reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-808 - Service Plans

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				required in subsection (B), a manager shall ensure that a resident has a
				written service plan that:
1. Is completed no
				later than 14 calendar days after the resident's date of acceptance;
2. Is developed with assistance and review
				from:
a. The resident or resident's
				representative,
b. The manager,
				and
c. Any individual requested by
				the resident or the resident's representative;
3. Includes the following:
a. A description of the resident's medical or
				health problems, including physical, behavioral, cognitive, or functional
				conditions or impairments;
b. The
				level of service the resident is expected to receive;
c. The amount, type, and frequency of
				assisted living services being provided to the resident, including medication
				administration or assistance in the self-administration of
				medication;
d. For a resident who
				requires intermittent nursing services or medication administration, review by
				a nurse or medical practitioner;
e.
				For a resident who requires behavioral care:
i. Any of the following that is necessary to
				provide assistance with the resident's psychosocial interactions to manage the
				resident's behavior:
(1) The psychosocial
				interactions or behaviors for which the resident requires assistance,
(2) Psychotropic medications ordered for the
				resident,
(3) Planned strategies
				and actions for changing the resident's psychosocial interactions or behaviors,
				and
(4) Goals for changes in the
				resident's psychosocial interactions or behaviors; and
ii. Review by a medical practitioner or
				behavioral health professional; and
f. For a resident who will be storing
				medication in the resident's bedroom or residential unit, how the medication
				will be stored and controlled;
4. Is reviewed and updated based on changes
				in the requirements in subsections (A)(3)(a) through (f):
a. No later than 14 calendar days after a
				significant change in the resident's physical, cognitive, or functional
				condition; and
b. As follows:
i. At least once every 12 months for a
				resident receiving supervisory care services,
ii. At least once every six months for a
				resident receiving personal care services, and
iii. At least once every three months for a
				resident receiving directed care services; and
5. When initially developed and when updated,
				is signed and dated by:
a. The resident or
				resident's representative;
b. The
				manager;
c. If a review is required
				in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the
				service plan; and
d. If a review is
				required in subsection (A)(3)(e)(ii), the medical practitioner or behavioral
				health professional who reviewed the service plan.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-809 - Transport; Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in subsection (B), a manager shall ensure that:
1. A caregiver or employee coordinates the
				transport and the services provided to the resident;
2. According to policies and procedures:
a. An evaluation of the resident is conducted
				before and after the transport, and
b. Information from the resident's medical
				record is provided to a receiving health care institution; and
3.
				Documentation includes:
a. If applicable, any
				communication with an individual at a receiving health care
				institution;
b. The date and time
				of the transport; and
c. If applicable, the name of the caregiver
				accompanying the resident during a transport.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-810 - Resident Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. A manager
				shall ensure that, at the time of acceptance, a resident or the resident's
				representative receives a written copy of the requirements in subsection (B)
				and the resident rights in subsection (C).
B. A manager shall ensure that:
1. A resident is treated with dignity,
				respect, and consideration;
2. A
				resident is not subjected to:
a.
				Abuse;
b. Neglect;
c. Exploitation;
d. Coercion;
e. Manipulation;
f. Sexual abuse;
g. Sexual assault;
h. Seclusion;
i. Restraint;
j. Retaliation for submitting a complaint to
				the Department or another entity; or
k. Misappropriation of personal and private
				property by the assisted living facility's manager, caregivers, assistant
				caregivers, employees, or volunteers; and
3. A resident or the resident's
				representative:
a. Is informed of the
				following:
i. The policy on health care
				directives, and
ii. The resident
				complaint process;
b.
				Consents to photographs of the resident before the resident is photographed,
				except that a resident may be photographed when accepted as a resident by an
				assisted living facility for identification and administrative
				purposes;
c. Except as otherwise
				permitted by law, provides written consent before the release of information in
				the resident's:
i. Medical record,
				or
ii. Financial records;
d. May:
i. Request or consent to relocation within
				the assisted living facility; and
ii. Except when relocation is necessary based
				on a change in the resident's condition as documented in the resident's service
				plan, refuse relocation within the assisted living facility;
e. Has access to the resident's
				records during normal business hours or at a time agreed upon by the resident
				or resident's representative and the manager; and
f. Is informed of:
i. The rates and charges for services before
				the services are initiated;
ii. A
				change in rates or charges at least 30 calendar days before the change is
				implemented, unless the change in rates or charges results from a change in
				services; and
iii. A change in
				services at least 30 calendar days before the change is implemented, unless the
				resident's service plan changes.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-811 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. A manager
				shall ensure that:
1. A medical record is
				established and maintained for each resident according to A.R.S. Title 12,
				Chapter 13, Article 7.1;
2. An
				entry in a resident's medical record is:
a.
