reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.9 - REGISTRATION OF ELIGIBLE HEALTH CARE PROVIDERS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Eligible health care providers - all
				licensed health care providers with no liability insurance who seek to render
				voluntary health care services without compensation under the auspices of a
				registered health care agency or organization are eligible to apply for
				participation in the program.
B.
				Registration requirements - all health care providers seeking to participate in
				the program must apply to the New Mexico department of health, epidemiology and
				response division and be approved and registered in the program.
C. Term of approval - successful applicants
				will be approved for participation in the program for a term to be established
				by the New Mexico department of health. Successful applicants will be notified
				of the approval of their participation in the program and be provided an
				indication of the term of that approval.
D. Termination of approval - the New Mexico
				department of health shall at its discretion terminate a registered health care
				provider's participation in the program. The registered health care provider
				will be notified of any termination decision.
E. Scope of practice - all state registered
				health care providers participating in the volunteer health care provider
				program (program) are limited to the practice permitted under each provider's
				licensure in the state of New Mexico.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.10 - RECONSIDERATION

Current through Register Vol. 35, No. 13, July 16, 2024
Reconsideration - the secretary may, at his discretion,
				  reconsider the application of any eligible health care provider or of any
				  eligible health care agency or organization that is denied approval for
				  participation in the program.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.11 - MEASURES TO ENSURE QUALITY OF CARE

Current through Register Vol. 35, No. 13, July 16, 2024
A. Credentialing - before an eligible health
				care provider is approved and registered in the program, a review of the
				applicant's licensing and credentialing will be conducted. Only applicants who
				have successfully passed this review will be approved for participation in the
				program.
B. Supervision - where a
				volunteer health care provider's professional license requires specific
				supervision or professional consultation, the eligible health care organization
				or agency must demonstrate that adequate arrangements for supervision or
				professional consultation are in place at the location of volunteer
				service.
C. Service protocols - an
				eligible health care organization or agency must demonstrate that there are
				service protocols in place for any service that is to be provided by volunteers
				participating in the program. All participating volunteers must comply with
				this guidance.
D. Facility license
				- when volunteer health care providers participating in the program are
				providing health care in a licensed health facility, the services provided must
				be in accordance with the limits imposed by the facility's license.
E. Extension and outreach events and
				non-licensed locations - when eligible voluntary health care services are
				provided at an outreach, extension, or other non-licensed location, these
				services must be provided in a manner permissible under New Mexico
				law.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This rule applies to all licensed inpatient and outpatient
				  general and specialty health care facilities located within New
				  Mexico.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
This rule is promulgated pursuant to Subsections
				  24-14A-3
				  D (5) and (6); 24-14A-5(A) through C; 24-14A-8(A) and B; and
				  24-14A-9
				  of the Health Information System (HIS) Act, Sections
				  24-14A-1
				  to -10, NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
December 31, 2012, unless another date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of this rule is to specify the data reporting
				  requirements for licensed inpatient and outpatient general and specialty health
				  care facilities pursuant to the HIS Act, Sections
				  24-14A-1
				  to -10, NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to the definitions in the HIS Act, Sections
				  24-14A-1
				  to -10, NMSA 1978, the following terms have the following meaning for purposes
				  of this rule.
A. All definitions that
				begin with the letter A.
(1)
Accident
				state
means the two-digit state abbreviation where the accident occurred
				when services are related to an auto accident.
(2)
Admission hour
means the
				hour and minute the patient was admitted as an inpatient, coded in military
				time (e.g., 2:45 p.m. is represented as 1445).
(3)
Aggregate analysis
means
				information in report form that contains data combined in a manner which
				precludes specific identification of a single patient or health care
				provider.
(4)
Annual
				permanent database
means one calendar year of permanent hospital
				inpatient discharge data or any other database collected under the HIS Act that
				is deemed complete by division staff.
