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July 18, 2013

Hospital Reporting Obligations Pursuant to Ohio Statutes and Regulations

Hospitals are required by Ohio statutes and regulations to make certain reports to Ohio government authorities. This bulletin summarizes the reporting obligations and directs the reader to controlling statutory or regulatory provisions. To: Chief Executive Officers Legal Counsel Risk Managers Chief Medical Officer Chief Nurse Executive OHA Contact: Rick Sites, Regulatory Counsel, [email protected] Ohio statutes and regulations require hospitals to report certain events to Ohio government agencies. This bulletin summarizes these reporting obligations and cites the corresponding statutes and regulations. The list is current through the date of this bulletin, which updates a previous bulletin issued in December 2010. The summary in the table is cursory and readers should consult the cited statute or regulation to determine if revisions have been made by legislative or agency action. The function of this bulletin is to alert readers to reporting requirements but not to fully describe the substance of the reporting obligation. The cited statutes and regulations are available in detail at http://codes.ohio.gov, a provided by the State of Ohio for use by the public. To find a statute, open and search the Ohio Revised Code (ORC); to find a regulation, open and search the Ohio Administrative Code (OAC). The OHA attorneys express their appreciation for the significant assistance of Capital Law School extern Ryan Stillion in reviewing and updating the bulletin.

mailto:[email protected]

http://codes.ohio.gov/

Index to 2013 Bulletin Hospital Ohio Reporting Obligations

Topic Page in Reporting Obligations Spreadsheet

Abandoned Newborn p. 1

Abortion

Individual Report p. 1

Monthly and annual reports p. 2

Post abortion complications p. 2

Abuse

Abuse, neglect, exploitation of adult p. 2

Abuse, neglect of child p. 2

Abuse of nursing home resident p. 3

Abuse or neglect of mentally retarded adult p. 3

Accreditation/Certification

Accreditation/certification of hospital p. 4

Accreditation of psychiatric service p. 4

AIDS or HIV

Report to ODH of diagnosis or lab findings p. 4

Infected physician, physician assistant,

anesthesiologist assistant, acupuncturist

p. 5

Perinatal exposure p. 5

Animal bite p. 13

Audited hospital financial statement p. 5

Bioterrorism/pandemic

Pharmacist/pharmacy report p. 6

Poison control center report p. 7

Birth

AIDS/HIV exposure p. 5

Birth p. 7

Birth certificate p. 8

Birth defects p. 8

Birth en route to hospital p. 9

Birth outside of hospital p. 9

Fetal death pp. 7-8

Gonorrheal opthalmia or inflammation of

eye in newborn

p. 23

Newborn death p. 24

Paternity acknowledgement p. 29

Screening (cardiac, endocrine, genetic,

hearing, metabolic)

