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					                                                                  OHIO REPORTING FOR HOSPITALS


                                                                                                                                                               Handbook
    REPORTING SUBJECT                                                               REPORTING DETAILS
                                                                                                                                                                 Page
                  Who must report: Hospitals or emergency medical service organization
                  Report sent to: Public children's service agency of the county in which the hospital or organization is located
ABANDONED NEWBORN Timing: Immediately                                                                                                                            351
                  Information included: That an infant has been abandoned at the hospital
                  Code citations: ORC § 2151.3516, ORC § 2151.3517
                  Who must report: Attending physician
                  Report sent to: Ohio Department of Health
                  Timing: Within 15 days after the discharge of the woman
                            Information included: The following information, as listed in ORC § 3701.79: (1) Patient number; (2) Facility name and
                            address; (3) Date of abortion; 4) Zip code of residence of pregnant woman; (5) Age; (6) Race; (7) Marital status; (8) Number
               INDIVIDUAL
                            of previous pregnancies; (9) Years of education; (10) Number of living children; (11) Number of previously induced abortions;        304
            ABORTION REPORT
                            (12) Date of last abortion; (13) Date of last live birth; (14) Method of contraception at time of conception; (15) Date of last
                            menstrual period; (16) Medical condition of woman at time of abortion; (17) Rh type; (18) Type of abortion procedure; (19)
                            Complications by type; (20) Type of procedure done after the abortion; (21) Type of family planning recommended; (22) Type
                            of additional counseling given; (23) Signature of attending physician; (24) number of weeks of gestation at the time of abortion
 ABORTION




                                  Code Citation: ORC § 3701.79(C) - (D)
                                  Who must report: Hospital
                                  Report sent to: Ohio Department of Health
              MONTHLY AND
                            Timing: Within 30 days following the end of the applicable reporting period
            ANNUAL ABORTION                                                                                                                                      304
                REPORTS     Information included: Total number of women who had undergone a post 12-week gestation abortion and received post-
                            abortion care, as described in ORC § 3701.79
                            Code Citation: ORC § 3701.79(G)
                            Who must report: Attending physician
                            Report sent to: Ohio Department of Health
             POST-ABORTION
                            Timing: Not specified
             COMPLICATION                                                                                                                                        304
                REPORTS     Information Included: Report shall be made upon a form prescribed by the Ohio Department of Health and signed by the
                            attending physician.
                            Code Citation: ORC § 3701.79(H)




OHA Bulletin 08-001 February 15, 2008                                                                                                                                     1
                                                              OHIO REPORTING FOR HOSPITALS


                            Who must report: Any employee of a hospital
                            Report sent to: County Department of Job and Family Services
    ABUSE, NEGLECT,         Timing: Immediately
    EXPLOITATION OF         Information included: (1) Name, address, and age of the adult; (2) Name and address of individual responsible for adult's           539, 540
    ADULT (OVER 60)         care; 3) Nature and extent of alleged abuse, neglect, or exploitation; (4) Basis of the reporter's belief that the adult has been
                            abused, neglected, or exploited
                            Code citations: ORC § § 5101.61 and 5101.60 (definition of "adult")
                            Who must report: All health care professionals, including respite care and home health agency employees
                            Report sent to: Public children services agency or a municipal or county peace officer in the county in which the child
                            resides or in which the abuse or neglect is occurring or has occurred, unless that person is an inmate in a state correctional
                            facility, in which case the report shall be directed to the state highway patrol
                            Timing: Whenever a person has knowledge or reasonable cause to suspect that a child under 18 or a mentally retarded,
  ABUSE, NEGLECT OF         developmentally disabled, or physically impaired child under 21 has suffered or faces a threat of suffering any physical or           523
        CHILD               mental wound, injury, disability, or condition of a nature that indicates abuse or neglect of the child

                     Information included: (1) Names and addresses of the child and the child's parent(s) or the person(s) having custody of the
                     child; (2) child's age, the nature and extent of injuries, abuse, neglect, or threat thereof, and any evidence of previous injuries,
                     abuse, or neglect; (3) any other information that might be helpful in establishing the cause of the injury, abuse, neglect, or
                     threat thereof
                     Code citation: ORC § 2151.421
                     Who must report: Licensed health professional
                     Report sent to: Ohio Department of Health
                     Timing: Whenever a person has knowledge that or suspects that a resident has been abused or neglected, or that a
ABUSE, NURSING HOMES
                     resident's property has been misappropriated by any individual used by a long-term care facility or residential care facility to             128
  AND REST HOMES
                     provide services to residents
                     Information included: Not specified
                     Code citation: ORC § 3721.22
                     Who must report: Any hospital employee
                     Report sent to: Law enforcement agency or to the county board of mental retardation and developmental disabilities. If the
                     report concerns a resident of a facility operated by the department of mental retardation and developmental d+C83isabilities,
 ABUSE OR NEGLECT OF the report shall be made to either a law enforcement agency or the department
 MENTALLY RETARDED Timing: Immediately                                                                                                                            542
        ADULT        Information included: (1) Names and addresses of the person with mental retardation or a developmental disability and the
                     person's custodian, if known; (2) Age of the person with mental retardation or a developmental disability; (3) Any other
                     information that would assist in the investigation of the report
                            Code citation: ORC § 5123.61




OHA Bulletin 08-001 February 15, 2008                                                                                                                                      2
                                                                                    OHIO REPORTING FOR HOSPITALS


                                                   Who must report: Every hospital
                                                   Report sent to: Ohio Department of Health
                             ACCREDITATION         Timing: On or before March 1
                                                                                                                                                                                        44, 45
                            AND CERTIFICATION Information included: Each hospital shall annually report its accreditation and certification status on a form or in a format
                                              prescribed by the director. This requirement appears to be met as part of the annual registration requirement.
                                              Code citations: OAC § 3701-59-03, OAC § 3701-59-05
 ADMINISTRATIVE REPORTING




                                              Who must report: Every hospital
                                              Report sent to: Ohio Department of Health; Made available to the public
                                              Timing: On or before May 1st each year
                                                   Information included: The following information on patients in each of the sixty diagnosis related groups most frequently
                              DRG INPATIENT        treated on an inpatient basis in the hospital as represented by inpatient discharges during the previous calendar year: (1) total   157, 160
                                  DATA             number of patients discharged; (2) mean, median, and range or length of stay; (3) mean, median, and range of total hospital
                                                   charges; (4) number of admissions from the emergency room, transfers from another hospital, and other sources of
                                                   admission; and (5) number of patients falling within diagnosis related group numbers 468, 469, and 470. Hospitals shall
                                                   report as described in OAC § 3701-14-01.
                                                   Code citations: ORC § 3727.34, OAC § 3701-14-01
                                                   Who must report: Every hospital
                                                   Report sent to: Ohio Department of Health; Made available to the public
                                                   Timing: On or before May 1st each year
                             DRG OUTPATIENT        Information included: The following information on patients in each of the sixty categories of outpatient services most             157, 160
                                  DATA             frequently provided by the hospital as represented by outpatient discharges during the previous calendar year: (1) The mean
                                                   and median of total hospital charges for the services; (2) For each of the sixty categories of services, the number of patients
                                                   for whom the hospital provided the services. Hospitals shall report as described in OAC § 3701-14-01.
                                                   Code citations: ORC § 3727.34, OAC § 3701-14-01




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                             3
                                                                              OHIO REPORTING FOR HOSPITALS


                                            Who must report: Every hospital
                                            Report sent to: Made available to the public in hardcopy and on the hospital's web site
                                            Timing: Make available at the time of admission or as soon as practical thereafter

                                            Information included: (1) usual room and board charges for each level of care within the hospital; (2) rate charged for
                                            nursing care; (3) usual charges, stated separately for inpatients and outpatients, for the 30 most common x-ray procedures;
                            LIST OF COSTS   the 30 most common lab procedures; emergency room services; operating room services; delivery room services; physical,           159
                                            occupations and pulmonary therapy services; and any other services designated as high volume services; (4) The hospital's
                                            billing policies, including whether the hospital charges interest on an amount not paid in full by any person or government
                                            entity and the interest rate charged; (5) Whether or not the charges listed include fees for the services of hospital-based
                                            anesthesiologists, radiologists, pathologists, and emergency room physicians and, if a charge does not include such fees,
 ADMINISTRATIVE REPORTING




                                            how such fee information can be obtained.

