N.J. Admin. Code § 8:43G-7A.6

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:43G-7A.6 - Primary stroke center continuous quality improvement

(a) A hospital designated as a primary stroke center shall collect patient-level data to support evaluation of outcomes and quality improvement activities.

1. Data shall be collected on each patient evaluated for stroke and each patient receiving acute stroke interventional therapy.

2. Data shall be submitted on a quarterly basis, with quarterly data submitted within 45 days of the end of each quarter, either through an encrypted electronic transmission, or on a computer disk sent by overnight mail to:

Stroke Data Coordinator

Office of Health Care Quality Assessment

225 E. State Street, 2nd Floor

Trenton, New Jersey 08608-1800

3. Instructions for the electronic transmission of data may be obtained from the stroke data collection instructions manual posted at the Office of Health Care Quality Assessment's website www.nj.gov/health/healthcarequality or by calling (609) 984-7334.

(b) The hospital shall submit, pursuant to (a) above, the patient-level data collection form established at N.J.A.C. 8:43G-7A Appendix, incorporated herein by reference, which shall include the following information:

1. Hospital identification and patient demographic data;

2. Pre-hospital emergency medical system data;

3. Hospitalization data;

4. Imaging information;

5. Symptom timeline;

6. Thrombolytic treatment;

7. Non-treatment with thrombolytics;

8. Medical history;

9. In-hospital procedures and treatment;

10. Other in-hospital complications; and

11. Discharge data.

(c) Every primary stroke center shall maintain the data required in (a) and (b) above in a database or registry capable of tracking patient outcomes.

1. The hospital shall have written policies regarding ongoing evaluation of the data and implementation of quality improvement activities based on data evaluation.

(d) The patient-level data submitted pursuant to this section contain medical information related to patients evaluated for stroke and patients receiving stroke interventional therapy and shall not be considered "government records" subject to public access or inspection within the meaning of N.J.S.A. 47:1A-1et seq., and shall be deemed information relating to medical history, diagnosis, treatment, or evaluation within the meaning of Executive Order No. 26, § 4(b)1 (McGreevey, 2002).

(e) The form at N.J.A.C. 8:43G-7AAppendix is available from the Department's forms page at http://www.nj.gov/health/forms.

N.J. Admin. Code § 8:43G-7A.6

Amended by 50 N.J.R. 552(b), effective 1/16/2018

Amended by 53 N.J.R. 703(a), effective 5/3/2021