reglab/housing_qa huggingface dataset:
OR Rev Stat § 441.101 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.101 - Safeguards for protected health information; rules.

(1) As used in this section, "protected health information" has the meaning given that term in ORS 192.556. (2) A health care facility shall file with the Oregon Health Authority a protection of health information report no later than 120 days following the close of each fiscal year. The report may be in the form of a letter, must be signed by the chief executive officer of the facility and must: (a) State the responsibility of the health care facility’s management to establish and maintain adequate safeguards and procedures for protecting the confidentiality of personally identifiable and protected health information that the facility retains in electronic and hard copy form; (b) Contain an assurance that there is ongoing evaluation and monitoring of the effectiveness of the safeguards and procedures in protecting the confidentiality of personally identifiable and protected health information; (c) Contain assurances that the signing officer has disclosed to the board of directors of the facility: (A) All significant deficiencies in the design or operation of recordkeeping systems or controls that could adversely affect the facility’s ability to protect the confidentiality of personally identifiable and protected health information; (B) Any breaches of the security of personally identifiable and protected health information, whether material or not, that involve management, staff or employees of the facility who have a significant role in the facility’s recordkeeping systems or controls; and (C) All necessary steps that have been taken to address deficiencies in the design or operation of recordkeeping systems or controls and to resolve any material weaknesses identified by the facility; and (d) Contain assurances that the signing officer has identified for the board any material weaknesses in the recordkeeping systems or controls. (3) The authority may adopt all rules necessary to carry out the provisions of this section. (4) The protection of health information report is confidential and not subject to disclosure under ORS 192.311 to 192.478. [2015 c.133 §4]
OR Rev Stat § 441.103 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.103

[1981 c.534 §2; 1985 c.153 §2; 2013 c.717 §2; renumbered 441.403 in 2015]
OR Rev Stat § 441.107 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.107

[1981 c.534 §3; renumbered 441.404 in 2015]
OR Rev Stat § 441.109 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.109

[1981 c.534 §4; 1985 c.153 §3; 2001 c.900 §172; 2009 c.768 §32; 2013 c.717 §3; 2014 c.117 §10; renumbered 441.406 in 2015]
OR Rev Stat § 441.113 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.113

[1981 c.534 §5; 2013 c.717 §4; renumbered 441.407 in 2015]
OR Rev Stat § 441.117 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.117

[1981 c.534 §6; 2001 c.104 §179; 2003 c.86 §13; 2013 c.717 §5; renumbered 441.408 in 2015]
OR Rev Stat § 441.121 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.121

[1981 c.534 §7; 2013 c.717 §6; renumbered 441.409 in 2015]
OR Rev Stat § 441.124 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.124

[1981 c.534 §8; 2003 c.14 §253; 2013 c.717 §7; renumbered 441.411 in 2015]
OR Rev Stat § 441.127 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.127

[1981 c.534 §9; 2013 c.717 §8; renumbered 441.412 in 2015]
OR Rev Stat § 441.131 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.131

[1981 c.534 §10; 1985 c.153 §4; 2013 c.717 §9; renumbered 441.413 in 2015]
OR Rev Stat § 441.133 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.133

[1981 c.534 §11; 2013 c.717 §10; renumbered 441.414 in 2015]
OR Rev Stat § 441.137 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.137

[1985 c.153 §6; 1989 c.224 §93; 2007 c.70 §240; 2009 c.421 §1; 2013 c.717 §11; 2014 c.117 §11; renumbered 441.416 in 2015]
OR Rev Stat § 441.140 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.140

[Amended by 1955 c.464 §6; 1971 c.730 §21; 1977 c.751 §31; renumbered 442.350]
OR Rev Stat § 441.142 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.142

[1985 c.153 §11; 2013 c.717 §12; renumbered 441.417 in 2015]
OR Rev Stat § 441.146 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.146

[1995 c.789 §1; 2013 c.717 §13; renumbered 441.418 in 2015]
OR Rev Stat § 441.151 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.151 - "Hospital" defined for ORS 441.152 to 441.177.

As used in ORS 441.152 to 441.177, "hospital" includes a hospital as described in ORS 442.015 and an acute inpatient care facility as defined in ORS 442.470. [Formerly 441.160] Note: 441.151 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 441 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
OR Rev Stat § 441.153 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.153

[1985 c.153 §14(3); 2001 c.716 §29; 2013 c.717 §14; 2014 c.117 §12; renumbered 441.419 in 2015]
OR Rev Stat § 441.155 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.155 - Written staffing plan for nursing services.