(5)
Attending physician NPI
means the national provider identifier (NPI), a unique, government-issued,
				standard identification 10-digit number for individual health care providers
				and provider organizations like clinics, hospitals, schools and group
				practices.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.8 - STATUS OF DATA

Current through Register Vol. 35, No. 13, July 16, 2024
All data and health information collected from data sources
				  shall become the property of the department upon receipt.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.10 - ELECTRONIC REPORTING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
Starting with 2012 data, all data providers shall submit the
				  required quarterly discharge data pursuant to the reporting schedule contained
				  in Subsection A of
				  7.1.27.9
				  NMAC and all final corrected reports, for the full year's worth of data, are
				  due no later than March 31of the following year. Data providers shall submit
				  data by electronic media, which includes CD, DVD, or direct electronic
				  transmission by encrypted e-mail or secure file transmission protocol (SFTP),
				  in an ASCII file format, per the most current record layout and instruction
				  provided by the division. Data providers shall label all media and data files
				  with the following information: type of data, hospital name and license number,
				  year, file name, point of contact and telephone number, and mail data to "New
				  Mexico department of health epidemiology and response division, attn: division,
				  1190 St. Francis Drive, Santa Fe, NM 87502." Any data transmitted by mail or
				  overnight delivery is the responsibility of the data provider until it is
				  acknowledged as received by the division. Therefore, all data transmitted by
				  third party mail provider will be sent using a tracking mechanism (e.g., fedex
				  tracking website) or be certified for acknowledgement (e.g., certified postal
				  mail requiring a signature for delivery).
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.11 - REPORTING EXEMPTIONS

Current through Register Vol. 35, No. 13, July 16, 2024
Upon written application to the division, the division may
				  grant a health care facility a temporary exemption, not to exceed two reporting
				  quarters, from the schedule required by Subsection A of
				  7.1.27.9
				  NMAC. Temporary exemption from reporting does not excuse the health care
				  facility from reporting the requested data items for activity that occurred
				  during the exempted period. Upon resumption of the regular reporting schedule
				  the health care facility shall promptly report data for the exempted
				  period.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.12 - PENALTIES FOR REPORTING VIOLATION

Current through Register Vol. 35, No. 13, July 16, 2024
Failure to comply with any of the reporting requirements in
				  this rule may result in injunctive relief and a civil penalty not to exceed
				  $1,000 per violation, as provided by the HIS Act.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.13 - GENERAL PROVISIONS ON ACCESS TO THE HEALTH INFORMATION SYSTEM DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Reporting:
In accordance with Subsections 24-14A-3(D) (6),
				24-14A-4.3
				& 24-14A-6(D) of the HIS Act, data may be reported routinely to authorized
				federal, state, and local public agencies. Record-level data shall be reported
				to the agency for healthcare research and quality (AHRQ) for incorporation into
				the healthcare cost and utilization project (HCUP) databases as part of the
				federal-state-industry partnership.
B.
Access requirements:
Data and
				reports based on the HIS may be obtained only in accordance with the
				requirements of the HIS Act and this rule. Any request for information that
				would not be contained in routine reports will require completion of a data
				request form available on the division's website or by contacting the
				division.
C.
Evaluation of
				requests:
In addition to other requirements stated in this rule, all
				requests for HIS data and reports, other than routine reports, shall be
				evaluated by the division and shall satisfy the following criteria for
				approval.
(1) The specific intended use of the
				data shall comport with the purposes of the HIS Act, as stated in
				24-14A-3
				A and rules promulgated pursuant to the act, including use of data to assist
				in:
(a) the performance of health planning,
				policy making functions, and research conducted for the benefit of the
				public;
(b) informed health care
				decision making by consumers;
(c)
				surveillance for the control of disease and conditions of public health
				significance as required by Public Health Act, Subsection 24-1-3(C) NMSA
				1978;
(d) administration,
				monitoring, and evaluation of a statewide health plan.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.14 - PROCEDURES FOR REQUESTS OF THE HIS DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Requests for public and
				previously-prepared routine reports:
Requests for copies of public and
				routine reports produced by the division for public use shall be made either in
				writing or by e-mail to the division. Fees for these reports shall be paid in
				accordance with 7.1.27.18 NMAC.
