reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-6h - Patient rights and hospice inpatient facility responsibilities

Current through July 10, 2024
(a) The licensee shall have a written bill of
				rights and responsibilities governing services, which shall be provided and
				explained to each patient, family or representative at the time of admission.
				The medical record of each patient shall contain documentation of compliance
				with this provision.
(1) The patient's rights
				and responsibilities shall include, but are not limited to:
(A) Be afforded considerate and respectful
				care;
(B) Receive effective pain
				management and symptom control on a twenty-four hour basis for the palliation
				and management of the terminal illness and related conditions;
(C) Be involved in the development of the
				patient centered plan of care;
(D)
				Be fully informed of one's condition;
(E) Refuse care or treatment;
(F) Choose an attending physician;
(G) Have a confidential medical
				record;
(H) Be free from
				mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including
				injuries of unknown source, and misappropriation of patient property;
(I) Receive information about the services
				covered under the hospice benefits, which shall include but not be limited to a
				description of available services, unit charges and billing
				mechanisms;
(J) Receive information
				about the scope of services that the hospice inpatient facility shall provide
				and specific limitations on those services including, but not limited to, the
				hospice inpatient facility's policy on uncompensated care and criteria for
				admission to and discharge from service;
(K) Receive an explanation of the grievance
				procedure and the right to file a grievance without discrimination or reprisal
				regarding treatment or care to be provided or regarding the lack of respect for
				property by anyone providing hospice care;
(L) Receive information concerning the
				procedure for registering complaints with the commissioner and information
				regarding the availability of the Medicare toll-free hotline, including
				telephone number, hours of operation for receiving complaints; and
(M) Be free from unnecessary restraint and
				seclusion.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-6i - Quality assessment and performance improvement

Current through July 10, 2024
(a) The
				licensee shall implement the quality assessment and performance improvement
				program established by the governing authority that includes all patient care
				disciplines and services provided, including those services provided by a
				contractor, throughout the hospice inpatient facility. The governing authority
				shall ensure that the program reflects the complexity of its organization and
				services, involves leadership working with input from facility staff, patients
				and families, involves all hospice inpatient facility services including those
				furnished under contract or arrangement, focuses on performance indicators to
				monitor a wide range of care processes and outcomes related to palliative care,
				and initiates actions to demonstrate improvement in hospice inpatient facility
				performance and promote sustained improvement.
(b) Such plan and program shall be ongoing
				and shall include:
(1) Oversight
				responsibility and program objectives;
(2) The use of quality indicator data to
				assess and monitor patient care and services;
(3) Evidenced based practices and policies
				for:
(A) Pain and symptom
				management;
(B) The prevention and
				treatment of pressure sores;
(C)
				The prevention of abuse, neglect and mistreatment;
(D) The prevention of accidents and injuries;
				and
(E) The prevention,
				surveillance and control of health care associated infections and communicable
				diseases.
(4) A method
				and mechanism for identifying, and as required, reporting:
(A) Infectious and communicable disease
				occurrences among patients and personnel;
(B) Health care associated infections and a
				plan for the implementation of actions that are expected to result in
				improvement and disease prevention;
(C) Adverse events; and
(D) Potential sources of injuries and medical
				errors and a plan for the implementation of actions that are expected to result
				in improvement and prevention of such occurrences.
(5) Review and investigation of all adverse
				events;
(6) Other criteria and data
				necessary to monitor the quality of patient care; and
(7) Evidence based practices to identify,
				evaluate, and correct problems.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-6j - Assessment and patient centered plan of care

