NAC450B.768. Submission to Health Division of quarterly reports concerning patients treated by hospital; annual reports by Health Division.

     1. Each hospital shall submit to the Health Division quarterly reports which comply with the criteria prescribed by the Health Division and which contain at least the following information for each patient treated for trauma by the hospital:

     (a) The date and time the patient arrived in the emergency department or the receiving area or operating room, or both.

     (b) The patient’s revised trauma score upon arrival in the emergency department or receiving area and upon discharge or transfer from the emergency department, if the patient is discharged or transferred less than 1 hour after the time of arrival.

     (c) The method of arrival at the hospital. If the patient arrived by ambulance or air ambulance, the information required by subsection 3 of NAC 450B.766 must also be submitted.

     (d) The time the surgeon or the trauma team was requested.

     (e) The time the surgeon arrived at the requested location.

     (f) The patient’s vital signs, including his or her:

          (1) Blood pressure;

          (2) Pulse rate;

          (3) Respiratory rate; and

          (4) Temperature.

     (g) The results of diagnostic blood alcohol or drug screening tests, or both, if obtained.

     (h) Other clinical signs which are appropriate to determine the patient’s revised trauma score, including the patient’s score on the Glasgow Coma Scale and, if appropriate for a pediatric patient, the patient’s score on the modified Glasgow Coma Scale.

     (i) The date and time the initial surgery began and the surgical procedures that were performed during the period in which the patient was anesthetized and in an operating room.

     (j) The number of days the patient was in the hospital.

     (k) The number of days the patient was in the intensive care unit, if applicable.

     (l) Any complications which developed while the patient was being treated at the hospital.

     (m) Information concerning the patient’s discharge from the hospital, including:

          (1) The diagnosis of the patient.

          (2) The patient’s source of payment.

          (3) The severity of the injury as determined by the patient’s injury severity score.

          (4) The condition of the patient.

          (5) The disposition of the patient.

          (6) Information concerning the transfer of the patient, if applicable.

          (7) If the reporting hospital is a center for the treatment of trauma or a pediatric center for the treatment of trauma, the amount charged by the hospital, including charges for the treatment of trauma.

          (8) If the hospital is not a center for the treatment of trauma or if the patient was transferred from a center for the treatment of trauma to another center for the treatment of trauma, pediatric center for the treatment of trauma or other specialized facility:

               (I) The revised trauma score of the patient at the time the transfer was requested.

               (II) The date and time the center for the treatment of trauma, pediatric center for the treatment of trauma or other specialized facility was notified.

               (III) The time the patient left the receiving hospital or center for the treatment of trauma for a center for the treatment of trauma, pediatric center for the treatment of trauma or other specialized facility.

     (n) The patient’s residential code assigned pursuant to the Federal Information Processing Standards, or the city or county and the state of his or her residence.

     2. The information must be submitted not later than 60 days after the end of each quarter in a form approved by the Health Division.

     3. The quarterly reports must be submitted on or before:

     (a) June 1 for the period beginning on January 1 and ending on March 31.

     (b) September 1 for the period beginning on April 1 and ending on June 30.

     (c) December 1 for the period beginning on July 1 and ending on September 30.

     (d) March 1 for the period beginning on October 1 and ending on December 31.

     4. The Health Division shall prepare an annual report not later than July 1 for the preceding calendar year summarizing the data submitted by hospitals on patients with traumas.

     5. As used in this section:

     (a) “Injury severity score” means a number given retrospectively for the quantification of injury to a patient based upon anatomical and physiological considerations as described in The Journal of Trauma, Volume 14, 1974, at pages 187 to 196, inclusive.

     (b) “Trauma team” means the group of persons who have been chosen by a designated center for the treatment of trauma or a pediatric center for the treatment of trauma to render care to patients with trauma and are led by a general surgeon credentialed in trauma care or, in the case of a pediatric center for the treatment of trauma, a pediatric surgeon credentialed in trauma care.

     (Added to NAC by Bd. of Health, eff. 3-15-88; A 8-10-90; 1-18-94; R182-01, 3-5-2002; R139-07, 1-30-2008)