				Only recorded by an individual authorized by policies and procedures to make
				the entry;
b. Dated, legible, and
				authenticated; and
c. Not changed
				to make the initial entry illegible;
3. If a rubber-stamp signature or an
				electronic signature is used to authenticate an order, the individual whose
				signature the rubber-stamp signature or electronic signature represents is
				accountable for the use of the rubber-stamp signature or electronic
				signature;
4. A resident's medical
				record is available to an individual:
a.
				Authorized according to policies and procedures to access the resident's
				medical record;
b. If the individual is not authorized according to
				policies and procedures, with the written consent of the resident or the
				resident's representative; or
c. As
				permitted by law; and
5. A resident's medical
				record is protected from loss, damage, or unauthorized use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-812 - Behavioral Care

Current through Register Vol. 30, No. 28, July 12, 2024
A manager shall ensure that for a resident who requests or
				  receives behavioral care from the assisted living facility, a behavioral health
				  professional or medical practitioner:
1. Evaluates the resident:
a. Within 30 calendar days before acceptance
				of the resident or before the resident begins receiving behavioral care,
				and
b. At least once every six
				months throughout the duration of the resident's need for behavioral
				care;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-813 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
If an assisted living facility is authorized to provide
				  behavioral health services other than behavioral care, a manager shall ensure
				  that:
1. Policies and procedures are
				established, documented, and implemented that cover when general consent and
				informed consent are required and by whom general consent and informed consent
				may be given;
2. The behavioral
				health services:
a. Are provided under the
				direction of a behavioral health professional; and
b. Comply with the requirements:
i. For behavioral health paraprofessionals
				and behavioral health technicians, in R9-10-115; and
ii. For an assessment, in R9-10-1011(B);
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-814 - Personal Care Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A manager of
				an assisted living facility authorized to provide personal care services shall
				not accept or retain a resident who:
1. Is
				unable to direct self-care;
2.
				Except as specified in subsection (B), is confined to a bed or chair because of
				an inability to ambulate even with assistance; or
3. Except as specified in subsection (C), has
				a stage 3 or stage 4 pressure sore, as determined by a registered nurse or
				medical practitioner.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-815 - Directed Care Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A manager
				shall ensure that a resident's representative is designated for a resident who
				is unable to direct self-care.
B. A
				manager of an assisted living facility authorized to provide directed care
				services shall not accept or retain a resident who, except as provided in
				R9-10-814(B)(2):
1. Is confined to a bed or
				chair because of an inability to ambulate even with assistance; or
2. Has a stage 3 or stage 4 pressure sore, as
				determined by a registered nurse or medical practitioner.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-816 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A manager
				shall ensure that:
1. Policies and procedures
				for medication services include:
a.
				Procedures for preventing, responding to, and reporting a medication
				error;
b. Procedures for responding
				to and reporting an unexpected reaction to a medication;
c. Procedures to ensure that a resident's
				medication regimen and method of administration is reviewed by a medical
				practitioner to ensure the medication regimen meets the resident's
				needs;
d. Procedures for:
i. Documenting, as applicable, medication
				administration and assistance in the self-administration of medication;
				and
ii. Monitoring a resident who
				self-administers medication;
e. Procedures for assisting a resident in
				procuring medication; and
f. If
				applicable, procedures for providing medication administration or assistance in
				the self-administration of medication off the premises; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-817 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A manager
				shall ensure that:
1. A food menu:
a. Is prepared at least one week in
				advance,
b. Includes the foods to
				be served each day,
c. Is
				conspicuously posted at least one calendar day before the first meal on the
				food menu is served,
d. Includes
				any food substitution no later than the morning of the day of meal service with
				a food substitution, and
e. Is
				maintained for at least 60 calendar days after the last day included in the
				food menu;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-818 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A manager shall ensure that:
1. A disaster
				plan is developed, documented, maintained in a location accessible to
				caregivers and assistant caregivers, and, if necessary, implemented that
				includes:
a. When, how, and where residents
				will be relocated;
b. How a
				resident's medical record will be available to individuals providing services
				to the resident during a disaster;
c. A plan to ensure each resident's
				medication will be available to administer to the resident during a disaster;
				and
d. A plan for obtaining food
				and water for individuals present in the assisted living facility or the
				assisted living facility's relocation site during a
				disaster;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-819 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				manager shall ensure that:
1. The premises and
				equipment used at the assisted living facility are:
a. Cleaned and, if applicable, disinfected
				according to policies and procedures designed to prevent, minimize, and control
				illness or infection; and
b. Free
				from a condition or situation that may cause a resident or other individual to
				suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 8 - ASSISTED LIVING FACILITES › Section R9-10-820 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				manager shall ensure that an assisted living center complies with the
				applicable physical plant health and safety codes and standards, incorporated
				by reference in R9-10-104.01, that:
1. Are
				applicable to the level of services planned to be provided or being provided;
				and
2. Were in effect on the date
				the assisted living facility submitted architectural plans and specifications
				to the Department for approval, according to
				R9-10-104.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-901 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. § 36-401 and
				  R9-10-101, the
				  following apply in this Article, unless otherwise specified:
1. "Inpatient care" means postsurgical services provided in a
				  hospital.
