<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 30.08.04.06" title_num="30" subtitle_num="08" chapter_num="04" heading="Access to Trauma Registry and Specialty Care Information.">
  <paragraph num="A.">
    <text>Data that identifies individual patients, providers, and hospital outcomes is confidential.</text>
  </paragraph>
  <paragraph num="B.">
    <text>MIEMSS may only release confidential information:</text>
    <paragraph num="(1)">
      <text>As required by the Health Services Cost Review Commission under Health-General Article, §19-130, Annotated Code of Maryland; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In accordance with:</text>
      <paragraph num="(a)">
        <text>The provisions of Health Occupations Article, Title 1, Subtitle 4, and §14-506, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Other criteria as developed by MIEMSS pertaining to patient confidentiality and quality management records.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>MIEMSS may approve requests for data and other information from the State trauma registry and specialty care databases for special studies and analyses in accordance with §B of this regulation.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A person having access to information collected under this subtitle may use the information only for the purposes allowed under Regulation .04 of this chapter.</text>
  </paragraph>
  <paragraph num="E.">
    <text>MIEMSS may require a person who requests data or other information from the State trauma registry and specialty care databases to pay all or part of the reasonable costs associated with special preparation of the request.</text>
  </paragraph>
  <paragraph num="F.">
    <text>MIEMSS may not disclose confidential information to any person, except on request:</text>
    <paragraph num="(1)">
      <text>To an approved regional or State quality improvement program if the regional or State quality improvement program is subject to the same confidentiality guidelines as MIEMSS;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To a scientific research professional associated with a scientific research organization, if:</text>
      <paragraph num="(a)">
        <text>MIEMSS has reviewed and approved the research professional's written research proposal with respect to scientific merit and confidentiality safeguards, and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The data does not identify specific hospitals or patients; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>MIEMSS shall provide aggregate State trauma registry and specialty care data to hospitals, public or private agencies, and other interested parties for:</text>
      <paragraph num="(a)">
        <text>Prevention activities,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Epidemiological or demographic studies, or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Education and research projects.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>