1. (a) Facilities shall submit HAI data required by this section to a secure, electronic interface designated by the department.
2. (b) Facilities shall comply with the process of the designated secure, electronic interface to allow the department access to HAI data as specified in §§200.3 - 200.7 of this title.

3. (c) Facilities shall use their facility identification number to identify their facility in the electronic data and correspondence with the department. Each facility meeting the definition of ambulatory surgical center or general hospital as defined in §200.1(1) and (11) of this title (relating to Definitions) shall have its own facility identification number.

   1. (1) CMS certified health care facilities shall use the CMS-assigned provider number.
   2. (2) If a facility has multiple campuses or a hospital and ambulatory surgical center are associated by ownership, each site shall each use a unique CMS provider number. In the event that a facility is not CMS certified or a facility operates multiple facilities under one CMS number, the facility shall contact the designated electronic interface administrator to receive a facility identification number.
   3. (3) The relationship between CMS-assigned and department-assigned facility identifiers and the name and license number of the facility is public information.
4. (d) The department shall notify the facility contact by email, fax, or in writing 90 calendar days in advance of any change in requirements for reporting HAI data.

5. (e) Facilities shall report HAI data on patients who are admitted to the facility for inpatient treatment of a surgical site infection associated with a procedure listed in §200.4 of this title (relating to Which Events to Report) within 30 calendar days of the procedure or within 1 year of the procedure if the procedure involved an implant.

   1. (1) If the facility treating the patient performed the procedure, the facility shall report the infection in the designated electronic data interface according to the surveillance methods described by the interface and these rules.
   2. (2) If the facility treating the patient did not perform the surgery the treating facility shall notify the facility that performed the procedure, document the notification, and maintain this documentation for audit purposes. The facility that performed the procedure shall verify the data related to the SSI and shall report the infection in the designated electronic data interface according to the surveillance methods described by the interface and these rules.

Source Note:The provisions of this §200.3 adopted to be effective May 4, 2011, 36 TexReg 2729.