                                            Code citation: ORC § 3727.42
                                            Who must report: Every Hospital
                                            Report sent to: Department of Health
                                            Timing: Before the 1st of April, and before the 1st of October

                                            Information included: Information that shows the hospital's performance in meeting each of the inpatient and outpatient
                                            service measures specified in rules adopted under section 3727.41 of the Revised Code. In submitting information under this
                            PERFORMANCE     section, each hospital shall do all of the following: (A) Submit the information for the hospital's inpatient and outpatient
                                            services regardless of who pays the charges incurred for the services; (B) For each measure for which the information is       156, 163
                              MEASURES
                                            submitted, use the form and specifications for the measure that the entity that developed or endorsed the measure
                                            recommends be used for the measure; (C) Adjust for risk, as needed, the information for a particular measure in accordance
                                            with the risk adjustment methodology that the entity that developed or endorsed the measure recommends be used for the
                                            measure; (D) Provide for the information to reflect the hospital's performance in meeting the measures over a twelve-month
                                            period

                                            Code citations: ORC § 3727.33, OAC § 3701-14-02
                                            Who must report: Person holding a license to operate a maternity hospital or home, lying-in hospital, or place where women
                                            are received and cared for during parturition
                                            Report sent to: Board of Health of the city health district or of the general health district where the hospital is located
                                            Timing: Within 24 hours after a child is given out or taken away
                            ADOPTION                                                                                                                                         168
                                            Information included: The name and address of the physician who attended the birth of any infant who may be sick; the
                                            name, age, and sex of children born on the premises or brought thereto; and the age of a child who is given out, adopted or
                                            taken away, together with the name and residence of the person adopting or taking away the child
                                            Code citation: ORC § 3711.08




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                 4
                                                                                 OHIO REPORTING FOR HOSPITALS


                                                Who must report: Attending health care provider or person in charge of laboratory performing the test
                                                Report sent to: Department of Health
                                                Timing: Promptly
                                                Information included: Every case of AIDS, every ARC, and every confirmed positive HIV test, every HIV infection, and
                                 AIDS/HIV       every CD4 + T lymphocyte count below 200 cells per micro liter or a CD4 + T lymphocyte percentage of less than 14 when an          621, 632
                                                HIV infection has not been ruled out as the cause; every case of perinatal exposure to HIV and subsequent test results on
                                                every such exposed newborn infant or child until such time that either an HIV infection or a seroeversion status that is
                                                negative is confirmed
                                                Code citations: ORC § 3701.24 and OAC § 3701-3-12
                                                Who must report: Every hospital
                                                Report sent to: Ohio Department of Health
                                                Timing: Annually, by the 1st of March
                                                Information included: Number of employees, including contract employees, and number providing patient care services of
                                                these types (report total number of employees and total full-time equivalents): (a) Physician services such as interns,
                                EMPLOYEES AND   residents, salaried physicians, contracted physicians; (b) Dental services such as dentists, dental residents; (c) Nursing
 ANNUAL HOSPITAL REGISTRATION




                                 PATIENT CARE   services such as RNs, CNPs, clinical nurse specialists, certified nurse-midwifes, CPNAs, LPNs, nursing assistants; (d)              36, 45
                                   SERVICES     Pharmacy services such as pharmacists, pharmacy technicians; (e) Clinical laboratory such as medical technologists or
                                                technicians, other licensed/certified lab personnel; (f) Dietary services such as registered or licensed dietitians, dietetic
                                                technicians; (g) Radiological services such as technologists, technicians, other licensed/certified radiological personnel; (h)
                                                Therapeutic services such as occupational therapists, physical therapists, physician assistants, respiratory therapists,
                                                speech/audiology therapists, medical social workers; (i) Mental health services such as psychologists, psychiatric social
                                                workers; (j) All other services including certified/licensed health professional and technical personnel
                                                Code citations: ORC § 3701.07, OAC § 3701-59-05
                                                Who must report: Every hospital
                                                Report sent to: Ohio Department of Health
                                                Timing: Annually, by the 1st of March
                                  GENERAL
                                INFORMATION,    Information included: Reports should include information needed to identify and classify the institution (see below);
                                                information on facilities and type and volume of services provided (see below); number of beds by category of care (see             36, 45
                                 BIRTHS, AND
                                   SAFETY       below); number of licensed or certified professional employees by classification (see below); the number of births that
                                                occurred at the hospital the previous calendar year; and any other information that the council considers relevant to the safety
                                                of patients; country (or state if other than Ohio) of residence of patients at the time of admission, reported in the aggregate

                                                Code citations: ORC § 3701.07, OAC § 3701-59-05




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                         5
                                                                                          OHIO REPORTING FOR HOSPITALS


                                                        Who must report: Every hospital
                                                        Report sent to: Ohio Department of Health
                                                        Timing: Annually, by the 1st of March
                                                   Information included: (1) Hospital identifying information, including name, address, mailing address if different than address,
                                                   county, telephone number, e-mail address, hospital number assigned by the department, and corporate name, if different
                                IDENTIFICATION AND than hospital name; Name and title of president/CEO; Name, title, and telephone number of individual responsible for
                                 CLASSIFICATION OF submitting hospital registration information to the department; Accreditation/certification status; Name, address, county, and            36, 45
                                     HOSPITAL
 ANNUAL HOSPITAL REGISTRATION




                                                   zip code of satellite units; Type of entity that controls operation of the hospital, such as not-for-profit, for profit, government, or
                                                   other; Name of multi-hospital system of which the hospital is a part, if applicable; (2) Primary hospital classification from one
                                                   of the following categories: (a) General hospital; or (b) Special hospital, including: (i) Alcohol and drug hospital; (ii) Burn care
                                                   hospital; (iii) Children's hospital; (iv) Long term acute care hospital; (v) Maternity hospital; (vi) Physical rehabilitation hospital;
                                                   (vii) Psychiatric hospital; or (viii) Other special hospital
                                                        Code citations: ORC § 3701.07, OAC § 3701-59-05
                                                        Who must report: Every hospital
                                                        Report sent to: Ohio Department of Health
                                                        Timing: Annually, by the 1st of March
                                                        Information included: Numbers of medical staff delineated by primary area of specialization and category as follows: (1)
                                                        Area of specialization: (a) Medical: Allergy/immunology, anesthesiology, cardiology, dentistry, dermatology, emergency
                                                        medicine, family practice, gastroenterology, internal medicine, general practice, hematology, neonatology neurology, nuclear
                                  MEDICAL STAFF         medicine, obstetrics and gynecology, oncology, ophthalmology, otorhinolaryngology, pathology, pediatrics, physical medicine,         36, 45
                                  SPECIALIZATION        podiatry, psychiatry, radiology, rheumatology, urology, general medicine rotation program, and any other medical specialty; or
                                                        (b) Surgical: Cardiovascular, colon and rectal, general neurological, orthopedic, plastic, thoracic, surgery rotation program,
                                                        and any other surgical specialty; (2) Categories: (a) Active and associate medical staff; (b) Active and associate medical staff
                                                        who are board certified; (c) House staff; (d) House staff who are in training positions approved by the accreditation council of
                                                        graduate medical education or the American osteopathic association; and (e) House staff who are in training positions
                                                        approved by the American dental association
                                                        Code citations: ORC § 3701.07, OAC § 3701-59-05