B.
Requests for previously-prepared, non-routine reports:
Requests
				for copies of previously-prepared, non-routine reports shall be made in writing
				or by e-mail to the division. These reports shall be made available pursuant to
				the requirements of this rule. Fees for these reports shall be paid in
				accordance with 7.1.27.18 NMAC.
C.
Individualized requests:
Requests for not previously prepared,
				non-routine reports, or for data contained in the HIS database shall be made in
				writing to the division by specifying the following information on a request
				form provided by the division.
(1) Date of
				request.
(2) Name, address, and
				organizational affiliation.
(3)
				Specific data or analysis requested.
(4) Specific intended use of the data,
				including proposed analytical or research methodology, and expected outcomes of
				analysis, together with an acknowledgment that the data will not be used in
				violation of 7.1.27.19 NMAC and 7.1.27.20 NMAC.
(5) Desired date by which the information is
				needed, allowing a minimum of two weeks to process the request.
(6) For requests for data, the names and
				positions of individuals who will have access to the data if the request is
				granted.
(7) For requests for data,
				the requestor's specific plans for protecting these data and use of the data in
				accordance with the requirements of the HIS Act, and this rule.
(8) Any additional information the division
				may request.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.15 - ACCESS TO ROUTINE AND PUBLISHED REPORTS

Current through Register Vol. 35, No. 13, July 16, 2024
The division shall release reports to the public on a
				  periodic schedule as determined by the division and in accordance with the HIS
				  Act.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.16 - ACCESS TO AGGREGATE DATA AND REPORTS: INDIVIDUALS

Current through Register Vol. 35, No. 13, July 16, 2024
Pursuant to the requirements of
				  7.1.27.13
				  NMAC, any person may obtain access to aggregate data in or reports based on the
				  subset or portion of the HIS database that is relevant to the individual's
				  stated purpose upon approval of the request by the division.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.17 - ACCESS TO DE-IDENTIFIED RECORD-LEVEL DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Disclosure authorization:
Pursuant to the requirements of the HIS Act and
				45
				CFR 164.512, New Mexico state agencies or
				political subdivisions, and federal agencies authorized to collect, analyze. or
				disseminate health information, may obtain access to record level data in or
				records based upon the subset or portion of the record level data that is
				relevant to the organization's or agency's stated purpose, upon approval of the
				request by the director. The director may require such agency or organization
				to agree to specific confidentiality and data use requirements prior to the
				release of the data or reports. Federal agencies may obtain the information
				only if the agency agrees to fully protect its confidentiality as provided by
				state and federal law. No other persons or entities shall have access to data
				in, or non-aggregate analytical reports based on the record level
				data.
B.
Protection of
				identity:
Any data or report that is provided from the HIS database
				shall be configured in a manner that precludes actual or potential
				identification of individual patients, as defined in 45 CFR Subsection
				164.514(e), or health care providers unless the division determines that
				disclosure of identifiable hospital information is necessary for a state,
				tribal, or federal agency's or local political subdivision's authorized use,
				and that the disclosure complies with state and federal privacy and
				confidentiality laws, rules, and regulations.
C.
Deletion of data:
The
				requestor shall delete the HIS data file upon completion of the approved
				research and shall not retain any copies of HIS data files. The requestor must
				inform the division annually of the status of the work being done, the expected
				date of HIS dataset deletion, description of how HIS data files are stored, and
				a cumulative listing of how the HIS dataset has been used as well as any
				publications or presentations that were informed or created using the HIS data
				file (unless otherwise agreed to in writing).
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.18 - FEES FOR DATA AND REPORTS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Fees for routine reports:
(1)
Generally:
The fees for copies of available routine reports
				produced for public use shall be as follows:
(a) single copies of any consumer health
				information reports or HIS annual reports shall be provided free of charge upon
				request; and
(b) all other reports
				shall be provided for $10.00 per report.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.19 - OBLIGATIONS UPON RECEIPT OF DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Specific requirements:
Requestors and any individuals who are permitted access to HIS data or reports
				through approval of a request made pursuant to Subsection C of 7.1.27.14 NMAC
				shall.