Current through July 10, 2024
(a) At the time
				of admission, an initial assessment shall be completed by a licensed registered
				nurse to identify and meet the immediate needs of the patient. Within
				forty-eight hours of a patient's admission, a licensed registered nurse shall
				complete the assessment to evaluate the patient's immediate physical,
				psychosocial, emotional, and spiritual status.
(b) Not later than five days after a
				patient's admission to the hospice inpatient facility, the interdisciplinary
				team shall complete a comprehensive assessment for the patient that shall
				include but not be limited to the following:
(1) History of pain, symptoms, and
				treatment;
(2) Characteristics of
				pain and symptoms;
(3) Physical
				examination;
(4) Current medical
				conditions and drugs and biological products;
(5) Patient or family's goal for pain and
				symptom management;
(6) Condition
				causing admission;
(7) Relevant
				history as well as complications and risk factors that affect care
				planning;
(8) Functional
				status;
(9) Imminence of
				death;
(10) Severity of
				symptoms;
(11) Drug
				profile;
(12)
				Bereavement;
(13) The need for
				referrals or further evaluation by appropriate health professionals;
				and
(14) Data elements that allow
				for the measurement of patient outcomes and are related to aspects of
				care.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-6k - Drugs and biological products

Current through July 10, 2024
(a) The
				interdisciplinary team shall confer with a licensed pharmacist or independent
				practitioner with education and training in drug management, who is an employee
				of or has a written agreement with the licensee, to ensure that drugs and
				biological products meet the patient's needs on a twenty-four hour
				basis.
(b) Only a licensed
				independent practitioner shall order drugs and biological products for the
				patient, in accordance with the patient centered plan of care.
(1) The written or electronic order shall
				only be given to a registered nurse, advanced practice registered nurse,
				physician assistant, pharmacist, or physician; and
(2) If the drug order is verbal, the
				registered nurse, advanced practice registered nurse, pharmacist, or physician
				receiving the order shall record, read back and sign it immediately, and have
				the prescribing person sign the order in accordance with state and federal
				regulations and statutes.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-6l - Medical supplies and durable equipment

Current through July 10, 2024
(a) The
				licensee shall:
(1) Comply with manufacturer
				recommendations for performing routine and preventive maintenance on durable
				medical equipment; and
(2) Develop
				routine repair and maintenance policies when a manufacturer recommendation does
				not exist for such durable medical equipment.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-6m - Hospice inpatient facility physical plant

Current through July 10, 2024
(a) All hospice
				inpatient facilities shall be of sound construction. Equipment and furnishings
				shall be maintained in good condition, properly functioning and repaired or
				replaced when necessary. Requirements shall include:
(1) New construction and renovation of
				hospice inpatient facility buildings and systems shall meet the requirements of
				the Connecticut State Fire Code, National Fire Protection Association
				Standards, Health Care Facilities, No. 99; Connecticut State Building Code,
				applicable local codes and ordinances and the 2010 edition of the Facility
				Guidelines Institute (FGI)/ American Institute of Architects (AIA) Guidelines
				for Design and Construction of Health Care Facilities.
(2) An operations and preventative
				maintenance program shall be established and implemented on an ongoing basis to
				maintain the hospice inpatient facility, systems, equipment and grounds in a
				clean, sanitary, safe and operational condition.
(3) A program shall be established and
				maintained to provide for the safety and well-being of the hospice inpatient
				facility occupants and shall provide for the testing, servicing and maintenance
				of all life safety, emergency and bio-medical equipment in accordance with
				applicable state laws and regulations and manufacturer
				recommendations.
(4) Records of all
				inspections, testing, maintenance and repairs shall be maintained for
				Department review.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-7 to 19a-495-499 - Reserved

Current through July 10, 2024
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Licensure of Private Freestanding Mental Health Residential Living Centers › Section 19a-495-551 - Licensure of private freestanding mental health residential living centers

