with
				this Rule.
(b) When the health
				director of a local health department is not a physician licensed to practice
				medicine in North Carolina, medical consultation shall be considered adequate
				when one or more physicians licensed to practice medicine in North Carolina
				serve on a regular basis as medical consultants.
(c) The medical consultants of a local health
				department shall have the following responsibilities not otherwise assured by a
				licensed physician associated with the health department:
(1) Approving, by signature, all medical
				procedures adopted by the local health department;
(2) Consulting with local health department
				staff in the resolution of unanticipated medical problems as they
				arise;
(3) Ensuring, through
				consultation and review, that the quality of medical services provided by a
				local health department meets current medical standards of care;
(4) Providing all other medical supervision
				required by the Public Health Laws and local health department
				programs.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0400 - SANITATION INSPECTIONS › Section 46 .0401-.0404

Current through Register Vol. 39, No. 2, July 15, 2024
Authority G.S
				  .110-91(1); 110-92; 130A-145; 143B-168.3;
Eff. January 1,
				  1986;
Repealed Eff. November 1,
				  2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 46 - LOCAL STANDARDS › Section .0500 - SANITATION STANDARDS FOR CENTERS › Section 46 .0501-.0503

Current through Register Vol. 39, No. 2, July 15, 2024
Authority G.S.
				  110.91-(1); 110-92; 130A-145; 143B-168.3;
Eff. January 1,
				  1986;
Amended Eff. January 1, 1987;
Repealed Eff.
				  November 1, 2005.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter A - STATE CENTER FOR HEALTH STATISTICS › Section 47A .0101 - CHARGES

Current through Register Vol. 39, No. 2, July 15, 2024
Upon request, the State Center for Health Statistics (SCHS)
				  will undertake special computer runs for data not in a published form. The SCHS
				  may charge the requestor for the cost of the computer run, including staff and
				  support time.
Authority
				  G.S.
				  12-3.1(c);
				  130A-5(3);
Eff. December 1, 1980;
Transferred and Recodified from
				  10 NCAC
				  05C .0007 Eff. April 4, 1990;
Amended Eff. August 1, 1991;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. December 20,
				  2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter A - STATE CENTER FOR HEALTH STATISTICS › Section 47A .0102 - RELEASE OF MEDICAL RECORDS FOR RESEARCH PURPOSES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				person may request the State Center for Health Statistics to release for bona
				fide research purposes medical records of individual patients which identify
				the individual described in the record. The request shall be in writing and
				shall contain the following information:
(1)
				name of organization requesting the data;
(2) names of principal
				investigators;
(3) name of
				project;
(4) purpose of
				project;
(5) if the project is
				being conducted for a governmental agency, the name of the agency and a contact
				person within the agency;
(6)
				description of proposed use of the data, including protocols for contacting
				patients, relatives, service providers, etc.;
(7) description of measures to protect the
				security of the data;
(8) an
				assurance that the data will not be used for purposes other than those
				described in the protocol;
(9) an
				assurance that the data will be properly disposed of upon completion of the
				project; and
(10) an assurance that
				the results of the project will be provided to the State Center for Health
				Statistics.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter B - CANCER REGISTRY › Section .0100 - CANCER REGISTRY › Section 47B .0101 - GENERAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The purpose of
				  the central cancer registry is to receive and to compile, tabulate, and
				  preserve statistical, clinical, and other reports and records relating to the
				  incidence, treatment and cure of cancer, and to provide assistance and
				  consultation for public health work. The statistical reports and records, and
				  the assistance rendered to health care facilities, health planning agencies and
				  research facilities are intended to improve cancer treatment, extend the life
				  of the cancer patient, identify high risk groups or areas of the state and
				  attempt to lower the morbidity and mortality of cancer in North
				  Carolina.
(b) The central cancer
				  registry is administered by State Center for Health Statistics, Division of
				  Public Health, North Carolina Department of Health and Human Services, 1908
				  Mail Service Center, Raleigh, North Carolina 27699-1908.
Authority
					 G.S.
					 130A-205;
					 130A-208 through
					 130A-213;
Eff.
					 January 1, 1982;
Amended Eff. July 1, 1985;
Transferred
					 and Recodified from
					 10 NCAC
					 08A .0801 Eff. April 4, 1990;
Amended Eff. April 1, 2001; December 1, 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter B - CANCER REGISTRY › Section .0100 - CANCER REGISTRY › Section 47B .0103 - CONFIDENTIALITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The clinical
				  records of individual patients submitted to the registry shall be confidential
				  and shall not be public records open to inspection. Only personnel authorized
				  by the director of the State Center for Health Statistics and other individuals
				  authorized by the director of the State Center for Health Statistics or his/her
				  designee pursuant to Paragraph (c) of this Rule shall have access to the
				  records.
(b) The information
				  contained in the clinical records of individual patients submitted to the
				  registry may be transferred to computer-compatible means of data entry. Only
				  personnel authorized by the director of the State Center for Health Statistics
				  to use computers, terminals, programs, data files, and other computer hardware
				  or software involved in maintaining patient information shall have access to
				  them.
(c) Clinical information in
				  possession of the registry may be disclosed in the following circumstances when
				  authorized by the director of the State Center for Health Statistics or his/her
				  designee:
(1) A patient shall have access to
				  review or obtain copies of his/her records;
(2) Information may be disclosed in response
				  to a valid court order;
(3)
				  Information may be disclosed as provided in Rule .0106 of this
				  Section;
(4) Information contained
				  in death certificates on file with the division (but not actual copies of death
				  certificates) may be released to a participating facility when the facility
				  requests a death match for confirmation of the reported or suspected deaths of
				  cancer patients treated at that facility. Death match information released by
				  the registry shall include only that information contained in the death
				  certificates.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter B - CANCER REGISTRY › Section .0100 - CANCER REGISTRY › Section 47B .0104 - REPORTING OF CANCER