2. "Outpatient surgical services" means anesthesia and
				  surgical services provided to a patient in an outpatient surgical
				  center.
3. "Surgical suite" means an area of an outpatient surgical
				  center that includes one or more operating rooms and one or more recovery
				  rooms.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-902 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				an outpatient surgical center;
2.
				Establish, in writing:
a. An outpatient
				surgical center's scope of services, and
b. Qualifications for an
				administrator;
3.
				Designate, in writing, an administrator who has the qualifications established
				in subsection (A)(2)(b);
4. Grant,
				deny, suspend, or revoke clinical privileges of a physician and other members
				of the medical staff and delineate, in writing, the clinical privileges of each
				medical staff member, according to the medical staff by-laws;
5. Adopt a quality management plan according
				to
				R9-10-903;
6. Review and evaluate the effectiveness of
				the quality management plan at least once every 12 months;
7. Designate in writing, an acting
				administrator who has the qualifications established in subsection (A)(2)(b) if
				the administrator is:
a. Expected not to be
				present on an outpatient surgical center's premises for more than 30 calendar
				days, or
b. Not present on an
				outpatient surgical center's premises for more than 30 calendar days;
				and
8. Except as
				provided in subsection (A)(7) , notify the Department according to A.R.S.
				§
										36-425(I)
				 when there is a change in the administrator
				and identify the name and qualifications of the new administrator.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-903 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to patients;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to patient
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to patient care; and
e. The frequency of submitting a documented
				report required in subsection (2) to the governing authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-904 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-905 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. The qualifications,
				skills, and knowledge required for each type of personnel member:
a. Are based on:
i. The type of physical health services or
				behavioral health services expected to be provided by the personnel member
				according to the established job description, and
ii. The acuity of the patients receiving
				physical health services or behavioral health services from the personnel
				member according to the established job description; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-906 - Medical Staff

Current through Register Vol. 30, No. 28, July 12, 2024
A governing authority
				  shall ensure that:
1. The medical
				staff approve bylaws for the conduct of medical staff activities according to
				medical staff bylaws and governing authority requirements;
2. The
				medical staff physicians conduct medical peer review according to A.R.S. Title
				36, Chapter 4, Article 5 and submit recommendations to the governing authority
				for approval; and
3. The medical staff establish written policies and
				procedures that define the extent of emergency treatment to be performed in the
				outpatient surgical center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-907 - Admission

Current through Register Vol. 30, No. 28, July 12, 2024
A. A medical staff
				member shall only admit patients to the outpatient surgical center who:
1. Do not require planned inpatient care,
				and
2. Are discharged from the
				outpatient surgical center within 24 hours.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-908 - Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
Except for a transfer of a patient due to an emergency, an
				  administrator shall ensure that:
1. A
				personnel member coordinates the transfer and the services provided to the
				patient;
2. According to policies
				and procedures:
a. An evaluation of the
				patient is conducted before the transfer;
b. Information in the patient's medical
				record, including orders that are in effect at the time of the transfer, is
				provided to a receiving health care institution; and
c. A personnel member explains risks and
				benefits of the transfer to the patient or the patient's representative;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-909 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				requirements in subsection (B) and the patient rights in subsection (C) are
				conspicuously posted on the premises;
2. At the time of admission, a patient or the
				patient's representative receives a written copy of the requirements in
				subsection (B) and the patient rights in subsection (C); and
3. Policies and procedures include:
a. How and when a patient or the patient's
				representative is informed of patient rights in subsection (C), and
b. Where patient rights are posted as
				required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-910 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A medical
				record is established and maintained for a patient according to A.R.S. Title
				12, Chapter 13, Article 7.1;
2. An
				entry in a patient's medical record is:
a.
