California Code of Regulations
Title 22 - Social Security
Division 7 - Health Planning and Facility Construction
Chapter 10 - Health Facility Data
Article 8 - Patient Data Reporting Requirements
Section 97213 - Required Reporting

Universal Citation: 22 CA Code of Regs 97213

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a)

(1) Hospital Discharge Abstract Data: Each hospital shall submit a hospital discharge abstract data record, as specified in Subdivision (g) of Section 128735 of the Health and Safety Code, for each inpatient discharged during the semiannual reporting period, according to the format specified in Subsection (a) of Section 97215 and by the dates specified in Subsection (c)(1) of Section 97211.

(2) Emergency Care Data: Each hospital shall submit an emergency care data record, as specified in Subsection (a) of Section 128736 of the Health and Safety Code, for each encounter during the quarterly reporting period, according to the format specified in Subsection (b) of Section 97215 and by the dates specified in Subsection (c)(2) of Section 97211. A hospital shall not report an Emergency Care Data Record if the encounter resulted in a same-hospital admission.

(3) Ambulatory Surgery Data: Each hospital and freestanding ambulatory surgery clinic shall submit an ambulatory surgery data record, as specified in Subsection (a) of Section 128737 of the Health and Safety Code, for each encounter during which at least one ambulatory surgery procedure is performed, during the quarterly reporting period, according to the format specified in Subsection (c) of Section 97215 and by the dates specified in Subsection (c)(3) of Section 97211. An ambulatory surgery procedure is defined by Subsection (a) of Section 128700 of the Health and Safety Code as those procedures performed on an outpatient basis in the general operating rooms, ambulatory surgery rooms, endoscopy units, or cardiac catheterization laboratories of a hospital or a freestanding ambulatory surgery clinic. A hospital shall not report an Ambulatory Surgery Data Record if the encounter resulted in a same-hospital admission.

(b) A hospital shall separately identify records of inpatients being discharged from the acute care type of care, as defined by paragraph (5) of Subsection (w) of Section 97212. The hospital shall identify these records by recording a "1" on each of these records as specified in the Format and File Specifications for Online Transmission: Inpatient Data in Section 97215.

(c) A hospital shall separately identify records of inpatients being discharged from the skilled nursing/intermediate care type of care, as defined by paragraph (1) of Subsection (w) of Section 97212. The hospital shall identify these records by recording a "3" on each of these records as specified in the Format and File Specifications for Online Transmission: Inpatient Data in Section 97215.

(d) A hospital shall separately identify records of inpatients being discharged from the psychiatric care type of care, as defined by paragraph (3) of Subsection (w) of Section 97212. The hospital shall identify these records by recording a "4" on each of these records as specified in the Format and File Specifications for Online Transmission: Inpatient Data in Section 97215.

(e) A hospital shall separately identify records of inpatients being discharged from the chemical dependency recovery care type of care, as defined by paragraph (4) of Subsection (w) of Section 97212. The hospital shall identify these records by recording a "5" on each of these records as specified in the Format and File Specifications for Online Transmission: Inpatient Data in Section 97215.

(f) A hospital shall separately identify records of inpatients being discharged from the physical rehabilitation care type of care, as defined by paragraph (2) of Subsection (w) of Section 97212. The hospital shall identify these records by recording a "6" on each of these records as specified in the Format and File Specifications for Online Transmission: Inpatient Data in Section 97215.

(g) Licensees operating and maintaining more than one physical plant on separate premises under a single consolidated license who choose to file separate data reports for each location must request, in writing, a modification to file separate data reports for each location. A licensee granted a modification under this paragraph shall be responsible for all regulatory requirements for each separate report. Separate extension requests, filed under the provisions of Section 97241, shall be required for each report, and penalties, assessed pursuant to Section 97250, shall be assessed on each delinquent report.

1. New section applicable to all discharges after December 31, 1996 filed 7-15-96; operative 8-14-96 (Register 96, No. 29).
2. Editorial correction of subsection (d) (Register 97, No. 19).
3. Editorial correction of subsection (d) (Register 97, No. 30).
4. Amendment of section and NOTE filed 7-23-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 30).
5. Repealer of version of section 97213 applicable through 12-31-96 and amendment of version of section 97213 applicable beginning 1-1-97 filed 9-21-98; operative 10-21-98 (Register 98, No. 39). For prior history see Register 97, No. 30.
6. Amendment filed 9-23-2003; operative 9-23-2003 pursuant to Government Code section 11343.4 (Register 2003, No. 39).
7. Amendment of section and NOTE filed 5-5-2005; operative 5-5-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 18).
8. Change without regulatory effect amending subsections (b)-(f) filed 8-23-2011 pursuant to section 100, title 1, California Code of Regulations (Register 2011, No. 34).
9. Change without regulatory effect amending subsections (b)-(f) filed 12-13-2019 pursuant to section 100, title 1, California Code of Regulations (Register 2019, No. 50).
10. Change without regulatory effect amending subsections (b)-(f) filed 6-22-2020 pursuant to section 100, title 1, California Code of Regulations (Register 2020, No. 26).
11. Change without regulatory effect amending subsections (b)-(f) filed 11-5-2021 pursuant to section 100, title 1, California Code of Regulations (Register 2021, No. 45).

Note: Authority cited: Section 128810, Health and Safety Code. Reference: Sections 128735, 128736 and 128737, Health and Safety Code.

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