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Public Health Data Collection and Reporting in Washington

        In order to better protect the public’s health and track and monitor the incidences of certain diseases, Washington requires health care providers to report cases of specific diseases to the Department of Health.  Physicians have a duty to report to the Department of Health all cases of communicable or infectious diseases treated.1  Physicians are also responsible for reporting notifiable conditions to local health officials.2  For each condition reported, the physician must include the patient’s identifying information, the provider’s identifying information, and any other information required by the Department.3  However, the law requires that patient identifying information be kept confidential.4

        Washington also requires that health care providers report certain health events, such as child birth,5 pregnancy terminations,6 health care associated infections,7 and adverse health events.8  The state does allow adverse health events to be open to public disclosure.9  Failure to report vital statistics, such as child birth is subject to monetary penalty in the state.10  The state has also put in place reporting requirements for cases of sexually transmitted diseases,11 cancer,12 and tuberculosis.13  Diagnoses of sexually transmitted diseases must be confirmed by a lab or blood test, and then be reported to the Department of Health.14  The Secretary of the Department of Health may establish a statewide cancer registry program that houses cancer reports and provides data for research purposes.15  The Department must develop rules for reporting instances of cancer, and must include the cancer patient’s occupation or employment status.16  Cancer reports must remain confidential, and may only be used for research purposes.17  However, tuberculosis reports must remain completely closed to public inspection.18  Tuberculosis reports must be maintained by local health departments, but must be accessible to the Department of Health.19  Washington also has established a statewide trauma and traumatic brain injury data registry.  All providers and facilities that provide trauma services must submit data to the trauma registry.20  Identifying information in the registry must remain confidential.21

        The state also requires reporting of patient clinical and financial information for quality improvement and data collection.  For example, hospitals must submit financial information and patient discharge data to the Department of Health.22  Local health departments and the Department of Health must collect child mortality review reports, and enter the information into a database.  The Department may then publish statistical reports containing information from child mortality reviews so long as they redact identifying information.23

 

Footnotes

  • 1. Wash. Rev. Code §70.05.090
  • 2. Wash. Admin. Code §246-101-105
  • 3. Wash. Admin. Code §246-101-115
  • 4. Wash. Admin. Code §246-101-120
  • 5. Wash. Rev. Code §70.58.080
  • 6. Wash. Admin. Code §246-490-100
  • 7. Wash. Rev. Code §43.70.056
  • 8. Wash. Rev. Code §70.56.020
  • 9. Wash. Rev. Code §70.56.050
  • 10. Wash. Rev. Code §70.58.280
  • 11. Wash. Rev. Code §70.24.125; Wash. Admin. Code §246-100-202
  • 12. Wash. Rev. Code §70.24.240; Wash. Admin. Code §246-102-030
  • 13. Wash. Rev. Code §70.28.010; Wash. Rev. Code §70.28.032
  • 14. Wash. Rev. Code §70.24.050
  • 15. Wash. Rev. Code §70.24.230
  • 16. Wash. Rev. Code §70.24.240
  • 17. Wash. Rev. Code §70.24.250; Wash. Admin. Code §246-102-070
  • 18. Wash. Rev. Code §70.28.010; Wash. Rev. Code §70.28.020
  • 19. Wash. Rev. Code §70.28.020
  • 20. Wash. Rev. Code §70.168.090
  • 21. Wash. Rev. Code §70.168.090
  • 22. Wash. Rev. Code §43.70.052
  • 23. Wash. Rev. Code §70.05.170

 

