Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 200 - REPORTING OF HEALTH CARE-ASSOCIATED INFECTIONS AND PREVENTABLE ADVERSE EVENTS
Subchapter A - CONTROL OF COMMUNICABLE DISEASES
Section 200.1 - Definitions

(1) AHRQ--Agency for Healthcare Research and Quality.

(2) Ambulatory surgical center--A facility licensed under Texas Health and Safety Code, Chapter 243.

(3) CMS--Centers for Medicare and Medicaid Services under the United States Department of Health and Human Services.

(4) Comments--Notes or explanations submitted by the health care facilities concerning the department's compilation and summary of the facilities' data that is made available to the public as described in the Texas Health and Safety Code, § 98.106.

(5) Data--Facility and patient level information reported to the department for the purposes of monitoring health care-associated infections and preventable adverse events.

(6) Data summary--Facility level information prepared by the department for each health care facility required to report in this state to facilitate comparisons of risk-adjusted infection rates and preventable adverse events.

(7) Department--Department of State Health Services.

(8) Device days--The number of patients in a special care setting who have one or more central lines for each day of the month, determined at the same time each day of the reporting quarter.

(9) Facility contact--Person identified by the health care facility responsible for coordinating communications related to data submission, verification and approval of data summary.

(10) Facility Identification Number--The unique, distinguishable, uniform number used to identify each health care facility.

(11) Fall--A sudden, unintended, uncontrolled downward displacement of a patient's body to the ground or other object.

(12) General hospital--A hospital licensed under Texas Health and Safety Code, Chapter 241, or a hospital that provides surgical or obstetrical services and that is maintained or operated by the state.

(13) Great vessels--Primary blood vessels to include aorta, pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic veins, internal jugular veins, subclavian veins, external iliac veins, common femoral veins, and in neonates, the umbilical artery or umbilical vein.

(14) HAI--Health care-associated infection. Localized or symptomatic condition resulting from an adverse reaction to an infectious agent or its toxins to which a patient is exposed in the course of the delivery of health care to the patient.

(15) HAI data--Patient level information identifying the patient, procedures and events required by this chapter, infections resulting from those procedures or events, and causative pathogens when laboratory confirmed.

(16) Health care facility or facility--A general hospital or ambulatory surgical center.

(17) ICD-CM--The International Classification of Diseases, Clinical Modification that is used to code and classify morbidity data from the inpatient and outpatient records of hospitals, ambulatory surgical centers, and physician offices.

(18) Incident--A patient safety event that reached the patient, whether or not the patient was harmed.

(19) Inpatient--An admission to an acute care hospital for medical treatment as defined by the NHSN.

(20) Mild Harm--Bodily or psychological injury results in the minimal symptoms or loss of function, or injury limited to the additional treatment, monitoring and/or increased length of stay.

(21) Moderate Harm--Bodily or psychological injury adversely affecting functional ability or quality of life, but not at the levels of severe harm.

(22) Near Miss--A patient safety event that did not reach the patient.

(23) NHSN--Centers for Disease Control and Prevention's National Healthcare Safety Network or its successor.

(24) NHSN-reported PAE--A preventable adverse event as defined by NQF or CMS which is reported through NHSN.

(25) NQF--National Quality Forum.

(26) No Harm--A patient safety incident that reached the patient, but no harm was evident.

(27) PSO--Patient safety organization.

(28) Pressure Ulcer--Localized injury to the skin and/or underlying tissue that usually occurs over a bony prominence as a result of pressure, or pressure in combination with shear and/or friction.

(29) PAE--Preventable adverse event. Examples of PAEs are given in Texas Health and Safety Code, § 98.1045.

(30) Reporting quarters--First quarter: January 1 through March 31; Second quarter: April 1 through June 30; Third quarter: July 1 through September 30; Fourth quarter: October 1 through December 31.

(31) Risk adjustment--A statistical method to account for a patient's severity of illness and the likelihood of development of a health care-associated infection (e.g., duration of procedure in minutes, wound class, and American Society of Anesthesiology (ASA) score).

(32) SRE--Serious Reportable Event. Also known as a "never event."

(33) Severe Harm--Bodily or psychological injury that interferes significantly with the functional ability or quality of life.

(34) TxHSN--Texas Health Care Safety Network.

(35) TxHSN-reported PAE--A preventable adverse event as defined in § 200.7 of this title (relating to Schedule for HAI and PAE Reporting) reported through the TxHSN portal or its successor.

(36) Validation--The process of comparing data received by the department to original patient and facility records to ascertain the accuracy of reported data compared to the case definition.

(37) Verification--Review of data submitted electronically to assure completeness and internal consistency.