Current through July 10, 2024
(a)
Definitions
(1) "Applicant" means
				any individual, firm, partnership, corporation or association applying for a
				license or renewal of a license under these regulations;
(2) "Commissioner" means the Commissioner of
				Health Services;
(3) "Department"
				means the Connecticut Department of Health Services;
(4) "Director" means the individual
				designated by the executive director as directly responsible for the management
				of the residence;
(5) "Executive
				director" means the Chief Executive Officer of an agency or facility;
(6) "Goals" means attainable ends towards
				which residence or resident activities or services are directed and
				focused;
(7) "Governing body" means
				the individual or individuals with the ultimate authority and responsibility
				for the overall operation of a residence's program;
(8) "License" means the form of permission
				issued by the department that authorizes the applicant to operate a
				residence;
(9) "Licensee" means any
				individual, firm, partnership, corporation or association licensed to conduct a
				residence;
(10) "Objectives" means
				statements designed to achieve measurable and time limited statements of
				overall goals in an incremental process;
(11) "Physician" means an individual who has
				a license to practice medicine in Connecticut;
(12) "Psychosocial rehabilitation services"
				means services which are designed for individuals in need of mental health
				services which enable individuals to live, learn, and/or work in their own
				communities with maximum independence;
(13) "Resident" means an individual requiring
				the services of and admitted to a residential living center.
(14) "Residential Living Center" or
				"residence" means a facility which provides a supervised, structured and
				supportive group living arrangement which includes psychosocial rehabilitation
				services and may also provide assistance in obtaining necessary community
				services to persons in need of mental health service;
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Licensure of Private Freestanding Community Residences › Section 19a-495-560 - Licensing of private freestanding community residences

Current through July 10, 2024
(a)
Applicability.
This section
				applies only to community residences as that term is used in Sections
				8-3g,
				19a-495(c),
				and
				19a-507a
				of the Connecticut General Statutes.
(b)
Definitions.
(1) "Community residence" means a community
				residence as defined in the General Statutes of Connecticut, Section
				19a-507a(4).
(2) "Mentally ill adult" means a mentally ill
				adult as defined in the General Statutes of Connecticut, Section
				19a-507a(1).
(3) "Regional mental health board" means a
				regional mental health board, as defined in the General Statutes of
				Connecticut, Section 17-226j.
(4)
				"Regional mental health director" means a director appointed by the
				commissioner of mental health under the General Statutes of Connecticut,
				Section 17-226g.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 497 - Strike Contingency Plans for Health Care Facilities › Section 19a-497-1 - Strike contingency plans for health care facilities

Current through July 10, 2024
(a) Upon receipt of notice of an anticipated
			 strike action, a health care institution, as defined in Section
			 19a-490
			 of the Connecticut General Statutes, shall immediately notify the Department of
			 Public Health of such anticipated action and provide the Department with a copy
			 of the strike notice.
(b) A strike
			 contingency plan shall be submitted to the Department pursuant to Section
			 19a-497
			 of the Connecticut General Statutes. Such plan shall be filed with the
			 Department as soon after a health care institution receives notification of a
			 strike as possible but in no event later than five (5) calendar days prior to
			 the date set forth for the strike in the notice received by the health care
			 institution.
(c) The strike
			 contingency plan for hospitals and any satellite locations of such hospitals
			 shall contain the following information:
(1)
			 Name, address and licensed capacity of the hospital and any satellite locations
			 of such hospital;
(2) Name of labor
			 organization that has notified the facility of its intention to
			 strike;
(3) Date and time the
			 strike is expected to occur;
(4)
			 Categories and numbers of personnel expected to strike at each site;
(5) Names, addresses and telephone numbers of
			 the following: president, administrator, medical director, medical staff,
			 director of nurses, assistant director of nurses, maintenance
			 supervisor;
(6) Names and emergency
			 telephone numbers of the following:
(A) Local
			 fire department;
(B) Local police
			 department;
(C) Local director of
			 health;
(D) Utility companies:
			 (gas, water, electricity, telephone);
(E) Ambulance service;
(F) Closest hospital able to admit patients
			 or clients in case of an emergency;
(G) All providers of basic services to the
			 facility (i.e., oxygen service, emergency generator repair service, fuel
			 supplier, electrical and plumbing service, suppliers or vendors of food and
			 provisions, linen, pharmaceutical and medical supplies);
(H) Staff person charged with overall
			 coordination of the facility's services during the strike; and
(I) The chair of the board of directors and
			 the chief executive officer;
(7) Description of plans for the provision of
			 professional and support services during the strike;
(8) Security measures specific to strike
			 activities;
(9) Plan for
			 orientation and training of replacement staff in emergency procedures related
			 to the facility's patients or clients prior to the replacement staff assuming
			 duties; and
(10) Plan for assuring
			 access of patients or clients, personnel, visitors and vendors to and from the
			 facility during the strike including special security arrangements to assure
			 their safety and facility safety.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 504c - Discharge Planning › Section 19a-504c-1 - Discharge planning

