Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 18 - DISEASE REPORTING › Section 333-018-0100 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
The following definitions apply to OAR 333-018-0100  through
				333-018-0145:
(1) "Adult ICU" means
			 all specialty and non-specialty intensive care units that care for adults as
			 defined in the NHSN Manual.
(2)
			 "ASC" means an ambulatory surgical center as defined in ORS
			 442.015 and that is licensed
			 pursuant to ORS 441.015.
(3) "Authority" means the Oregon Health
			 Authority.
(4) "CBGB" means
			 coronary bypass graft surgery with both chest and graft incisions, as defined
			 in the NHSN Manual.
(5) "CAUTI"
			 means catheter-associated urinary tract infection as defined in the NHSN
			 Manual.
(6) "CDC" means the federal
			 Centers for Disease Control and Prevention.
(7) "CDI" means Clostridium difficile
			 infection as defined in the NHSN Manual.
(8) "CLABSI" means central line associated
			 bloodstream infection as defined in the NHSN Manual.
(9) "CMS" means the federal Centers for
			 Medicare and Medicaid Services.
(10) "Collection Month" means the month in
			 which an infection was identified.
(11) "COLO" means colon procedures as defined
			 in the NHSN Manual.
(12)
			 "Committee" means the Health Care Acquired Infections Advisory Committee
			 established in section 4, chapter 838, Oregon Laws 2007.
(13) "Dialysis facility" means outpatient
			 renal dialysis facility as defined in ORS
			 442.015.
(14) "Dialysis Event" means an event that
			 occurs in individuals who receive dialysis as defined by the NHSN
			 Manual.
(15) "Follow-up" means
			 post-discharge surveillance intended to detect CBGB, COLO, HPRO, HYST, KRPO,
			 and LAM surgical site infection (SSI) cases occurring after a
			 procedure.
(16) "HAI" means health
			 care acquired infection as defined in section 2, chapter 838, Oregon Laws
			 2007.
(17) "Health care facility"
			 means a facility as defined in ORS
			 442.015.
(18) "Hospital" means a facility as defined
			 in ORS 442.015 and that is licensed
			 pursuant to ORS 441.015.
(19) "Hospital Inpatient Quality Reporting
			 Program (HIQRP)" means the initiative administered by CMS that provides a
			 financial incentive to hospitals to report designated quality measures,
			 mandated by section 501(b) of the Medicare Prescription Drug, Improvement, and
			 Modernization Act (MMA) of 2003.
(20) "HPRO" means hip prosthesis procedure as
			 defined in the NHSN Manual.
(21)
			 "HYST" means abdominal hysterectomy procedure as defined in the NHSN
			 Manual.
(22) "Inpatient
			 rehabilitation ward" means an area within a hospital used for evaluation,
			 treatment, and restoration of function to patients who have lost function due
			 to acute or chronic pain, musculoskeletal problems, stroke, brain or spinal
			 cord dysfunction, or catastrophic events resulting in complete or partial
			 paralysis.
(23) "ICU" means an
			 intensive care unit as defined in the NHSN Manual.
(24) "KPRO" means knee prosthesis procedure
			 as defined in the NHSN Manual.
(25)
			 "Lab ID" means laboratory-identified event as defined in the NHSN
			 Manual.
(26) "LAM" means
			 laminectomy procedure as defined in the NHSN Manual.
(27) "Licensed satellite" has the meaning
			 given that term in OAR 333-500-0010.
(28) "LTCF" means a long term care facility
			 as defined in ORS 442.015.
(29) "MDS" means the CMS minimum data set
			 nursing home resident assessment and screening tool.
(30) "Medical ICU" means a non-specialty
			 intensive care unit in which at least 80 percent of patients served are adult
			 medical patients.
(31)
			 "Medical/Surgical ICU" means a non-specialty intensive care unit in which less
			 than 80 percent of patients served are adult medical, adult surgical, or
			 specialty patients.
(32) "Medical
			 ward" means an area within a hospital used for the evaluation and treatment of
			 patients with medical conditions or disorders.
(33) "Medical/surgical ward" means an area
			 within a hospital used for the evaluation of patients with medical or surgical
			 conditions.
(34) "MRSA" means
			 methicillin-resistant Staphylococcus aureus as defined in the NHSN
			 Manual.
(35) "NHSN" means the CDC's
			 National Healthcare Safety Network.
(36) "NHSN Inpatient" means a patient whose
			 date of admission to the healthcare facility and the date of discharge are
			 different days as defined in the NHSN Manual.