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                                 6
                                                                                     OHIO REPORTING FOR HOSPITALS


                                                   Who must report: Every hospital
                                                   Report sent to: Ohio Department of Health
                                                   Timing: Annually, by the 1st of March

                                                   Information included: (1) Information on the type and volume of services provided by the hospital, including but not limited
                                  REGISTRATION     to the following: Number of inpatient surgical cases; Number of outpatient surgical cases; Number of surgical operating rooms
                                REPORT: SERVICES
 ANNUAL HOSPITAL REGISTRATION




                                                   in the following categories; (a) Inpatient; (b) Outpatient; and (c) Dual purpose (inpatient and outpatient); Number of patients       36, 45
                                 AND SATELLITE     treated in the emergency room and released; Number of patients treated in the emergency room who were admitted to the
                                     UNITS         hospital; Level designation, if institution is a trauma center verified by the American college of surgeons; Level designation, if
                                                   institution is a pediatric trauma center verified by the American college of surgeons; (2) Information on the type and volume of
                                                   services provided by the satellite units, including the following: (a) Types of services provided; (b) Total number of patients
                                                   treated (on an outpatient basis) for each type of service provided; Name, address, county, and zip code of satellite units

                                                   Code citations: ORC § 3701.07, OAC § 3701-59-05
                                                   Who must report: Every hospital
                                                   Report sent to: Ohio Department of Health
                                                   Timing: Annually, by the 1st of March
                                                   Information included: The total number of beds, by category, of inpatient care provided; Number of admissions (including
                                                   individuals transferred from another unit within the hospital), number of patient days of care, and number of beds in use for:
                                REPORT OF BEDS     (1) Alcohol or drug abuse rehabilitation; (2) Burn care; (3) Hospice; (4) Level I newborn care service nursery; (5) Level II
                                                   newborn care service intermediate care nursery; (6) Level III newborn care service intensive care nursery; (7) Level I obstetric
                                 AND INPATIENT                                                                                                                                           36, 45
                                                   care service; (8) Level II obstetric care service; (9) Level III obstetric care service; (10) Long term acute care; (11) Long term
                                     CARE
                                                   nursing facility beds (as defined in OAC 3701-59-05(11)(a)-(g)); (12) Medical/surgical - General; (13) beds in a pediatric
                                                   intensive care unit; (14) Pediatric - General (services for patients less than 22 years of age); (15) Physical rehabilitation; (16)
                                                   Psychiatric care; (17) Special care; (18) Special skilled nursing (as defined in OAC 3701-59-05(18)); or (19) Swing bed
                                                   (hospital beds with an average length of stay of 30 days or less than may also be used for long term care as certified under
                                                   the Social Security Act).
                                                   Code citations: ORC § 3701.07, OAC § 3701-59-05
                                                   Who must report: Every hospital
                                                   Report sent to: Ohio Department of Health
                                                   Timing: Annually, by the 1st of March
                                   REPORT OF       Information included: Number of inpatient discharges for each of the following: (1) Discharges to home, without referral to
                                   INPATIENT       home care or hospice services; (2) Discharges to home, with a referral to home care services; (3) Discharges to home, with a          36, 45
                                  DISCHARGES       referral to hospice care program; (4) Transfers to inpatient service of a hospice care program; (5) Transfers to other hospitals;
                                                   (6) Transfers to a home licensed as a nursing home under Chapter 3721 of the Revised Code or facility certified under Title
                                                   XVIII of the Social Security Act; (7) Total patients expired in the hospital; and (8) Total patients discharged
                                                   Code citations: ORC § 3701.07, OAC § 3701-59-05




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                             7
                                                                         OHIO REPORTING FOR HOSPITALS


                                       Who must report: Each hospital
                                       Report sent to: Ohio Department of Job and Family Services
           AUDITED FINANCIAL           Timing: Annually on or before July 1st                                                                                                not in
             STATEMENTS                Information included: A financial statement for the preceding year prepared by an independent CPA. The hospital shall               Handbook
                                       also provide a cost report within 180 days after the hospital's cost reporting period
                                       Code citation: ORC § 5112.04
                                       Who must report: Pharmacists and Pharmacies
                                       Report sent to: Health Commissioner of the district having jurisdiction
                                       Timing: Upon observing changes in medication usage that based on professional experience and judgment are too closely
                                       correlated to be attributed to chance and may have been caused by bioterrorism, epidemic or pandemic disease, or
                                       established or novel infectious agents or biological toxins posing a risk of human fatality or disability
                                Information included: The following sent electronically or by telephone: name of any prescription for medication used to
                PHARMACISTS AND treat a disease that is relatively uncommon and may have been caused by bioterrorism, or significant changes in medication
                                                                                                                                                                           616, 652
                  PHARMACIES    usage that may be caused by bioterrorism, epidemic or pandemic disease, or established or novel infectious agents or
 BIOTERRORISM




                                biological toxins posing a risk of human fatality or disability, or an unexpected increase in: (a) number of prescriptions issued
                                for antibiotics; (b) number of prescriptions issued for medications to treat fever or respiratory or gastrointestinal complaints;
                                (c) sales of or number of requests for over-the-counter medication to treat fever, respiratory, or gastrointestinal complaints.
                                Submit reports using forms and formats approved by the director or using an electronic reporting system to the extent
                                approved by the director until such use is no longer considered active by the director
                                       Code citations: ORC § 3701.232, OAC § 3701-3-15
                                       Who must report: Poison control prevention and treatment centers, other health-related entities
                                       Report sent to: The health commissioner of the health district having jurisdiction
                                       Timing: Upon observing events that may be caused by bioterrorism, epidemic or pandemic disease, or established or novel
                                       infectious agents or biological or chemical toxins posing a risk of human fatality or disability, including unexpected pattern or
                                       increase in requests for information about poison prevention and treatment and available services
                POISON CONTROL
                               Information included: Unexpected pattern or increase in number of telephone inquiries/requests to provide information                         620
                    CENTERS
                               about poison prevention, treatment and available services, or unexpected pattern or increase in number of requests to
                               provide treatment, consultation, information, and educational programs to health care professionals and the public, or
                               unexpected pattern or increase in number of requests for information on infectious agents or biological or chemical toxins
                               posing a risk of human fatality or disability that is relatively uncommon and may have been caused by bioterrorism
                                       Code citations: ORC § 3701.201, OAC § 3701-3-14




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                 8
                                                                        OHIO REPORTING FOR HOSPITALS


