Iowa Administrative Code
Agency 641 - Public Health Department
Chapter 136 - Trauma Registry
Rule 641-136.2 - Trauma Registry
Universal Citation: IA Admin Code 641-136.2
Current through Register Vol. 47, No. 6, September 18, 2024
(1) Adoption by reference.
a. "Iowa Trauma Patient Data
Dictionary" (January 2017) is incorporated by reference for inclusion criteria
and reportable patient data to be reported to the trauma registry. For any
differences which may occur between the adopted reference and this chapter, the
administrative rules shall prevail.
b. "Iowa Trauma Patient Data Dictionary"
(January 2017) is available through the Iowa Department of Public Health,
Bureau of Emergency and Trauma Services (BETS), Lucas State Office Building,
Des Moines, Iowa 50319-0075, or the BETS website
idph.iowa.gov/Portals/l/userfiles/43/Trauma Patient Registry Data
Dictionary.pdf.
(2) A trauma care facility shall report data as follows:
a. Trauma care facilities shall
submit reportable patient data identified in 136.2(1) electronically to the
department. Data shall be submitted in a format approved by the
department.
b. Trauma care
facilities that enter required trauma data identified in 136.2(1) "a" directly
into the state registry shall, at a minimum, enter 80 percent of cases within
60 days of a patient's discharge. Within 120 days of a patient's discharge, 100
percent of cases shall be entered into the registry.
c. Trauma care facilities that submit
required trauma data identified in 136.2(1) "a" via upload shall, at a minimum,
submit 80 percent of cases discharged within the previous 60 days of the first
business day of every even-numbered calendar month. Within 120 days of a
patient's discharge or next scheduled data upload, 100 percent of cases shall
be entered into the registry.
(3) Reportable patient data compilations. The department shall prepare compilations for release or dissemination on reportable patient data entered into the trauma registry during the reporting period. The compilations shall include, but not be limited to, trends and patient care outcomes for local, regional and statewide evaluations. The compilations shall be made available to all providers submitting reportable patient data to the registry.
(4) Access and release of reportable patient data and information.
a. The data collected by the trauma registry
and furnished to the department pursuant to this rule are confidential records
of the condition, diagnosis, care, or treatment of patients or former patients,
including outpatients, pursuant to Iowa Code section
22.7. The
compilations prepared for release or dissemination from the data collected are
not confidential under Iowa Code section
22.7(2).
However, information which individually identifies patients shall not be
disclosed and state and federal law regarding patient confidentiality shall
apply.
b. The department may
approve requests for reportable patient data for special studies and analysis
provided:
(1) The request has been reviewed
and approved by the department with respect to the scientific merit and
confidentiality safeguards; and
(2)
The department has given administrative approval for the proposal.
(3) The confidentiality of patients and
trauma care facilities is protected pursuant to Iowa Code sections
22.7 and
147A.24.
c. The department may require those
requesting the data to pay any or all of the reasonable costs associated with
furnishing the reportable patient data.
(5) Data collection methods. To the extent possible, activities under this rule shall be coordinated with other health data collection methods.
(6) Quality assurance of reported data.
a. For
the purpose of ensuring the completeness and quality of reportable patient
data, the department or its designated trauma survey team may examine medical
records to validate the accuracy of data submitted by a trauma care
facility.
b. Review of medical
records by the department or its designated trauma survey team shall be
scheduled in advance with the trauma care facility and completed in a timely
manner.
c. The director, pursuant
to 641-Chapter 178, may grant a waiver from the requirements of rules adopted
under this chapter for a trauma care facility that meets the requirements of
this chapter.
Disclaimer: These regulations may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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