				Recorded only by an individual authorized by policies and procedures to make
				the entry;
b. Dated, legible, and
				authenticated; and
c. Not changed
				to make the initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				patient's medical record and includes the time of the order;
b. Authenticated by a medical staff member
				according to policies and procedures; and
c. If the order is a verbal order,
				authenticated by the medical staff member issuing the order;
4. If a rubber-stamp signature or
				an electronic signature is used to authenticate an order, the individual whose
				signature the rubber-stamp signature or electronic signature represents is
				accountable for the use of the rubber-stamp signature or electronic
				signature;
5. A patient's medical
				record is available to an individual:
a.
				Authorized according to policies and procedures to access the patient's medical
				record;
b. If the individual is not authorized according to
				policies and procedures, with the written consent of the patient or the
				patient's representative; or
c. As
				permitted by law; and
6. A patient's medical
				record is protected from loss, damage, or unauthorized use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-911 - Surgical Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A current
				listing of surgical procedures offered by an outpatient surgical center is
				maintained on the outpatient surgical center's premises, and
2. A chronological register of surgical
				procedures performed in the outpatient surgical center is maintained for at
				least 24 months after the date of the last entry.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-912 - Nursing Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall appoint a registered nurse as the
				  director of nursing who:
1. Is
				responsible for the management of the outpatient surgical center's nursing
				services;
2. Ensures that policies
				and procedures are established, documented, and implemented for nursing
				services provided in the outpatient surgical center;
3. Ensures that the outpatient surgical
				center is staffed with sufficient nursing personnel, based on the number of
				patients, the health care needs of the patients, and the outpatient surgical
				center's scope of services;
4.
				Participates in quality management activities;
5. Designates a registered nurse, in writing,
				to manage an outpatient surgical center's nursing services when the director of
				nursing is not present on the outpatient surgical center's premises;
6. Ensures that a nurse who is not directly
				assisting the surgeon is responsible for the functioning of an operating room
				while a surgical procedure is being performed in the operating room;
7. Ensures that a registered nurse is present
				in the:
a. Recovery room when a patient is
				present in the recovery room, and
b. Outpatient surgical center until all
				patients are discharged; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-913 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
If an outpatient surgical center is authorized to provide
				  behavioral health services, an administrator shall ensure that:
1. Policies and procedures are established,
				documented, and implemented that cover when informed consent is required and by
				whom informed consent may be given; and
2. The behavioral health services:
a. Are provided under the direction of a
				behavioral health professional; and
b. Comply with the requirements:
i. For behavioral health paraprofessionals
				and behavioral health technicians, in R9-10-115; and
ii. For an assessment, in
				R9-10-1011(B).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-914 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for medication
				services:
1. Include:
a. A process for providing information to a
				patient about medication prescribed for the patient including:
i. The prescribed medication's anticipated
				results,
ii. The prescribed
				medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-915 - Infection Control

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall
				  ensure that:
1. An infection control
				program is established, under the direction of an individual qualified
				according to policies and procedures, to prevent the development and
				transmission of infections and communicable diseases including:
a. A method to identify and document
				infections occurring at the outpatient surgical center;
b. Analysis of the types, causes, and spread
				of infections and communicable diseases at the outpatient surgical
				center;
c. The development of
				corrective measures to minimize or prevent the spread of infections and
				communicable diseases at the outpatient surgical center; and d. Documenting
				infection control activities including:
i.
				The collection and analysis of infection control data,
ii. The actions taken related to infections
				and communicable diseases, and
iii.
				Reports of communicable diseases to the governing authority and state and
				county health departments;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-916 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator shall ensure that policies and procedures for providing
				medical emergency treatment to a patient are established, documented, and
				implemented and include:
1. A list of the
				medications, supplies, and equipment required on the premises for the medical
				emergency treatment provided by the outpatient surgical center;
2. A system to ensure medications, supplies,
				and equipment are available, have not been tampered with, and, if applicable,
				have not expired;
3. A requirement
				that a cart or a container is available for medical emergency treatment that
				contains medications, supplies, and equipment specified in policies and
				procedures;
4. A method to verify
				and document that the contents of the cart or container are available for
				medical emergency treatment; and
5.