(1) Each hospital shall implement the written hospital-wide staffing plan for nursing services that has been developed and approved by the hospital nurse staffing committee under ORS 441.154. (2) The staffing plan: (a) Must be based on the specialized qualifications and competencies of the nursing staff and provide for the skill mix and level of competency necessary to ensure that the hospital is staffed to meet the health care needs of patients; (b) Must be based on a measurement of hospital unit activity that quantifies the rate of admissions, discharges and transfers for each hospital unit and the time required for a direct care registered nurse belonging to a hospital unit to complete admissions, discharges and transfers for that hospital unit; (c) Must be based on total diagnoses for each hospital unit and the nursing staff required to manage that set of diagnoses; (d) Must be consistent with nationally recognized evidence-based standards and guidelines established by professional nursing specialty organizations; (e) Must recognize differences in patient acuity; (f) Must establish minimum numbers of nursing staff, including licensed practical nurses and certified nursing assistants, required on specified shifts, provided that at least one registered nurse and one other nursing staff member is on duty in a unit when a patient is present; (g) Must include a formal process for evaluating and initiating limitations on admission or diversion of patients to another hospital when, in the judgment of a direct care registered nurse or a nurse manager, there is an inability to meet patient care needs or a risk of harm to patients; (h) Must consider tasks not related to providing direct care, including meal breaks and rest breaks; and (i) May not base nursing staff requirements solely on external benchmarking data. (3) A hospital must maintain and post a list of on-call nursing staff or staffing agencies to provide replacement nursing staff in the event of a vacancy. The list of on-call nursing staff or staffing agencies must be sufficient to provide for replacement nursing staff. (4)(a) An employer may not impose upon unionized nursing staff any changes in wages, hours or other terms and conditions of employment pursuant to a staffing plan unless the employer first provides notice to and, upon request, bargains with the union as the exclusive collective bargaining representative of the nursing staff in the bargaining unit. (b) A staffing plan does not create, preempt or modify a collective bargaining agreement or require a union or employer to bargain over the staffing plan while a collective bargaining agreement is in effect. [Formerly 441.162] Note: See note under 441.152.
OR Rev Stat § 441.156 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.156 - Annual review of nurse staffing plan.

(1) A hospital nurse staffing committee established pursuant to ORS 441.154 shall review the written hospital-wide staffing plan developed by the committee under ORS 441.155: (a) At least once every year; and (b) At any other date and time specified by either cochair of the committee. (2) In reviewing a staffing plan, a hospital nurse staffing committee shall consider: (a) Patient outcomes; (b) Complaints regarding staffing, including complaints about a delay in direct care nursing or an absence of direct care nursing; (c) The number of hours of nursing care provided through a hospital unit compared with the number of patients served by the hospital unit during a 24-hour period; (d) The aggregate hours of mandatory overtime worked by the nursing staff; (e) The aggregate hours of voluntary overtime worked by the nursing staff; (f) The percentage of shifts for each hospital unit for which staffing differed from what is required by the staffing plan; and (g) Any other matter determined by the committee to be necessary to ensure that the hospital is staffed to meet the health care needs of patients. (3) Upon reviewing a staffing plan, a hospital nurse staffing committee shall: (a) Report whether the staffing plan ensures that the hospital is staffed to meet the health care needs of patients; and (b) Modify the staffing plan as necessary to ensure that the hospital is staffed to meet the health care needs of patients. [2015 c.669 §5] Note: See note under 441.152.
OR Rev Stat § 441.157 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.157 - Audits.

(1) For the sole purpose of verifying compliance with the requirements of ORS 441.152 to 441.177 and 441.192, the Oregon Health Authority shall audit each hospital in this state once every three years, at the time of conducting an in-person site inspection of the hospital under ORS 441.025. (2) When conducting an audit pursuant to this section, the authority shall: (a) If the authority provides notice of the audit to the hospital, provide notice of the audit to the cochairs of the hospital nurse staffing committee established pursuant to ORS 441.154; (b) Interview both cochairs of the hospital nurse staffing committee; (c) Review any other hospital record and conduct any other interview or site visit that is necessary to verify that the hospital is in compliance with the requirements of ORS 441.152 to 441.177 and 441.192; and (d) Within 60 days after issuing an order requiring a hospital to implement a plan to correct a violation of ORS 441.152 to 441.177 or 441.192, conduct an investigation of the hospital to ensure compliance with the order. (3) Following an investigation conducted pursuant to subsection (2) of this section, the authority shall provide in writing a report of the authority’s findings to the hospital and the cochairs of the hospital nurse staffing committee. (4) The authority shall compile and maintain for public inspection an annual report of audits and investigations conducted pursuant to this section. (5) The costs of audits required by this section may be paid out of funds from licensing fees paid by hospitals under ORS 441.020. [2015 c.669 §9; 2021 c.338 §4] Note: See note under 441.152.
OR Rev Stat § 441.160 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.160

[2001 c.609 §1; renumbered 441.151 in 2015]
OR Rev Stat § 441.162 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.162

[2001 c.609 §2; 2005 c.665 §2; 2015 c.669 §4; renumbered 441.155 in 2015]
OR Rev Stat § 441.164 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.164 - Variances to staffing plan requirements.