Current through July 10, 2024
(a) Every
			 hospitalized patient shall have a written discharge plan, which shall be given
			 to the patient or family or representative prior to discharge.
(b) The discharge plan shall include but not
			 necessarily be limited to identification of the patient's needs for continued
			 skill care or support services, and the specific resources to be utilized to
			 meet these needs.
(c) The discharge
			 plan must be completed on a timely basis so that appropriate arrangements for
			 post hospital care management are made before discharge.
(d) The discharge plan is to be developed in
			 collaboration with the patient, or appropriate family or representative and
			 other care givers.
(e) The
			 discharge plan shall be approved by the physician of record.
(f) The written discharge plan must be signed
			 by the patient and/or family member or representative indicating their
			 understanding of the discharge plan of care.
(g) The documentation of the written
			 discharge plan shall be retained as a permanent part of the patient's medical
			 record.
(h) Information necessary
			 to ensure the continuity of care will be sent to participating providers, as
			 appropriate, a copy of which will be retained as a permanent part of the
			 patient's medical record.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 519 - Nursing Home Administrator-Educational & Licensure Requirements › Section 19a-519-1 - Definitions

Current through July 10, 2024
As used in these regulations, the following terms shall have
				the meanings specified.
(a)
			 "Accredited institution of higher education" means an institution which has
			 received accreditation to grant post-secondary degrees from one of the
			 following regional accrediting bodies: New England Association of Schools and
			 Colleges; Middle States Association of Colleges and Schools; North Central
			 Association of Colleges and Schools; Northwest Association of Schools and
			 Colleges; Southern Association of Colleges and Schools; and Western Association
			 of Schools and Colleges.
(b)
			 "Commissioner" means the Commissioner of Health Services or his
			 designee.
(c) "Department" means
			 the Department of Health Services.
(d) "Program director" means the individual
			 responsible for developing and administering an approved educational and
			 training program at an accredited institution of higher education.
(e) "Business Affiliation" means having a
			 financial, or personal beneficial, interest in or having any type of employment
			 or contractual relationship with the long-term care facility or hospital within
			 the two years immediately preceding the beginning of the residency
			 training.
(f) "Familial
			 Affiliation" means having a spouse, child, child's spouse, parent, brother, or
			 sister who is either an officer, director, owner, limited or general partner,
			 or holds more than 5% of outstanding stock in a facility.
(g) "Applying for licensure" means submitting
			 a completed application and such supporting documentation as are sufficient to
			 satisfy licensure eligibility requirements as determined by the
			 Department.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 519 - Nursing Home Administrator-Educational & Licensure Requirements › Section 19a-519-3 - Masters' degree requirements

Current through July 10, 2024
(a) A master's
			 degree program offered by an educational institution in Connecticut for Nursing
			 Home Administrator licensure in Connecticut must be approved pursuant to
			 Section
			 19a-519-4 of
			 these regulations.
(b) The master's
			 degree referenced in Connecticut General Statutes Section
			 19a-512(b)
			 (2) (B) shall either be accredited by the
			 Accrediting Commission On Education For Health Services Administration or
			 consist of:
(1) a minimum of forty-five (45)
			 semester hours of graduate level study completed in an accredited institution
			 of higher education. A minimum of fifteen (15) of the forty-five (45) semester
			 hours shall be classroom instruction within the area of health care
			 administration. The coursework in health care administration shall include, but
			 not necessarily be limited to, the following areas of administration of health
			 care facilities: General Administration and Management of Health Care
			 Facilities; Laws and Regulations Governing Health Care Facilities; Financial
			 Management; Personnel Management and Labor Relations; Patient Care and
			 Services; Health Care Planning and Delivery Systems; and Gerontology; and
(2) a supervised field experience
			 of at least five hundred (500) clock hours of training in the overall operation
			 and administration of a hospital providing inpatient medical services or of a
			 long term care facility providing skilled nursing care twenty-four hours per
			 day under medical supervision and direction. Such experience shall be obtained
			 in a facility with which the trainee has no business or familial
			 affiliation.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 519 - Nursing Home Administrator-Educational & Licensure Requirements › Section 19a-519-4 - Program approval