				A method for ensuring a patient may be transferred to a hospital or other
				health care institution to receive treatment for a medical emergency that the
				outpatient surgical center is not authorized or not able to provide.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-917 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. An
				outpatient surgical center's premises and equipment are:
a. Cleaned and disinfected according to
				policies and procedures or manufacturer's instructions to prevent, minimize,
				and control illness or infection; and
b. Free from a condition or situation that
				may cause a patient or an individual to suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Section R9-10-918 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that the outpatient surgical center complies with
				the applicable physical plant health and safety codes and standards,
				incorporated by reference in R9-10-104.01, that were in effect on the date the
				outpatient surgical center submitted architectural plans and specifications to
				the Department for approval according to
				R9-10-104.
B. An administrator shall ensure that the
				premises and equipment are sufficient to accommodate:
1. The services stated in the outpatient
				surgical center's scope of services, and
2. An individual accepted as a patient by the
				outpatient surgical center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 9 - OUTPATIENT SURGICAL CENTERS › Attachment 2

Current through Register Vol. 30, No. 28, July 12, 2024
The proposed summary action repealing
					 R9-10-1011
					 through
					 R9-10-1030
					 was remanded by the Governor's Regulatory Review Council which revoked the
					 interim effectiveness of the summary rules. Sections in effect before the
					 proposed summary action have been restored (Supp. 97-1). Subsequently, those
					 Sections were repealed by final rulemaking (Supp.
					 99-2).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1001 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-401
				  and
				  R9-10-101, the
				  following applies in this Article unless otherwise specified:
1. "Emergency room services" means medical
				services provided to a patient in an emergency.
2. "Pain management services" means medical
				services, nursing services, or health-related services provided to a patient to
				reduce or relieve the patient's chronic pain.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1002 - Supplemental Application and Documentation Submission Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to
				the license application requirements in A.R.S. §
									36-422
				and 9 A.A.C. 10, Article 1, a governing authority applying for a license as an
				outpatient treatment center shall submit, in a Department-provided format:
1. The days and hours of clinical operation
				and, if different from the days and hours of clinical operation, the days and
				hours of administrative operation; and
2. A request to provide one or more of the
				following services:
a. Behavioral health
				services and, if applicable;
i. Behavioral
				health observation/stabilization services,
ii. Children's behavioral health
				services,
iii. Court-ordered
				evaluation,
iv. Court-ordered
				treatment,
v. Counseling,
vi. Crisis services,
vii. Opioid treatment services,
viii. Pre-petition screening,
ix. Respite services,
x. Respite services for children on the
				premises,
xi. DUI
				education,
xii. DUI
				screening,
xiii. DUI treatment,
				or
xiv. Misdemeanor domestic
				violence offender treatment;
b. Diagnostic imaging services;
c. Clinical laboratory services;
d. Dialysis services;
e. Emergency room services;
f. Pain management services;
g. Physical health services;
h. Rehabilitation services;
i. Sleep disorder services; or
j. Urgent care services provided in a
				freestanding urgent care center setting.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1003 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. If an outpatient
				treatment center is operating under a single group license issued to a hospital
				according to A.R.S. §
									36-422(F)
				or (G), the hospital's governing authority is
				the governing authority for the outpatient treatment center.
B. A governing authority shall:
1. Consist of one or more individuals
				accountable for the organization, operation, and administration of an
				outpatient treatment center;
2.
				Establish, in writing:
a. An outpatient
				treatment center's scope of services, and
b. Qualifications for an
				administrator;
3.
				Designate, in writing, an administrator who has the qualifications established
				in subsection (B)(2)(b);
4. Adopt a
				quality management program according to
				R9-10-1004;
5. Review and evaluate the effectiveness of
				the quality management program in
				R9-10-1004 at
				least once every 12 months;
6.
