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Updated the List of Reportable Codes for Drug Overdose Reporting (DOR)

Tennessee Department of Health (TDH) has Updated the List of Reportable Codes for Drug Overdose Reporting (DOR)

Effective January 3rd 2021, the Drug Overdose Reporting (DOR) List of Reportable Diagnosis codes was updated to include new Opioid-related ICD-10-CM codes. This update reflected changes made as a result of the ICD-10-CM Coordination and Maintenance Committee for federal fiscal year 2021. The T40.4X[1-4] coding structure for synthetic narcotics of unintentional, intentional self-harm, assault, and undetermined intent were revised. The changes allow for more specific reporting of drug overdoses involving synthetic opioids for initial and subsequent encounters. In particular, it allows the TDH to identify drug overdoses involving fentanyl, which has become more important to understand as overdoses involving fentanyl have increased rapidly in the last five years. Please ensure that your hospital is including the new codes when reporting drug overdoses to TDH. For more information and to obtain the full List of Reportable Diagnosis codes see the TDH Drug Overdose Reporting website. The new ICD-10-CM codes are indicated with an asterisk.

Now more than ever, it is important for Tennessee’s hospitals to report to TDH. We want to remind hospitals of their responsibility to continue reporting the reportable condition, Drug Overdose, to TDH weekly. Hospitals are required to report drug overdoses to TDH, regardless of the age of the patient experiencing the overdose or the intent, which include prescription or illicit, intentional, undetermined, or accidental drug overdoses. Full guidance on the Reportable Diseases Rules and Regulations can be found here. If the COVID-19 pandemic is impacting your organization’s normal operations and therefore affecting your ability to report to DOR weekly, please notify the DOR team at [email protected]. Please include DOR Reporting Impact in the subject line of the email.

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2021 Tennessee Reportable Disease List

The 2021 List of Reportable Diseases in Tennessee, effective January 1, 2021, can be found at the following link: Included are the list of reportable diseases and guidance for healthcare providers and laboratories regarding reporting requirements. Important changes in 2021 include:

Healthcare Providers/Facilities Only:

  • Polio is now immediately notifiable.
  • Multisystem Inflammatory Syndrome in Children is now explicitly reportable.
  • On the 2020 Commissioner’s Letter we notified you that reporting antibiotic use in acute care hospitals through the National Healthcare Safety Network (NHSN) will be required beginning in January 1, 2021.  This requirement has now been delayed until January 1, 2022 due to the burden of the COVID pandemic on healthcare facilities.  As this will require some planning, we are advising hospitals of this in advance to allow adequate preparation. [For more information:]

 Laboratories Only:

  • Colistin-resistant gram-negative bacteria are not explicitly reportable but are now contained under the general heading of pan-unsusceptible organisms.
  • Please see Detailed Laboratory Guidance for additional changes.

Volunteer Tennessee New Tools

Volunteer Tennessee, the state commission on national and community service, has established the Tennessee Serves Network to engage more Tennesseans in volunteer service. The network is a statewide collaboration of volunteer centers dedicated to bringing people and community together through an online volunteer portal.

And, now your organization can engage potential volunteers through this statewide system for free! Please click here for more information and learn how to register for an account. You can also contact Shannon Duke, Volunteerism & Training Manager at 615-253-8585 or [email protected] for more information.

Handout: Tennessee Serves for Agencies

Interview: Reach Radio

Executive Director, Jacy Warrell, has a conversation with Fran Ayalasomayajula of Reach Radio. Jacy discusses RHA's services to the community, challenges especially in education about COVID, developing community trust with key stakeholders, dealing with cultural differences and different demographics, coping styles for counties with no rural hospitals, and many more.

Grant Announcement

Rural Health Association of Tennessee will receive a grant from Delta Regional Authority to launch "pre-apprenticeship" program in West Tennessee.

 Click here to read the full announcement.

Leading Through Crisis – Lessons from NASA’s Marshall Space Flight Center


Leading Through Crisis – Lessons from NASA’s Marshall Space Flight CenterJohnny Stephenson, BSE, Director, Office of Strategic Analysis & Communications, NASA Marshall Space Flight Center

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Commissioner Piercey Talks COVID Testing and Vaccine


COVID-19 – Navigating a Global Pandemic in Tennessee

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Governor Lee Declares November 19th Rural Health Day

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Commissioner Schwinn COVID and Education

Letter to Commissioner Smith RE: Cover Rx

With 46 other organizations across Tennessee, Rural Health Association of Tennessee sent a letter to Commissioner Smith with Department of TennCare to request smoking quit aids be added to the CoverRx formulary.  

The full letter may be read here.

Letter in Support of the CDC

Rural Health Association of Tennessee signed on to a letter with 346 other organizations to support the work of the Centers for Disease Control (CDC) in their efforts to fight against the coronavirus (COVID-19).

You may read the full letter here.