Public Health Data Collection and Reporting in Washington

Subtopic Statute/Regulation Description
Public Health Data Collection and Reporting Wash. Admin. Code § 246-100-202 Reporting Requirements for Sexually Transmitted Diseases Health care providers must report each case of a sexually transmitted disease, and state and...
Wash. Admin. Code § 246-101-105 Physician Duty to Report Notifiable Conditions The purpose of notifiable conditions reporting is to provide the information necessary for public...
Wash. Admin. Code § 246-101-110 Means of Notification for Notifiable Diseases Conditions that are designated as immediately notifiable must be reported by telephone or by secure...
Wash. Admin. Code § 246-101-115 Content of Notifications for Notifiable Diseases For each condition or disease that requires notification to health officials, health care providers...
Wash. Admin. Code § 246-101-120 Handling of Notifiable Disease Case Reports and Medical Information All reports made for notifiable conditions and diseases that have patient...
Wash. Admin. Code § 246-102-030 Cancer Registry Reporting Requirements The responsibility for identifying and reporting cases of cancer rests with health care facilities,...
Wash. Admin. Code § 246-102-070 Access and Release of Cancer Registry Information Cancer registry information may only be used for statistical, scientific, medical research and...
Wash. Admin. Code § 246-455-020 Hospital Patient Discharge Reporting of UB-92/UB-04 Data Set Information For all hospital patient discharges, hospitals must collect and report...
Wash. Admin. Code § 246-490-100 Reporting of Pregnancy Terminations Every facility where lawful induced abortions are performed during the first, second, or third trimester of...
Wash. Admin. Code § 246-976-430 Provider Responsibilities for the Trauma Registry The Department of Health maintains a trauma registry, the purpose of which is to provide data for...
Wash. Rev. Code § 18.71.320 Impaired physician program—Procedures Washington has established the impaired physician program to provide assistance to physicians struggling...
Wash. Rev. Code § 43.20.285 Health impact reviews — Obtaining and allocating federal or private funding to implement chapter The state board of health, with the assistance...
Wash. Rev. Code § 43.70.056 Data Collection and Reporting of Health Care Associated Infections Hospitals must routinely collect and submit data on health care associated...
Wash. Rev. Code § 70.05.090 Physician Duty to Report Communicable Diseases Whenever a physician attends to any person sick with any dangerous, contagious or infectious disease,...
Wash. Rev. Code § 70.05.170 Child mortality review The Washington legislature intends to encourage the performance of child mortality reviews in an effort to address the “...
Wash. Rev. Code § 70.168.090 Statewide data registry — Quality assurance program — Confidentiality The department must create a “statewide data registry to...
Wash. Rev. Code § 70.24.050 Diagnosis of sexually transmitted diseases — Confirmation — Anonymous prevalence reports A laboratory test or exam, conducted pursuant to...
Wash. Rev. Code § 70.24.125 Reporting requirements for sexually transmitted diseases — Rules The state board of health must create rules for the reporting of sexually...
Wash. Rev. Code § 70.245.150 Reporting of information to the department of health — Adoption of rules — Information collected not a public record — Annual...
Wash. Rev. Code § 70.28.010 Reporting of Cases of Tuberculosis All practicing health care providers are required to report to the local health department every case of a patient...
Wash. Rev. Code § 70.28.020 Record of reports Local health departments must keep records of the tuberculosis reports they receive pursuant to the requirements in 70.28.010....
Wash. Rev. Code § 70.28.032 Due process standards for testing, treating, detaining — Reporting requirements — Training and scope for skin test administration The...
Wash. Rev. Code § 70.54.230 Cancer registry program The Secretary of health may establish a “statewide cancer registry program” by entering into a contract with a...
Wash. Rev. Code § 70.54.240 Cancer registry program — Reporting requirements The department of health must create rules for reporting instances of cancer. These rules must...
Wash. Rev. Code § 70.54.250 Cancer registry program--Confidentiality The department of health may only use data from the cancer registry program for “statistical,...
Wash. Rev. Code § 70.56.020 Notification of Adverse Health Events When a medical facility confirms that an adverse event has occurred, it must submit to the Department of Health...
Wash. Rev. Code § 70.56.050 Confidentiality of Adverse Health Event Notifications When notification of an adverse event is made by a coordinated quality improvement program, a...
Wash. Rev. Code § 70.58.080 Registration of Washington Births Within ten days after the birth of any child, the attending physician, midwife, or his or her agent must: Fill...
Wash. Rev. Code § 70.58.280 Penalty Individuals that fail to comply with Washington’s vital statistics laws are guilty of a misdemeanor and will fined a minimum of 25...
Wash. Rev. Code § 72.23.080 Voluntary patients — Legal competency — Record The superintendent of a state mental health hospital must submit a record to the...