Definitions

AGENCY FOR HEALTH CARE ADMINISTRATION
Hospital and Nursing Home Reporting Systems and Other Provisions Relating to Hospitals

RULE NO: RULE TITLE
59E-7.021: Definitions

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 34 No. 53, December 31, 2008 issue of the Florida Administrative Weekly.

59E-7.021 Definitions.

As used in Rules 59E-7.021 through 59E-7.030 beginning with the inpatient data reporting for the 1st quarter of the year 2010:

(1) No change.

(2) “Charity” means medical care provided by a healthcare entity to a person who has insufficient resources to pay for the medical care without utilizing resources which are required to meet the person’s basic need for food, shelter, and clothing. No patient shall be considered charity care whose family income, as applicable for (12) months preceding the determination, exceeds 200 percent of the federal poverty guidelines, unless the amount of health care charges due from the patient exceeds 25 percent of annual family income. However, in no case shall the hospital charges for a patient whose family income exceeds four times the federal poverty level for a family of four be considered charity. This information should be provided based on the patient’s status at time of reporting.

(2)(3) “Comprehensive Rehabilitation” means services provided in a Specialty Rehabilitation Hospital licensed under Chapter 395, F.S. or and services provided in a hospital rehabilitation distinct part unit.

(4) “Discharge” means an inpatient who is formally released from the care of the hospital; or is transferred within the hospital from one type of care to another type of care; or is transferred to another location for care unless the patient is returned the same day; or leaves the hospital against medical advice without a physician’s order; or is a psychiatric patient who is discharged as away without leave (AWOL or elopement); or has died.

(3)(5) No change.

(4)(6) “E-code” means a Supplementary Classification of External Causes of Injury and Poisoning, ICD-9-CM or ICD-10-CM codes, where environmental events, circumstances, and conditions are the cause of injury, poisoning, and other adverse effects as specified in the ICD-9-CM or ICD-10-CM manual and the conventions of coding.

(5)(7) “Executive Officer” means a reporting facility’s chief executive officer, chief financial officer, chief operating officer, president, or any vice president of the facility in charge of a principal business unit, division or function (administration or finance).

(6)(8) No change.

(7)(9) “Newborn” means a baby born within the hospital facility or the initial admission of an infant to any hospital acute care facility within 24 hours of birth. Excludes babies born in a different hospital and transferred to the reporting hospital.

(10) through (12) renumbered (8) through (10) No change.