(1) Limit use of the information to
				the purposes stated on the request form.
(2) Give full credit to the division in any
				published or unpublished reports using HIS information unless otherwise agreed
				to in writing.
(3) Include a
				disclaimer in any published or unpublished reports using HIS information which
				states that the accuracy of the original data is the responsibility of the
				submitting data provider and that the division assumes no responsibility for
				any use made of or conclusions drawn from the data unless otherwise agreed to
				in writing.
(4) Provide the
				division with a copy of any reports, papers, posters or other publication
				(electronic or otherwise) resulting from access to the HIS database unless
				otherwise agreed to in writing.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.20 - REDISCLOSURE OF DATA

Current through Register Vol. 35, No. 13, July 16, 2024
Requestors who are permitted access to aggregate data from
				  non-routine reports, as well as record-level data, (as described in
				  7.1.27.16
				  NMAC and
				  7.1.27.17
				  NMAC ofthis rule) shall not (unless otherwise agreed to in writing):
A. provide the data or portion of it to any
				persons other than those identified in the request form; or
B. share, release, or otherwise give any or
				all of the information contained in the HIS dataset to any person or
				institution not listed on the data request form; or
C. resell any portion of the data or other
				information gained as a result of obtaining access to the data.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.21 - REPORTS AVAILABLE THROUGH THE STATE LIBRARY DEPOSITORY SYSTEM

Current through Register Vol. 35, No. 13, July 16, 2024
Paper copies of all public use routine reports produced by
				  the division shall be available to the public through the state library
				  depository system.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.22 - PENALTIES FOR RULE VIOLATION

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Division sanctions:
A requestor who violates the requirements of
				this rule may be subject to any or all of the following sanctions, as
				determined by the division.
(1) Temporary or
				permanent denial of access to HIS data or reports.
(2) Termination of current access.
(3) Mandated immediate return, without
				duplication, of HIS data or reports provided by the division.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 28 - HEALTH INFORMATION SYSTEM ADVISORY COMMITTEE RESPONSIBILITIES AND DUTIES › Section 7.1.28.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This rule establishes the membership, duties, and
				  responsibilities of the health information system advisory
				  committee.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 28 - HEALTH INFORMATION SYSTEM ADVISORY COMMITTEE RESPONSIBILITIES AND DUTIES › Section 7.1.28.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The requirements set forth herein are promulgated by the
				  secretary of the department of health pursuant to the authority granted under
				  Subsection E of Section
				  9-7-6
				  NMSA 1978, and the Health Information System Act,
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 28 - HEALTH INFORMATION SYSTEM ADVISORY COMMITTEE RESPONSIBILITIES AND DUTIES › Section 7.1.28.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
February 12, 2016, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 28 - HEALTH INFORMATION SYSTEM ADVISORY COMMITTEE RESPONSIBILITIES AND DUTIES › Section 7.1.28.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to establish membership,
				  duties, and responsibilities that govern the health information system advisory
				  committee.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 28 - HEALTH INFORMATION SYSTEM ADVISORY COMMITTEE RESPONSIBILITIES AND DUTIES › Section 7.1.28.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
"Advisory
				committee"
means the health information system advisory
				committee.
B.
"Data
				source"
or
"data provider"
means a person that possesses
				health information, including any public or private sector licensed health care
				practitioner, primary care clinic, ambulatory surgery center, ambulatory urgent
				care center, ambulatory dialysis unit, home health agency, long-term care
				facility, hospital, pharmacy, third-party payer and any public entity that has
				health information.
C.
"Department"
means the department of health.
D.
"Health information"
or
"health data"
means any data relating to health care; health
				status, including environmental, social and economic factors; the health
				system; or health costs and financing.
E.
"Hospital"
means any general
				or special hospital licensed by the department, whether publicly or privately
				owned.
F.
"Long-term care
				facility"
means any skilled nursing facility or nursing facility
				licensed by the department, whether publicly or privately owned.
G.