Current through July 10, 2024
Program approval shall be administered as follows:
(a) Initial approval shall be granted to a
			 program in the following manner:
(1) The
			 program shall provide to the Commissioner:
(A)
			 Written notice of intent to seek program approval;
(B) A feasibility study for the planned
			 program, which shall include discussion of at least the following:
(i) Applicant pool;
(ii) Graduate employment
			 opportunities;
(iii) Educational
			 and training facilities to be utilized;
(iv) Funding sources to be utilized
(C) A plan for the employment of
			 program director and faculty. The plan shall specify the numbers and types of
			 staff to be employed, the requisite qualifications of such staff, the timelines
			 for employment of such staff, and projected future staffing needs.
(D) A comprehensive plan for the development
			 and implementation of the educational program, including admission policies,
			 educational objectives, curricula, course outlines, course sequences,
			 graduation requirements, staffing, residency training or field experience
			 sites, residency training or field experience supervisors, timelines, and a
			 systematic self-evaluation plan;
(E) Any other information that the
			 Commissioner may reasonably request.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 519 - Nursing Home Administrator-Educational & Licensure Requirements › Section 19a-519-6 - Licensure of applicants licensed in other states

Current through July 10, 2024
(a)
			 Applicants seeking Connecticut licensure under this section shall be currently
			 licensed competent nursing home administrators in good standing in another
			 state.
(b) Applicants under this
			 section who have completed an administrator training program approved by the
			 appropriate regulatory body of another state and equal to the training program
			 required in this state may have that training accepted in lieu of the approved
			 residency training requirement of Section
			 19a-519-2
			 of these regulations.
(c)
			 Applicants under this section who have not completed an approved training
			 program may have their licensed work experience accepted in lieu of the
			 approved residency training requirement if they have been licensed and working
			 full-time as the administrative head of a long term care facility providing
			 skilled nursing services twenty four hours per day under medical supervision
			 and direction for at least one year in such other state.
(d) Applicants under this section who hold a
			 master's degree which lacks either course work or supervised field experience
			 requirements may take supplemental coursework or supervised field experience to
			 address those deficiencies. Such supplemental coursework or supervised field
			 experience shall be approved in advance by the Department.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 519 - Nursing Home Administrator-Educational & Licensure Requirements › Section 19a-519-7 - Reinstatement

Current through July 10, 2024
A person previously licensed as a Nursing Home Administrator
				whose license has become void may apply for licensure pursuant to the
				provisions of Sections
				19a-14-1
				to
				19a-14-5,
				inclusive, of the Regulations of Connecticut State Agencies.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 527 - Civil Penalty Violations for Chronic and Convalescent Nursing Homes and Rest Homes with Nursing Supervision › Section 19a-527-1 - Classification of civil penalty violations of regulations for chronic and convalescent nursing homes and rest homes with nursing supervision

Current through July 10, 2024
Any rest home with nursing supervision or chronic and
				convalescent nursing home as defined in section
				19a-521
				of the Connecticut General Statutes found by the Commissioner of Public Health
				to be in violation of one of the following provisions of the Regulations of
				Connecticut State Agencies shall be subject to the class of violation indicated
				below and penalties indicated in section
				19a-527
				of the Connecticut General Statutes:
(a) A violation of any of the following
			 regulatory provisions shall result in a Class A violation:
(1) 19-13-D8t (j) (2) (L);
(2) 19-13-D8t (n) (6);
(3) 19-13-D8t (v) (2) (B);
(4) 19-13-D8t (v) (2) (C) (i);
			 (iii);
(5) 19-13-D8u (b);
(6) 19-13-D8u (c) (2);
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 527 - Civil Penalty Violations for Chronic and Convalescent Nursing Homes and Rest Homes with Nursing Supervision › Section 19a-527-2 - Classification of violations of statutes by a nursing home facility

