D.C. Mun. Regs. tit. 22, r. 22-B4506

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-B4506 - HEART SURGERY REPORTS

4506.1

Each hospital, unless specifically exempted by SHPDA, shall report annually the number of open heart surgery operations performed by patient age and patient residence categories for each of the following:

(a) Congenital heart disease;

(b) Valvular heart disease;

(c) Coronary heart disease; and

(d) Other.

4506.2

Each hospital, unless specifically exempted by SHPDA, shall report annually the number of closed heart surgery operations and the number of all other cardiac operations not reported under Subsection 4506.1, reported by the patient age and patient residence categories specified in Section 4502, performed for the following:

(a) Congenital heart disease;

(b) Valvular heart disease; and

(c) Other.

4506.3

Each hospital, unless specifically exempted by SHPDA, shall report annually the cardiac surgery operative mortality (the number of deaths within thirty (30) days) reported by the patient age categories specified in Section 4502, for the following:

(a) Open heart surgery - coronary bypass;

(b) Open heart surgery - all others;

(c) Closed heart surgery; and

(d) Other cardiac surgery.

4506.4

For the purposes of this section, the term "open heart surgery" includes an operation that uses a mechanical pump to temporarily perform the function of circulation during surgery.

4506.5

For the purposes of this section, the term "closed heart surgery" includes an operation that does not require the use of a mechanical pump during surgery. Closed heart surgery shall include the following:

(a) Valve commissurotomy;

(b) Thoracic aneurysm repair or transection;

(c) Systemic pulmonary shunt;

(d) Ligation/division of patent ductus arterlosus;

(e) Resection of coarctation of aorta;

(f) Pulmonary artery banding; and

(g) Valvulotomy.

4506.6

For the purposes of this section, pacemaker implantations and implants of pulsation balloons are excluded from the category of operations defined as "closed heart surgery."

D.C. Mun. Regs. tit. 22, r. 22-B4506

Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014)

Authority: § 22 of the Health Services Planning Program Re-establishment Act of 1996 (Act), effective April 9, 1997 (D.C. Law 11-191; D.C. Official Code § 44-421 (2012 Repl.)).