                                       Who must report: Trauma centers
 BIOTERRORISM


                                       Report sent to: Director of Health
                                       Timing: At least once every two years beginning March 1, 2007, or upon request by the Director of Health
                               Information included: the population and geographic area, including a list of counties, served; a copy of the center's
                               emergency response plan, if any, that specifies how it will respond to disasters, acts of bioterrorism, and mass casualties;
                               copies of any memorandums of understanding, contracts, or similar documents that provide for how the center will manage
                TRAUMA CENTERS patients that exceed its capacity due to a bioterrorism or disaster event; copies or a written summary of the center's confirmed          38, 653
                               verification/consultative documents provided to the American College of Surgeons regarding the center's capacity,
                               preparedness, and effectiveness to respond to disasters, mass casualties, and bioterrorism and its response either before or
                               after verification is granted; evidence of participation in exercises sponsored by state or local emergency management
                               agencies or health departments designed to test local emergency response plans including any available after-action reports
                               prepared in response to exercises and provided to trauma centers by state or local emergency management agencies or
                               health departments; additional data specified in 3701-3-16 (6)(a)-(k) and (7)
                                       Code citations: ORC § 3701.072, OAC § 3701-3-16
                                       Who must report: Person in charge of the institution or designated representative
                                       Report sent to: Local registrar of vital statistics
                                       Timing: Within ten days

                BIRTH EN ROUTE TO Information included: The personal data, the certificate, the signatures required, and additional information as specified in
                                                                                                                                                                           418
                  AN INSTITUTION  section 3705.09 depending on the circumstances of birth. The physician in attendance shall provide the medical information
                                  required by the certificate and certify to the facts of birth within seventy-two hours after the birth. See section 3705.09(E) if a
                                  child is born in a moving conveyance, whether within the United States or not, and first removed from that conveyance in Ohio

                                       Code citation: ORC § 3705.09
                                       Who must report: The following, in the indicated order of priority: (1) The physician in attendance at or immediately after the
                                       birth; (2) Any other person in attendance at or immediately after the birth; (3) The father; (4) The mother; (5) The person in
 BIRTH




                                       charge of the premises where the birth occurred.
                BIRTH OUTSIDE OF
                                 Report sent to: Board of health of the city health district or general health district in which the hospital is located                 418, 424
                 AN INSTITUTION
                                 Timing: Within ten days
                                 Information included: Not specified
                                 Code citations: ORC § 3705.09, OAC § 3701-5-16
                                 Who must report: Physician attending birth
                                 Report sent to: Board of health of the city health district or general health district in which the hospital is located
                PHYSICIAN-REPORT
                                 Timing: Forthwith                                                                                                                         168
                    OF BIRTH
                                 Information included: Not specified
                                 Code citations: ORC § 3711.07, § 3711.08




OHA Bulletin 08-001 February 15, 2008                                                                                                                                               9
                                                                OHIO REPORTING FOR HOSPITALS


                                Who must report: Physicians and "others required to make the report" for births and fetal deaths
                                Report sent to: Ohio Department of Health
                                Timing: Reported with the birth or fetal death certificate
         BIRTH AND FETAL
              DEATH      Information included: Whether the mother has had approved tests for syphilis and gonorrhea performed in an approved                      310
         REPORTS/TESTING laboratory, and the approximate date when the specimens were taken from the mothers. If the tests were not made, the
                         physicians or other person shall state the reasons why the tests were not made. Labs must report any reactive or positive
                         test results to the ODH.
                                Code citations: ORC §§ 3701.46-50
                                Who must report: Any physician, hospital, and freestanding birthing center
                                Report sent to: (a) Birth defect information system; or (b) Ohio Department of Health or authorized employee of the
                                Department on request
                          Timing: (a) Within 30 days of diagnosis; or (b) upon request of the director of the Ohio Department of Health or upon request
                          of authorized employees of the Department of Health
                          Information included: The following information concerning all patients under 5 with a primary diagnosis of a listed
         BIRTH DEFECTS OR congenital anomaly, birth defect or abnormal condition (see OAC § 3701-57-02 for list): (1) Child's name (first, middle, last,
                          suffix); (2) Child's county of residence; (3) Child's address (street, city, state, zip code); (4) Phone number of child's guardian   345, 347
           FETAL DEATHS
 BIRTH




                          (area code and number); (5) Guardian name if different than child's mother; (6) Child's date of birth; (7) Child's gender; (8)
                          Child's race; (9) Child's Hispanic ethnicity; (10) Date of diagnosis of birth defect(s), syndrome, or disorder; (11) Text
                          description of birth defect(s), syndrome, or disorder; (12) Child's birth plurality, birth order; (13) "ICD-9_CM" code, if
                          applicable; (14) Child's date of death, if applicable; (15) Child's underlying cause of death, if applicable;
                          (16) Mother's name (first, maiden, last); (17) Mother's date of birth; (18) Mother's race; (19) Mother's Hispanic ethnicity; (20)
                          Reporter contact information (name, facility, phone number); and (21) Date of report.
                          Code citations: ORC § 3705.30 and OAC § 3701-57-02
                                Who must report: Any healthcare provider attending a newborn; in an institutional setting, designated agent may report
                         Report sent to: Ohio Department of Health
            PERINATAL    Timing: promptly                                                                                                                         632
         EXPOSURE TO HIV
                         Information included: perinatal exposure to HIV and any subsequent test results until such time that either an HIV infection
                         or a seroeversion status that is negative is confirmed
                         Code citation: OAC § 3701-3-12(D)
                         Who must report: Any manager, superintendent, or other person in charge of a hospital, sanitarium, or other medical facility
                         in which a person is attended or treated for any burn injury
                         Report sent to: a) Local arson, or fire and investigation bureau, if there is a bureau of this type in the jurisdiction in which the
                         person is attended or treated, or otherwise to local law enforcement authorities; b) State Fire Marshal
         BURN INJURY                                                                                                                                              534
                         Timing: a) Immediately; b) Within 3 working days of attending or treating the burn victim
                         Information included: Information regarding a burn injury that is inflicted by any explosion or other incendiary device or that
                         shows evidence of having been inflicted in a violent, malicious, or criminal manner (same for both a and b)
                         Code citation: ORC § 2921.22




OHA Bulletin 08-001 February 15, 2008                                                                                                                                      10
                                                             OHIO REPORTING FOR HOSPITALS


                           Who must report: Every physician, dentist, hospital, and other person providing diagnostic services to patients with cancer

                           Report sent to: Ohio Department of Health
                           Timing: Diagnosis shall be reported within 6 months of date of diagnosis. Facilities or persons providing treatment to
                           patients with cancer shall report within 6 months of date of first contact with the patient.