pp. 27-28

Burn injury p. 10

Cancer p. 11

Closed medical liability claims p. 24

Communicable disease p. 11

Cost list (common hospital procedures) p. 23

Cost report (hospital) p. 17

County hospitals budget/audit p. 12

Death

By violent, suspicious, sudden, unusual

means

p. 12

Death certificate p. 12

Death of mentally retarded or

developmentally disabled person

p. 13

Fetal death pp. 7-8

Maternal p. 24

Newborn p. 24

Unclaimed/unidentified body p. 35

Dialysis tech misconduct p. 28

Dog or animal bite p. 13

Domestic violence p. 13

DRG

Inpatient data p. 14

Outpatient data p. 14

Gonorrheal opthalmia in newborn p. 23

Gunshot wound p. 35

Hazardous chemical

Inventory p. 15

Release reporting p. 15

HCAP disproportionate share p. 16

Hepatitis (HBV) pp. 5, 11

Hospice services p. 17

Hospital cost report p. 18

Hospital performance measures (HB 197 [2006]) p. 18

Hospital registration

Employees and patient care services p. 18

General information, births, safety p. 19

Identification and classification of hospital p. 19

Medical staff specialization p. 20

Services and satellite units p. 21

Report of beds and inpatient care p. 21

Report of inpatient discharges p. 22

Tax-exempt registration/reporting p. 33

Inflammation of eyes of newborn p. 23

List of costs (hospital common procedures) p. 23

Maternal or Newborn Deaths p. 24

Medical liability

Closed claims p. 24

Liability payments p. 25

Medicare certification (hospital) p. 4

Mental health reportable incident p. 26

Mentally ill

Death, escape, discharge, trial visit or

return

p. 26

Involuntary admission p. 27

Municipal hospital report to local authority p. 27

Newborn

Critical congenital heart disease screening p. 28

Death p. 24

Hearing screening p. 27

Genetic, endocrine, metabolic screening p. 26

Inflammation of eyes or gonorrheal

opthalmia

p. 23


Perinatal HIV exposure p. 5

Nurse misconduct p. 28

Occupational disease p. 28


Physician assistants

AIDS/HIV infected p. 5

Disciplinary actions p. 30

Suspected violations p. 30

Physicians

AIDS/HIV infected p. 5

Disciplinary actions p. 30

Prescriptions (controlled substance) p. 31

Suspected violations p. 30

Prescriptions (controlled substance) p. 31

Rabid animal p. 31

Radiation mishaps (x-ray or radioactive material) p. 32

Sexually transmitted diseases

AIDS/HIV pp. 4-5

Perinatal exposure p. 5

Physician infected p. 5

STD infection p. 32

Stabbing wound p. 35

Tax-exempt registration p. 33

Trauma

Designation by American College of

Surgeons

p. 33

Patient data from trauma centers p. 34

Tuberculosis

County reporting p. 34

State reporting p. 35

Unclaimed or unidentified body p. 35

Vital statistics

Birth certificate p. 8

Death certificate p. 12

Fetal death certificate p. 7

Wounds from gunshot, stabbing, violence; burn p. 35

2013 Hospital State of Ohio Reportable Events

General

Reporting

Topic

Reporting Summary:

Who reports

Where report is sent

When report is made

What information is reported

Statute (ORC)

and/or Rule

(OAC)

Page(s) in

Hospital Law

Handbook

ABANDONED

NEWBORN

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

Timing: Immediately

Information included: That an infant has been abandoned

at the hospital

ORC § 2151.3516,

§ 2151.3517

414

ABORTION:

INDIVIDUAL REPORT

Who must report: Physician who performs or induces or

attempts to perform or induce an abortion

Report sent to: Ohio Department of Health

Timing: Within 15 days after discharge of the woman

Information included: See information listed at OAC §

3701-47-03

ORC

§ 3701.79(C) – (D),

OAC § 3701-47-03

371, 375

ABORTION

MONTHLY AND

ANNUAL REPORTS

Who must report: Hospital


Timing: Monthly and annually, within 30 days following

the end of the applicable reporting period

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

ORC § 3701.79(G)

371

1

http://codes.ohio.gov/orc/2151.3516




http://codes.ohio.gov/oac/3701-47-03


ABORTION:

POST ABORTION

COMPLICATION

REPORTS

Who must report: Attending physician


Timing: Not specified

Information Included: Report shall be made upon a form

prescribed by the Ohio Department of Health and signed by

the attending physician

ORC § 3701.79(H)

371

ABUSE, NEGLECT,

EXPLOITATION OF

ADULT (60 and over)

Who must report: Any employee of a hospital

Report sent to: County Department of Job and Family

Services

Timing: Immediately

Information included: (1) Name, address, and age of the

adult; (2) Name and address of individual responsible for

adult’s 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

ORC § 5101.61,

§ 5101.60(B)

(definition of

“adult”)

687, 686

ABUSE, NEGLECT OF

CHILD

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, developmentally disabled, or physically impaired

child under 21 has suffered or faces a threat of suffering

any physical or mental wound, injury, disability, or

condition of a nature that indicates abuse or neglect of the

child

ORC § 2151.421

661

2





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

ABUSE, NEGLECT,

MISAPPROPRIATION

OF PROPERTY IN

NURSING HOME OR

REST HOMES

Who must report: Licensed health professional


Timing: Whenever a person has knowledge that or suspects

that a resident has been abused or neglected, or that a

resident’s property has been misappropriated by any

individual used by a long-term care facility or residential

care facility to provide services to residents

Information included: suspicion of abuse, neglect or

misappropriation of resident’s property

ORC § 3721.22

679

ABUSE OR NEGLECT

OF MENTALLY

RETARDED ADULT

Who must report: Any hospital employee Report sent to:

Ohio Department of Health

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

disabilities, the report shall be made to either a law

enforcement agency or the department

Timing: Immediately

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

ORC § 5123.61

689

3



ACCREDITATION AND

CERTIFICATION

Who must report: Every hospital


Timing: On or before March 1

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.