Current through July 10, 2024
Any nursing home facility as defined in section
				19a-521
				of the Connecticut General Statutes found by the Commissioner of Public Health
				to be in violation of one of the following provisions of the Connecticut
				General Statutes shall be subject to the class of violation indicated below and
				penalties indicated in section
				19a-527
				of the Connecticut General Statutes:
(a) A violation of any of the following
			 statutory provisions shall result in a Class A violation:
(1) 19a-535 (c);
(2) 19a-555 (c);
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-1 - Definitions

Current through July 10, 2024
As used in sections 19a-580d-1 through
				19a-580d-9
				of the Regulations of Connecticut State Agencies:
(1) "Attending physician" means the
			 Connecticut licensed physician selected by or assigned to a patient, who has
			 primary responsibility for the treatment and care of the patient. Where more
			 than one physician shares such responsibility, any such physician may act as
			 the attending physician.
(2)
			 "Authorized representative" means a person who is otherwise authorized by law
			 to provide consent to the issuance or revocation of a DNR order for an
			 incapable or incompetent patient.
(3) "Department" means the Connecticut
			 Department of Public Health.
(4)
			 "Designated agency" means either a healthcare institution or a physician
			 licensed by the department.
(5) "Do
			 Not Resuscitate order" or "DNR order" means an order written by a Connecticut
			 licensed physician to withhold cardiopulmonary resuscitation, including chest
			 compressions, defibrillation, or breathing or ventilation by any assistive or
			 mechanical means including, but not limited to, mouth-to-mouth, mouth-to-mask,
			 bag-valve mask, endotracheal tube, or ventilator for a particular
			 patient.
(6) "DNR bracelet" means
			 the bracelet approved by the department for the transmission of a 'Do Not
			 Resuscitate' order and meeting the requirements of section
			 19a-580d-4.
(7) "DNR transfer form" means a form approved
			 by the department for the transmission of a 'Do Not Resuscitate' order issued
			 by a licensed physician.
(8)
			 "Emergency Medical Services provider" or "EMS Provider" means a person,
			 association, or organization who provides immediate or life saving
			 transportation and medical care away from a hospital to a victim of sudden
			 illness or injury, and who may also provide invalid coach services.
(9) "Healthcare institution" means an
			 institution licensed or regulated under chapter 368v of the Connecticut General
			 Statutes.
(10) "Medical direction"
			 means the provision of medical advice, consultation, instruction and
			 authorization to appropriately trained or certified personnel by designated
			 staff members at sponsor hospitals.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-2 - DNR transfer form

Current through July 10, 2024
(a) To transmit a
			 DNR order between healthcare institutions or during transport by an EMS
			 provider between healthcare institutions, the DNR order shall be documented on
			 the DNR transfer form.
(b) The DNR
			 transfer form signed by a licensed physician or a registered nurse shall be
			 recognized as such and followed by healthcare institutions and EMS
			 providers.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-3 - Transfer and recognition of DNR orders when patients are transported

Current through July 10, 2024
(a) When a patient who is to be transferred
			 between healthcare institutions has a DNR order which is to remain in effect
			 during and after the transfer, that order shall be documented on a DNR transfer
			 form which is signed by the physician who entered the DNR order or by a
			 registered nurse who attests to the existence of such order. The DNR transfer
			 form or a legible copy shall be sent with the patient when the patient is
			 transferred to another healthcare institution.
(b) The DNR transfer form or a legible copy
			 shall be retained with the patient's medical record.
(c) The DNR transfer form or a legible copy
			 or a DNR bracelet shall be shown to all EMS providers by the healthcare
			 facility staff person who transfers care of the patient to the EMS providers.
			 The EMS provider shall show the DNR transfer form or a legible copy or a DNR
			 bracelet to a nurse or physician at the receiving healthcare institution or, in
			 the absence of a nurse or physician, the person in charge of patient
			 care.
(d) Any healthcare
			 institution receiving a patient with a DNR transfer form, a legible copy, or
			 DNR bracelet shall honor the DNR order until such time as admitting orders are
			 written in accordance with the healthcare institution's policies.
(e) When a patient has a DNR order which is
			 to remain in effect after discharge from a healthcare institution to home, that
			 patient shall be offered a DNR bracelet by the healthcare institution prior to
			 discharge.
(f) Any EMS provider
			 receiving a patient with a DNR transfer form or a legible copy or a DNR
			 bracelet shall honor the DNR order.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-4 - DNR bracelets

