New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 22 - CONSUMER HEALTH INFORMATION REPORTS › Section 7.1.22.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to the definitions in the Health Information
				  System Act, Section
				  24-14A-1
				  et seq. NMSA 1978, the following definitions apply for purposes of this
				  rule:
A. "Administrative database"
				means any automated data supplied by the data provider, its contracted
				providers and vendors or public agencies.
B. "Consumer health information report" means
				a report that provides the public information on which to base health care
				purchasing decisions, published by the commission pursuant to Sections
				24-14A-3
				D(11) and
				24-14A-3.1D(2)
				of the Health Information System Act, Section
				24-14A-1
				et seq. NMSA 1978.
C. "Data
				provider" means a data source that has provided data to the Health Information
				System on a regular basis.
D. "Data
				source" has the meaning given in Section
				24-14A-2
				of the Health Information System Act, Section
				24-14A-1
				et seq. NMSA 1978, and includes those categories of persons or entities that
				possess health information, including any public or private sector licensed
				hospital, health care practitioner, primary care clinic, ambulatory surgery
				center, ambulatory urgent care center, ambulatory dialysis unit, home health
				agency, long-term care facility, pharmacy, third-party payer and any public
				entity that has health information.
E. "Director" means the director of the
				commission.
F. "Health care" means
				any care, treatment, service or procedure to maintain, diagnose or otherwise
				affect an individual's physical or mental condition.
G. "Health care provider" means any
				individual, corporation, partnership, organization, facility, institution or
				other entity licensed, certified or otherwise authorized or permitted by law to
				provide health care in the ordinary course of business or practice of a
				profession.
H. "Health care survey"
				means a survey of health care consumers or health care providers or any other
				type of subjective assessment of health care.
I. "Health information system" or "HIS" means
				the health information system established by the Health Information System Act,
				Section
				24-14A-1
				et seq. NMSA 1978.
J. "HIS advisory
				committee" means the committee the commission establishes pursuant to Section
				24-14A-3.1
				of the Health Information System Act, Section
				24-14A-1
				et seq. NMSA 1978.
K. "Medical
				record" means the paper or electronic record of patient visits, treatments and
				test results assembled by the collective accumulation of notes kept by all
				health care providers who treat the patient.
L. "Outcome measures" means changes in
				patient health status and satisfaction resulting from specific medical and
				health interventions, as distinguished from the effects of other factors that
				influence patient health and satisfaction.
M. "Patient" means a person for whom health
				information is contained in the health information system.
N. "Patient confidential information" means
				the medical record and claims history of an individual patient.
O. "Performance measures" include, but are
				not limited to, quality indicators, outcome measures and health care service
				information.
P. "Proprietary
				information" means confidential technical information, administrative
				information, and/or business methods that are the property of the data provider
				and are perceived to confer a competitive position in the health care market by
				not being openly known by competitors.
Q. "Quality indicator" means a standardized
				and nationally or professionally recognized measure of a discrete element or
				aspect of health care useful for the purpose of monitoring quality of
				care.
R. "Quality of care" means
				the degree to which health services for individuals and populations increase
				the likelihood of desired health outcomes or are consistent with current
				professional knowledge. The provision of health services should reflect
				appropriate use of the most current knowledge about scientific, clinical,
				technical, interpersonal, manual, cognitive, and organizational and management
				elements of health care.
S.
				"Reporting year" means the calendar year in which the health care services that
				are the subject of a consumer health information report were
				delivered.
T. "Risk adjustment"
				means a method of analyzing patient-level data that accounts for patient risk
				factors, such as age, sex, severity of illness and presence of multiple
				diseases, that could affect patient outcomes or resource use. Risk adjustment
				is intended to provide more accurate comparisons among health care providers
				than would exist without risk adjustment.