"Secretary"
means the
				secretary of the New Mexico department of health.
H
"Third-party payer"
means any
				public or private payer of health care services and includes health maintenance
				organizations and health insurers.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 28 - HEALTH INFORMATION SYSTEM ADVISORY COMMITTEE RESPONSIBILITIES AND DUTIES › Section 7.1.28.8 - ADVISORY COMMITTEE MEMBERSHIP REQUIREMENTS AND RESPONSIBILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Advisory
				committee membership:
The advisory committee shall be comprised of a
				minimum of seven individuals, and a maximum of 13, who shall be appointed by
				the secretary, and shall include:
(1) the
				secretary or the secretary's designee, who shall serve as chair of the
				committee;
(2) data sources or data
				providers;
(3) health care
				consumers or representatives from health care consumer groups; and
(4) health data experts.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 28 - HEALTH INFORMATION SYSTEM ADVISORY COMMITTEE RESPONSIBILITIES AND DUTIES › Section 7.1.28.9 - ADVISORY BOARD PUBLIC HEARING PROCEDURES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Public hearing requirement:
The committee shall convene by public hearing on at least a quarterly
				basis.
B.
Location of the
				public hearing:
Hearings shall take place at a location sufficient to
				accommodate the anticipated audience.
C.
Public hearing notice:
The
				committee chair or designee shall prepare a notice of public hearing setting
				forth the date, time and location of the hearing no later than 30 days prior to
				the hearing date.
D.
Public
				hearing agenda:
The department shall make available no later than 72
				hours prior to the hearing an agenda containing a list of specific items to be
				discussed or information on how the public may obtain a copy of such agenda.
				The agenda shall also be posted on the department's website.
E.
Minutes:
The committee shall
				keep written minutes of all its meetings.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 29 - HEALTH INFORMATION SYSTEM PUBLIC ACCESS WEBSITE › Section 7.1.29.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
Department of Health, Epidemiology and Response Division,
				  1190 St. Francis Drive, P.O. Box 26110, Santa Fe, New Mexico
				  87502-6110.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 29 - HEALTH INFORMATION SYSTEM PUBLIC ACCESS WEBSITE › Section 7.1.29.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The requirements set forth herein are promulgated by the
				  secretary of the department of health pursuant to the authority granted under
				  Subsection E of Section
				  9-7-6
				  NMSA 1978 and the Health Information System Act, 24-14A-1 et seq. NMSA
				  1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 29 - HEALTH INFORMATION SYSTEM PUBLIC ACCESS WEBSITE › Section 7.1.29.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
December 26, 2017, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 29 - HEALTH INFORMATION SYSTEM PUBLIC ACCESS WEBSITE › Section 7.1.29.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to establish provisions that
				  govern a Health Information System Act public access website for health
				  information or health data.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 29 - HEALTH INFORMATION SYSTEM PUBLIC ACCESS WEBSITE › Section 7.1.29.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
"Department"
means the department of health.
B.
"Health information"
or
"health data"
means any data relating to health care; health
				status, including environmental, social and economic factors; the health
				system; or health costs and financing.
C.