                           Information included: (1) Patient's name (first, last, middle initial) and social security number; (2) County, city, and state of
                           residence at diagnosis; (3) Street address at diagnosis; (4) Zip code at diagnosis; (5) Birth date; (6) Sex; (7) Race; (8)
         CANCER                                                                                                                                                    633, 636
                           Hispanic origin; (9) Age at diagnosis; (10) Date of diagnosis; (11) Date of first contact with this cancer office; (12) Source of
                           information; (13) Anatomical site of cancer; (14) Laterality of diagnosis; (15) Sequence; (16) Histology; (17) Grade; (18)
                           O.C.I.S.S source reporting code number; (19) American joint committee on cancer edition number; (20) Diagnostic
                           confirmation; (21) First course of treatment; (22) Date treatment began; (23) Class of case; (24) Occupation and industry; (25)
                           Tobacco use; (26) Date of death; Underlying cause of death; (27) Physician's name; (28) State at diagnosis per American
                           Joint Committee on Cancer; (29) Stage at diagnosis per surveillance, epidemiology, and end results; (30) Primary site text;
                           (31) Histology text; (32) Staging text; (33) Treatment text
                           Code citations: ORC § 3701.262 and OAC § 3701-4-02
                           Who must report: Physician in attendance of a case or suspected case of a communicable disease; person in charge of a
                           hospital, clinic, or other institution providing care or treatment, having knowledge of a reportable disease case or suspected
                           case; person in charge of any lab that examines specimens of human origin for evidence of diseases designated as
                           reportable upon positive results of such examinations
                           Report sent to: The board of health of the health district in which the patient resides and the board of health of the health
                           district in which the case occurs
                           Timing: [Class (A)(1) Cases]: By telephone upon recognition that such case, suspected case, or positive lab result exists.
    COMMUNICABLE           [Class (A)(2) Cases]: End of the next business day, after the existence of such case, suspected case, or positive lab result            639, 641,
       DISEASE                                                                                                                                                   643, 647-648
                           exists [Class (A)(3) Cases]: By the close of each working week, after the existence of such case, suspected case, or
                           positive lab result is known [Class (B) Cases]: By the close of each working week. [Class (C) Cases]: By the end of the
                           next working day. (See OAC § 3701-3-02 for Cases classifications.)
                           Information included: The name, age, sex and color of the patient, and the house and place in which the sick person may
                           be found. Also, the name and address of the case, suspect case, or person from whom the specimen for lab examinations
                           was taken.
                           Code citations: ORC § 3707.06; OAC § 3701-3-02 through OAC § 3701-3-06
                           Who must report: County hospital board of trustees
                           Report sent to: Board of county commissioners
                           Timing: Annually, not later than 60 days before the end of the fiscal year used by the county hospital
  COUNTY HOSPITALS
                           Information included: Proposed budget for the next fiscal year. The Board must also provide for the conduct of an annual                  54
  BUDGET AND AUDIT
                           financial audit of the county hospital and, not later than 30 days after it receives the final report of an annual financial audit,
                           the Board must file a copy of the report with the Board of county commissioners
                           Code citation: ORC § 339.06




OHA Bulletin 08-001 February 15, 2008                                                                                                                                         11
                                                                    OHIO REPORTING FOR HOSPITALS


                                 Who must report: Physician or member of ambulance service or emergency squad
              DEATH BY VIOLENT,
                                 Report sent to: County coroner
                 SUSPICIOUS,
                                 Timing: Immediately                                                                                                            355
                 SUDDEN OR
                                 Information included: Facts concerning time, place, manner, and circumstances of the death
               UNUSUAL MEANS
                                 Code citation: ORC § 313.12
                                 Who must report: Hospital
              DEATH OR IMMINENT
                                 Report sent to: Organ procurement organization designated under 42 C.F.R. § 486
              DEATH IN HOSPITAL                                                                                                                             359 (CFR not
                                 Timing: Timely manner
                OF POTENTIAL                                                                                                                                in Handbook)
                ORGAN DONOR      Information included: Information regarding individuals whose death is imminent or who have died in the hospital
 DEATH




                                 Code citations: ORC § 2108.021 and 42 C.F.R. § 482.45
                                 Who must report: person or entity holding ODH maternity service license
                                 Report sent to: Local health department
              DEATH OF INMATE IN Timing: Immediately
                                                                                                                                                                169
               MATERNITY UNIT
                                 Information included: death of inmate in licensed hospital wehter a woman or an infant born there or or brought thereto
                                Code citation: ORC § 3711.09
                                Who must report: The physician called in attendance, or any member of an ambulance service or emergency squad
                  MENTALLY
                                Report sent to: County coroner
                 RETARDED OR
                                Timing: Immediately
              DEVELOPMENTALLY                                                                                                                                   355
                                Information included: the known facts concerning the time, place, manner, and circumstances of the death plus any other
              DISABLED PERSON'S
                                information that is required pursuant to sections 313.01 to 313.22 of the Revised Code
                    DEATH
                                Code citation: ORC § 313.12
                                Who must report: The chief administrator or executive officer of any health care facility
                                Report sent to: State Medical Board
                  PHYSICIAN     Timing: Within 60 days after imposition of formal disciplinary action
 DISCIPLINE




                 ASSISTANTS:
                                Information included: The name of the physician assistant, the action taken, and a summary of the underlying facts. Upon        826
                 DISCIPLINARY
                                request, the Board shall also be provided with copies of the patient records involved. Prior to release to the Board, the
                   ACTIONS
                                summary shall be approved by the peer review committee that reviewed the case or by the governing board of the facility

                                     Code citation: ORC § 4730.32(a)




OHA Bulletin 08-001 February 15, 2008                                                                                                                                 12
                                                                          OHIO REPORTING FOR HOSPITALS


                                         Who must report: A physician assistant, physician, professional association or society of physician assistants or physicians
                          PHYSICIAN
                         ASSISTANTS:     Report sent to: State Medical Board
                                                                                                                                                                            826
                         SUSPECTED       Timing: Not specified
                         VIOLATIONS      Information included: The information leading the individual to suspect a violation has occurred.
                                         Code citation: ORC § 4730.32(b)
                                         Who must report: The chief administrator or executive officer of any health care facility.
                          PHYSICIANS,    Report sent to: State Medical Board
 DISCIPLINARY ACTIONS




                            LIMITED      Timing: Within 60 days after disciplinary action has been taken.
                        PRACTITIONERS:   Information included: The name of the individual, the action taken, and a summary of the underlying facts. Upon request,           847
                         DISCIPLINARY    the Board shall be provided certified copies of the patient records involved. Prior to release to the Board, the summary shall
                           ACTIONS       be approved by the peer review committee that reviewed the case or by the governing board of the facility.
                                         Code citation: ORC § 4731.224(a)
                          PHYSICIANS,    Who must report: Any individual authorized to practice under this chapter or any professional association or society of such
                            LIMITED      individuals
                        PRACTITIONERS:   Report sent to: State Medical Board                                                                                                847
                                         Timing: Not specified
                          SUSPECTED
                                         Information included: The information leading the individual to suspect a violation has occurred.
                          VIOLATIONS     Code citation: ORC § 4731.224(b)
                                         Who must report: Attending physician, a person in charge of the hospital, clinic, or other institution providing care or
                                         treatment, having knowledge of a reportable disease case or suspected case, unless the case has already been reported
              DOG BITE OR OTHER
                                         Report sent to: Health commissioner of the district in which the bite occurred                                                     617
                 ANIMAL BITE             Timing: within 24 hours
                                         Information included: The fact that a person has been bitten by a dog or other animal
                                         Code citation: OAC § 3701-3-28
                                         Who must report: Doctor of medicine or osteopathic medicine, hospital intern or resident, social worker, registered nurse,
                                         licensed practical nurse, psychologist, social work assistant, counselor
                                         Report sent to: Must be noted in patient's or client's records
           DOMESTIC VIOLENCE                                                                                                                                              534, 537
                                         Timing: Not specified
                                         Information included: The basis for the knowledge or belief; hospital must adopt protocol to interview and photograph
                                         Code citations: ORC § 2921.22, ORC § 3727.08




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                13
                                                                   OHIO REPORTING FOR HOSPITALS


                                   Who must report: Any person who owns or operates a facility at which more than 10 hazardous chemicals are produced,
                                   used, or stored in an amount that exceeds the threshold quantity under division (B)(1)(b) or (C)(5) of section 3750.02 of the
                                   Revised Code, and that is required to prepare or have available a material safety data sheet for a hazardous chemical under
                                   the Occupational Safety and Health Act
                                   Report sent to: The local emergency planning committee of the emergency planning district in which the facility is located,
                                   the emergency response commission, and the fire department having jurisdiction over the facility
                       INVENTORY                                                                                                                                    698, 700
                                   Timing: Immediately, upon request as specified in section 3750.07 of the Revised Code, and within three months of
                                   discovery of new information on a hazardous chemical