OAC § 3701-59-03,

§ 3701-59-05

24, 25

ACCREDITATION OF

INPATIENT

PSYCHIATRIC

SERVICE

Who must report: Each inpatient psychiatric service

provider

Report sent to: Ohio Department of Mental Health

Timing: Prior to occupancy and provision of services and

at license renewal

Information included: proof of accreditation

OAC

§ 5122-14-02(E),

§ 5122-14-03(D)

629, 630

AIDS/HIV

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 every CD4 + T lymphocyte count below 200

cells per micro liter or a CD4 + T lymphocyte percentage

of less than 14 when an 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

ORC § 3701.24,

OAC § 3701-3-12

808, 818

4








AIDS/HIV or HBV

INFECTED MEDICAL

BOARD LICENSEES

Who must report: Physician, physician assistant,

anesthesiologist assistant, acupuncturist

Report sent to: Ohio Department of Health or institutional

review panel or State Medical Board

Timing: within 48 hours

Information included: Licensee shall report that he or she

is infected with HIV or HBV, or that he or she believes

another licensee is infected with HIV or HBV and has not

reported

OAC § 4731-19-02

1071

AIDS/HIV:

PERINATAL

EXPOSURE TO HIV

Who must report: Any healthcare provider attending a

newborn; in an institutional setting, designated agent may

report


Timing: promptly

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

OAC

§ 3701-3-12(D)

818

AUDITED FINANCIAL

STATEMENTS

Who must report: Each hospital

Report sent to: Ohio Department of Job and Family

Services

Timing: On or before July 1st

or later date okayed by

ODJFS

Information included: A financial statement for the

preceding year prepared by an independent CPA. The

hospital shall also provide a cost report within 180 days

after the hospital’s cost reporting period

ORC § 5112.04

Repealed effective

10/16/2013

59

5





BIOTERRORISM OR

PANDEMIC:

PHARMACISTS AND

PHARMACIES

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 treat a disease that is relatively uncommon and may have

been caused by bioterrorism, or significant changes in

medication usage that may be caused by bioterrorism,

epidemic or pandemic disease, or established or novel

infectious agents or 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

ORC § 3701.232,

OAC § 3701-3-15

797, 844

6



BIOTERRORISM OR

PANDEMIC:

POISON CONTROL

CENTERS

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

Information included: Unexpected pattern or increase in

number of telephone inquiries/requests to provide

information 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

ORC § 3701.201,

OAC § 3701-3-14

807, 808

BIRTH AND FETAL

DEATH

REPORTS/TESTING

Who must report: Physicians and “others required to make

the report” for births and fetal deaths


Timing: Reported with the birth or fetal death certificate

Information included: Whether the mother has had

approved tests for syphilis and gonorrhea performed in an

ORC § 3701.46

through § 3701.50

379, 380

7





approved 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. In no event

shall the results of the tests be stated on the birth or fetal

death certificate

BIRTH

CERTIFICATE

Who must report: Person in charge of the hospital or a

designated representative

Report sent to: Local registrar of vital statistics

Timing: Within 10 days after birth

Information included: Personal data, signatures, and

medical information required by the certificate including

type of prophylactic used in eyes of newborn

ORC § 3701.55,

§ 3705.09

407, 495

BIRTH DEFECTS OR

FETAL DEATHS

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: Reports shall be made monthly and shall list all

new cases within 60 days of diagnosis unless there is

evidence the case has already been reported. Reports shall

also be made 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 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

ORC § 3705.30,

OAC § 3701-57-02

407, 410

8





residence; (3) Child’s address (street, city, state, zip code);

(4) Phone number of child’s guardian (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

BIRTH EN ROUTE TO

AN INSTITUTION

Who must report: Person in charge of the institution or

designated representative

Report sent to: Local registrar of vital statistics

Timing: Within ten days

Information included: The personal data, the certificate, the

signatures required, and additional information as specified

in 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

ORC § 3705.09

495

BIRTH OUTSIDE OF

AN INSTITUTION

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;

ORC § 3705.09,

OAC § 3701-5-16

495, 502

9




(5) The person in charge of the premises where the birth

occurred

Report sent to: Board of health of the city health district or

general health district in which the hospital is located

Timing: Within ten days

Information included: Not specified

BURN INJURY 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

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)

ORC § 2921.22

677

CANCER Who must report: Every physician, dentist, hospital, and

other person providing diagnostic services to patients with

cancer


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

ORC § 3701.262,

OAC § 3701-4-02

819, 822

10




diagnosis; (4) Zip code at diagnosis; (5) Birth date; (6) Sex;