"Website"
means the New
				Mexico Health Information System Act public access website for health
				information or health data created under this section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 29 - HEALTH INFORMATION SYSTEM PUBLIC ACCESS WEBSITE › Section 7.1.29.8 - PUBLIC WEBSITE REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. The New
				Mexico Health Information System Act public website shall:
(1) be accessible to the public through the
				sunshine portal;
(2) allow the
				public to search for healthcare cost, quality and such other information the
				department publishes pursuant to the Health Information System Act, Sections
				24-14A-1
				to
				24-14A-11 NMSA
				1978;
(3) have a unique and
				simplified website address;
(4) be
				directly accessible via the main page of the official department
				website.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 30 - ADMINISTRATIVE HEARINGS FOR CIVIL MONETARY PENALTIES ISSUED PURSUANT TO PHERA › Section 7.1.30.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This rule applies to all persons who receive a notice of
				  contemplated action for imposition of a civil monetary penalty pursuant to the
				  Public Health Emergency Response Act (Act), Section
				  12-10A-19
				  NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 30 - ADMINISTRATIVE HEARINGS FOR CIVIL MONETARY PENALTIES ISSUED PURSUANT TO PHERA › Section 7.1.30.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
Public Health Emergency Response Act (Act), Section
				  12-10A-1
et seq
, NMSA 1978; and Subsection E of Section
				  9-7-6,
				  NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 30 - ADMINISTRATIVE HEARINGS FOR CIVIL MONETARY PENALTIES ISSUED PURSUANT TO PHERA › Section 7.1.30.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
September 15, 2020, unless a later date is cited at the end
				  of a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 30 - ADMINISTRATIVE HEARINGS FOR CIVIL MONETARY PENALTIES ISSUED PURSUANT TO PHERA › Section 7.1.30.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide administrative
				  procedural rules to govern the appeal of a civil monetary penalty that is
				  assessed by the department under the Act.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 30 - ADMINISTRATIVE HEARINGS FOR CIVIL MONETARY PENALTIES ISSUED PURSUANT TO PHERA › Section 7.1.30.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Appellant
means a person who is served a notice of contemplated
				action for imposition of a civil monetary penalty pursuant to the Act at
				Section
				12-10A-19
				NMSA 1978, who timely submits a request for hearing, in accordance with this
				rule, to contest the proposed penalty.
B.
Department
means the New
				Mexico department of health.
C.
Notice of contemplated action
means a notice that is issued by the
				department to a person pursuant to the Section
				12-10A-19,
				NMSA 1978.
D.
Person
means a living person or a legal entity.
E.
Recipient
means a recipient
				of a notice of contemplated action.
F.
Secretary
means the cabinet
				secretary of the New Mexico department of health.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 30 - ADMINISTRATIVE HEARINGS FOR CIVIL MONETARY PENALTIES ISSUED PURSUANT TO PHERA › Section 7.1.30.8 - HEARINGS PURSUANT TO THE PUBLIC HEALTH EMERGENCY RESPONSE ACT

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Right to
				hearing:
A person may request an administrative hearing before a hearing
				officer appointed by the secretary or his or her designee, to appeal the
				proposed imposition of a civil monetary penalty pursuant to the Act at Section
				12-10A-19
				NMSA 1978. An appellant may request the hearing by mailing a certified letter,
				return receipt requested, to the New Mexico department of health at the mailing
				address that is specified on the notice of contemplated action within five days
				after service of the notice of the contemplated action. If the recipient fails
				to request a hearing in the time and manner required by this section, the
				recipient shall forfeit the right to a hearing, and the proposed action shall
				become final.
B.
Scheduling
				the hearing:
(1)
Appointment of
				hearing officer:
Upon the departments receipt of a timely request for a
				hearing, the department shall appoint an impartial hearing officer and schedule
				a hearing.
(2)
Hearing
				date:
The hearing shall be held not more than 60 days and not less than
				12 days from the date of service of the notice of the hearing.
(3)
Notice of hearing:
The
				department shall notify the appellant of the date, time, and place of the
				hearing and the identity of the hearing officer, within twenty days of the
				departments timely receipt of the request for hearing.
