Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 218 - RULES AND REGULATIONS GOVERNING OUTPATIENT HEALTH DATA REPORTING › Section 12VAC5-218-10 - Definitions

Current through Register Vol. 40, No. 24, July 15, 2024
The following words and terms when used in this chapter
				  shall have the following meanings unless the context clearly indicates
				  otherwise:
"Board" means the State Board of Health.
"Nonprofit organization" means a nonprofit, tax-exempt
				  health data organization with the characteristics, expertise and capacity to
				  execute the powers and duties set forth for such entity in Chapter 7.2 (§
				  32.1-276.2 et seq.) of Title 32.1 of the Code of Virginia and with which the
				  Commissioner of Health has entered into a contract as required by the Code of
				  Virginia.
"Outpatient processed, verified data" means data on
				  outpatient records that fulfill the requirements specified in
				  12VAC5-218-25.
"Outpatient surgical procedures" means all surgical
				  procedures performed on an outpatient basis in a general hospital, ordinary
				  hospital, outpatient surgical hospital or other facility licensed or certified
				  pursuant to Article 1 (§ 32.1-123 et seq.) of Chapter 5 of Title 32.1 of
				  the Code of Virginia or in a physician's office or oral and maxillofacial
				  surgeon's office as defined by § 32.1-276.3 of the Code of Virginia.
				  Outpatient surgery refers only to those surgical procedure groups on which data
				  are collected by the nonprofit organization as a part of a pilot study.
"Physician" means a person licensed to practice medicine or
				  osteopathy in the Commonwealth pursuant to Chapter 29 (§ 54.1-2900 et
				  seq.) of Title 54.1 of the Code of Virginia.
"Physician's office" means a place (i) owned or operated by
				  a licensed physician or group of physicians practicing in any legal form
				  whatsoever or by a corporation, partnership, limited liability company or other
				  entity that employs or engages physicians and (ii) designed and equipped solely
				  for the provision of fundamental medical care, whether diagnostic, therapeutic,
				  rehabilitative, preventive or palliative, to ambulatory patients.
"Reporting entity" means every general hospital, ordinary
				  hospital, outpatient surgical hospital or other facility licensed or certified
				  pursuant to Article 1 (§ 32.1-123 et seq.) of Chapter 5 of Title 32.1 of
				  the Code of Virginia and every physician performing surgical procedures in his
				  office or oral and maxillofacial surgeon's office as defined by §
				  32.1-276.3 of the Code of Virginia.
"Surgical procedure group" means at least five procedure
				  groups, identified by the nonprofit organization designated pursuant to §
				  32.1-276.4 of the Code of Virginia in compliance with regulations adopted by
				  the board, based on criteria that include, but are not limited to, the
				  frequency with which the procedure is performed, the clinical severity or
				  intensity, and the perception or probability of risk. The nonprofit
				  organization shall form a technical advisory group consisting of members
				  nominated by its board of directors' nominating organizations to assist in
				  selecting surgical procedure groups to recommend to the board for
				  adoption.
Statutory Authority: §§ 32.1-12 and 32.1-276.6
					 of the Code of Virginia.