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Health care
				  facilities and providers shall submit a complete abstract for each cancer case
				  that is screened, diagnosed, treated, or followed by its staff and that was
				  initially diagnosed with cancer subsequent to May 7, 1999. A complete abstract
				  is defined as one that adheres to the standards and definitions of the North
				  American Association of Central Cancer Registries (NAACCR), the World Health
				  Organization (WHO), the American College of Surgeons Commission on Cancer
				  (COC), and the National Cancer Institute Surveillance, Epidemiology, and End
				  Results Program (SEER). These standards and definitions are delineated in the
				  following publications: the NAACCR
Standards for Cancer
				  Registries,
the WHO
International Classification of Diseases
				  for Oncology;
the COC
Standards of the Commission on Cancer,
				  Volume II, Registry Operations and Data Standards (ROADS);
and the
				  SEER Coding Manuals. Subsequent amendments and editions of these publications
				  are included. NAACCR documents are free of charge and may be obtained from the
				  North American Association of Central Cancer Registries, 2121 West White Oaks
				  Drive, Springfield, Illinois 62704. The
International Classification of
				  Diseases for Oncology
may be purchased for twenty-seven dollars
				  ($27.00) from WHO Publications Center USA, 49 Sheridan Avenue, New York, NY
				  12210. The
ROADS
publication may be purchased for twenty
				  dollars ($20.00) from ACS Publications Fulfillment Section, Box 92425, Chicago,
				  IL 60675-2425. SEER publications are free of charge and may be obtained from
				  the National Cancer Institute, Publications Ordering Service, P.O. Box 24128,
				  Baltimore, MD 21227.
(b) A health
				  care provider or facility may delegate the tasks of reporting cancer cases to
				  office or hospital staff, but the provider or facility shall not delegate the
				  legal responsibility for the reporting of cancer to others.
(c) A report of cancer shall be submitted to
				  the registry by health care facilities and providers by one of the following
				  methods:
(1) by submission of an electronic
				  file containing the information required in Paragraph (a) of this
				  Rule;
(2) for pathology
				  laboratories, by submission of a positive electronic pathology report
				  containing the information required in Paragraph (a) of this Rule; or
(3) facilities or providers that have fewer
				  than 30 reportable cases per year may submit photocopies of the medical record
				  sufficient to complete a full abstract of the case.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter B - CANCER REGISTRY › Section .0100 - CANCER REGISTRY › Section 47B .0105 - COOPERATION OF THE CENTRAL CANCER REGISTRY WITH HEALTH FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Any health care facility that is staffed
				  and equipped for the diagnosis, treatment or follow-up care of cancer patients
				  may participate with the registry in the exchange of information regarding the
				  referral, treatment, maintenance or cure of cancer.
(b) The registry shall cooperate and consult
				  with participating health care facilities and providers to the end that cancer
				  registries in such facilities may provide the most accurate data available and
				  may otherwise operate in the best interest of the cancer patients being treated
				  therein. The registry will provide:
(1)
				  Quality control reports to assure that computerized data utilized for
				  statistical information and data compilation are correct;
(2) The most accurate and effective
				  treatment, survival and comparative information available;
(3) Educational information available from
				  registry, morbidity and mortality statistics upon request of a professional
				  staff;
(4) Assistance to health
				  care facilities by providing appropriate data and consultation to help the
				  facilities meet the requirements for accreditation as a cancer treatment
				  center, and to assist in the maintenance of such accreditation;
(5) Confirmation of the reported or presumed
				  deaths (including such causes of deaths) of cancer patients to assist health
				  care facilities to more accurately assess patient survival and to conduct more
				  efficient long-term follow-up of cancer patients;
(6) Other information for the purpose of
				  follow-up of a patient. This information is limited to the name of another
				  facility or physician providing services to the patient, the date of last
				  contact with the patient, and the vital status.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter B - CANCER REGISTRY › Section .0100 - CANCER REGISTRY › Section 47B .0106 - RELEASE OF CENTRAL CANCER REGISTRY DATA FOR RESEARCH