                                   Information included: A list of any hazardous chemicals that are produced, used, or stored at the facility, grouped together
                                   by the categories of health and physical hazards, including the information listed in section 3750.07 of the Revised Code.
 HAZARDOUS CHEMICALS




                                   Code citations: ORC § 3750.07, ORC § 3750.08
                                   Who must report: The owner or operator of a facility where a hazardous chemical is produced, used, or stored and from
                                   which a release of an extremely hazardous substance or hazardous substance occurs or from which a release of oil occurs,
                                   both as specified in section 3750.02 of the Revised Code
                                   Report sent to: the community emergency coordinator of each emergency planning district that contains an area likely to be
                                   affected by the release, the fire department having jurisdiction where the release occurred, and the director of environmental
                                   protection or his designated representative
                                   Timing: Within 30 minutes after a person at the facility has knowledge of the release
                                   Information included: The following, provided verbally, by telephone, radio, or in person: (1) location of the release: (2)
                        RELEASE
                                   chemical name/identity of any substance involved in the release and whether the substance is an extremely hazardous                696
                       REPORTING
                                   substance; (3) an estimate of the quantity of any substance released into the environment; (4) time and duration of the
                                   release; (5) environmental medium/media into which the substance was released; (6) any known or anticipated acute or
                                   chronic health risks associated with the release and, if known to the informant, advice regarding medical attention necessary
                                   for individuals exposed to the substance; (7) proper precautions to take as a result of the release, including evacuation and
                                   other proposed response actions, unless that information is readily available to the community emergency coordinator
                                   pursuant to the plan of the district; (8) name and telephone number of the person(s) to be contacted for further information;
                                   (9) other information as required by rules adopted under section 3750.02 of the Revised Code; (10) a follow-up emergency
                                   notice, as described in section 3750.06(D) of the Revised Code
                                   Code citation: ORC § 3750.06




OHA Bulletin 08-001 February 15, 2008                                                                                                                                          14
                                                                OHIO REPORTING FOR HOSPITALS


                               Who must report: Each hospital receiving HCAP funds
              HCAP             Report sent to: Ohio Department of Job and Family Services
        DISPROPORTIONATE       Timing: Annually                                                                                                                         82
             SHARE             Information included: The number and identity of patients served who are at or below the poverty guideline
                               Code citation: OAC § 5101:3-2-07.17
                               Who must report: Hospitals, clinics, or other facilities providing hearing assessments
                               Report sent to: The infant's primary care physician and the director of the Ohio Department of Health.
  HEARING EVALUATION Timing: Notify pursuant to hospital protocol; notify Ohio Department of Health within 14 calendar days                                        317, 318, 328-
    OF A NEWBORN     Information included: The name of each infant identified as being hearing impaired and the name and address of the                                 329
                     infant's parent, guardian, or custodian. Results must be sent to the primary physician even if child not hearing impaired.
                               Code citations: OAC § 3701-46-02, § 3701-46-03; ORC § 3701.505, § 3701.508
                               Who must report: Hospices
                               Report sent to: Data entered into ODFJS Interactive Voice Response System
                               Timing: Within 30 days after beginning date of service, and again within 30 days after ending service                                  not in
           HOSPICE SERVICES
                               Information included: Varies for hospice and physician, but includes provider number, Medicaid consumer's I.D. number,               Handbook
                               beginning and ending dates of service, physician certification dates; terminal diagnoses, and date of death.
                               Code citations: OAC § 5101:3-56-03.3
                               Who must report: Every physician, surgeon, obstetrician, certified nurse-midwife, nurse, maternity home or hospital of any
 INFLAMMATION OF THE           nature, or any other attendant on any person with inflammation of the eyes
  EYES OF A NEWBORN            Report sent to: The health commissioner of the city or general health district within which such person may reside.
                                                                                                                                                                       344
   AND GONORRHEAL              Timing: Within 6 hours of knowing condition
      OPTHALMIA                Information included: The Ohio Department of Health shall direct what facts to include
                               Code citations: ORC § 3701.51 and ORC § 3701.52
                               Who must report: All authorized insurers, surplus lines insurers, risk retention groups, self-insurers, the medical liability
                               underwriting association (if any), or any other entity that offers medical malpractice insurance to, or that otherwise assumes
                               liability to pay medical, dental, optometric or chiropractic claims for, risks located in this state
 MALPRACTICE




                               Report sent to: The superintendent of insurance or the superintendent's designee
                               Timing: On or before May 1st each year
               CLOSED CLAIMS                                                                                                                                           164
                               Information included: Information regarding any medical, dental, optometric, or chiropractic claim asserted against a risk
                               located in this state, if the claim resulted in a final judgment or settlement in any amount, or a final disposition of the claim
                               resulting in no indemnity payment on behalf of the covered person(s). The report shall include for each claim the information
                               specified in section 3901-1-64 of the Ohio Administrative Code
                               Code citation: OAC § 3901-1-64




OHA Bulletin 08-001 February 15, 2008                                                                                                                                         15
                                                                               OHIO REPORTING FOR HOSPITALS


                                             Who must report: Any insurer providing professional liability insurance to an individual authorized to practice under chapter
 MALPRACTICE

                                             4731, or any other entity that seeks to indemnify the professional liability of such an individual which has a final disposition of
                                             any written claim for damages which results in a payment exceeding $25,000
                                             Report sent to: The state medical board
                             PAYMENTS        Timing: Within 30 days of the final disposition of the written claim                                                                  847
                                             Information included: The name and address of the person submitting the notification; the name and address of the insured
                                             who is the subject of the claim; the name of the person filing the written claim; the date of final disposition; if applicable, the
                                             identity of the court in which the final disposition of the claim took place

                                             Code citation: ORC § 4731.224(D)
                                             Who must report: Chief clinical officer of a public hospital
                                             Report sent to: The department of mental health and the board of alcohol, drug addiction, and mental health services serving
                                             the patient's county of residence
                           DEATH, ESCAPE,    Timing: Immediately
 MENTAL HEALTH PATIENTS




                          DISCHARGE, TRIAL
                          VISIT, OR RETURN   Information included: Notification of the removal, death, escape, discharge, or trial visit of any patient hospitalized under         485
                             OF ESCAPED      section 5122.15 of the Revised Code, or the return of such an escaped or visiting patient to the department, the probate judge
                               PATIENT       of the county from which such patient was hospitalized, and the probate judge of the county of residence of such patient. In
                                             case of death, the chief clinical officer also shall notify one or more of the nearest relatives of the deceased patient, if known
                                             to him, by letter, telegram, or telephone.
                                             Code citation: ORC § 5122.23
                                             Who must report: The chief clinical officer of the hospital, agency, or facility in which the person is an involuntary patient
                                             Report sent to: The Bureau of Criminal Identification and Investigation
                           INVOLUNTARY       Timing: Within 7 days of the commitment or adjudication of involuntary commitment
                           ADMISSION OF      Information included: The identify of an individual found by a court to be a mentally ill person subject to hospitalization by        491
                              PATIENT        court order or that becomes an involuntary patient other than one who is a patient only for purposes of observation, according
                                             to the form described in division (C) of section 5122.311 of the Revised Code
                                             Code citation: ORC § 5122.311




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                    16
                                                            OHIO REPORTING FOR HOSPITALS


