The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

1. (1) Ambulatory surgical center--A facility licensed under Texas Health and Safety Code, Chapter 243.
2. (2) Central line--An intravascular catheter that terminates at or close to the heart or in one of the great vessels which is used for infusion, withdrawal of blood or hemodynamic monitoring.
3. (3) CMS--Centers for Medicare and Medicaid Services under the United States Department of Health and Human Services.
4. (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. (5) Data--Facility and patient level information reported to the department for the purposes of monitoring health care-associated infections.
6. (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.
7. (7) Department--Department of State Health Services.
8. (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. (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. (10) Facility Identification Number--The unique, distinguishable, uniform number used to identify each health care facility.
11. (11) 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.
12. (12) 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.
13. (13) Health care-associated infection (HAI)--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.
14. (14) Health care-associated infection 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.
15. (15) Health care facility or facility--A general hospital or ambulatory surgery center.
16. (16) 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 and physician offices.
17. (17) Inpatient Treatment--An admission to an acute care hospital of greater than 24 hours for treatment of a post operative surgical site infection.
18. (18) NHSN--Federal Centers for Disease Control and Prevention's National Healthcare Safety Network or its successor.
19. (19) Pediatric and adolescent hospital--A general hospital that specializes in providing services to children and adolescents, as defined in Texas Health and Safety Code, §241.003.
20. (20) PAE--Preventable adverse event. Examples of PAEs are given in Texas Health and Safety Code, §98.1045.
21. (21) 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.
22. (22) 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).
23. (23) Special care setting--A unit or service of a general, pediatric or adolescent hospital that provides treatment to inpatients who require extraordinary care on a concentrated and continuous basis. The term includes an adult intensive care unit, a burn intensive care unit and a critical care unit.
24. (24) Urinary catheter--As defined by the Centers for Disease Control and Prevention's National Healthcare Safety Network at www.cdc.gov/nhsn or its successor.
25. (25) Urinary tract infection (UTI)--As defined by the Centers for Disease Control and Prevention's National Healthcare Safety Network at www.cdc.gov/nhsn or its successor. A UTI associated with an indwelling urinary catheter is a catheter associated urinary tract infection (CAUTI).
26. (26) Validation--The process of comparing data submissions to original patient and facility records to ascertain that data submission processes are accurate.
27. (27) Verification--Review of data submitted electronically to assure completeness and internal consistency.

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.