(7) Race; (8) 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

COMMUNICABLE

DISEASE

Who must report: Health care providers–including

hospitals, medical clinics, medical laboratories, physicians,

pharmacists, physician assistants, nurses, lab technicians,

and EMS and ambulance personnel–must report specified

communicable diseases to the health commissioner within

which the sick person is found

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; state Director of

Health

Timing: Diseases listed in the rule as class “A” must be

reported immediately via telephone; certain diseases listed

in the rule as class “B” must be reported by the end of the

next business day after the case or suspected case presents,

but other listed class “B” disease must be reported by end

of the business week in which the case or suspected case

presents; diseases listed as class “C” must be reported by

ORC § 3707.06,

§ 3701.23,

OAC §§ 3701-3-01,

3701-3-02, 3701-3-

03 through 3701-3-

05

827, 825, 834,

835, 839, 840

11









the end of the next business day, although an “outbreak,

unusual incidence, or epidemic” must be reported

immediately by telephone

Information included for report to local health districts:

Name, age, sex, and color of the patient, and the house and

place in which the sick person may be found; owner or

agent of the owner of a building in which a person resides

or where the person died, and the head of the family

Information included for report to state Director of Health:

(1) Patient name; (2) diagnosis or suspected diagnosis; (3)

date of birth; (4) sex; (5) telephone number; (6) and street

address, including city, state, and zip code

COUNTY HOSPITALS

BUDGET AND AUDIT

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

Information included: Proposed budget for the next fiscal

year. The Board must also provide for the conduct of an

annual 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

ORC § 339.06

35

DEATH BY VIOLENT,

SUSPICIOUS, SUDDEN

OR UNUSUAL MEANS

Who must report: Physician or member of ambulance

service or emergency squad

Report sent to: County coroner

Timing: Immediately

Information included: Facts concerning time, place,

manner, and circumstances of the death

ORC § 313.12

421

DEATH

CERTIFICATE

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

ORC § 3705.16

496

12




Information included: Certification of the cause of death

completed and signed by the physician who attended the

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.)

DEATH OF MENTALLY

RETARDED OR

DEVELOPMENTALLY

DISABLED PERSON

Who must report: The physician called in attendance, or

any member of an ambulance service or emergency squad

Report sent to: County coroner

Timing: Immediately

Information included: the known facts concerning the time,

place, manner, and circumstances of the death plus any

other information that is required pursuant to sections

313.01 to 313.22 of the Revised Code

ORC § 313.12,

§ 5123.01

421,

Not in Handbook:

§ 5123.01

DOG BITE OR OTHER

ANIMAL BITE

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

Report sent to: Health commissioner of the district in

which the bite occurred

Timing: Within 24 hours

Information included: The fact that a person has been

bitten by a dog or other animal

OAC § 3701-3-28

804

DOMESTIC VIOLENCE

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

ORC § 2921.22,

§ 3727.08

677, 679

13







Report sent to: Must be noted in patient’s or client’s

records


Information included: The basis for the knowledge or

belief; hospital must adopt protocol to interview and

photograph

DRG INPATIENT DATA



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 treated on an inpatient basis in the hospital as

represented by inpatient discharges during the previous

calendar year: (1) total 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

ORC § 3727.34,

OAC § 3701-14-01

145, 148

DRG OUTPATIENT

DATA




Information included: The following information on

patients in each of the sixty categories of outpatient

services most frequently provided by the hospital as

represented by outpatient discharges during the previous

ORC § 3727.34,

OAC § 3701-14-01

145, 148

14





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

HAZARDOUS

CHEMICAL

INVENTORY

Who must report: Any person who owns or operates a

facility at which no 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

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

ORC § 3750.07,

§ 3750.08

889, 891

HAZARDOUS

CHEMICAL

RELEASE REPORTING

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

ORC § 3750.06

887

15




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) chemical name/identity of any substance involved in the

release and whether the substance is an extremely

hazardous 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 Revised Code

HCAP

DISPROPORTIONATE

SHARE

Who must report: Each hospital receiving HCAP funds

Report sent to: Ohio Department of Job and Family

Services

OAC

§ 5101:3-2-07.17

60

16

http://codes.ohio.gov/oac/5101%3A3-2-07.17

http://codes.ohio.gov/oac/5101%3A3-2-07.17

Timing: Annually

Information included: The number and identity of patients

served who are at or below the poverty guideline

HOSPICE SERVICES Who must report: Hospices

Report sent to: Data entered into Department of Family

and Job Services Interactive Voice Response System

Timing: Within 30 days after beginning date of service,

and again within 30 days after ending service

Information included: Varies for hospice and physician,

but includes provider number, Medicaid consumer’s I.D.