                           Who must report: Municipal hospital board of trustees
                           Report sent to: Legislative authority of the municipal corporation
 MUNICIPAL HOSPITAL
                           Timing: On the first Monday of January of each year
REPORT TO LEGISLATIVE                                                                                                                                          77
     AUTHORITY        Information included: Statement of receipts and expenditures for the year and an estimate of the amount necessary to
                      maintain and improve the hospital for the ensuing year
                           Code citation: ORC § 749.34
                           Who must report: Every employer of registered nurses, licensed practical nurses, or dialysis technicians
                           Report sent to: The Board of Nursing
                           Timing: Not specified
  NURSE MISCONDUCT         Information included: The name of any current or former employee who holds a nursing license or dialysis technician               772, 781
                           certificate issued under this chapter who has engaged in conduct that would be grounds for disciplinary action by the board
                           under section 4723.28 of the Revised Code using forms provided by the Board of Nursing.
                           Code citations: ORC § 4723.28 and ORC § 4723.34
                           Who must report: Every physician attending on or called in to visit a patient whom the physician believes to be suffering
                           from an occupational disease
                           Report sent to: Ohio Department of Health
                           Timing: Within 48 hours from the time of first attending such patient
                           Information included: The name, address, telephone number, date of birth, race, gender and occupation of the patient; the
                           name, address, telephone number, and business of the patient's employers; the nature of the disease or ailment; and the
     OCCUPATIONAL          name, address and telephone number of the physician. The following occupational diseases are required to be reported: (1)         639, 646
       DISEASE             Poisoning from phosphorous, brass, arsenic, mercury, wood alcohol or their compounds; (2) Anthrax; (3) Compressed air
                           illness; (4) Silicosis; (5) Occupational asthma; (6) Pesticide poisoning; (7) Cumulative trauma disorders including, but not
                           limited to, carpal tunnel syndrome and persistent and recurring tendonitis; (8) Poisoning from heavy metals including, but not
                           limited to, nickel and cadmium; (9) Asbestosis; (10) Mesothelioma; (11) Amputation of limb or digit; and (12) Burns resulting
                           from exposure to chemical, flame, or heat and of such severity as to cause admission into a hospital burn unit, or other health
                           care facility
                           Code citations: ORC § 3701.25 and OAC § 3701-3-02.1




OHA Bulletin 08-001 February 15, 2008                                                                                                                                   17
                                                                               OHIO REPORTING FOR HOSPITALS


                                             Who must report: Superintendents of city hospitals founded and supported in whole or in part at public expense
                                             Report sent to: Secretary of the Board of Embalmers and Funeral Directors of this state, or the professor of anatomy in a
                POSSESSION OF AN             college which by its charter is empowered to teach anatomy
                  UNCLAIMED OR               Timing: Before burial                                                                                                               416
                UNIDENTIFIED BODY            Information included: The fact that you are in possession of bodies not claimed or identified, or which must be buried at the
                                             expense of the state, county, or township
                                             Code citation: ORC § 1713.34
                                             Who must report: Any veterinarian or other person who examines, treats, owns, harbors or cares for any animal with
                                             symptoms or behavior of rabies
                                             Report sent to: Local health district
                                             Timing: Within 24 hours
                       RABID ANIMAL                                                                                                                                              618
                                             Information included: The fact that such mammal is confined and isolated in suitable quarters. Animal shall be confined
                                             until it has been determined that it is not afflicted with rabies. If determined to be rabies, health commissioner shall take act
                                             to prevent the occurrence of rabies in persons or mammals known or presumed to have been exposed.
                                             Code citation: OAC § 3701-3-30
                                             Who must report: Any freestanding radiation therapy center that: (1) experiences an equipment malfunction that may have
                                             contributed to patient injury or death, (2) treats the wrong subject, wrong treatment site, or uses the wrong modality of
                                             treatment; (3) uses a treatment that consists of three or fewer fractions and the calculated total administered dose differs from
                                             the total prescribed dose by more than ten per cent of the total prescribed dose; (4) uses a treatment that consists of more
 RADIATION INCIDENTS




                                             than three fractions and the calculated total administered dose differs from the total prescribed dose by more than twenty per
                                             cent of the total prescribed dose; (5) experiences nonelective admission to the hospital as a result of treatment during or
                                             within thirty days of completion of course of treatment.
                         FREESTANDING
                           RADIATION   Report sent to: Ohio Department of Health as described below, and to the patient and referring physician within 24 hours as               218
                       THERAPY CENTERS described in section 3701-83-47(E)
                                       Timing: By telephone no later than the next calendar day, and by letter within 15 days after the incident occurred
                                             Information included: The facility's name and address; a brief description of the event; why the event occurred; the effect on
                                             the patient; what improvements are needed to prevent recurrence; and actions taken to prevent recurrence. The letter shall
                                             be sent to "Director of Health, Ohio Department of Health, Bureau of Radiation Protection, P.O. Box 118 Columbus, OH
                                             43216-0118."
                                             Code citation: OAC § 3701-83-47




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                  18
                                                                               OHIO REPORTING FOR HOSPITALS


                                              Who must report: Any radiation therapy service and stereotactic radiosurgery that experiences equipment malfunction that
                                              may have contributed to patient injury or death, as described below.
                                        Report sent to: Ohio Department of Health as described below, and to the patient and referring physician within 24 hours as
                           HOSPITAL     described in section 3701-84-71(C)
                          RADIATION     Timing: By telephone no later than the next calendar day, and by letter within 15 days after the incident occurred                   282
                       THERAPY SERVICES Information included: The facility's name and address; a brief description of the event; why the event occurred; the effect on
                                        the patient; what improvements are needed to prevent recurrence; and actions taken to prevent recurrence. The letter shall
                                        be sent to "Director of Health, Ohio Department of Health, P.O. Box 118, Columbus OH 43266-0118."
                                        Code citation: OAC 3701-84-71(C)
                                        Who must report: Any radiation therapy service and gamma knife/radiosurgery service that experiences the following: (1) all
                                        instances of treatment of the wrong subject, wrong treatment site, or wrong modality of treatment; (2) when the treatment
 RADIATION INCIDENTS




                                        consists of three or fewer fractions and the calculated total administered dose differs from the total prescribed dose by more
                                        than ten percent of the total prescribed dose; (3) when the treatment consists of more than three fractions and the calculated
                                        total administered dose differs from the total prescribed dose by more than twenty percent of the total prescribed dose; (4) for
                           HOSPITAL     a sterotactic radiosurgery treatment, when the calculated total administered dose differs from the total prescribed dose by
                           RADIATION    more than ten percent of the total prescribed dose; (5) nonelective admission to the hospital as a result of treatment during or
                       THERAPY SERVICES within 30 days of completion of course of treatment.                                                                                 282
                              AND       Report sent to: Ohio Department of Health as described below, and to the patient and referring physician within 24 hours as
                         RADIOSURGERY described in section 3701-84-71(D)
                                        Timing: By telephone no later than the next calendar day, and by letter within 15 days after the incident occurred
                                        Information included: The facility's name and address; a brief description of the event; why the event occurred; the effect on
                                        the patient; what improvements are needed to prevent recurrence; and actions taken to prevent recurrence. The letter shall
                                        be sent to "Director of Health, Ohio Department of Health, P.O. Box 118, Columbus OH 43266-0118."
                                        Code citation: OAC 3701-84-71(D)

 REFERRAL OF CHILD                            Who must report: The person who submitted the specimen, and the physician to whom a child is referred
  WITH ABNORMAL                               Report sent to: Ohio Department of Health
RESULTS FOR GENETIC,                          Timing: Not specified except the physician to whom the child is referred must report within 30 days of the referral          315, 342
   ENDOCRINE, OR                              Information included: Results of tests and disposition of the child
METABOLIC DISORDERS
                                              Code citations: ORC § 3701.501(D), OAC § 3701-55-08
                                              Who must report: Physician
                        DISCONTINUANCE        Report sent to: Health commissioner
 STDs




