• Main Menu
• Issues
• Quality Improv.

• State Public Reporting Requirements
• National Reporting Initiatives
• Interventions/ Improvement Efforts
• Integration of Quality/ Health Info. Technology
• General Issues

State Public Reporting Requirements

Illinois Annual Quality Leadership Conference: Excelling and Accelerating Quality Care and Outcomes - May 15-16, 2008

Hospital Report Card Act (HRCA)

• General Information
  • Upcoming Hospital Report Card Act Deadlines (3/20/08)
  • Public Requests for Nurse Staffing Information (1/16/08)
  • Memo Announcing Final Rules on Hospital Report Card Act (4/18/07)
  • Hospital Report Card Public Act 93-563
  • IDPH Letter Regarding Nurse Staffing Reporting Requirements and Infection Reporting Requirements
     
• Administrative Rules
  • Hospital Report Card Act Rules Effective March 28, 2007
     
• Nurse Staff Information
  • Public Requests for Nurse Staffing Information (1/16/08)
  • Designation of HRCA Nurse Staff Reporting Contacts (8/8/07)
  • Hospital Report Card Act Nurse Staff Definitions (as of 7/31/07)
  • Hospital Report Card Act - Final Rules Published (4/18/07)

• Infection Reporting
  • IDPH SCIP Infection Reporting Submission Deadlines (2/18/08)
  • IDPH Infection Reporting - SCIP Data Contact Form
  • Sample SCIP Reporting Exemption Letter
  • Reporting of Surgical Care Improvement Program (SCIP) Data for Hospital Report Card Act (8/16/07)
  • Hospital Report Card Act - Final Rules Published (4/18/07)
     
• Training and Education
  • Acknowledgement Feedback Report Manual
  • HRCA Training Manual
  • Nurse Staffing Data Entry Training Materials
  • Hospital Report Card Act Implementation: Focus on Infection and Nurse Staff Reporting Requirements (6/28/07 PowerPoint presentation)
  • COMPdata Web Site (To view, click on categories under Training for Webinars, Conference Calls, and In Person Training.)
     
• Frequently Asked Questions - (10/29/07)

Consumer Guide

• General Information
  • Update on Key Health Information Reporting Issues (4/4/08)
  • Hospital CEO Attestation Form for Hospital Inpatient Discharge and Outpatient Case Data (4/4/08)
    - Click here for form in PDF format.
    - Click here for form in Word.
  • Important Update from Federal CMS on NPI Taxonomy Problems and Proposed Solutions (4/3/08)
  • Quality and Accuracy of Hospital Information (3/13/08)
  • Upcoming Hospital Specific Public Reports (2/21/08)
  • IDPH Consumer Guide Memo
     
• Administrative Rules
  • Illinois Consumer Guide Rules Adopted June 26, 2007
     
• Reporting Requirements
  • IDPH Notice of Deadline Extension for 1st Quarter Data Reporting (5/7/08)
  • Illinois Department of Public Health (IDPH) Ambulatory Surgery Treatment Center Data Reporting Software - Version 4.0 (12/11/07)
    - This reporting software has been developed and will be continuously maintained and updated by IDPH.
    - Contained in the downloadable software are training materials developed by IDPH.
    - Click here for instructions and to download software.
    - For additional information or questions on any aspect of this software, please contact Rich Forshee at IDPH: Rich.Forshee@illinois.gov.
  • Public Reporting and Accountability Updates (11/15/07)
  • Present on Admission Reporting Requirements (9/13/07)
  • Present on Admission PowerPoint
  • Present on Admission from NCHS
  • Present on Admission Medicare Learning Network (updated release Sept. 11, 2007)
  • Consumer Guide Final Rules Adopted
     
• Training and Education
  • ASTC OS File Format Quick Reference (4/23/08)
  • IL Data Coordinator Manual for Expanded and 837 Data 2008 (4/18/08)
  • Consumer Guide to Health Care Implementation: Focus on Illinois Reporting Requirements and Release of Data (7/12/07 PowerPoint presentation)
  • Preparing for "Present on Admission" - Implications for Hospital Reimbursement and Public Reporting (2/8/07)
  • COMPdata Web Site (To view, click on categories under Training for Webinars, Conference Calls, and In Person Training.)

Illinois MRSA and Other MDRO Surveillance and Reporting Requirements

• Public Acts Signed Into Law on August 20, 2007
  • Infection Prevention and Control Laws Enacted (8/29)
  • House Bill 192, Public Act 095-0282 on MDRO Prevention and Control
  • Senate Bill 233, Public Act 095-0312 on MRSA Screening and Reporting
     
• Interventions and Guidelines
  • Infections with MRSA in U.S. Hospitals, 1993-2005 (AHRQ - July 2007)
  • IDPH MRSA Primary Care Provider Guidelines
  • IHI MRSA Reduction Guide
  • APIC MRSA Elimination Guideline
  • CDC MDRO Guidelines
  • CDC Isolation Precaution Guidelines
  • CDC Hand Hygiene Guidelines
  • WHO Draft Hand Hygiene Guidelines
  • Current CMS Interpretive Guidelines for Medicare Conditions of Participation Focused on Infection Prevention and Control and Integration into Hospital Quality Assessment and Performance Improvement Program
     
• MRSA In the News
  • MRSA Update (2/21/08)
  • IDPH MRSA in Illinois Report: Illinois Hospital Discharges 2002-2006
  • Cover Story on MRSA: Working Out the MRSA Bugs (Nursing Spectrum, 10/22/07)
     
• Program: Prevention Strategies for MRSA in Rural Communities - February 27, 2008
  - MRSA (Pat Merryweather, Senior Vice President, IHA)
  - Expanding MRSA Surveillance: The Options (Ari Robicsek, MD, Hospital Epidemiologist, Evanston Northwestern Healthcare)
  - CA-MRSA Update (Craig Conover, MD, Illinois Department of Public Health)
  - MRSA: A Rural Provider Perspective (William R. Scharf, MD, Division of Strategic Effectiveness, OSF Healthcare System)
  - IDPH MRSA Primary Care Provider Guidelines

Public Reporting and Accountability Schedule - National and State

• IDPH Notice of Deadline Extension for 1st Quarter Data Reporting (5/7/08)
• Upcoming Hospital Specific Public Reports (2/21/08)
• Quality Improvement and Public Reporting Update (2/7/08)
• Upcoming Deadlines for Performance Measurements and Public Accountability (1/15/08)
• Public Reporting and Accountability Schedule: Illinois and National (Sorted by  Requirement) (11/20/07)
• Public Reporting and Accountability Schedule: Illinois and National (Sorted by Deadline Date) (11/20/07)

Electronic Death Reporting System (EDRS) Cause of Death

• State of Illinois Electronic Death Registry System (4/24/08)
• Letter to Hospitals from Dr. Arnold, Director of Illinois Department of Public Health
• Medical Records Contact Form to be Completed by Hospitals
• Sample FAX Form on Cause of Death Confirmation