Subpart 1.
Reporting
requirements.
A hospital, psychiatric hospital, or specialized hospital
shall submit a report including financial, utilization, and services
information for the facility's last full and audited accounting period prior to
the accounting period during which it submits this report. This period is
called the reporting year. A hospital must include the information described in
subparts 2, 2a, and 3. A psychiatric hospital or a specialized hospital must
include the information described in subparts 2, 2a, and 3, item A, but is not
required to report the detailed financial data described in subpart 3, items B
to R. Information must be reported according to subpart 1c.
Subp. 1a.
Changes in accounting
period.
If a hospital, psychiatric hospital, or specialized hospital
changes its audited accounting period, reports must include financial,
utilization, and services information for all time periods. Required
information for a period of up to 13 months may be included in one
report.
Subp. 1b.
Clinic data reporting.
If a hospital is not part of a multihospital system, but is
affiliated with a clinic as evidenced on the audited annual financial
statement, the hospital must separately report the hospital and affiliated
clinic information. Reporting affiliated clinic information as specified in
subpart 7 fulfills the requirements of chapter 4651 for physicians whose
information is included in the clinic reporting.
Subp. 1c.
Estimating.
Whenever reasonably possible, a hospital, psychiatric
hospital, or specialized hospital must report actual numbers in all categories.
If it is not reasonably possible for the facility to report actual numbers, the
facility may estimate using reasonable methods. Upon request from the
commissioner, the facility must provide a written explanation of the method
used for the estimate.
Subp.
2.
Utilization information.
Utilization information must include:
A. the number of patient days, excluding
swing bed and subacute or transitional care patient days, categorized by type
of payer and by designated care unit or revenue center;
B. the number of admissions, excluding swing
bed and subacute or transitional care admissions, categorized by type of payer
and by designated care unit or revenue center;
C. the number of swing bed patient days,
subacute or transitional care patient days, and nursery days;
D. by employee classification, the average
number of vacant full-time equivalent positions and the average number of
full-time equivalent employees categorized by consulting or contracting,
full-time, part-time, and total;
E.
the number of swing bed admissions and subacute or transitional care admissions
categorized by origin, and the number of patients readmitted to a swing bed
within 60 days of a patient's discharge from the facility;
F. the number of licensed beds, the number of
licensed bassinets, the number of available beds, the maximum daily census and
the minimum daily census for the reporting period, and the average number of
beds used by the facility for swing beds and subacute or transitional
care;
G. the total number of
births;
H. the number of swing bed
and subacute or transitional care discharges categorized by
destination;
I. any changes in the
number of licensed beds during the reporting year and the effective dates of
the changes;
J. the number of
physicians with admitting privileges; and
K. the average length of stay.
Subp. 2a.
Services
information.
Services information must:
A. specify whether the following services are
provided on or off site, and whether the services are provided by facility
staff or by contractual arrangement:
(1)
inpatient and outpatient abortion services;
(2) cardiac catheterization
services;
(3) outpatient chemical
dependency treatment and detoxification services;
(4) computerized tomography scanning
services, including mobile unit services;
(5) electroencephalography
services;
(6) extracorporeal shock
wave lithotripter (ESWL) services;
(7) geriatric day care services;
(8) home health care services;
(9) hospice services;
(10) mammography services;
(11) nuclear magnetic resonance imaging (MRI)
services;
(12) outpatient
psychiatric services;
(13)
radiation therapy services, including cobalt-60 devices, linear accelerators,
and other devices greater than one megaelectron volt;
(14) diagnostic and therapeutic radioisotope
services;
(15) radium, cesium, or
iridium therapy services;
(16)
inpatient and outpatient renal dialysis services;
(17) reproductive health services-genetic
counseling;
(18) social
services;
(19) surgical services,
including outpatient surgery services, inpatient surgery services, open-heart
surgery services, and organ transplant services;
(20) therapy services, including inhalation
therapy, outpatient medical rehabilitation, occupational therapy, physical
therapy, and speech therapy;
(21)
volunteer services;
(22) diagnostic
X-ray services;
(23) emergency
department or emergency room services, including radio, paging, and
telemedicine capabilities; level of trauma care; and the number of hours per
week that the emergency department or emergency room is staffed with contracted
physicians rather than hospital-employed physicians;
(24) diagnostic ultrasound services;
and
(25) laboratory
services;
B. provide the
following measures of utilization:
(1) the
total number of catheterizations;
(2) the number of computerized tomography
(CT) scanners and the number of inpatient, outpatient, total, and mobile unit
procedures;
(3) the number of
inpatient, outpatient, and total extracorporeal shock wave lithotripter (ESWL)
treatments;
(4) the number of home
health care visits;
(5) the number
of hospice visits;
(6) the number
of inpatient, outpatient, and total mammography X-rays;
(7) the number of inpatient, outpatient, and
total nuclear magnetic resonance imaging (MRI) scans;
(8) the number of outpatient
registrations;
(9) the number of
devices, the number of cancer cases treated, and the total number of treatments
for cobalt-60 devices, linear accelerators, and other devices greater than one
megaelectron volt;
(10) the number
of inpatient and outpatient renal dialysis treatments;
(11) the number of diagnostic
ultrasounds;
(12) the number of
outpatient surgical registrations;
(13) the number of inpatient surgical
admissions;
(14) the number of
open-heart surgical procedures;
(15) the number of kidney, bone marrow,
heart, and other transplants, and the total number of organic transplants;
and
(16) the number of emergency
department or emergency room registrations, and the number of admissions
through the emergency department or emergency room; and
C. provide the following measures of
staffing:
(1) the number of
volunteers;
(2) the level and type
of emergency department or emergency room staffing; and
(3) the name of the emergency department or
emergency room physician director.
