(1) Each hospice shall submit demographic and provision of care data to the Agency annually for the calendar year period January 1 through December 31 no later than March 31 of the following year. Data must be submitted through the link included in the e-blast sent to each provider one month prior to the due date for the submission period.
    (2) Data submitted must detail the following information in aggregate numbers for the submission period:
    (a) Inpatient Care and Residential Units operated by the hospice, including freestanding units and contracted locations of care to include:
    1. Name and address of facility.
    2. County where facility is located.
    3. Number of beds within the facility.
    4. Number of facility admissions.
    5. Total facility patient days.
    (b) Primary diagnosis of patients at time of admission to include:
    1. Cancer.
    2. Illness due to Acquired Immune Deficiency Syndrome (AIDS).
    3. Heart, Circulatory, or Cardiovascular Disease.
    4. End-Stage Pulmonary Disease.
    5. End-Stage Renal Disease (ESRD).
    6. Stroke.
    7. Dementia or Alzheimer’s Disease.
    8. Other diagnoses.
    (c) Age of patients admitted during the reporting period in aggregate number:
    1. 0-18 years of age.
    2. 19-44 years of age.
    3. 45-64 years of age.
    4. 65-84 years of age.
    5. 85 years of age and older.
    (d) Race of patients admitted during the reporting period in aggregate number:
    1. Asian/Pacific Islander.
    2. Native Hawaiian or Other Pacific Islander.
    3. Black/African American.
    4. White/Caucasian.
    5. Two or more races or not known.
    6. American Indian or Alaskan Native.
    7. Other.
    (e) Ethnicity of persons admitted during reporting period irrespective of reported race:
    1. Hispanic.
    2. Non-Hispanic.
    (f) Gender of persons admitted during the reporting period:
    1. Male.
    2. Female.
    3. Not known or not reported.
    (g) Percent of reimbursement for patient care by payor source:
    1. Medicare.
    2. Medicaid.
    3. Third party.
    4. Self-pay.
    5. Uncompensated.
    6. Other.
    (h) Total number of patient days by location during the reporting period:
    1. Private residence.
    2. Adult Family Care Home.
    3. Assisted Living Facility.
    4. Nursing Home – Contracted Non-Inpatient Bed.
    5. Nursing Home – Contracted Inpatient Bed.
    6. Hospital – Dedicated Hospice Unit.
    7. Hospital – Other Than Dedicated Hospice Unit.
    8. Hospice Residential Facility.
    9. Freestanding Hospice Inpatient Facility.
    10. Other.
    (i) Total number of patient discharges by disposition during the reporting period:
    1. Deaths.
    2. Non-Deaths.
    (3) Demographic and provision of care data will be available through the following link as a summary of the data reported: https://quality.healthfinder.fl.gov/Hospice/Hospice.aspx
    (4) A licensee that fails to submit the required information by the due date may be fined up to $50 per day late not to exceed $500 in accordance with Florida Statutes § 408.813
Rulemaking Authority 400.605 FS. Law Implemented Florida Statutes § 400.605. History-New 5-6-82, Formerly 10A-12.12, 10A-12.012, Amended 4-27-94, Formerly 59A-2.012, Amended 6-5-97, 8-11-08, Formerly 58A-2.012, Amended 10-31-23.