Rule 59A-38.007 outlines requirements for annual hospice reporting of demographic data.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Health Facility and Agency Licensing

RULE NO.:RULE TITLE:

59A-38.007Program Reporting Requirements

PURPOSE AND EFFECT: Rule 59A-38.007 outlines requirements for annual hospice reporting of demographic data.

SUMMARY: The Agency proposes to revise rule 59A-38.007 with new requirements related to hospice reporting of demographic data.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A SERC has not been prepared by the agency. For rules listed where no SERC was prepared, the Agency prepared a checklist for each rule to determine the necessity for a SERC. Based on this information at the time of the analysis and pursuant to section 120.541, Florida Statutes, the rule will not require legislative ratification.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 400.605, F.S.

LAW IMPLEMENTED: 400.605, F.S.

A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: August 24, 2023, 2:00 p.m. – 3:00 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Tallahassee, Florida, 32308, Building 3, Conference Room B. You may also participate by dialing the Open Voice conference line, 1(888)585-9008, then enter the conference room number followed by the pound sign, 998-518-088#. The agenda and related materials can be found on the web at: https://ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Rulemaking.shtml

Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 3 days before the workshop/meeting by contacting: Leigh Meadows, Long Term Care Services Unit, 2727 Mahan Drive, Tallahassee, Florida, [phone]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Leigh Meadows at [phone] or email at: [e-mail].

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59A-38.007 Demographic and Provision of Care Data Reporting. Program Reporting Requirements.

(1) Each With the exception of the report referenced in subsection (3), of this rule, each hospice shall submit demographic and provision of care data to the Agency complete a report annually for the calendar year period January 1 through December 31 and shall submit the report to the department no later than March 31 of the following year.  Data must be submitted through the link included in the e-blast sent to each provider one month prior to the due date for the submission period. 

(2) Data submitted must detail the following information in aggregate numbers for the submission period: The report shall include the information outlined on DOEA Form H-002, State of Florida Department of Elder Affairs Hospice Demographic and Outcome Measures Report, August 11, 2008, incorporated by reference in rule 59A-38.004, F.A.C.

(a) Inpatient Care and Residential Units operated by the hospice, including freestanding units and contracted locations of care to include:

1. Name and address of facility.

2. County where facility is located.

3. Number of beds within the facility.

4. Number of facility admissions.

5. Total facility patient days.

(b) Primary diagnosis of patients at time of admission to include:

1. Cancer.

2. Illness due to Acquired Immune Deficiency Syndrome (AIDS).

3. Heart, Circulatory, or Cardiovascular Disease.

4. End-Stage Pulmonary Disease.

5. End-Stage Renal Disease (ESRD).

6. Stroke.

7. Dementia or Alzheimer’s Disease.

8. Other diagnoses.

(c) Age of patients admitted during the reporting period in aggregate number:

1. 0-18 years of age.

2. 19-44 years of age.

3. 45-64 years of age.

4. 65-84 years of age.

5. 85 years of age and older.

(d) Race of patients admitted during the reporting period in aggregate number:

1. Asian/Pacific Islander.

2. Native Hawaiian or Other Pacific Islander.

3. Black/African American.

4. White/Caucasian.

5. Two or more races or not known.

6. American Indian or Alaskan Native.

7. Other.

(e) Ethnicity of persons admitted during reporting period irrespective of reported race:

1. Hispanic.

2. Non-Hispanic.

(f) Gender of persons admitted during the reporting period:

1. Male.

2. Female.

3. Not known or not reported.

(g) Percent of reimbursement for patient care by payor source:

1. Medicare.

2. Medicaid.

3. Third party.

4. Self-pay.

5. Uncompensated.

6. Other.

(h) Total number of patient days by location during the reporting period:

1. Private residence.

2. Adult Family Care Home.

3. Assisted Living Facility.

4. Nursing Home – Contracted Non-Inpatient Bed.

5. Nursing Home – Contracted Inpatient Bed.

6. Hospital – Dedicated Hospice Unit.

7. Hospital – Other Than Dedicated Hospice Unit.

8. Hospice Residential Facility.

9. Freestanding Hospice Inpatient Facility.

10. Other.

(i) Total number of patient discharges by disposition during the reporting period:

1. Deaths.

2. Non-Deaths.

(3) Demographic and provision of care data will be available through the following link as a summary of the data reported: https://quality.healthfinder.fl.gov/Hospice/Hospice.aspx The 2008 report due by March 31, 2009 need only include the collection of data from the rule effective date through December 31, 2008.

(4) A licensee that fails to submit the required information by the due date may be fined up to $50 per day late not to exceed $500 in accordance with section 408.813, F.S. 

(4) The report must be submitted in accordance with subparagraph 59A-38.004(4)(a)3., F.A.C.

(5) A copy of the annual report shall at all times be available to any member of the public.

Rulemaking Authority 400.605, FS. Law Implemented 400.605, FS. History–New 5-6-82, Formerly 10A-12.12, 10A-12.012, Amended 4-27-94, Formerly 59A-2.012, Amended 6-5-97, 8-11-08, Formerly 58A-2.012, 7-1-19, Amended                   .

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Leigh Meadows

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Jason Weida

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: 07/05/2023

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: 03/24/2021