Ambulatory Surgery Center Healthcare-associated Infection Data Collection, Submission and

Reporting (A) Definitions. Healthcare-associated Infection (HAI). A localized or systemic condition that results from an adverse reaction to the presence of an infectious agent or its toxins that: 140.309: continued (1) occurs in a patient in an ambulatory surgery center (ASC); and (2) was not present or incubating at the time of the admission during which the reaction occurs; (3) meets the criteria for a specific infection as defined by the federal Centers for Disease Control and Prevention and its National Healthcare Safety Network; and (4) any additional elements as set forth in administrative guidelines of the Deaprtment based on the National Healthcare Safety Network. National Healthcare Safety Network (NHSN). The HAI tracking system operated by the federal Centers for Disease Control and Prevention. (B) HAI Reporting by Ambulatory Surgery Centers. (1) Each ASC shall: (a) register with the NHSN; and (b) grant access to the Department, in accordance with guidelines of the Department, to healthcare-associated infection data elements reportable to the NHSN. (2) Each ASC shall collect and submit to the NHSN, and then grant access as provided under 105 CMR 140.309(B) to the Department to healthcare-associated infection data elements. (3) Each ASC shall collect and submit to the Department other data related to infection control, including process measures, in accordance with guidelines of the Department.