Subp. 2b.
Additions in required
services information.
When medical or technological advances introduce a new health
care service or when information about an existing health care service is
important for policy analysis purposes, the commissioner shall determine if
information about the health care service will be requested under this chapter.
To make this determination, the commissioner shall consider:
A. whether the service is likely to be
provided in a significant number of hospitals, psychiatric hospitals,
specialized hospitals, or outpatient surgical centers;
B. whether the geographic location of the
service is important to monitoring access to the service;
C. whether information about the service is
important consumer, industry, or policy analysis information;
D. whether reporting information about the
service is an administrative burden for the hospital, psychiatric hospital,
specialized hospital, or outpatient surgical center; and
E. other factors which relate to the
anticipated utilization of the health care service.
Subp. 2c.
Elimination of required
services information.
The commissioner shall eliminate requests for information
about obsolete health care services. To determine if a health care service is
obsolete, the commissioner shall consider whether:
A. there has been a significant reduction in
the number of hospitals, psychiatric hospitals, or specialized hospitals that
provide the service;
B. there has
been a significant overall reduction in the statewide utilization of the
service;
C. the elimination of
information about the service would adversely affect the public interest;
and
D. the elimination of
information about the service would conflict with standards imposed by
law.
Subp. 3.
Financial information.
Financial information must include:
A. total operating expenses and total
operating revenue;
B. management
information systems expenses and plant, equipment, and occupancy
expenses;
C. total administrative
expenses. A hospital licensed for 50 or more beds shall report expenses for
each of the following functions: admitting, patient billing, and collection;
accounting and financial reporting; quality assurance and utilization
management program or activity; community and wellness education; promotion and
marketing; taxes, fees, and assessments; malpractice; and other administrative
expenses;
D. regulatory and
compliance reporting expenses;
E.
hospital patient care services charges and other patient care services
charges;
F. the sum of hospital
patient care services charges and other patient care services charges:
(1) by type of payer;
(2) by inpatient, outpatient, and other
patient category;
(3) by outpatient
services categories;
(4) for
services provided in swing beds;
(5) for subacute or transitional care
services;
(6) by the top ten
diagnosis related groups, as those groups are maintained under Code of Federal
Regulations, title 42, part 412; and
(7) by designated care unit or revenue
center;
G. a statement
of adjustments and uncollectibles by type of payer, for charity care, and by
inpatient or outpatient category:
(1) for
hospital patient care services; and
(2) for other patient care
services;
H. public
funding for operations and donations and grants for charity care with estimates
of the percentage received from private and public sources;
I. income or loss from hospital
operations;
J. gross receivables by
payer and net receivables;
K. a
copy of charity care policies, including a description of, if applicable,
income guidelines, asset guidelines, medical assistance status impact on
charity care eligibility, and sliding fee schedules; charity care services
provided; other benefits provided to the community; costs in excess of public
program payments; and other community services costs;
L. a description of the care provided in
swing beds;
M. the medical care
surcharge and MinnesotaCare tax paid;
N. provision for bad debts:
(1) for hospital patient care services;
and
(2) for other patient care
services;
O. all other
operating expenses by a natural classification of expense;
P. nonoperating revenue and nonoperating
expenses;
Q. nonoperating donations
and grants and nonoperating public funding;
R. salaries and wages by employee
classification; and
S. the number
of full-time equivalent residents, resident salaries and benefits, and research
expenses.
Subp. 4.
[Repealed, 19 SR 1419]
Subp. 5.
[Repealed, 21 SR 1106]
Subp. 6.
Budget year reporting.
A hospital shall report budgeted information or reasonable
estimates of total operating expenses, the sum of hospital patient care
services charges and other patient care services charges, total adjustments and
uncollectibles, total salaries and wages, total patient days, total admissions,
and total outpatient registrations for the hospital's full accounting period
during which it submits the report. This period is called the budget
year.
Subp. 7.
Affiliated clinic data reporting.
If affiliated clinic data is reported according to subpart
1b, the clinic data must include the following:
A. gross patient revenue, adjustments and
uncollectibles, net patient revenue by type of payer, and charity care as
defined in part 4651.0100, subpart 4;
B. operating revenue categorized by education
revenue as defined in part 4651.0100, subpart 8, research revenue as defined in
part 4651.0100, subpart 22, and donations for charity care as defined in part
4651.0100, subpart 4;
C. the number
of registrations by clinic location;
D. other patient care costs as defined in
part 4651.0100, subpart 16, bad debt as defined in part 4651.0100, subpart 2,
education-degree program costs as defined in part 4651.0100, subpart 9, and
research costs as defined in part 4651.0100, subpart 21;
E. the total number of full-time equivalent
employees for the clinic by employee classification;
F. malpractice expenses, if separate from the
hospital;
G. addresses of each
clinic location;
H. names and
provider identifiers of physicians by clinic location; and
I. a description of how the clinic is defined
and how it is distinguished from other outpatient services of the
hospital.