                         OF TREATMENT         Timing: Not specified
                                                                                                                                                                             655
                           WHILE STILL        Information included: Any person being treated for a sexually transmitted disease who discontinues treatment while the
                        COMMUNICABLE          disease is still communicable
                                              Code citation: OAC § 3701-3-25




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                 19
                                                                               OHIO REPORTING FOR HOSPITALS


                                              Who must report: Attending health care provider or, in in an institutional setting, a designated agent; or the laboratory
                                              performing the test; every health care provider attending a newborn infant or child born to an HIV infected mother
 SEXUALLY TRANSMITTED DISEASES



                                              Report sent to: The local health district
                                              Timing: Promptly
                                 AIDS/HIV                                                                                                                                      621, 632
                                              Information included: Cases of AIDS, ARC, HIV infections, confirmed positive HIV tests, and certain other lab results.
                                              Regarding infant or child born to HIV infected mother, reports must continue following subsequent test tesults until an HIV
                                              infection or seroeversion status that is negative is confirmed
                                              Code citations: ORC § 3701.24, OAC § 3701-3-12
                                              Who must report: Any physician who diagnoses or treats, or other person who otherwise has knowledge of a case or
                                              suspected case of a sexually transmitted disease
                                              Report sent to: Health Commissioner or his or her designee
                                              Timing: Not specified
                                  STDs        Information included: (1) The name, address, age, sex, and race of the infected case individual; (2) Such other information      643, 655
                                              as will permit such case to be located; and (3) The information required in (1) and (2) of this rule of all persons associated
                                              with such case or suspected case who might reasonably be suspected of harboring or having acquired a sexually transmitted
                                              disease
                                              Code citations: OAC § 3701-3-02, § 3701-3-22
                                              Who must report: Non-profit hospitals and certain other charities
                                              Report sent to: Ohio Attorney General
                                              Timing: Annually after registering
                             TAX-EXEMPT
                                              Information included: All information required on the provided registration forms, as specified under OAC § 109:1-1-02 or
                           REGISTRATION AND                                                                                                                                    115-118
                                              (for group or consolidated registration) under OAC § 109:1-1-03. All charitable trusts with gross receipts of more than $5000
                              REPORTING
                                              for any taxable year or gross assets of more than $15000 shall report annually the information specified in OAC § 109:1-1-04
                                              by the 15th day of the 5th month following the close of the trust's taxable year
                                              Code citations: OAC § § 109:1-1-01 to 109:1-1-04




OHA Bulletin 08-001 February 15, 2008                                                                                                                                                     20
                                                                    OHIO REPORTING FOR HOSPITALS


                           Who must report: Each hospital
                           Report sent to: Ohio Department of Health and Emergency Medical Services Division of the Department of Public Service
                           and the appropriate regional directors and regional advisory boards under the Revised Code
                           Timing: Promptly upon change in its American College of Surgeons Designation
          AMERICAN COLLEGE Information included: Whether the hospital ceases to be an adult or pediatric trauma center verified by the American
            OF SURGEONS    college of surgeons; whether the hospital changes its level of verification as an adult or pediatric trauma center; whether the                138
            DESIGNATION    hospital commences to operate as an adult or pediatric trauma center under provisional status; whether the hospital changes
 TRAUMA




                           the level of verification or reverification it is seeking under its provisional status; whether the hospital ceases to operate under
                           its provisional status; whether the hospital receives verification or reverification in place of its provisional status. This
                           notification must be in writing.
                           Code citation: ORC § 3727.102
                           Who must report: All emergency medical service organizations
                           Report sent to: Ohio Board of Emergency Medical Services
                           Timing: Annually
            PATIENT DATA                                                                                                                                                  144
                           Information included: Information as specified in section 4765.06 of the Revised Code and any information the board
                           determines is necessary for maintaining the incidence reporting system.
                           Code citation: ORC § 4765.06
                           Who must report: A physician
                           Report sent to: The county or district tuberculosis control unit
                                  Timing: When a physician completes diagnostic studies confirming that an individual has tuberculosis; any time prior to
                                  completion of diagnostic studies if the signs and symptoms demonstrated by an individual are sufficient for the physician to
                                  suspect that the individual has tuberculosis; or at any time it is determined that an individual's tuberculosis is resistant to one
          TUBERCULOSIS            or more drugs                                                                                                                         613, 643

                                  Information included: Confirmed cases of tuberculosis; resistance of an individual's tuberculosis to one or more drugs; the
                                  individual's adherence to the treatment regimen prescribed if the individual does not adhere to the regimen. Plus, all
                                  information that the tuberculosis control unit requests
                                  Code citations: ORC § 339.78, OAC § 3701-03-02
                                  Who must report: Each hospital
 UNMARRIED MOTHERS- Report sent to: Office of child support in the Department of Job and Family Services
ACKNOWLEDGEMENT OF Timing: Within 10 days of completion of the form                                                                                                       310
     PATERNITY      Information included: Completed acknowledgment of paternity form that has been provided to an unmarried mother, and
                    father if possible, after birth has been given in the hospital
                    Code citation: ORC § 3727.17




OHA Bulletin 08-001 February 15, 2008                                                                                                                                              21
                                                           OHIO REPORTING FOR HOSPITALS


                     Who must report: Person in charge of the hospital or a designated representative
                     Report sent to: Local registrar of vital statistics
          BIRTH      Timing: Within 10 days after birth
                                                                                                                                                       344, 418
      CERTIFICATES   Information included: Personal data, signatures, and medical information required by the certificate including type of
 VITAL STATISTICS




                     prophylactic used in eyes of newborn
                     Code citations: ORC § 3705.09, ORC § 3701.55
                     Who must report: Hospital (or person in charge of the final disposition of the remains)
                     Report sent to: Local registrar of vital statistics of the district in which the death occurred
                     Timing: Within 48 hours after death or fetal death
         DEATH       Information included: Certification of the cause of death completed and signed by the physician who attended the
                                                                                                                                                         419
      CERTIFICATES   deceased or by the coroner; the social security number of the decedent, if available; any applicable information if death is of
                     the type described in section 313.12 of the Ohio Revised Code (violent deaths, casualty, suicide, suicide or unusual manner
                     of death etc.)
                     Code citation: ORC § 3705.16
                     Who must report: Attending physician
  WITHDRAWING LIFE-  Report sent to: Place report in health care records of the principal
SUSTAINING TREATMENT Timing: When the decision to withhold or withdraw life-sustaining treatment is made
                                                                                                                                                         373
 UNDER HEALTHCARE Information included: Facts regarding the physician's good faith attempt to determine the desires of the patient to the extent
 POWER OF ATTORNEY the patient is able to convey them
                     Code citation: ORC § 1337.15(A)(4)
                     Who must report: Physician, limited practitioner, nurse, or person
                     Report sent to: Law enforcement authorities
    WOUNDS FROM
                     Timing: Not specified
 GUNSHOT, STABBING,                                                                                                                                      534
                     Information included: That a gunshot or stab wound has been treated or observed, or any serious physical harm to persons
 OR OTHER VIOLENCE
                     that is reasonably believed to have resulted from an offense of violence.
                     Code citation: ORC § 2921.22




OHA Bulletin 08-001 February 15, 2008                                                                                                                             22

				
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