N.J. Admin. Code § 8:57-3.3

Current through Register Vol. 56, No. 21, November 4, 2024
Section 8:57-3.3 - Definitions

The following words and terms, as used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.

"Administrator" means the individual interested in enrolling his or her eligible entity in the NJIIS as an NJIIS site.

"Authorized user" means any health care provider, child care center, school, college or university, health benefits plan, billing and practice management vendor, State public health or social services program, local health agency or designated agents thereof, authorized pursuant to 26:4-134(c) and (g) and 8:57-3.9 to submit information to, receive information from, or access or review information contained in the NJIIS.

"Billing vendor" means an entity that a health care provider or health care practice contracts with in order to prepare invoices, claims, or statements of services performed by the provider or practice and submit them to a third party for payment or reimbursement.

"Biological" means a medicinal compound prepared from living organisms and their products, such as Hepatitis B Immune Globulin (HBIG), which is routinely administered shortly after birth to a newborn of a mother diagnosed with infectious hepatitis B virus to prevent the transmission of the virus to the newborn.

"Birth center" shall have the meaning provided at 8:43G-19.1(b).

"Birthing facility" means a health care facility that provides birthing and newborn care services and includes birth centers.

"Collaborating public health programs" means those programs within the Department who have written agreements to exchange health screening and immunization data with the NJIIS, consistent with the stated purposes of this chapter.

"College" shall have the meaning provided at 9A:1-1.2.

"Designated agent" means a person to whom a site administrator has delegated responsibilities pursuant to 8:57-3.8(b) to submit information to, receive information from, or access or review information contained in the NJIIS.

"Electronic birth certificate" or "EBC" shall have the meaning provided at 8:19-1.1.

"Health benefits plan" means an insurance company, a health maintenance organization, or another organization that pays or reimburses a provider for immunizations administered and includes Medicaid and NJ FamilyCare.

"Health care provider" means a health care facility licensed pursuant to 26:2H-12 or a health care professional who is directly involved in the provision of healthcare services and whose practice is regulated pursuant to Title 45 of the New Jersey Statutes and State professional board rules, who in the course and scope of work duties, independently or under the supervision of the appropriate authority, administers vaccinations.

"Health employer data information set" or "HEDIS" means the measurement tool created by the National Committee for Quality Assurance to collect data about the quality of care and services provided by health plans.

1. HEDIS is available for purchase through the National Committee for Quality Assurance, 2000 L St. NW, Suite 500, Washington, DC 20036, telephone (888) 275-7585 or (202) 955-3500 or online at https://inetshop01.pub.ncqa.org/Publications/default.asp.

"Local health agency" shall have the meaning provided at 8:52-2.1.

"Local Information Network and Communications System" or "LINCS" shall have the meaning provided at N.J.A.C. 8:52-2.1.

"Maternal and Child Health Consortia" or "MCHC" shall have the meaning provided at 8:33C-1.2.

"Minor" means a person that is under the age of 18.

"Newborn" means a child from birth up to and including 30 days of age.

"NJ FamilyCare Program" shall have the meaning provided at 10:49-1.3.

"NJ Medicaid Program" means the health insurance program administered by the Division of Medical Assistance and Health Services in the Department of Human Services that provides medical assistance to certain persons with low income and limited resources as authorized under Title XIX (Medicaid) of the Social Security Act.

"NJIIS" means the New Jersey Immunization Information System operated by the Vaccine Preventable Disease Program within the Department's Public Health Service Branch, Communicable Disease Service and established pursuant to 26:4-131 et seq. and this subchapter.

"NJIIS immunization record" means a paper or electronic copy of a registrant's immunization and preventive health screening information, that is a true and accurate representation of the information contained in the NJIIS and which is not a part of a child's educational record.

"NJIIS site" means an entity, such as a health care provider, child care center, school, college or university, health benefits plan, billing and practice management vendor, State public health program, State or county social services program, or local health agency that has enrolled with the NJIIS as an authorized user pursuant to 8:57-3.8(a).

"NJIIS webpage" means the webpage of the NJIIS available at http://njiis.nj.gov/njiis.

"Parent" means a person with legal custody of a child and includes a child's biological parent, stepparent, adoptive parent, legal guardian, or other person legally responsible for the health and well-being of a child.

"Practice management vendor" means a company that develops and sells information technology electronic applications or software, which primarily focuses on patient medical records.

"Primary health care provider" means a health care provider that supervises, coordinates, and provides basic medical care for a registrant and maintains continuity of care.

"Registrant" means an individual whose demographic, immunization, and preventive health screening information is entered into the NJIIS.

"Responsible person" means an owner, chief executive officer, or other similarly identified person of an NJIIS site who possesses the authority to bind the site legally to the provisions of the User Confidentiality Agreement, available at subchapter Appendix C.

"Site administrator" means the person at an NJIIS site assigned to coordinate the NJIIS onsite and accept official documents regarding the NJIIS.

"Tracking and reminder or recall module" means the subsystem within the NJIIS designed to prompt an authorized user with access to this module, that has elected to use this module, to perform outreach to a parent of a minor registrant, or a registrant if 18 years of age or over, to foster the completion of an immunization series or the conduct of preventive health screenings in a timely manner.

"University" shall have the meaning provided at 9A:1-1.2.

"Vaccine" means an agent composed of biologically-derived and manufactured substances, which is licensed to be administered to persons in order to actively evoke an immune response to prevent serious illnesses associated with specific pathogens.

"Vaccines for Children Program" or "VFC" means the Federally funded and State-controlled program that provides free vaccines for eligible children 0 through 18 years of age, established pursuant to 42 U.S.C. § 1396s and operated through the Department's Vaccine Preventable Disease Program.

"VPDP" means the Vaccine Preventable Disease Program within the Department responsible for administering and overseeing the operations of the NJIIS.

"VPDP mailing address" means the following address for the Department's Vaccine Preventable Disease Program to which anyone may mail a written request for information pertaining to the NJIIS: Department of Health and Senior Services, New Jersey Immunization Information System, Vaccine Preventable Disease Program, PO Box 369, Trenton, NJ 08625-0369.

N.J. Admin. Code § 8:57-3.3

The adopted version of this section 56 N.J.R. 213(a), effective 1/3/2024 is not yet available