Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 200 - REPORTING OF HEALTH CARE-ASSOCIATED INFECTIONS AND PREVENTABLE ADVERSE EVENTS › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 200.1 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this chapter,
					 shall have the following meanings, unless the context clearly indicates
					 otherwise.
(1) AHRQ--Agency for
				  Healthcare Research and Quality.
(2) Ambulatory surgical center--A facility
				  licensed under Texas Health and Safety Code, Chapter 243.
(3) CMS--Centers for Medicare and Medicaid
				  Services under the United States Department of Health and Human
				  Services.
(4) Comments--Notes or
				  explanations submitted by the health care facilities concerning the
				  department's compilation and summary of the facilities' data that is made
				  available to the public as described in the Texas Health and Safety Code,
				  §
										98.106.
(5) Data--Facility and patient level
				  information reported to the department for the purposes of monitoring health
				  care-associated infections and preventable adverse events.
(6) Data summary--Facility level information
				  prepared by the department for each health care facility required to report in
				  this state to facilitate comparisons of risk-adjusted infection rates and
				  preventable adverse events.
(7)
				  Department--Department of State Health Services.
(8) Device days--The number of patients in a
				  special care setting who have one or more central lines for each day of the
				  month, determined at the same time each day of the reporting quarter.
(9) Facility contact--Person identified by
				  the health care facility responsible for coordinating communications related to
				  data submission, verification and approval of data summary.
(10) Facility Identification Number--The
				  unique, distinguishable, uniform number used to identify each health care
				  facility.
(11) Fall--A sudden,
				  unintended, uncontrolled downward displacement of a patient's body to the
				  ground or other object.
(12)
				  General hospital--A hospital licensed under Texas Health and Safety Code,
				  Chapter 241, or a hospital that provides surgical or obstetrical services and
				  that is maintained or operated by the state.
(13) Great vessels--Primary blood vessels to
				  include aorta, pulmonary artery, superior vena cava, inferior vena cava,
				  brachiocephalic veins, internal jugular veins, subclavian veins, external iliac
				  veins, common femoral veins, and in neonates, the umbilical artery or umbilical
				  vein.
(14) HAI--Health
				  care-associated infection. Localized or symptomatic condition resulting from an
				  adverse reaction to an infectious agent or its toxins to which a patient is
				  exposed in the course of the delivery of health care to the patient.
(15) HAI data--Patient level information
				  identifying the patient, procedures and events required by this chapter,
				  infections resulting from those procedures or events, and causative pathogens
				  when laboratory confirmed.
(16)
				  Health care facility or facility--A general hospital or ambulatory surgical
				  center.
(17) ICD-CM--The
				  International Classification of Diseases, Clinical Modification that is used to
				  code and classify morbidity data from the inpatient and outpatient records of
				  hospitals, ambulatory surgical centers, and physician offices.
(18) Incident--A patient safety event that
				  reached the patient, whether or not the patient was harmed.
(19) Inpatient--An admission to an acute care
				  hospital for medical treatment as defined by the NHSN.
(20) Mild Harm--Bodily or psychological
				  injury results in the minimal symptoms or loss of function, or injury limited
				  to the additional treatment, monitoring and/or increased length of
				  stay.
(21) Moderate Harm--Bodily or
				  psychological injury adversely affecting functional ability or quality of life,
				  but not at the levels of severe harm.
(22) Near Miss--A patient safety event that
				  did not reach the patient.
(23)
				  NHSN--Centers for Disease Control and Prevention's National Healthcare Safety
				  Network or its successor.
(24)
				  NHSN-reported PAE--A preventable adverse event as defined by NQF or CMS which
				  is reported through NHSN.
(25)
				  NQF--National Quality Forum.
(26)
				  No Harm--A patient safety incident that reached the patient, but no harm was
				  evident.
(27) PSO--Patient safety
				  organization.
(28) Pressure
				  Ulcer--Localized injury to the skin and/or underlying tissue that usually
				  occurs over a bony prominence as a result of pressure, or pressure in
				  combination with shear and/or friction.
(29) PAE--Preventable adverse event. Examples
				  of PAEs are given in Texas Health and Safety Code, §
										98.1045.
(30) Reporting quarters--First quarter:
				  January 1 through March 31; Second quarter: April 1 through June 30; Third
				  quarter: July 1 through September 30; Fourth quarter: October 1 through
				  December 31.
(31) Risk
				  adjustment--A statistical method to account for a patient's severity of illness
				  and the likelihood of development of a health care-associated infection (e.g.,
				  duration of procedure in minutes, wound class, and American Society of
				  Anesthesiology (ASA) score).
(32)
				  SRE--Serious Reportable Event. Also known as a "never event."
(33) Severe Harm--Bodily or psychological
				  injury that interferes significantly with the functional ability or quality of
				  life.
(34) TxHSN--Texas Health Care
				  Safety Network.
(35) TxHSN-reported
				  PAE--A preventable adverse event as defined in §
										200.7
				  of this title (relating to Schedule for HAI and PAE Reporting) reported through
				  the TxHSN portal or its successor.
(36) Validation--The process of comparing
				  data received by the department to original patient and facility records to
				  ascertain the accuracy of reported data compared to the case
				  definition.
(37)
				  Verification--Review of data submitted electronically to assure completeness
				  and internal consistency.