(37) "NHSN Manual" means the 2014 patient
			 safety component protocols, established by the CDC's NHSN, which govern the
			 HAIs and other information required by CMS to be reported by health care
			 facilities, found at
http://www.cdc.gov/nhsn/Training/patient-safety-component/
,
			 and incorporated by reference.
(38)
			 "NICU" means a specialty intensive care unit that cares for neonatal
			 patients.
(39) "Non-specialty ICU"
			 means an intensive care unit in which patients are medical, surgical, or
			 medical/surgical patients.
(40)
			 "Oregon HAI group" means the NHSN group administered by the
			 Authority.
(41) "Overall-facility
			 wide" means data are collected for the entire facility as defined in the NHSN
			 Manual.
(42) "Patient information"
			 means individually identifiable health information as defined in ORS
			 179.505.
(43) "Pediatric inpatient rehabilitation
			 ward" means an area within a hospital used for evaluation, treatment, and
			 restoration of function to patients under 18 years of age who have lost
			 function due to acute or chronic pain, musculoskeletal problems, stroke, brain
			 or spinal cord dysfunction, or catastrophic events resulting in complete or
			 partial paralysis
(44) "Pediatric
			 ICU" means a specialty intensive care unit that cares for pediatric
			 patients.
(45) "Pediatric medical
			 ward" means an area within a hospital used for the evaluation and treatment of
			 patients under 18 years of age with medical conditions or disorders.
(46) "Pediatric medical/surgical ward" means
			 a hospital area where patients under 18 years of age with medical or surgical
			 conditions are managed.
(47)
			 "Pediatric surgical ward" means an area within a hospital used for the
			 evaluation and treatment of patients under 18 years of age who have undergone a
			 surgical procedure.
(48) "Person"
			 has the meaning given that term in ORS
			 442.015.
(49) "Procedure" means an operative procedure
			 as defined in the NHSN Manual.
(50)
			 "Provider" means health care services provider as defined in ORS
			 179.505.
(51) "QIO" means the quality improvement
			 organization designated by CMS for Oregon.
(52) "SCIP" means the Surgical Care
			 Improvement Project, established through collaborative efforts of the Joint
			 Commission and CMS.
(53)
			 "SCIP-Inf-1" means the HAI process measure defined as prophylactic antibiotic
			 received within one hour prior to surgical incision, published by SCIP
			 effective July 1, 2006.
(54)
			 "SCIP-Inf-2" means the HAI process measure defined as prophylactic antibiotic
			 selection for surgical patients, published by SCIP effective July 1, 2006.
(55) "SCIP-Inf-3" means the HAI
			 process measure defined as prophylactic antibiotics discontinued within 24
			 hours after surgery end time (48 hours for cardiac patients), published by SCIP
			 effective July 1, 2006.
(56)
			 "SCIP-Inf-4" means the HAI process measure defined as cardiac surgery patients
			 with controlled 6 a.m. postoperative serum glucose, published by SCIP effective
			 July 1, 2006.
(57) "SCIP-Inf-6"
			 means the HAI process measure defined as surgery patients with appropriate hair
			 removal, published by SCIP effective July 1, 2006.
(58) "SCIP-Inf-9" means the HAI process
			 measure defined as urinary catheter removed on postoperative day one or
			 postoperative day two with day of surgery being day zero, published by SCIP
			 effective July 1, 2006.
(59)
			 "SCIP-Inf-10" means the HAI process measure defined as surgery patients with
			 perioperative temperature management, published by SCIP effective July 1, 2006.
(60) "Specialty ICU" means an
			 intensive care unit in which at least 80 percent of adult patients served are
			 specialty patients, including but not limited to oncology, trauma, and
			 neurology.
(61) "SSI" means a
			 surgical site infection event as defined in the NHSN manual.
(62) "Staff" means any employee of a health
			 care facility or any person contracted to work within a health care
			 facility.
(63) "State agency" has
			 the meaning given that term in ORS
			 192.410.
(64) "Surgical ICU" means a non-specialty
			 intensive care unit in which at least 80 percent of patients served are adult
			 surgical patients.
(65) "Surgical
			 ward" means an area within a hospital used for the evaluation and treatment of
			 patients who have undergone a surgical procedure.
Stat. Auth.: ORS
				  442.420 & OL 2007, Ch. 838
				  § 1-6 & 12
Stats. Implemented: ORS
				  179.505,
				  192.410,
				  192.496,
				  192.502,
				  441.015,
				  442.400,
				  442.405, & OL 2007, Ch. 838
				  § 1-6 &12