The following words and terms, when used in this chapter, shall
have the following meanings, unless the context clearly indicates
otherwise.
(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.
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| Source Note: The provisions of this §200.1 adopted to be effective May 4, 2011, 36 TexReg 2729; amended to be effective April 21, 2013, 38 TexReg 2363; amended to be effective January 18, 2015, 40 TexReg 245; amended to be effective January 1, 2020, 44 TexReg 7713 |
