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-IR- Database: Indiana Register

TITLE 410 INDIANA STATE DEPARTMENT OF HEALTH

Final Rule
LSA Document #11-102(F)

DIGEST

Adds 410 IAC 15-4 to require mandatory reporting of healthcare associated infections by hospitals. Effective 30 days after filing with the Publisher.



SECTION 1. 410 IAC 15-4 IS ADDED TO READ AS FOLLOWS:

Rule 4. Reporting of Healthcare Associated Infections


410 IAC 15-4-1 Applicability

Authority: IC 16-21-1-7; IC 16-41-2-1
Affected: IC 16-21; IC 16-41-2


Sec. 1. The definitions in this rule apply throughout this rule.
(Indiana State Department of Health; 410 IAC 15-4-1; filed Sep 28, 2011, 11:03 a.m.: 20111026-IR-410110102FRA)


410 IAC 15-4-2 "Centers for Disease Control and Prevention" or "CDC" defined

Authority: IC 16-21-1-7; IC 16-41-2-1
Affected: IC 16-21; IC 16-41-2


Sec. 2. "Centers for Disease Control and Prevention" or "CDC" means the federal agency established under the United States Department of Health and Human Services.
(Indiana State Department of Health; 410 IAC 15-4-2; filed Sep 28, 2011, 11:03 a.m.: 20111026-IR-410110102FRA)


410 IAC 15-4-3 "Healthcare associated infection" defined

Authority: IC 16-21-1-7; IC 16-41-2-1
Affected: IC 16-21; IC 16-41-2


Sec. 3. "Healthcare associated infection" means an infection associated with health care delivery in any setting, for example, the following:
(1) Hospitals.
(2) Long-term care facilities.
(3) Ambulatory settings.
(4) Home care.
(Indiana State Department of Health; 410 IAC 15-4-3; filed Sep 28, 2011, 11:03 a.m.: 20111026-IR-410110102FRA)


410 IAC 15-4-4 "National Healthcare Safety Network" or "NHSN" defined

Authority: IC 16-21-1-7; IC 16-41-2-1
Affected: IC 16-21; IC 16-41-2


Sec. 4. "National Healthcare Safety Network" or "NHSN" means a secure, Internet-based system developed and managed by the CDC to collect, analyze, and report risk-adjusted healthcare associated infection data related to the incidence of healthcare associated infections and the process measures implemented to prevent these infections.
(Indiana State Department of Health; 410 IAC 15-4-4; filed Sep 28, 2011, 11:03 a.m.: 20111026-IR-410110102FRA)


410 IAC 15-4-5 Hospital data collection of healthcare associated infections

Authority: IC 16-21-1-7; IC 16-41-2-1
Affected: IC 16-21; IC 16-41-2


Sec. 5. Hospitals shall collect surveillance data on the healthcare associated infections and hospital locations listed in section 7 of this rule.
(Indiana State Department of Health; 410 IAC 15-4-5; filed Sep 28, 2011, 11:03 a.m.: 20111026-IR-410110102FRA)


410 IAC 15-4-6 National Healthcare Safety Network (NHSN) participation

Authority: IC 16-21-1-7; IC 16-41-2-1
Affected: IC 16-21; IC 16-41-2


Sec. 6. (a) Hospitals shall do all of the following:
(1) Enroll in the CDC's NHSN by January 31, 2012.
(2) Submit data through NHSN on the healthcare associated infections listed in section 7 of this rule.
(3) Confer to the state department of health the NHSN access rights to their hospital specific healthcare associated infection data contained in the NHSN on the healthcare associated infections specified in section 7 of this rule.

(b) Hospitals who are expelled from the NHSN shall submit the same information through electronic means to the department at the sole cost of the hospital, if necessary.
(Indiana State Department of Health; 410 IAC 15-4-6; filed Sep 28, 2011, 11:03 a.m.: 20111026-IR-410110102FRA)


410 IAC 15-4-7 Reportable healthcare associated infections

Authority: IC 16-21-1-7; IC 16-41-2-1
Affected: IC 16-21; IC 16-41-2


Sec. 7. Hospitals shall submit all NHSN-required data to the NHSN on the following healthcare associated infections effective January 1, 2012:
(1) Central line associated bloodstream infections in all intensive care units.
(2) Surgical site infections for abdominal hysterectomies and colorectal surgeries.
(3) Catheter associated urinary tract infections in adult and pediatric intensive care units.
(Indiana State Department of Health; 410 IAC 15-4-7; filed Sep 28, 2011, 11:03 a.m.: 20111026-IR-410110102FRA)


LSA Document #11-102(F)
Notice of Intent: 20110309-IR-410110102NIA
Proposed Rule: 20110727-IR-410110102PRA
Hearing Held: August 19, 2011
Approved by Attorney General: September 20, 2011
Approved by Governor: September 27, 2011
Filed with Publisher: September 28, 2011, 11:03 a.m.
Documents Incorporated by Reference: None Received by Publisher
Small Business Regulatory Coordinator: Kimberly Crawford, Indiana State Department of Health, 2 North Meridian Street, 3H-99, Indianapolis, IN 46204, (317) 233-7874, kicrawford@isdh.in.gov

Posted: 10/26/2011 by Legislative Services Agency

DIN: 20111026-IR-410110102FRA
Composed: Apr 28,2024 10:19:08PM EDT
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