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  registry may release statistical data to any person or agency for the following
				  purposes:
(1) medical research or
				  education;
(2) epidemiological
				  studies;
(3) health
				  education;
(4) health planning or
				  administration;
(5) required
				  statistical reports; and
(6) other
				  statistical reports by written request for research, information or
				  education.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter B - CANCER REGISTRY › Section .0100 - CANCER REGISTRY › Section 47B .0108 - ASSISTANCE AND CONSULTATION FOR PUBLIC HEALTH WORK

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  registry shall provide assistance and consultation for public health
				  work.
(b) The registry shall accept
				  requests for assistance and consultation for any agency, facility or
				  organization actively engaged in the effort to reduce the incidence of cancer,
				  whether through direct service to or the education of cancer patients and their
				  families, the public, or the health care professions.
(c) The registry may accept requests from
				  students requesting assistance with research projects in accordance with the
				  provisions of Rule .0106 of this Subchapter and the availability of staff time
				  and resources.
Authority
					 G.S.
					 130A-205;
Eff. January 1,
					 1982;
Transferred and Recodified from
					 10 NCAC
					 08A .0808 Eff. April 4, 1990;
Amended Eff April 1, 2001;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter B - CANCER REGISTRY › Section .0100 - CANCER REGISTRY › Section 47B .0109 - FAILURE TO REPORT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The registry
				  shall monitor the reporting of health care facilities and providers on a
				  quarterly basis. If a health care facility or provider has failed to report at
				  least 90 percent of its cases within six months of diagnosis, the registry
				  shall notify the facility or provider in writing of that fact within 30 days
				  and the facility or provider shall be given another 30 days, or up to 60 days
				  for good cause shown, to fulfill its reporting requirement.
(b) If a facility or provider is out of
				  compliance for two consecutive quarters and is not demonstrating progress
				  toward becoming compliant, then the State Health Director shall direct the
				  registry to collect the data and shall direct the facility or provider to
				  reimburse the registry for all actual costs expended in order to obtain the
				  data up to one hundred dollars ($100.00) per case abstracted. The amount of the
				  reimbursement shall include both travel expenses and the full cost of personnel
				  time.
(c) Facilities or providers
				  may request the director of the registry for abstracting assistance at no cost
				  to them. The decision as to what assistance will be provided shall be based on
				  the following:
(1) Size of the
				  facility;
(2) Consistency of
				  non-compliance;
(3) Staffing of the
				  registry;
(4) Duration of needed
				  assistance. The registry shall not provide long term abstracting assistance to
				  any facility that has greater than 100 cases per year;
(5) The potential for compromising the
				  registry's data quality; and
(6)
				  Plans of the facility to reach compliance.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter C - BIRTH DEFECTS MONITORING PROGRAM › Section .0100 - MONITORING PROGRAM › Section 47C .0101 - GENERAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) This Section
				  implements G.S. 130A, Article 5, Part 7 entitled Birth Defects. The legislation
				  establishes a Birth Defects Monitoring Program within the State Center for
				  Health Statistics. The purpose of the monitoring program is to compile,
				  tabulate and publish information related to the incidence and prevention of
				  birth defects.
(b) The Birth
				  Defects Monitoring Program is administered by the State Center for Health
				  Statistics, Department of Health and Human Services.
Authority
					 G.S.
					 130A-131.17;
Eff. August 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter C - BIRTH DEFECTS MONITORING PROGRAM › Section .0100 - MONITORING PROGRAM › Section 47C .0102 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Section:
(1) "Abstract" refers to a
				  document or documents containing information obtained from a patient's medical
				  record.
(2) "Birth Defect" means
				  any physical, functional or chemical abnormality present at birth that is of
				  possible genetic or prenatal origin.
(3) "Case-Finding" is the process used to
				  identify potential cases for inclusion in the central registry of the Birth
				  Defects Monitoring Program. Potential cases may be ascertained through review
				  of medical records, disease indices, logs, vital records, hospital discharge
				  summaries, and other sources.
(4)
				  "Central Registry" is the database of birth defect cases obtained through the
				  surveillance activities of the Birth Defects Monitoring Program.
(5) "Confidential Information" is any
