Tenn. Comp. R. & Regs. 1200-08-10-.11 - Ambulatory Surgical Treatment Center (ASTC) Records and Reporting Requirements

Each ambulatory surgical treatment center (ASTC) must report the following:

•         Joint annual report of ASTC’s to the department of health;
•         Each case of communicable disease to the department of health;
•         Abuse of a patient or an unexpected occurrence or accident that results in the death or serious injury of a patient to the department of health within seven business days of identification of such event;
•         Specific incidents that might result in a disruption of services at the ATSC to the department of health within seven days of identification of such incident;
•         Information contained in the medical records of patients who have cancer or pre-cancerous or tumorous diseases to the cancer reporting system within six months of diagnosis or treatment;

Grounds for disciplinary action include:

•         Failure to report an adverse event;
•         Failure to submit an acceptable plan of correction to the department of health as required;
•         Failure to comply with a plan of correction; and
•         Repeated failure to report communicable diseases will be cause for a revocation of an ATSC’s license.

Event reports must remain confidential and are not considered a public record.  Information contained in such reports may not be disclosed except:

•       In a disciplinary proceeding conducted by the department of health;
•       In a disciplinary proceeding conducted by the appropriate regulatory board;
•       If transmitted by the department of health to an appropriate regulatory board;
•       If shared by the department of health with an appropriate governmental agency responsible for regulatory oversight of the ATSC;
•       If requested, the department of health must reveal its awareness that a specified incident has been reported; and
•       As appropriate, notification of the affected patient and the patient’s family by the ATSC.

The department may copy any portion of an ATSC medical record relating to the reported event unless otherwise prohibited.