number, beginning and ending dates of service, physician

certification dates; terminal diagnoses, and date of death

OAC

§ 5101:3-56-03.3

440

HOSPITAL COST

REPORT

Who must report: Every Hospital

Report sent to: Department of Jobs and Family Services

Timing: On or before first day of July or within 180 days

of end of hospital’s fiscal year

Information Included: financial statement for the

preceding calendar year that accurately reflects the income,

expenses, assets, liability, and net worth of the hospital,

and accompanying notes, prepared by an independent CPA

and reflect an official audit report prepared in a manner

consistent with generally accepted accounting principles

ORC § 5112.04

Repealed effective

10/16/2013

59

HOSPITAL

PERFORMANCE

MEASURES

Who must report: Every Hospital


Timing: Before the 1st of April, and before the 1

st 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

ORC § 3727.33,

OAC § 3701-14-02

144, 151

17

http://codes.ohio.gov/oac/5101:3-56-03.3

http://codes.ohio.gov/oac/5101:3-56-03.3




under this 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 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

HOSPITAL

REGISTRATION:

EMPLOYEES AND

PATIENT CARE

SERVICES



Timing: 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, residents, salaried physicians, contracted

physicians; (b) Dental services such as dentists, dental

residents; (c) Nursing services such as RNs, CNPs, clinical

nurse specialists, certified nurse-midwifes, CPNAs, LPNs,

nursing assistants; (d) 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

ORC § 3701.07,

OAC § 3701-59-05

15, 25

18



workers; (i) Mental health services such as psychologists,

psychiatric social workers; (j) All other services including

certified/licensed health professional and technical

personnel

HOSPITAL

REGISTRATION:

GENERAL

INFORMATION,

BIRTHS, AND SAFETY




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 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

ORC § 3701.07,

OAC § 3701-59-05

15, 25

HOSPITAL

REGISTRATION:

IDENTIFICATION AND

CLASSIFICATION OF

HOSPITAL




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 than hospital name; Name and title of

president/CEO; Name, title, and telephone number of

individual responsible for submitting hospital registration

information to the department; Accreditation/certification

status; Name, address, county, and zip code of satellite

units; Type of entity that controls operation of the hospital,

ORC § 3701.07,

OAC § 3701-59-05

15, 25

19





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

HOSPITAL

REGISTRATION:

MEDICAL STAFF

SPECIALIZATION




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 medicine,

obstetrics and gynecology, oncology, ophthalmology,

otorhinolaryngology, pathology, pediatrics, physical

medicine, 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

ORC § 3701.07,

OAC § 3701-59-05

15, 25

20



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

HOSPITAL

REGISTRATION

REPORT: SERVICES

AND SATELLITE

UNITS




Information included: (1) Information on the type and

volume of services provided by the hospital, including but

not limited to the following: Number of inpatient surgical

cases; Number of outpatient surgical cases; Number of

surgical operating rooms in the following categories; (a)

Inpatient; (b) Outpatient; and (c) Dual purpose (inpatient

and outpatient); Number of patients treated in the

emergency room and released; Number of patients treated

in the emergency room who were admitted to the 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

ORC § 3701.07,

OAC § 3701-59-05

15, 25

HOSPITAL

REGISTRATION:

REPORT OF BEDS AND

INPATIENT CARE




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

ORC § 3701.07,

OAC § 3701-59-05

15, 25

21





of beds in use for: (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 care

service; (8) Level II obstetric care service; (9) Level III

obstetric care service; (10) Long term acute care; (11) Long

term 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)

HOSPITAL

REGISTRATION:

REPORT OF

INPATIENT

DISCHARGES




Information included: Number of inpatient discharges for

each of the following: (1) Discharges to home, without

referral to home care or hospice services; (2) Discharges to

home, with a referral to home care services; (3) Discharges

to home, with a 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

ORC § 3701.07,

OAC § 3701-59-05

15, 25

22



INFLAMMATION OF

THE EYES OF A

NEWBORN AND

GONORRHEAL

OPTHALMIA

Who must report: Every physician, surgeon, obstetrician,

certified nurse-midwife, nurse, maternity home or hospital

of any nature, or any other attendant on any person with

inflammation of the eyes

Report sent to: The health commissioner of the city or

general health district within which such person may

reside.

Timing: Within 6 hours of knowing condition

Information included: The Ohio Department of Health

shall direct what facts to include

ORC § 3701.51,

§ 3701.52

406, 407

LIST OF COSTS 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; the 30 most common lab procedures;

emergency room services; operating room services;

delivery room services; physical, occupational 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, how such fee

information can be obtained.

