New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 300 - DISEASES
Part He-P 309 - HEALTHCARE ASSOCIATED INFECTIONS REPORTING
Section He-P 309.01 - Definitions

(a) "Ambulatory surgical center" means "ambulatory surgical center" as defined in He-P 812.03(i) and licensed in accordance with RSA 151 and He-P 812. The term "ambulatory surgical center" includes "ambulatory surgical facility" as used in RSA 151:33.

(b) "Assisted living residence" means "assisted living residence" as defined in RSA 161-J:2, II.

(c) "Catheter-associated urinary tract infections (CAUTI)" means urinary tract infections that are associated with having a catheter as defined by NHSN in the material incorporated by reference in He-P 309.03(a).

(d) "Central line" means one of the following types of intravascular catheter that terminates at or close to the heart, or in one of the great vessels that is used for infusion, withdrawal of blood, or hemodynamic monitoring. Types of central lines include:

(e) "Centers for Medicare and Medicaid Services (CMS)" means the federal agency within the U.S. Department of Health and Human Services that administers the Medicare and Medicaid programs.

(f) "Central line related bloodstream infections (CLABSI)" means central line-associated blood stream infections, or a bloodstream infection that is associated with having a central line as defined by NHSN in He-P 309.04(a).

(g) "Department" means the New Hampshire department of health and human services.

(h) "End stage renal disease dialysis center (ESRDDC)" means "end stage renal disease dialysis center" as defined in He-P 811.03(r) and licensed in accordance with RSA 151 and He-P 811. The term includes "end stage renal dialysis center" as used in RSA 151:33.

(i) "Healthcare associated infection (HAI)" means an infection that a patient acquires during the course of receiving treatment for another condition within a healthcare setting.

(j) "Healthcare personnel (HCP)" means all facility personnel, including but not limited to, physicians, nurses, nursing assistants, therapists, technicians, emergency medical service personnel, dental personnel, pharmacists, laboratory personnel, autopsy personnel, students, trainees, volunteers, and contractual staff not employed by the healthcare facility, such as clerical, dietary, housekeeping, and maintenance staff regardless of clinical responsibility or patient contact.

(k) "Hospital" means "hospital" as defined in RSA 151:2, I(a).

(l) "Influenza vaccination rates" means the proportion of persons that received influenza vaccine.

(m) "Inpatient census" means the average number of inpatients per year for each hospital, which shall be determined by the total number of admissions per year.

(n) "Intravenous (IV) antimicrobial start" means administration starts of all intravenous antibiotics or antifungals.

(o) "LabID event" means a positive laboratory test result for Clostridioides difficile toxin A, toxin B, or both, or any detection of toxin-producing Clostridioides difficile organisms by culture or other laboratory means on an unformed stool specimen that conforms to the container, when tested through methods such as molecular assays, include polymerase chain reaction (PCR), toxin assays, including enzyme immunoassay (EIA), or both.

(p) "Measure" means any infection or process measure reported by a hospital pursuant to RSA 151:33, II and III and as described in He-P 309.02(a) and (b), and any infection or process measure reported by an ambulatory surgical center pursuant to RSA 151:33, II-a and III and as described in He-P 309.02(c) and (d).

(q) "National Healthcare Safety Network (NHSN)" means the web-based surveillance system for healthcare-associated infection surveillance maintained by the Centers for Disease Control and Prevention.

(r) "New Hampshire veterans' home" means "home" as defined in Ve-H 102.03 and licensed in accordance with RSA 119:1 and Ve-H 100-400. This term includes "veterans' home" as used in RSA 151:33.

(s) "Nursing home" means "nursing home" as defined in He-P 803.03(az) and licensed in accordance with RSA 151 and He-P 803. This term includes "nursing facility" as used in RSA 151:33.

(t) "Residential care facility" means "residential health care facility" as defined in He-P 805.03(bj) and licensed in accordance with RSA 151 and He-P 805 and as used in RSA 151:33. This term also includes "assisted living residence-residential care (ALR-RC)".

(u) "Specialty hospital" means a psychiatric or rehabilitation hospital as defined in He-P 802.

(v) "Supported residential health care facility (SRHCF)" means "supported residential health care facility" as defined in He-P 805.03(bu).

(w) "Surgical antimicrobial prophylaxis" means administration of antibiotics in relation to a surgical procedure as defined by CMS in He-P 309.07(a).

(x) "Surgical wound infections" means surgical site infections (SSI), or an infection that is associated with a surgical procedure, as defined by NHSN in He-P 309.06(a).

(y) "Vascular access site infection" means a vascular access site infection that is associated with having a dialysis access site.