SECTION 200.8. Verification of Health Care-Associated Infection and Preventable Adverse Event Data and Correction of Errors

(a) Data verification.

(1) The department shall establish acceptance criteria to ensure the accuracy and completeness of all data submitted to the department and will make these criteria available.

(2) The department will notify the facility contact by email to acknowledge receipt of data and to communicate its acceptability within 15 calendar days after the facility data submission deadline described in §200.7 of this title (relating to Schedule for HAI and PAE Reporting). This notification will include specific information on any errors found.

(b) Correction of Errors and Disputes.

(1) Facilities shall correct all identified errors, including data determined to be missing, and resubmit the corrected data through NHSN or its successor for HAI and NHSN-reported PAEs. Facilities shall correct data for TxHSN-reported PAEs through the TxHSN portal or its successor.

(2) Corrections shall be submitted according to the following schedule.

(A) Not later than June 30 for HAI and designated PAE data for device days and procedures occurring between January 1 and March 31.

(B) Not later than September 30 for HAI and designated PAE data for device days and procedures occurring between April 1 through June 30.

(C) Not later than December 31 for HAI and designated PAE data for device days and procedures occurring between July 1 through September 30.

(D) Not later than March 31 for HAI and designated PAE data for device days and procedures occurring between October 1 through December 31.

(3) If the facility is unable to correct an identified error or disputes one or more of the identified errors, the facility contact shall notify the department by email, fax, or in writing the reasons why these are the best available data within 15 calendar days of receipt of notice of corrections.

(4) Data corrections that occur following publication of a data summary shall be submitted to NHSN or its successor for HAI and NHSN-reported PAEs. Data corrections for TxHSN-reported PAEs that occur following publication of a data summary shall be submitted through TxHSN or its successor.

(c) If any of the dates listed in subsection (b) of this section fall on a weekend or holiday, facilities shall submit on the following business day.

(d) Death data verification and correction shall follow the same schedule time line as HAI and PAE reporting in this section.

Source Note: The provisions of this §200.8 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; amended to be effective September 17, 2014, 39 TexReg 7340; amended to be effective January 18, 2015, 40 TexReg 245