ORC § 3727.42

147

23




MATERNAL OR

NEWBORN DEATHS

Who must report: Maternity and newborn care units



Information included: (1) Death of fetus 20 weeks or

greater showing life through delivery; (2) death of live

neonates before 28 days of age from delivery or admission;

(3) infant death through one year of age form delivery or

admission; (4) maternal death; (5) neonatal or infant

abduction; and (6) discharge of neonate or infant to wrong

family or organization

OAC

§ 3701-7-15(E)

195

MEDICAL LIABILITY

CLOSED CLAIMS

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

Report sent to: The superintendent of insurance or the

superintendent’s designee


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

OAC § 3901-1-64

157

24




MEDICAL LIABILITY

PAYMENTS

Who must report: Any insurer providing professional

liability insurance to an individual authorized to practice

under chapter 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

Timing: Within 30 days of the final disposition of the

written claim

Information included: The name and address of the person

submitting the notification; name and address of insured

who is the subject of the claim; name of person filing the

written claim; date of final disposition; identity of court in

which final disposition of claim took place

ORC

§ 4731.224(D)

1040

MENTAL HEALTH

INPATIENT

REPORTABLE

INCIDENTS

Who must report: Inpatient psychiatric service provider

Report sent to: Department of Mental Health

Timing: Within 24 hours of discovery, exclusive of

weekends and holidays; a six month data report must be

submitted for the period of January first to June thirtieth of

each year and shall be submitted no later than July thirty-

first of the same year; a six-month data report for the

period of July first to December thirty-first of each year

shall be submitted no later than January thirty-first of the

following year

Information included: Any event that poses a danger to the

health and safety of patients and/or staff and visitors of the

hospital, and is not consistent with routine care of persons

served or routine operation of the hospital must be reported

on form DMH-LIC-013;

OAC

§ 5122-14-

01(C)(56),

§ 5122-14-10(H),

§ 5122-14-14(F)

625, 635, 653

25








MENTAL HEALTH

INPATIENT

REPORTABLE

INCIDENT:

RESTRAINT-RELATED

INCIDENTS

Who must report: Hospital or inpatient psychiatric service

provider

Report sent to: Ohio Department of Mental Health

Timing: Within 24 hours of discovery, exclusive of

weekends and holidays when any of the following incidents

occur: (1) Instance of physical injury to a patient that is

restraint-related, e.g. injuries incurred when being placed in

seclusion and/or restraint or while in seclusion or restraint ,

with the exception of injury that is self-inflicted, i.e. a

patient banging his/her own head; (2) death that occurs

while a person is restrained or in seclusion; (3) death

occurring within twenty-four hours after the person has

been removed from restraint or seclusion, and (4) death

where it is reasonable to assume that a perosn’s death may

be related to or is a result of such seclusion or restraint

Information included: Information shall be reported on

form DMH-LIC-013

OAC

§ 5122-14-

01(C)(56),

§ 5122-14-10(H),

§ 5122-14-14(F)

625, 635, 653

MENTALLY ILL:

DEATH, ESCAPE,

DISCHARGE, TRIAL

VISIT OR RETURN

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

Timing: Immediately

Information included: Notification of the removal, death,

escape, discharge, or trial visit of any patient hospitalized

under section 5122.15 of the Revised Code, or the return of

such an escaped or visiting patient to the department, the

probate judge 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

ORC § 5122.23

612

26







MENTALLY ILL:

