Tenn. Comp. R. & Regs. 1200-08-10-.11 - RECORDS AND REPORTS

(1) The Joint Annual Report of Ambulatory Surgical Treatment Centers shall be filed with the department. The forms are furnished and mailed to each ASTC by the department each year and the forms must be completed and returned to the department as required.
(2) The facility shall report information contained in the medical records of patients who have cancer or pre-cancerous or tumorous diseases as provided by existing regulations. These reports shall be sent to the Cancer Reporting System of the department on a quarterly schedule no later than six (6) months after the date of the diagnosis or treatment.
(3) The ASTC shall report to the department each patient case of communicable disease detected in the center. Repeated failure to report communicable diseases shall be cause for revocation of an ASTC's license. The ASTC shall monitor outbreaks of communicable diseases in the nearby geographical area of the facility and inform the ASTC staff of these outbreaks in order for the employees to contact their personal physician for consultation regarding their vaccination status.
(4) The ASTC shall report all incidents of abuse, neglect, and misappropriation to the Department of Health in accordance with T.C.A. § 68-11-211.
(5) The ASTC shall report the following incidents to the Department of Health in accordance with T.C.A. § 68-11-211.
(a) Strike by staff at the facility;
(b) External disasters impacting the facility;
(c) Disruption of any service vital to the continued safe operation of the ASTC or to the health and safety of its patients and personnel; and
(d) Fires at the ASTC that disrupt the provision of patient care services or cause harm to the patients or staff, or that are reported by the facility to any entity, including but not limited to a fire department charged with preventing fires.
(6) The ASTC shall retain legible copies of the following records and reports which shall be retained in the facility, shall be maintained in a single file, and shall be made available for inspection during normal business hours to any patient who requests to view them for thirty-six (36) months following their issuance:
(a) Local fire safety inspections;
(b) Local building code inspections, if any;
(c) Fire marshal reports;
(d) Department licensure and fire safety inspections and surveys;
(e) Department quality assurance surveys, including follow-up visits, and certification inspections, if any;
(f) Federal Health Care Financing Administration surveys and inspections, if any;
(g) Orders of the Commissioner or Board, if any;
(h) Comptroller of the Treasury's audit reports and finding, if any; and,
(i) Maintenance records of all safety equipment.


Tenn. Comp. R. & Regs. 1200-08-10-.11
Original rule filed July 22, 1977; effective August 22, 1977. Amendment filed September 10, 1991; effective October 25, 1991. Repeal and new rule filed June 30, 1992; effective August 14, 1992. Repeal and new rule filed March 21, 2000; effective June 4, 2000. Amendment filed April 11, 2003; effective June 25, 2003. Amendments filed January 3, 2012; effective April 2, 2012. Amendments filed July 10, 2018; effective 10/8/2018.

Authority: T.C.A. §§ 4-5-202, 4-5-204, 68-1-1004, 68-11-202, 68-11-204, 68-11-206, 68-11-207, 68-11-209, 68-11-210, 68-11-211, 68-11-213, and 68-11-216.

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