Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 120 - Health care information › Subchapter III - Data Collection and Submission › Section DHS 120.11 - Common data verification, review and comment procedures

Current through June 24, 2024
(1) APPLICABILITY.
				  The data verification, review and comment procedures in this section apply to
				  data submitted by hospitals and ambulatory surgery centers as described in ss.
				  DHS 120.12(5)
				  (c) and (d), (5m) (c) and (d), (6) (d) and
				  (e) and 120.13(3) and (4).
(2) DEFINITION. In this section, "facility"
				  means hospitals and freestanding ambulatory surgery centers.
(3) FACILITY DATA VERIFICATION, REVIEW AND
				  COMMENT PROCEDURES.
(a) Each facility shall
				  review its collected data for accuracy and completeness before submitting the
				  data to the department.
(b) The
				  department shall check the accuracy and completeness of all submitted data and
				  record all questionable data based on standard edits or the electronic editing
				  features of the department's data submission system.
(c) If the department determines data
				  submitted by the facility to be questionable, and the department has determined
				  that the data cannot be verified or corrected by telephone or electronic means,
				  the department may return the questionable data to the facility or the
				  facility's qualified vendor with information for revision and
				  resubmission.
(d)
1. Within 20 calendar days from the required
				  date for data submission as specified in ss.
				  DHS 120.12(5)
				  (b) 2., (5m) (b) 2., (6) (c) 2 and 120.13(2)
				  (a), the facility shall do all of the following:
a. Correct all data errors resulting from the
				  department checks performed under par. (b).
b. Review the resultant data profile for
				  accuracy and completeness.
c.
				  Supply the department with the affirmation statement that was included with the
				  data profile. The affirmation statement shall be signed by the chief executive
				  officer or designee indicating that the facility's data are accurate and
				  complete. Facilities submitting affirmation statements to the department
				  electronically shall use the digital signature approved by the department and
				  returned by the facility during the timeframes for data submission specified by
				  the department. A signature on the electronic data affirmation statement
				  represents the signatory's acknowledgement that the data is accurate to the
				  best of his or her knowledge and that the data submitter may no longer submit
				  revised data.
2. Failure
				  to comply with subd. 1. shall result in the facility being non-compliant with
				  this subsection and the facility may be subject to forfeitures under this
				  chapter.
(e) After the
				  department has made any revisions under par. (d) in the data for a particular
				  facility, the department shall send the facility all of the following:
1. A final data profile under this
				  subsection.
2. An affirmation
				  statement.
(g) If the
				  department discovers data errors after the department's release of the data or
				  if a facility representative notifies the department of data errors after the
				  department's release of the data, the department shall note the data errors as
				  caveats to the completed datasets.