				  information that could be used to reveal, either directly or indirectly, the
				  identity of a patient with a birth defect.
(6) "Department" is the NC Department of
				  Health and Human Services.
(7)
				  "Director" is the Director of the State Center for Health Statistics
				  (SCHS).
(8) "ICD-9-CM" means the
				  International Classification of Diseases, 9th Revision, Clinical Modification,
				  Volumes 1 and 2, US Department of Health and Human Services, US Government
				  Printing Office, Washington, DC.
(9) "Institutional Review Board" means a
				  committee for the protection of human subjects which is approved by the US
				  Department of Health and Human Services pursuant to Part 46 of Title 45 of the
				  Code of Federal Regulations.
(10)
				  "Licensed Medical Facility" means general acute care hospitals and ambulatory
				  surgical facilities licensed by the Department of Human Resources pursuant to
				  G.S.
				  131E-77, which regularly provide services for
				  the diagnosis and treatment of birth defects, genetic counseling, or prenatal
				  diagnostic services.
(11)
				  "Monitoring Program" means the Birth Defects Monitoring Program (BDMP)
				  established within the Department.
(12) "Program Director" is the individual
				  directly responsible for oversight and operation of the Birth Defects
				  Monitoring Program.
(13) "Program
				  Staff" means employees of the State Center for Health Statistics or persons
				  providing services to SCHS under written contract who are authorized by the
				  director to collect and have access to information from the monitoring
				  program.
Authority
					 G.S.
					 130A-131.17;
Eff. August 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter C - BIRTH DEFECTS MONITORING PROGRAM › Section .0100 - MONITORING PROGRAM › Section 47C .0103 - EXPIRED - BIRTH DEFECTS ADVISORY COMMITTEE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 130A-131.17;
Eff. August 1,
					 2000;
Expired Eff. January 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter C - BIRTH DEFECTS MONITORING PROGRAM › Section .0100 - MONITORING PROGRAM › Section 47C .0104 - SURVEILLANCE OF BIRTH DEFECTS; CENTRAL REGISTRY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  monitoring program shall operate statewide.
(b) In order for information on a child to be
				  included in the monitoring program's central registry, the following conditions
				  must be met:
(1) The state of birth or the
				  mother's state of residence at the time of birth must have been in North
				  Carolina; and
(2) The child must
				  have a birth defect or other specified perinatal condition that can adversely
				  affect his or her health and development.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter C - BIRTH DEFECTS MONITORING PROGRAM › Section .0100 - MONITORING PROGRAM › Section 47C .0105 - CONFIDENTIALITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Access to
				  patient-level information collected by the monitoring program shall be limited
				  to program staff authorized by the doctor.
(b) All program staff shall be required to
				  sign an agreement to actively protect the confidentiality of patient
				  information collected through the monitoring program.
(c) All identifying or potentially
				  identifying information collected by the monitoring program, including
				  abstracts, case reports, computer printouts, notes and other material shall be
				  stored in locked offices or in locked file cabinets at all times.
(d) Central registry files stored in
				  electronic format shall be maintained in a password-protected local area
				  computer network. Only authorized program staff shall have access to this
				  information. Access to the data is controlled by the network administrator.
				  Back up data files shall be maintained at the State Computer Center. This
				  computer system is protected by the Resource Allocation Control Facility (RACF)
				  system.
(e) A publicly accessible
				  data file containing limited patient-level information from the central
				  registry may be made available. This file may contain the following data items
				  only: county of residence, county of birth, year of birth, sex of infant, race
				  of infant, age of mother, and birth defect diagnoses. All other patient
				  information contained in the central registry shall be considered confidential
				  and not open to public inspection, except as specified in Paragraph (f) of this
				  Rule.
(f) Confidential information
				  maintained in the central registry may be disclosed in the following
				  circumstances, when authorized by the Director:
(1) A patient shall have access to review or
				  obtain copies of his/her own records; or
(2) Information may be disclosed as provided
				  in Rule .0106 of this Section.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 47 - INFORMATION SERVICES › Subchapter C - BIRTH DEFECTS MONITORING PROGRAM › Section .0100 - MONITORING PROGRAM › Section 47C .0106 - RELEASE OF MONITORING PROGRAM INFORMATION FOR RESEARCH