INVOLUNTARY

ADMISSION

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

Timing: Within 7 days of the commitment or adjudication

of involuntary commitment

Information included: The identity of an individual found

by a court to be a mentally ill person subject to

hospitalization by 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

ORC § 5122.311

618

MUNICIPAL

HOSPITAL REPORT

TO LEGISLATIVE

AUTHORITY

Who must report: Municipal hospital board of trustees

Report sent to: The Bureau of Criminal Identification and

Investigation

Timing: On the first Monday of January

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

ORC § 749.34

85

NEWBORN HEARING

SCREENING

Who must report: Hospitals and freestanding birth centers

Report sent to: Attending physician or designee,

parent/guardian, and director of Ohio Department of Health

Timing: Notify pursuant to hospital protocol; notify Ohio

Department of Health within 10 calendar days

Information includes: The name of each infant identified

as being hearing impaired and the name and address of the

infant’s parent, guardian, or custodian. Results must be

sent to the primary physician even if child not hearing

impaired

OAC § 3701-40-02,

ORC § 3701.505,

§ 3701.508

391, 387, 388,

27






NEWBORN

SCREENING FOR

CRITICAL

CONGENITAL HEART

DISEASE

Who must report: Hospitals and freestanding birthing

centers


Timing: to be determined in regulations

Information includes: results of CCHD screening and other

information to be specified in regulations

ORC § 3701.5010

Effective 9/29/13

Rules to be issued

in/by early 2014

Not in Handbook

NEWBORN

SCREENING FOR

GENETIC,

ENDOCRINE, OR

METABOLIC

DISORDERS

Who must report: The person who submitted the specimen,

and the physician to whom a child is referred


Timing: Not specified except the physician to whom the

child is referred must report within 30 days of the referral

Information included: Test results, child disposition

ORC

§ 3701.501(D),

OAC § 3701-55-08

385, 405

NURSE OR DIALYSIS

TECH MISCONDUCT

Who must report: Every employer of registered nurses,

licensed practical nurses, or dialysis technicians

Report sent to: The Board of Nursing


Information included: The name of any current or former

employee who holds a nursing license or dialysis

technician 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

ORC § 4723.28,

§ 4723.34

947, 956

OCCUPATIONAL

DISEASE

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


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

ORC § 3701.25,

OAC § 3701-3-02.1

825, 838

28

http://www.legislature.state.oh.us/bills.cfm?ID=130_SB_4







http://codes.ohio.gov/oac/3701-3-02.1

ailment; and the name, address and telephone number of

the physician. The following occupational diseases are

required to be reported: (1) Poisoning from phosphorous,

brass, arsenic, mercury, wood alcohol or their compounds;

(2) Compressed air illness; (3) Silicosis; (4) Occupational

asthma; (5) Pesticide poisoning; (6) Cumulative trauma

disorders including, but not limited to, carpal tunnel

syndrome and persistent and recurring tendonitis; (7)

Poisoning from heavy metals including, but not limited to,

nickel and cadmium; (8) Asbestosis; (9) Mesothelioma;

(10) Amputation of limb or digit; and (11) 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

PATERNITY

ACKNOWLEDGEMENT

&

UNMARRIED

MOTHERS


Report sent to: Office of child support in the Department

of Job and Family Services

Timing: Within 10 days of completion of the form

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

ORC § 3727.17

380

PHYSICIAN

ASSISTANTS:

DISCIPLINARY

ACTIONS

Who must report: The chief administrator or executive

officer of any health care facility

Report sent to: State Medical Board

Timing: Within 60 days after imposition of formal

disciplinary action

Information included: The name of the physician assistant,

the action taken, and a summary of the underlying facts.

ORC § 4730.32(A)

1008

29



Upon request, the Board shall also be provided with copies

of the patient records involved. Prior to release to the

Board, the summary shall be approved by the peer review

committee that reviewed the case or by the governing

board of the facility

PHYSICIAN

ASSISTANTS:

SUSPECTED

VIOLATIONS

Who must report: A physician assistant, physician,

professional association or society of physician assistants

or physicians



Information included: The information leading the

individual to suspect a violation has occurred

ORC § 4730.32(B)

1008

PHYSICIANS, LIMITED

PRACTITIONERS:

DISCIPLINARY

ACTIONS

Who must report: The chief administrator or executive

officer of any health care facility


Timing: Within 60 days after disciplinary action has been

taken

Information included: The name of the individual, the

action taken, and a summary of the underlying facts. Upon

request, the Board shall be provided certified copies of the

patient records involved. Prior to release to the Board, the

summary shall be approved by the peer review committee

that reviewed the case or by the governing board of the

facility

ORC §

4731.224(A)

1040

PHYSICIANS, LIMITED

PRACTITIONERS:

SUSPECTED

VIOLATIONS

Who must report: Any individual authorized to practice

under this chapter or any professional association or society

of such individuals

ORC § 4731.224(B)

1040

30







Information included: The information leading the

individual to suspect a violation has occurred

PRESCRIPTIONS

Who must report: Each licensed health professional

authorized to prescribed drugs who personally furnishes to

a patient a controlled substance or other dangerous drug

Report sent to: The state board of pharmacy drug data

base, Ohio Automated Rx Reporting System (OARRS)

Timing: The information shall be submitted in accordance

with any time limits specified by the board

Information included: (1) Prescriber identification; (2)

patient information; (3) date drug was furnished by the

prescriber; (4) indication of whether the drug furnished is

new or a refill; (5) name, strength, and national drug code

of drug furnished; (6) Quantity of drug furnished; (7)

number of days’ supply of drug furnished; (8) source of

payment for the drug furnished; and (9) identification of

the owner of the drug furnished

ORC § 4729.79

108, 109

RABID ANIMAL

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

Information included: The fact that such mammal is

confined and isolated in suitable quarters. Animal shall be

OAC § 3701-3-30

805

31



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

RADIATION-

GENERATING

EQUIPMENT OR

MATERIAL

MISHAPS

Who must report: A licensee of radioactive material or

facility that handles radiation-generating equipment must

report certain misadministrations of radiation.


