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(b) advise the bureau regarding the development and implementation of the stroke registry;
(c) assist the bureau in evaluating the quality and outcomes of the stroke registry; and
(d) review and comment on proposals and rules governing the statewide stroke registry.
Pennsylvania:
Disease Prevention and Control Law of 1955 (35 P.S. § § 521.1—521.21): 27.31. Reporting cases of cancer.
(a) A hospital, clinical laboratory, or other health care facility providing screening, diagnostic or therapeutic services
for cancer to cancer patients shall report each case of cancer to the Department in a format prescribed by the Cancer
Registry, Bureau of Health Statistics and Research, within 180 days of the patient’s discharge, if an inpatient or, if an
outpatient, within 180 days following diagnosis or initiation of treatment.
(b) A health care practitioner providing screening, diagnostic or therapeutic services to cancer patients for cancer
shall report each cancer case to the Department in a format prescribed by the Cancer Registry, Bureau of Health
Statistics and Research, within 5 work days of diagnosis. Cases directly referred to or previously admitted to a
hospital or other health care facility providing screening, diagnostic or therapeutic services to cancer patients in this
Commonwealth, and reported by those facilities, are exceptions and do not need to be reported by the health care
practitioner.
(c) The Department or its authorized representative shall be afforded physical access to all records of physicians and
surgeons, hospitals, outpatient clinics, nursing homes and all other facilities, individuals or agencies providing
services to patients which would identify cases of cancer or would establish characteristics of the cancer, treatment of
the cancer or medical status of any identified cancer patient.
(d) Reports submitted under this section are confidential and may not be open to public inspection or dissemination.
Information for specific research purposes may be released in accordance with procedures established by the
Department with the advice of the Pennsylvania Cancer Control, Prevention and Research Advisory Board.
(e) Case reports of cancer shall be sent to the Cancer Registry, Division of Health Statistics, Bureau of Health
Statistics and Research, unless otherwise directed by the Department.
A. If the rules exceed standards in those states, please explain why and specify the costs and benefits arising out of
the deviation.
The rules do not exceed standards in the states referenced above. While Maine offers a similar chronic disease
reporting rule structure, both Utah and Pennsylvania offer similar reporting requirements, although for singular
disease reporting. The Maine rule describes chronic disease reporting follow-up using clinical data from providers
and hospitals for the purpose of determining disease frequencies and rates and understanding data quality. The data
elements included in the Maine rule and the ascribed purpose of the rule demonstrate similarities to the proposed
chronic disease reporting rule. However, the proposed rule and its reporting requirements will primarily rely on a
passive feed of electronic health record data, limiting the burden placed on the provider or health system to report that
information manually. Though the Pennsylvania rule describes reporting specifically for cancer cases and does not
introduce a chronic disease registry advisory board, it contains similar disease reporting requirements. The Utah rule
describes a statewide stroke registry with requirements for reporting stroke cases in a specified time frame and format.
It also institutes a stroke registry advisory committee to advise the development and use of a statewide stroke registry,
similar to the chronic disease registry advisory board in the proposed chronic disease reporting rule.
3. Identify any laws, rules, and other legal requirements that may duplicate, overlap, or conflict with the proposed
rules.
MCL 333.5111 confers authority to the department to maintain a list of reportable conditions. These rules would not
duplicate, overlap, or conflict with any laws, rules, and other legal requirements. Currently, MDHHS maintains a list
of communicable disease for mandatory reporting from healthcare professionals. The proposed ruleset furthers the list
of reportable conditions beyond communicable disease, introducing clear guidelines for MDHHS to direct reporting
of chronic diseases by healthcare professionals and health facilities.
A. Explain how the rules have been coordinated, to the extent practicable, with other federal, state, and local laws
applicable to the same activity or subject matter. This section should include a discussion of the efforts undertaken
by the agency to avoid or minimize duplication.
MCL 24.245(3)