Section R9-4-405. Data Quality Assurance

A.      To ensure completeness  and accuracy  of cancer  reporting, upon notice from the Department of at least five business days, a hospital, clinic, physician, doctor of naturopathic medicine, dentist, or registered nurse practitioner required to report under R9-4-404 shall allow the Department to review any of the following records, as are applicable to the facility:

1.        A report meeting the requirements of R9-4-404(B)(1);

2.        Patient medical records;

3.        Medical records of individuals not diagnosed with can- cer;

4.        Pathology reports;

5.        Cytology reports;

6.        Logs containing information about surgical procedures, as specified in A.A.C. R9-10-214(A)(6) or A.A.C. R9- 10-1709(A); and

7.        Records other than those specified in subsections (A)(1) through (A)(6) that contain information about diagnostic evaluation, cancer-directed treatment, or other treatment provided to an individual by the hospital, clinic, physi- cian, doctor of naturopathic medicine, dentist, or regis- tered nurse practitioner.

B.       The Department shall consider a hospital, clinic, physician, doctor of naturopathic medicine, dentist, or registered nurse practitioner required to report under R9-4-404 as meeting the criteria in R9-4-404 if the hospital, clinic, physician, doctor of naturopathic medicine, dentist, or registered nurse practitioner submits a case report to the Department for at least 97% of the patients for whom a case report is required under R9-4-404 during a calendar year.

C.      The Department shall consider a hospital required to report under R9-4-404(A)(2) as meeting the criteria in R9-4- 404(A)(2) if the hospital submits a follow-up report specified in R9-4-404(A)(2) to the Department once each calendar year for at least:

1.        Eighty percent of all analytic patients from the hospital’s reference date; and

2.        Ninety percent of all analytic patients diagnosed within the last five years or from the hospital’s reference date, whichever is shorter.

D.      The Department shall return a case report not prepared according to R9-4-403 to the hospital, clinic, physician, doctor of naturopathic medicine, dentist, or registered nurse practitio- ner that submitted the case report, identifying the revisions that are needed in the case report. The hospital, clinic, physi- cian, doctor of naturopathic medicine, dentist, or registered nurse practitioner shall submit the revised case report to the Department within 15 business days from the date the Department requests the revision.

E.       Upon written request by the Department, a hospital shall pre- pare a case report based on a simulated medical record pro- vided by the Department for the purpose of demonstrating the variability with which data is reported. The hospital shall return the case report to the Department within 15 business days from the date of the request.

Historical Note

New Section made by final rulemaking at 12 A.A.R. 179, effective March 11, 2006 (Supp. 06-1). Amended by final

rulemaking at 12 A.A.R. 3708, effective November 11,

2006 (Supp. 06-3).