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Individuals other than authorized program
				  staff requesting access to confidential monitoring program information for
				  research purposes must establish a valid scientific interest in order to obtain
				  this information. An application requesting access to monitoring program
				  information must contain a research protocol and be submitted to the Director.
				  The protocol shall contain the following information:
(1) The name and qualifications of the
				  principal investigator, professional staff, and every person who will review,
				  analyze, or access the data;
(2)
				  The purpose of the research;
(3)
				  The research design and statistical methods to be used to analyze the
				  data;
(4) The proposed benefits to
				  be derived from such research and the potential risk to human subjects;
				  and
(5) The plans and procedures to
				  maintain the confidentiality of information provided by the monitoring
				  program.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter A - LOCAL HEALTH DEPARTMENT ACCREDITATION -ADMINISTRATION › Section .0100 - GENERAL PROVISIONS › Section 48A .0101 - PURPOSE

Current through Register Vol. 39, No. 2, July 15, 2024
The rules of this Subchapter establish the process for
					 local health departments to become accredited pursuant to
					 G.S.
					 130A-34.1.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter A - LOCAL HEALTH DEPARTMENT ACCREDITATION -ADMINISTRATION › Section .0100 - GENERAL PROVISIONS › Section 48A .0102 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Subchapter:
(1) "Board" is defined in
				  G.S
				  130A-2(1).
(2) "Institute" means the North Carolina
				  Institute for Public Health in the UNC School of Public Health.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter A - LOCAL HEALTH DEPARTMENT ACCREDITATION -ADMINISTRATION › Section .0200 - ACCREDITATION PROCESS › Section 48A .0201 - SELF-ASSESSMENT

Current through Register Vol. 39, No. 2, July 15, 2024
Each local health department shall complete a
					 self-assessment based on the standards adopted in this Chapter. The local
					 health department shall submit the self-assessment to the Institute within 90
					 days after notification by the Institute that the accreditation process for the
					 department has begun.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter A - LOCAL HEALTH DEPARTMENT ACCREDITATION -ADMINISTRATION › Section .0200 - ACCREDITATION PROCESS › Section 48A .0202 - SITE VISIT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Institute
				  shall select a site visit team composed of not fewer than four individuals with
				  expertise or experience in local public health, including experience or
				  expertise in environmental health, public health nursing, public health
				  administration or policy development/governance.
(b) The site visit team shall visit the local
				  health department, review the self-assessment and supporting documentation,
				  interview local health department staff and other persons necessary to evaluate
				  compliance with the standards and inspect the facilities in accordance with the
				  standards. The team may request additional supporting documentation or other
				  evidence as necessary to evaluate compliance with the standards.
(c) The site visit team shall prepare a
				  report that makes a determination as to whether the standards have been met and
				  shall submit the report to the Board and the local health department within 14
				  days of the end of the site visit. The site visit team shall make a
				  recommendation regarding accreditation status to the Board.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter A - LOCAL HEALTH DEPARTMENT ACCREDITATION -ADMINISTRATION › Section .0200 - ACCREDITATION PROCESS › Section 48A .0203 - BOARD ACTION

Current through Register Vol. 39, No. 2, July 15, 2024
The site visit team shall present the report to the Board
					 and the local health department shall have the opportunity to respond to the
					 presentation. Upon the local health department's request, the Board shall grant
					 the local health department an additional 21 calendar days to submit additional
					 written information to the Board. If no such request is made, the Board may
					 take action on the site visit team's recommendation or may request additional
					 information from the local health department and defer action on the
					 recommendation to a later meeting. The action shall be taken within 90 days of
					 the presentation of the site visit team to the Board.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter A - LOCAL HEALTH DEPARTMENT ACCREDITATION -ADMINISTRATION › Section .0200 - ACCREDITATION PROCESS › Section 48A .0204 - INFORMAL REVIEW PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
If the Board assigns a status of "conditionally accredited"
					 or "unaccredited," the local health department may make a written request
					 within 10 calendar days for reconsideration of the decision. The written
					 request shall state the specific objections to the decision and the basis for
					 those objections. The Board shall act on the request within 60 calendar
					 days.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter A - LOCAL HEALTH DEPARTMENT ACCREDITATION -ADMINISTRATION › Section .0200 - ACCREDITATION PROCESS › Section 48A .0205 - RE-ACCREDITATION

Current through Register Vol. 39, No. 2, July 15, 2024
A local health department shall submit the self-assessment
					 required by Rule .0201 no later than six months before the expiration date of
					 its accreditation. The Board shall initiate a site visit in accordance with
					 Rule .0202 and take action in accordance with Rule .0203 before the local
					 health department's accreditation expires. If the Board re-accredits a local
					 health department, accreditation is extended for an additional four years. The
					 local health department may utilize the informal review procedures of Rule
					 .0204 of this Section.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.