				Designate, in writing, an acting administrator who has the qualifications
				established in subsection (B)(2)(b) if the administrator is:
a. Expected not to be present on an
				outpatient treatment center's premises for more than 30 calendar days,
				or
b. Not present on an outpatient
				treatment center's premises for more than 30 calendar days; and
7. Except as provided in
				subsection (B)(6), notify the Department according to A.R.S. §
										36-425(I)
				 when there is a change in an administrator
				and identify the name and qualifications of the new administrator.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1004 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to patients;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to patient
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to patient care; and e. The frequency of
				submitting a documented report required in subsection (2) to the governing
				authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1005 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1006 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. The qualifications, skills, and knowledge
				required for each type of personnel member:
a. Are based on:
i. The type of physical health services or
				behavioral health services expected to be provided by the personnel member
				according to the established job description, and
ii. The acuity of the patients receiving
				physical health services or behavioral health services from the personnel
				member according to the established job description; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1007 - Transport; Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in subsection (B), an administrator shall ensure that:
1. A personnel member coordinates the
				transport and the services provided to the patient;
2. According to policies and procedures:
a. An evaluation of the patient is conducted
				before and after the transport,
b.
				Information from the patient's medical record is provided to a receiving health
				care institution,
c. A personnel
				member explains risks and benefits of the transport to the patient or the
				patient's representative; and
d. A
				personnel member communicates or documents why the personnel member did not
				communicate with an individual at a receiving health care
				institution;
3. The
				patient's medical record includes documentation of:
a. Communication or lack of communication
				with an individual at a receiving health care institution;
b. The date and time of the
				transport;
c. The mode of
				transportation; and
d. If
				applicable, the name of the personnel member accompanying the patient during a
				transport.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1008 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				requirements in subsection (B) and the patient rights in subsection (C) are
				conspicuously posted on the premises;
2. At the time of admission, a patient or the
				patient's representative receives a written copy of the requirements in
				subsection (B) and the patient rights in subsection (C); and
3. Policies and procedures are established,
				documented, and implemented to protect the health and safety of a patient that
				include:
a. How and when a patient or the
				patient's representative is informed of patient rights in subsection (C);
				and
b. Where patient rights are
				posted as required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1009 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A medical
				record is established and maintained for each patient according to A.R.S. Title
				12, Chapter 13, Article 7.1;
2. An
				entry in a patient's medical record is:
a.
				Recorded only by a personnel member authorized by policies and procedures to
				make the entry;
b. Dated, legible,
				and authenticated; and
c. Not
				changed to make the initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				patient's medical record and includes the time of the order;
b. Authenticated by a medical practitioner or
				behavioral health professional according to policies and procedures;
				and
c. If the order is a verbal
				order, authenticated by the medical practitioner or behavioral health
				professional issuing the order;
4. If a rubber-stamp signature or an
				electronic signature is used to authenticate an order, the individual whose
				signature the rubber-stamp signature or electronic signature represents is
				accountable for the use of the rubber-stamp signature or electronic
				signature;
5. A patient's medical
				record is available to an individual:
a.
				Authorized according to policies and procedures to access the patient's medical
				record;
b. If the individual is not authorized according to
				policies and procedures, with the written consent of the patient or the
				patient's representative; or
c. As
				permitted by law;
6. Policies and
				procedures include the maximum time-frame to retrieve a patient's medical
				record at the request of a medical practitioner, behavioral health
				professional, or authorized personnel member; and
7. A patient's medical
				record is protected from loss, damage, or unauthorized use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1010 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. If an
				outpatient treatment center provides medication administration or assistance in
				the self-administration of medication, an administrator shall ensure that
				policies and procedures for medication services:
1. Include:
a. A process for providing information to a
				patient about medication prescribed for the patient including:
i. The prescribed medication's anticipated
				results,
ii. The prescribed
				medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1011 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of an outpatient treatment center that is authorized to provide
				behavioral health services shall ensure that:
1. The outpatient treatment center does not
				provide a behavioral health service the outpatient treatment center is not
				authorized to provide;
2. The
				behavioral health services provided by or at the outpatient treatment center:
a. Are provided under the direction of a
				behavioral health professional; and
b. Comply with the requirements:
i. For behavioral health paraprofessionals
				and behavioral health technicians; in
				R9-10-115,
				and
ii. For an assessment, in
				subsection (B);
3. A personnel member who provides behavioral
				health services is at least 18 years old;
and
4. If an outpatient treatment center provides
				behavioral health services to a patient who is less than 18 years of age, the
				owner and an employee or a volunteer comply with the fingerprint clearance card
				requirements in A.R.S. §
										36-425.03.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1013 - Court-ordered Evaluation

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide court-ordered evaluation shall comply with the
				  requirements for court-ordered evaluation in A.R.S. Title 36, Chapter 5,
				  Article 4.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1014 - Court-ordered Treatment

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide court-ordered treatment shall comply with the
				  requirements for court-ordered treatment in A.R.S. Title 36, Chapter 5, Article
				  5.