1. (1) The Joint Annual Report of Outpatient Diagnostic Centers shall be filed with the Tennessee Department of Health. The forms are furnished and mailed to each Outpatient Diagnostic Center by the Tennessee Department of Health each year and the forms must be completed and returned to the Tennessee Department of Health as required.
2. (2) The facility shall report information contained in the medical records of patients who have cancer or pre-cancerous or tumorous diseases as provided by existing regulations. These reports shall be sent to the Cancer Reporting System of the Tennessee Department of Health on a quarterly schedule no later than six (6) months after the date of the diagnosis or treatment.
3. (3) The Outpatient Diagnostic Center shall report to the Tennessee Department of Health each case of communicable disease detected in the center. Repeated failure to report communicable diseases shall be cause for revocation of an Outpatient Diagnostic Center’s license.
4. (4) The outpatient diagnostic center shall report all incidents of abuse, neglect, and misappropriation to the Commission in accordance with T.C.A. § 68-11-211.

5. (5) The outpatient diagnostic center shall report the following incidents to the Commission in accordance with T.C.A. § 68-11-211.

   1. (a) Strike by staff at the facility;
   2. (b) External disasters impacting the facility;
   3. (c) Disruption of any service vital to the continued safe operation of the outpatient diagnostic center or to the health and safety of its patients and personnel; and
   4. (d) Fires at the outpatient diagnostic center that disrupt the provision of patient care services or cause harm to the patients or staff, or that are reported by the facility to any entity, including but not limited to a fire department charged with preventing fires.

6. (6) Legible copies of the following records and reports shall be retained in the Outpatient Diagnostic Center, shall be maintained in a single file, and shall be made available for inspection during normal business hours to any patient who requests to view them for thirty- six (36) months following their issuance:

   1. (a) Local fire safety inspections;
   2. (b) Local building code inspections, if any;
   3. (c) Fire marshal reports;
   4. (d) Commission licensure and fire safety inspections and surveys;
   5. (e) Commission quality assurance surveys, including follow-up visits, and certification inspections, if any;
   6. (f) Federal Center for Medicare and Medicaid Services surveys and inspections, if any;
   7. (g) Orders of the Commission, if any;
   8. (h) Comptroller of the Treasury’s audit reports and findings, if any;
   9. (i) Maintenance records of all safety equipment; and
   10. (j) Radiological inspection reports.
7. (7) Copies of patient’s medical records shall be maintained for at least ten (10) years.

Authority: T.C.A. §§ 68-1-1004, 68-11-202, 68-11-204, 68-11-206, 68-11-209, 68-11-211, and 68-11- 216. Administrative History: Original rule filed October 26, 2005; effective January 9, 2006. pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Amendments filed January 7, 2026; effective April 7, 2026.