Current through Register Vol. 30, No. 38, September 20, 2024
A. To
ensure completeness and accuracy of cancer reporting:
1. Upon notice from the Department of at
least five business days, a hospital, clinic, physician, doctor of naturopathic
medicine, dentist, or registered nurse practitioner required to report under
R9-4-404
shall allow the Department to review any of the following records, as are
applicable to the facility:
a. A report meeting the requirements of
R9-4-404(B)(1);
b. Patient medical records;
c. Medical records of
individuals not diagnosed with cancer;
d. Pathology
reports;
e. Cytology reports;
f. Logs containing
information about surgical procedures, as specified in A.A.C.
R9-10-215(6)
or A.A.C.
R9-10-911(A);
and
g. Records other than those specified in subsections
(A)(1)(a) through (f) that contain information about diagnostic evaluation,
cancer-directed treatment, or other treatment provided to an individual by the
hospital, clinic, physician, doctor of naturopathic medicine, dentist, or
registered nurse practitioner;
2. Within 14 calendar days after the
Department's request, a hospital, clinic, physician, doctor of naturopathic
medicine, dentist, or registered nurse practitioner required to report under
R9-4-404
shall submit the following information about patients who were diagnosed with
cancer or received treatment for cancer within the time period specified in the
Department's request whose medical records include ICD Codes specified in a
list provided by the Department:
a. The
individual's name and date of birth,
b. The individual's medical record
number,
c. The individual's
admission and discharge dates,
d.
All applicable codes for the individual that are in the list provided by the
Department, and
e. Whether the code
reflects the individual's principal or secondary diagnosis; and
3. Within 14 calendar days after
the Department's request, a hospital shall resubmit all of the information
required in R9-4-403(B)(2) for patients first released from the hospital within
the time period specified in the Department's request.
B. The Department shall consider a hospital,
clinic, physician, doctor of naturopathic medicine, dentist, or registered
nurse practitioner required to report under
R9-4-404
as meeting the criteria in
R9-4-404
if the hospital, clinic, physician, doctor of naturopathic medicine, dentist,
or registered nurse practitioner submits a case report to the Department for at
least 97% of the patients for whom a case report is required under
R9-4-404
during a calendar year.
C. The
Department shall consider a hospital required to report under
R9-4-404(A)(3)
as meeting the criteria in R9-4-404(A)(3) if the hospital submits a follow-up
report specified in R9-4-404(A)(3) to the Department once each calendar year
for at least:
1. Eighty percent of all
analytic patients from the hospital's reference date; and
2. Ninety percent of all analytic patients
diagnosed within the last five years or from the hospital's reference date,
whichever is shorter.
D.
The Department shall return a case report not prepared according to
R9-4-403 to the
hospital, clinic, physician, doctor of naturopathic medicine, dentist, or
registered nurse practitioner that submitted the case report, identifying the
revisions that are needed in the case report.
E. Upon receiving a case report returned
under subsection (D), a hospital, clinic, physician, doctor of naturopathic
medicine, dentist, or registered nurse practitioner shall submit the revised
case report to the Department within 15 business days after the date the
Department requests the revision.
F. Upon written request
by the Department, a hospital shall:
1.
Prepare a case report based on a simulated medical record provided by the
Department for the purpose of demonstrating the variability with which data is
reported , and
2. Submit the case
report to the Department within 15 business days after the date of the
request.