Upon request of a hospital, the Oregon Health Authority may grant a variance to the written hospital-wide staffing plan requirements described in ORS 441.155 if the variance is necessary to ensure that the hospital is staffed to meet the health care needs of patients. [2001 c.609 §3; 2009 c.595 §733; 2015 c.669 §12] Note: See note under 441.152.
OR Rev Stat § 441.165 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.165 - Modification of nurse staffing plan in case of emergency or epidemic.

(1) For purposes of this section, "epidemic" means the occurrence of a group of similar conditions of public health importance in a community or region that are in excess of normal expectancy and that are from a common or propagated source. (2) Notwithstanding ORS 441.155 and 441.156, a hospital is not required to follow a written hospital-wide staffing plan developed and approved by the hospital nurse staffing committee under ORS 441.154 upon the occurrence of: (a) A national emergency or state emergency declared under ORS 401.165 to 401.236 or 433.441 to 433.452 requiring the implementation of a facility disaster plan and crisis standards of care; (b) Sudden unforeseen adverse weather conditions; or (c) An infectious disease epidemic suffered by hospital staff. (3)(a) No later than 30 days after a hospital deviates from a written hospital-wide staffing plan under subsection (2)(a) of this section, the hospital incident command shall report to the cochairs of the hospital nurse staffing committee established under ORS 441.154 an assessment of the nurse staffing needs arising from the national or state emergency declaration. (b) Upon receipt of the report described in paragraph (a) of this subsection, the hospital nurse staffing committee shall convene to develop a contingency nurse staffing plan to address the needs arising from the national or state emergency declaration. The contingency nurse staffing plan must include crisis standards of care. (c) The hospital’s deviation from the written hospital-wide staffing plan may not be in effect for more than 90 days without the approval of the hospital nurse staffing committee. (4) Upon the occurrence of a national or state emergency declaration or circumstances not described in subsection (2) of this section, either cochair of the hospital nurse staffing committee may require the hospital nurse staffing committee to meet to review and potentially modify the staffing plan in response to the emergency declaration or circumstances. [2015 c.669 §5a; 2021 c.248 §1] Note: See note under 441.152.
OR Rev Stat § 441.166 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.166 - Need for replacement staff.

(1) For purposes of this section, "nursing staff" includes registered nurses, licensed practical nurses, certified nursing assistants and other hospital nursing staff members as defined by the Oregon Health Authority by rule. (2) When a hospital learns about the need for replacement staff, the hospital shall make every reasonable effort to obtain nursing staff for unfilled hours or shifts before requiring a nursing staff member to work overtime. (3)(a) Except as provided in subsection (4) of this section, a hospital may not require a nursing staff member to work: (A) Beyond the agreed-upon and prearranged shift, regardless of the length of the shift; (B) More than 48 hours in any hospital-defined work week; (C) More than 12 hours in a 24-hour period; or (D) During the 10-hour period immediately following the 12th hour worked during a 24-hour period. (b) For purposes of paragraph (a)(D) of this subsection, a nursing staff member begins to work when the nursing staff member begins a shift. (4) A hospital may require an additional hour of work beyond the work authorized under subsection (3) of this section if: (a) A staff vacancy for the next shift becomes known at the end of the current shift; or (b) There is a potential harm to an assigned patient if the nursing staff member leaves the assignment or transfers care to another nursing staff member. (5) If a nursing staff member agrees to work overtime, the nursing staff member is accountable for the nursing staff member’s competency in practice and is responsible for notifying the nursing staff member’s supervisor when the nursing staff member’s ability to safely provide care is compromised. (6)(a) Time spent in required meetings or receiving education or training shall be included as hours worked for purposes of subsection (3) of this section. (b) Time spent on call or on standby when the nursing staff member is required to be at the premises of the employer shall be included as hours worked for purposes of subsection (3) of this section. (c) Time spent on call but away from the premises of the employer may not be included as hours worked for purposes of subsection (3) of this section. (7) If a nursing staff member believes that a hospital unit is engaging in a pattern of requiring direct care nursing staff to work overtime for nonemergency care, the nursing staff member may report that information to the hospital nurse staffing committee established for the hospital pursuant to ORS 441.154. The hospital nurse staffing committee shall consider the information when reviewing the written hospital-wide staffing plan as required by ORS 441.156. (8) The provisions of this section do not apply to nursing staff needs: (a) In the event of a national or state emergency or circumstances requiring the implementation of a facility disaster plan; or (b) In emergency circumstances identified by the authority by rule. [2001 c.609 §4; 2005 c.665 §1; 2009 c.595 §734; 2015 c.669 §6] Note: See note under 441.152.
OR Rev Stat § 441.168 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.168 - Leaving a patient care assignment.

