N.J. Admin. Code § 8:56-1.2

Current through Register Vol. 56, No. 21, November 4, 2024
Section 8:56-1.2 - Definitions

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise:

"Act" means the Health Care Facility-Associated Infection Reporting and Prevention Act at 26:2H-12.3 9 through 12.45 (P.L. 2007, c. 196) when referencing a general hospital and 26:2H-5.1e (P.L. 2009, c. 263) when referencing an ambulatory surgery facility.

"Administrator" means the person at a health care facility assigned to have all rights to the health care facility's data for reporting to the NHSN; the ability to create authorized users and confer rights to them in the NHSN; the ability to nominate groups with which the health care facility wants to share some or all of its data reported in NHSN; and the responsibility for accepting official documents regarding the NHSN and this chapter.

"Authorized user" means any person the administrator designates through NHSN to submit information to, receive information from, or access or review information contained in NHSN, on behalf of his or her health care facility.

"CDC" means the Centers for Disease Control and Prevention within the United States Department of Health and Human Services.

"CMS" means the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services.

"Commissioner" means the Commissioner of the Department of Health, or his or her designee.

"Confer rights" means the electronic process by which a facility grants access to the New Jersey State HAI Group to view and analyze data submitted to the NHSN.

"Department" means the New Jersey Department of Health.

"Device days" means device days as such term is defined in the NHSN manual.

"Health care facility" or "facility" means any facility that the Department licenses as:

1. A general hospital pursuant to 26:2H-1 et seq., and in accordance with the definition of hospital and classification of general hospital set forth in the Department's Hospital Licensing Standards at 8:43G-1.2 and 1.3(b); and
2. An ambulatory surgery facility licensed pursuant to the standards at N.J.A.C. 8:43A.

"Healthcare-associated infection" or "HAI" means a localized or systemic condition resulting from an adverse reaction to the associated presence of an infectious agent(s) or its toxin(s) that meets classification criteria defined by the CDC in the NHSN Manual.

"Health care facility" or "facility" means any facility that the Department licenses as:

1. A general hospital pursuant to N.J.S.A. 26:2H-1 et seq., and in accordance with the definition of hospital and classification of general hospital set forth in the Department's Hospital Licensing Standards at N.J.A.C. 8:43G-1.2 and 1.3(b); and
2. An ambulatory surgery facility licensed pursuant to the standards at N.J.A.C. 8:43A.

"Healthcare-associated infection" or "HAI" means a localized or systemic condition resulting from an adverse reaction to the associated presence of an infectious agent(s) or its toxin(s) that meets classification criteria defined by the CDC in the NHSN Manual.

"Identifying information" means the following NHSN patient identity fields: name, social security number, identification number, gender and date of birth.

"Major site category" means the site associated with the development of a HAI, and includes, but is not limited to, the following categories: device-associated, procedure-associated and medications-associated, containing subcategories, such as, central-line associated bloodstream infections, surgical site infections, ventilator-associated pneumonia, and other categories identified by the CDC.

"New Jersey State HAI Group" means Department employees who are authorized to access and analyze data submitted to the NHSN.

1. The NHSN website is available at http://www.cdc.gov/nhsn/.

"NHSN manual" means the publication, CDC, NHSN Patient Safety Component Manual, incorporated herein by reference, as amended and supplemented, which is available electronically on the internet at http://www.cdc.gov/nhsn/psc/index.html and at http://www.cdcgov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf.

"Process quality measure" means a specific quantitative indicator used to identify whether the care provided by a health care facility conforms to nationally accepted treatment goals and care processes for specific clinical presentations.

"QIAC" means the Quality Improvement Advisory Committee established by the Department pursuant to N.J.A.C. 8:43G-27.6 as an advisory group regarding the development of a health care facility performance measurement and assessment system.

"Surgical site infection" means an incisional or organ/space infection that is associated with an operative procedure performed on the patient.

1. Surgical site infection shall be further defined according to CDC surgical site infection classification criteria and operative procedure categories established in the NHSN Manual.

N.J. Admin. Code § 8:56-1.2

Amended by 48 N.J.R. 1299(a), effective 6/20/2016
Amended by 55 N.J.R. 1022(b), effective 5/15/2023