1. (a) All health care facilities who meet the criteria in §200.4 of this title (relating to Which Events to Report) shall enroll in NHSN within 90 calendar days of the designation of NHSN as the secure electronic interface.

2. (b) Facilities shall submit HAI and designated PAE 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(d)(3) 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.

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(d)(2) of this title and coronary artery bypass grafts as defined in §200.4(d)(6) of this title.
   2. (2) Pediatric and adolescent hospitals--HAI data relating to cardiac procedures and as defined in §200.4(e)(2) 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(d)(4) and (5) of this title, colon surgeries as defined in §200.4(d)(1) of this title, and vascular procedures as defined in §200.4(d)(7) 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.
5. (e) In addition to the data listed in subsections (b), (c), and (d) of this section, all facilities shall submit the following data beginning July 1, 2013. All general hospitals, including pediatric and adolescents hospitals, shall report the number of urinary catheter device days and laboratory-confirmed catheter-associated urinary tract infections as defined by NHSN, from special care settings.
6. (f) 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 date they become eligible to report in accordance with §200.2 of this title (relating to General Reporting Guidelines for Health Care-Associated Infection and Preventable Adverse Event Data) and §200.3 of this title (relating to How to Report) and shall submit data beginning with the entire reporting quarter after becoming eligible.

Source Note:The provisions of this §200.6 adopted to be effective May 4, 2011, 36 TexReg 2729; amended to be effective August 7, 2012, 37 TexReg 5793; amended to be effective April 21, 2013, 38 TexReg 2363.