(4)
Hearing venue:
The hearing
				shall be held in Santa Fe, NM; provided that the hearing officer may, with the
				agreement of the parties, hold the hearing in another location within the state
				of New Mexico. Hearings may be held in whole or in part via telephone or live
				video, upon the request of either party, at the hearing officers
				discretion.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations govern the creation and maintenance of a
				  repository of healthcare claims data to be used to increase the quality and
				  effectiveness of health care delivered in New Mexico.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The requirements set forth herein are promulgated by the
				  secretary of the department of health pursuant to the authority granted under
				  Subsection E of Section
				  9-7-6,
				  NMSA 1978, and the Health Information System Act, 24-14A-1 et seq. NMSA
				  1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
April 20, 2021, unless a later date is cited at the end of a
				  section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to establish provisions that
				  govern the creation, maintenance, and usage of a repository of healthcare
				  claims data for the purpose of improving health care cost and
				  quality.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.8 - STATEWIDE ALL-PAYER CLAIMS DATABASE-DUTIES-CONTRACT WITH DATA VENDOR

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Duties of
				the department:
(1) The department
				shall establish a statewide all-payer claims database to support transparent
				public reporting of health care information. The database must improve
				transparency to: assist patients, providers, and hospitals to make informed
				choices about care; enable providers, hospitals, and communities to improve by
				benchmarking their performance against that of others by focusing on best
				practices, enable purchasers to identify value, build expectations into their
				purchasing strategy, and reward improvements over time; and promote competition
				based on quality and cost. The database must systematically collect all medical
				claims for covered medical services, pharmacy claims, dental claims, member
				eligibility and enrollment data, and provider data with necessary identifiers
				from private and public payers, with data from all settings of care that permit
				the systematic analysis of health care delivery.
(2) The department shall convene
				subcommittees to the HIS advisory committee with the approval of the secretary,
				including:
(a) a subcommittee on data policy
				development;
(b) a subcommittee to
				establish a data release process consistent with the requirements of this rule
				and to provide advice regarding formal data release requests. The advisory
				subcommittees must include in-state representation from key providers,
				hospitals, public health and health maintenance organizations, large and small
				private purchasers, consumer organizations, and the two largest carriers
				supplying claims data to the database; and
(c) other subcommittees as needed.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.9 - SUBMISSION OF CLAIMS DATA TO DATABASE

Current through Register Vol. 35, No. 13, July 16, 2024
A.
All-payer claims database data
				providers:
(1) Data providers must
				submit all available data and health information with necessary identifiers to
				the database as described in the APCD-Common Data Layout (APCD-CDLT, Version
				2.1 with errata, Copyright 2021 by APCD Council, National Association of Health
				Data Organizations, the University of New Hampshire) within the time frames in
				this rule and in accordance with procedures established herein.
(2) Any data provider used by an entity that
				participates in the database such as a third-party administrator or pharmacy
				benefit manager must provide claims data to the department or the data vendor
				upon request of the entity.
(3) The
				following plans or entities may voluntarily provide claims data to the database
				within the time frames and in accordance with procedures established by the
				department:
(a) Employer sponsored plans
				subject to the Employee Retirement Income Security Act of 1974; and
(b) any governmental or tribal program or
				facility that provides health care services to American Indians and Alaska
				Natives.
(4) Health
				insurance carriers that only offer the following excepted benefit coverages are
				not required to report:
(a) specific
				disease;
(b) accident or
				injury;
(c) hospital indemnity and
				other fixed indemnity;
(d)
				disability;
(e) long-term care;
				and
(f) vision coverage.
(5) Medicaid managed care
				organizations provide claims data to the New Mexico human services division
				(HSD), and who will then submit that data to the department of
				health.
(6) Health insurance
				carriers covering less than 500 individuals are not required to submit files to
				the database but are required to report the number of individuals with coverage
				during the previous year on March 1st.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.10 - CLAIMS DATA AND DATABASE - EXEMPTIONS FROM PUBLIC DISCLOSURE

Current through Register Vol. 35, No. 13, July 16, 2024
Public record:
A. The
				claims data provided to the database, the database itself, including the data
				compilation, and any raw data received from the database are not public records
				and are generally exempt from public disclosure in accordance with the
				Inspection of Public Records Act, Subsections A and H of Section
				14-3-1,
				NMSA 1978, the Health and Hospital Records Act, 14-6-1, NMSA 1978, and the
				Health Information Systems Act, Sections
				24-14A-6
				& 8, NMSA 1978.
