Notice of Intended Action
Trauma registry, ch 136
ARC 8523C
PUBLIC HEALTH DEPARTMENT[641]
Notice of Intended Action
Proposing rulemaking related to trauma registry
and providing an opportunity for public comment
The Department of Health and Human Services hereby proposes to rescind Chapter 136, “Trauma Registry,” Iowa Administrative Code, and to adopt a new chapter with the same title.
Legal Authority for Rulemaking
This rulemaking is proposed under the authority provided in Iowa Code section 147A.27.
State or Federal Law Implemented
This rulemaking implements, in whole or in part, Iowa Code section 147A.26.
Purpose and Summary
This chapter was reviewed and is proposed to be rescinded and adopted anew as a part of the Red Tape Review process laid out by Executive Order 10. High-quality data from the trauma registry are critical to inform quality improvement and measure the performance of the statewide trauma system. Proposed Chapter 136 provides guidance to hospitals on high-quality data reporting of injured patients, which allows enhanced epidemiologic analysis to improve outcomes of injured patients in Iowa. This allows for focused quality improvement activities and maximizes the value of trauma benchmarking with the goal of reduced morbidity and mortality from injuries.
Regulatory Analysis
A Regulatory Analysis for this rulemaking was published in the Iowa Administrative Bulletin on October 16, 2024. A public hearing was held on the following date(s):
●November 6, 2024
Fiscal Impact
This rulemaking has no fiscal impact to the State of Iowa.
Jobs Impact
After analysis and review of this rulemaking, no impact on jobs has been found.
Waivers
Any person who believes that the application of the discretionary provisions of this rulemaking would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to 441—Chapter 6.
Public Comment
Any interested person may submit written comments concerning this proposed rulemaking, which must be received by the Department no later than 4:30 p.m. on January 17, 2025. Comments should be directed to:
|
Joe Campos |
Public Hearing
Public hearings at which persons may present their views orally or in writing will be held as follows:
|
January 15, 2025 |
Via Microsoft Teams |
|
January 21, 2025 |
Via Microsoft Teams |
Persons who wish to make oral comments at a public hearing may be asked to state their names for the record and to confine their remarks to the subject of this proposed rulemaking.
Any persons who intend to attend a public hearing and have special requirements, such as those related to hearing or mobility impairments, should contact the Department and advise of specific needs.
Review by Administrative Rules Review Committee
The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rulemaking by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rulemaking at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
The following rulemaking action is proposed:
ITEM 1.Adopt the following new641—Chapter 136:
CHAPTER 136
TRAUMA REGISTRY
641—136.1(147A) Definitions. For the purposes of these rules, the following definitions apply:
“Health care providers” for the purpose of this chapter includes licensed physicians, advanced registered nurse practitioners, physician assistants, and registered nurses.
“Inclusion criteria” means criteria determined by the department and adopted by reference to determine which trauma patients are to be included in the trauma registry.
“Reportable patient data” means data and definitions determined by the department and adopted by reference to be reported to the trauma registry on trauma patients meeting the inclusion criteria.
“Trauma care facility” means the same as defined in Iowa Code section 147A.21.
“Trauma patient” means a victim of an external cause of injury that results in major or minor tissue damage or destruction caused by intentional or unintentional exposure to thermal, mechanical, electrical or chemical energy, or by the absence of heat or oxygen.
“Trauma registry” means the data repository operated by the department to collect and analyze reportable patient data on the incidence, severity, and causes of trauma, and that serves as the central registry for brain and spinal cord injuries described in rule 641—21.1(135) and farm-related injuries.
“Trauma survey team” means a group of health care providers contracted by the department to assist in verifying trauma care facilities’ compliance with trauma criteria adopted by reference in 641—subrule 134.2(3).
641—136.2(147A) Trauma registry.
136.2(1) Trauma care facilities shall submit reportable patient data electronically to the department. Data shall be submitted in the trauma registry format operated by the department. The department may require those requesting the data to pay any or all of the reasonable costs associated with furnishing the reportable patient data.
136.2(2) Quality assurance of reported data.
a.For the purpose of ensuring the completeness and quality of reportable patient data, the department or its designated trauma survey team may examine medical records to validate the accuracy of data submitted by a trauma care facility.
b.Review of medical records by the department or its designated trauma survey team may be scheduled in advance with the trauma care facility.
641—136.3(147A) Offenses and penalties. All complaints, offenses and penalties will be addressed pursuant to rule 641—134.3(147A).
These rules are intended to implement Iowa Code section 147A.26.
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Open For Comments
This notice is open for comments for 27 more day(s). If you'd like to comment, select or click the text you wish to comment on in the document, or click the button below to make a general comment about the document. Comments will be collected through 1/17/2025
NOTE: You can also click the text in the document to make comments about specific sections.
Public Hearing
Official Document
- Trauma registry, ch 136
- Published on 12/11/2024
- 27 Views , 0 Comments
- Notice of Intended Action
The official published PDF of this document is available from the Iowa General Assembly’s Administrative Rules page.
View the Iowa Administrative Bulletin for 12/11/2024.
Administrative Rule References
The following administrative rule references were added to this document. You may click a reference to view related notices.
Rule 641-134.2(3) Rule 641-134.3 Rule 641-136.1 Rule 641-136.2 Rule 641-136.3 Rule 641-21.1Iowa Code References
The following Iowa code references were added to this document. You may click a reference to view related notices.
Iowa Code 147A.21 Iowa Code 147A.26Keywords
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Definitions Offenses and penalties Trauma registryAbout
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