Timing: No later than next calendar day after handler

ascertains a misadministration occurred, and file written

report within 15 days after initial report

Information includes: Licensee’s name, name of

prescribing physician, description of event, why event

occurred, effect on individual receiving misadministration,

actions taken to prevent recurrence, and certification that

handler notified individual or responsible relative or

guardian (or why not)

OAC

§§ 3701-83-47,

3701-84-71,

3701:1-67-12,

3701:1-58-101

238, 288, 926,

927

RADIOACTIVE WASTE

Who must report: Any generator of radioactive waste

Report sent to: Director of Health

Timing: Generators of low level radioactive waste

(LLRW) must submit an annual report by April 30th

containing specified LLRW information

Information includes: Please see information found at

OAC § 3701:1-54-02

OAC

§ 3701:1-54-02

924

SEXUALLY

TRANSMITTED

DISEASES

Who must report: A health care provider or any person

with knowledge of a case or suspected case of a sexually

transmitted disease listed at OAC § 3701-3-03

OAC § 3701-3-02,

§ 3701-3-03

through 3701-3-05

835, 839, 840

32




http://codes.ohio.gov/oac/3701:1-67-12








Report sent to: Director of Health or his or her designee

Timing: Varies by disease; see OAC § 3701-3-03 for list

of diseases and appropriate timing

Information included: Reports shall be made to the board

of health on forms included

TAX-EXEMPT

REGISTRATION AND

REPORTING

Who must report: Non-profit hospitals and certain other

charities

Report sent to: Ohio Attorney General

Timing: Annually after registering

Information included: All information required on the

provided registration forms, as specified under OAC §

109:1-1-02 or (for group or consolidated registration) under

OAC § 109:1-1-03. All charitable trusts with gross receipts

of more than $25,000 for any taxable year or gross assets of

more than $25,000 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

OAC § 109:1-1-01

to § 109:1-1-04

141-144

TRAUMA

DESIGNATION

BY

AMERICAN COLLEGE

OF SURGEONS


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

Information included: Whether the hospital ceases to be an

adult or pediatric trauma center verified by the American

college of surgeons; whether the hospital changes its level

of verification as an adult or pediatric trauma center;

whether the hospital commences to operate as an adult or

pediatric trauma center under provisional status; whether

the hospital changes the level of verification or

ORC § 3727.102

309

33




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

TRAUMA:

PATIENT DATA

Who must report: All emergency medical service

organizations

Report sent to: Ohio Board of Emergency Medical

Services

Timing: Annually

Information included: Information as specified in section

4765.06 and any information the board determines is

necessary for maintaining the incidence reporting system

ORC § 4765.06

315

TUBERCULOSIS

(COUNTY

REPORTING)

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 or more drugs

Information included: Confirmed and suspected 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

ORC § 339.78

OAC § 3701-3-02,

§ 3701-3-03,

through § 3701-3-

05

794, 835, 839,

840

34

http://codes.ohio.gov/orc/4765.06v2






TUBERCULOSIS

(STATE REPORTING)

Who must report: Health care providers with knowledge of

a case or suspect case, including the person in charge of

any laboratory that examines specimens of human origin

for evidence of diseases

Report sent to: Board of Health

Timing: By the end of the next business day after the case

or suspected case presents

Information included: Reports shall be made on forms as

prescribed and provided by the director, and shall include

the following information: (1) patient name; (2) diagnosis

or suspected diagnosis; (3) date of birth; (4) sex; (5)

telephone number; (6) street address, including city, state,

and zip code.

OAC §§ 3701-3-02

through

§ 3701-3-05

835 - 840

UNCLAIMED OR

UNIDENTIFIED BODY

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 college which by its charter is empowered to teach

anatomy

Timing: Before burial

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

ORC § 1713.34

422

WOUNDS FROM

GUNSHOT, STABBING,

OR OTHER

VIOLENCE; DEATH,

BURN INJURY

Who must report: Physician, limited practitioner, nurse,

person giving aid to sick or injured person; other person

Report sent to: Law enforcement authorities

Timing: Various; immediately if death; within 3 days for

2nd or 3rd degree burn injury

ORC § 2921.22

677

35





Information included: That a gunshot or stab wound has

been treated or observed, or any serious physical harm to

persons that is reasonably believed to have resulted from an

offense of violence; dead body or death; certain burn

injuries

Revised July 2013

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