1. (a) All healthcare facilities shall enroll in the secure, electronic interface within 90 calendar days of the effective date of this rule, or the designation of the secure electronic interface, whichever is later.

2. (b) Facilities shall submit HAI data beginning with the entire reporting quarter of the effective date in subsection (a) of this section.

   1. (1) All facilities--HAI data relating to central line-associated primary bloodstream infections in special care units.
   2. (2) Ambulatory surgical centers and general hospitals, except pediatric and adolescent hospitals--HAI data relating to knee arthroplasties as defined in §200.4(c)(3) of this title (relating to Which Events to Report) or the three surgical procedures most frequently performed as described in §200.4(d) of this title.
   3. (3) Pediatric and adolescent hospitals--HAI data relating to ventriculoperitoneal shunts as defined in §200.4(e)(3) of this title or the three surgical procedures most frequently performed as defined in §200.4(f) of this title.

3. (c) In addition to the data listed in subsection (b) of this section, facilities shall submit the following data beginning January 1, 2012.

   1. (1) Ambulatory surgical centers and general hospitals, except pediatric and adolescent hospitals - HAI data relating to hip arthroplasties as defined in §200.4(c)(2) of this title and coronary artery bypass grafts as defined in §200.4(c)(6) of this title or HAI data relating to the three surgical procedures most frequently performed as described in §200.4(d) of this title.
   2. (2) Pediatric and adolescent hospitals - HAI data relating to cardiac procedures as defined in §200.4(e)(2) of this title or the three surgical procedures most frequently performed as described in §200.4(f) of this title.

4. (d) In addition to the data listed in subsections (b) and (c) of this section, facilities shall submit the following data beginning January 1, 2013.

   1. (1) Ambulatory surgical centers and general hospitals, except pediatric and adolescent hospitals--HAI data relating to abdominal and vaginal hysterectomies as defined in §200.4(c)(4) and §200.4(c)(5) of this title, colon surgeries as defined in §200.4(c)(1) of this title, and vascular procedures as defined in §200.4(c)(7) of this title or the three surgical procedures and associated infections most frequently performed as described in §200.4(d) of this title.
   2. (2) Pediatric and adolescent hospitals--HAI data relating to spinal surgeries with instrumentation as defined in §200.4(e)(1) of this title or the three surgical procedures most frequently performed as described in §200.4(f) of this title.
5. (e) Facilities that are required to report after this initial enrollment period (e.g., newly licensed, change in provider status, etc.) shall enroll within 90 calendar days of the receipt of a CMS provider number or a HAI reporting facility identification number and shall submit data beginning with the entire reporting quarter after receipt of the identification number.

Source Note:The provisions of this §200.6 adopted to be effective May 4, 2011, 36 TexReg 2729.