B. Claims data
				obtained, distributed, or reported in the course of activities undertaken
				pursuant to or supported under this rule are strictly confidential and shall
				not be a matter of public record or accessible to the public. The department
				shall not disclose data except to the extent that they are included in a
				compilation of aggregate data. Any forms of data collected by and furnished for
				the department shall not be public records subject to inspection pursuant to
				Section
				14-2-1
				NMSA 1978. The department may release or disseminate aggregate data, which
				shall be public records if the release of these data does not violate state or
				federal law relating to the privacy and confidentiality of individually
				identifiable health information. In accordance with Paragraph (6) of Subsection
				D of Section
				24-14A-3
				NMSA 1978, Section
				24-14A-4.3
				NMSA 1978, and Subsection D of Section
				24-14A-6,
				NMSA 1978 of the HIS Act, data may be reported routinely to authorized federal,
				state, and local public agencies.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.11 - GENERAL PROVISIONS ON ACCESS TO THE CLAIMS DATABASE DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Access
				requirements:
Data and reports based on the claims database may be
				obtained only in accordance with the requirements of the HIS Act and this rule.
				Any request for information that would not be contained in previously prepared
				and published reports will require a data request from the
				department.
B.
Evaluation of
				requests:
In addition to other requirements stated in this rule, all
				requests for claims data and reports, other than routine reports, shall be
				evaluated by the department and shall not be released unless the requests
				satisfy the following criteria for approval.
(1) The specific intended use of the data
				shall comport with the purposes of the HIS Act, as stated in 24-14A-3A, NMSA
				1978 and rules promulgated pursuant to the HIS Act, including use of data to
				assist in:
(a) the performance of health
				planning, policy making functions, and research conducted for the benefit of
				the public;
(b) informed health
				care decision making by consumers;
(c) surveillance for the control of disease
				and conditions of public health significance as required by Public Health Act,
				Subsection C of 24-1-3 NMSA 1978, and
(d) administration, monitoring, and
				evaluation of a statewide health plan.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.12 - ACCESS TO HEALTH CARE DATA REPORTS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Access to routine and published
				reports:
The department shall release reports to the public on a
				periodic schedule as determined by the department and in accordance with the
				HIS Act.
B.
Access to
				aggregate data and reports for individuals:
Pursuant to the requirements
				of the NM Inspection of Public Records Act (IPRA), any person may obtain access
				to existing aggregate data or reports based on the subset or portion of the
				claims database that is relevant to the individual's stated purpose. Any access
				to aggregate data or reports that have not yet been generated is subject to
				approval by the department pursuant to the requirements of this rule.
C.
Access to data and reports for state
				agencies:
The department shall establish policies and procedures for
				access to data and reports by state agencies.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 31 - STATEWIDE HEALTH CARE CLAIMS DATABASE › Section 7.1.31.13 - FEES FOR DATA AND REPORTS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Fees for routine reports:
(1)
Generally:
The fees for copies of available reports produced for
				public use shall be as follows:
(a) single
				copies of any claims data reports or annual reports shall be provided free of
				charge upon request; and
(b) all
				other reports shall be provided for a fee of no more than $1.00 per
				page.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 2 - VITAL STATISTICS › Part 2 - VITAL RECORDS AND STATISTICS › Section 7.2.2.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations govern the creation and maintenance of a
				  system of vital records and health statistics in New Mexico and insure the
				  integrity of all vital records and health statistics issued or maintained by
				  the department of health.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 2 - VITAL STATISTICS › Part 2 - VITAL RECORDS AND STATISTICS › Section 7.2.2.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The regulations set forth herein are promulgated by the
				  secretary of the department of health by the authority of Subsection F of
				  Section 9-7-6 NMSA 1978 and implement the
				  Vital Statistics Act, Sections
				  24-14-1 to
				  24-14-31 NMSA 1978, as amended.
				  These regulations also implement certain sections of the Uniform Parentage Act,
				  Section 40-11-1 et seq., NMSA 1978 at
				  Sections 40-11-5 and
				  40-11-6 NMSA 1978. These
				  regulations also implement reporting for medical aid in dying, Section
				  24-1-43 NMSA
				  1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 2 - VITAL STATISTICS › Part 2 - VITAL RECORDS AND STATISTICS › Section 7.2.2.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations are promulgated pursuant to statute for the
				  purpose of installing, maintaining and operating a system of vital statistics
				  throughout this state.