A registered nurse at a hospital may not place a patient at risk of harm by leaving a patient care assignment during an agreed upon shift or an agreed upon extended shift without authorization from the appropriate supervisory personnel. [2001 c.609 §5] Note: See note under 441.152.
OR Rev Stat § 441.169 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.169 - Public notice.

On each hospital unit, a hospital shall post a notice summarizing the provisions of ORS 441.152 to 441.177 in a place that is clearly visible to the public that includes a phone number for purposes of reporting a violation of the laws. [2015 c.669 §7] Note: See note under 441.152.
OR Rev Stat § 441.170 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.170

[2001 c.609 §6; 2009 c.595 §735; 2015 c.669 §13; renumbered 441.175 in 2015]
OR Rev Stat § 441.171 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.171 - Complaint investigations.

(1) For purposes of ensuring compliance with ORS 441.152 to 441.177, the Oregon Health Authority shall: (a) Within 60 days after receiving a complaint against a hospital for violating a provision of ORS 441.152 to 441.177, conduct an on-site investigation of the hospital; and (b) Within 60 days after issuing an order requiring a hospital to implement a plan to correct a violation of ORS 441.152 to 441.177, conduct an investigation of the hospital to ensure compliance with the plan. (2) When conducting an investigation of a hospital to ensure compliance with ORS 441.152 to 441.177, the authority shall, if the authority provides notice of the investigation to the hospital, provide notice of the investigation to the cochairs of the hospital nurse staffing committee established pursuant to ORS 441.154. (3) Following an investigation conducted pursuant to this section, the authority shall provide in writing a report of the authority’s findings to the hospital and the cochairs of the hospital nurse staffing committee. (4) When conducting an investigation of a hospital to ensure compliance with ORS 441.152 to 441.177, the authority may: (a) Take evidence; (b) Take the depositions of witnesses in the manner provided by law in civil cases; (c) Compel the appearance of witnesses in the manner provided by law in civil cases; (d) Require answers to interrogatories; and (e) Compel the production of books, papers, accounts, documents and testimony pertaining to the matter under investigation. [2015 c.669 §10] Note: See note under 441.152.
OR Rev Stat § 441.172 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.172

[2001 c.609 §9; renumbered 441.179 in 2015]
OR Rev Stat § 441.173 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.173 - Hospital to maintain records; rules.

A hospital shall keep and maintain records necessary to demonstrate compliance with ORS 441.152 to 441.177. For purposes of this section, the Oregon Health Authority shall adopt rules specifying the content of the records and the form and manner of keeping, maintaining and disposing of the records. A hospital must provide records kept and maintained under this section to the authority upon request. [2015 c.669 §8] Note: See note under 441.152.
OR Rev Stat § 441.174 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.174

[2001 c.609 §10; renumbered 441.181 in 2015]
OR Rev Stat § 441.175 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.175 - Civil penalties; suspension or revocation of license; rules; records.

(1) The Oregon Health Authority may impose civil penalties in the manner provided in ORS 183.745 or suspend or revoke a license of a hospital for a violation of any provision of ORS 441.152 to 441.177. The authority shall adopt by rule a schedule establishing the amount of civil penalty that may be imposed for a violation of ORS 441.152 to 441.177 when there is a reasonable belief that safe patient care has been or may be negatively impacted, except that a civil penalty may not exceed $5,000. Each violation of a written hospital-wide staffing plan shall be considered a separate violation. Any license that is suspended or revoked under this subsection shall be suspended or revoked as provided in ORS 441.030. (2) The authority shall maintain for public inspection records of any civil penalties or license suspensions or revocations imposed on hospitals penalized under subsection (1) of this section. [Formerly 441.170] Note: See note under 441.152.
OR Rev Stat § 441.176 (2021)
2021 Oregon Revised Statutes|Volume : 12 - Public Health|Chapter 441 - Health Care Facilities|Section 441.176

[2001 c.609 §11; renumbered 441.183 in 2015]