(a) All designated Trauma Centers and CRPC's
shall participate in the collection of data for the Trauma Registry.
(b) All designated Trauma Centers and CRPC's
shall record and report the payor source for patient care on patient discharge.
Final payment data shall be classed as self pay, commercial insurance,
Medicare, Medicaid, or worker compensation.
(c) Each trauma center and CRPC shall submit
trauma registry data to be received no later than ninety (90) days after the
end of each quarter.
(a) T.C.A. §
provides for the confidentiality of data obtained from the reports of trauma
(b) Information contained
in the trauma registry that reasonably could be expected to reveal the identity
of any patient or a reporting facility may not be made available to the
1. The trauma registry shall
take strict measures to ensure that all patient identifying information is
treated as confidential and privileged.
2. All employees and consultants, including
auditors of the trauma registry, shall sign a Tennessee Trauma Registry
Employee Confidentiality Pledge and these signed pledges shall be kept on
3. Protection of report
sources. Hospitals, laboratories, facilities, or health care practitioners who
disclose trauma care data to the trauma registry or its employees in conformity
with T.C.A. §
and rules and regulations promulgated thereto shall not be held liable for the
release of such data to the department, unless the person or entity has
knowledge of any falsity of the information reported or disclosed.
Protection of patient
identifying information obtained by special studies and other research studies.
1. All identifying information such as
records of interviews, questionnaires, reports, statements, notes, and
memoranda that are procured or prepared by employees or agents of the trauma
registry shall be used solely for statistical, scientific and medical research
purposes and shall be held strictly confidential by the trauma
2. This applies also to
identifying information procured by any other person, agency, or organization,
including public or private colleges and universities acting jointly with the
trauma registry in connection with special health studies and research
Release of Data
Release of non-identifying information
To the Tennessee Department of Health:
(i) The trauma registry shall work closely
with the Tennessee Department of Health in investigating the causes and
consequences of traumatic injuries and in evaluating programs.
(ii) Because the trauma registry data are an
integral part of the Tennessee Department of Health traumatic injury prevention
and control programs, the use of trauma registry data by public health
officials shall be considered an in-house activity.
To the general public:
(i) Public reports published by the trauma
registry shall include aggregate, not patient identifying information or
facility identifying information.
(ii) Information that would potentially
identify a trauma patient shall not be published.
(iii) Non-identifying information may be made
available to the general public upon request to the department.
(iv) The availability of any data shall
depend upon the department's financial or other ability to comply with such
requests. The trauma registry shall respond to public requests as quickly as
possible, subject to staffing constraints.
Release of identifying information
1. Identifying information collected from any
hospital, laboratory, facility, or health care practitioner may be released to
qualified persons for the purposes of traumatic injury prevention, control,
care, and research, provided that each request for identifying information
follows the established procedure outlined in the trauma registry Policies and
Procedures Manual and receives prior approval by the department.
2. Identifying information that is collected
solely by the trauma registry for its own special studies shall not be
Report. A statistical report shall be prepared at the completion of each year's
data collection cycle and will be distributed as requested.
Request procedure for patient
(a) Requests for
identifying information shall be reviewed and approved by the department
according to the policies of the Tennessee Department of Health and the trauma
(b) A detailed
description of the procedures for requesting identifying information can be
obtained from the trauma registry.
Tenn. Comp. R. &
rule filed March 31, 1989; effective May 18, 1989. Amendment filed July 21,
1993; effective October 4, 1993. Repeal filed December 5, 2011; effective March
4, 2012. Repeal and new rules filed August 6, 2019; effective
Authority: T.C.A. §§
68-11-209, and 68-11-259.