Current through July 10, 2024
(a) A DNR bracelet
			 shall be the only valid indication recognized by EMS providers that a DNR order
			 exists for patients outside a healthcare institution, other than those patients
			 received by an EMS provider directly from a healthcare institution. A valid DNR
			 bracelet shall:
(1) Be of a design approved by
			 the department,
(2) be affixed to
			 the patient's wrist or ankle,
(3)
			 display the patient's name and attending physician's name, and
(4) not have been cut or broken at any
			 time.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-5 - DNR patients under the care of EMS providers

Current through July 10, 2024
DNR patients under the care of EMS providers shall be given
				medical care as determined by consultation with medical direction, recognizing
				the limitations of the DNR order.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-6 - Assistance by attending physicians

Current through July 10, 2024
When requested by a patient or his authorized representative
				the attending physician who issued the DNR order shall:
(a) Provide the patient with information on
			 how to contact a designated agency, or
(b) if a patient is unable to obtain a DNR
			 bracelet from any other source, the attending physician shall obtain and
			 provide one.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-7 - Revocation

Current through July 10, 2024
A DNR order may be revoked by the patient or authorized
				representative in any of the following ways:
(a) Removing the bracelet from the patient's
			 extremity, or
(b) telling an
			 individual licensed healthcare provider or certified emergency medical
			 technician. Such healthcare provider or emergency medical technician shall
			 enter, or cause to be entered, the contents of the statement in the patient's
			 permanent medical record and notify the attending physician and the physician
			 who issued the DNR order.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-8 - Provision for patients with certain considerations

Current through July 10, 2024
(a) Nothing in these regulations shall be
			 construed to limit the authority of the commissioner of mental retardation
			 under subsection (g) of section
			 17a-238
			 of the general statutes concerning orders applied to persons receiving services
			 under the direction of the commissioner of mental retardation.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 580d - Recognition and Transfer of 'Do Not Resuscitate' Orders › Section 19a-580d-9 - Ethical, philosophical, religious objections

Current through July 10, 2024
(a)
			 Healthcare providers who have an ethical or philosophical, or religious
			 objection to implementing a DNR order shall turn over care of the patient
			 without delay to another provider who will implement the DNR order. Pending the
			 assumption of care by another provider, the DNR order shall be
			 followed.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 586 - Informed Consent for an HIV-Related Test › Section 19a-586-1 - Definitions

Current through July 10, 2024
As used in Sections 19a-586-1 to
				19a-586-3,
				inclusive:
(a) "Commissioner" means
			 the Insurance Commissioner;
(b)
			 "AIDS" means acquired immune deficiency syndrome, as defined by the Centers for
			 Disease Control of the United States Public Health Service;
(c) "HIV infection" means infection with the
			 human immunodeficiency virus or any other related virus identified as a
			 probable causative agent of AIDS; and
(d) "HIV-related test" means any laboratory
			 test or series of tests for any virus, antibody, antigen or etiologic agent
			 whatsoever thought to cause or indicate the presence of HIV
			 infection.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 586 - Informed Consent for an HIV-Related Test › Section 19a-586-2 - Written informed consent required

Current through July 10, 2024
(a) Any insurer or
			 health care center that requests an applicant for insurance coverage to take an
			 HIV-related test shall obtain the applicant's written informed consent for such
			 test at the time of application for such insurance. No such test may be
			 conducted unless the insurer or health care center has first obtained such
			 consent.
(b) The informed consent
			 form used by insurers and health care centers shall be in the standardized
			 format described in Sec.
			 19a-586-3,
			 provided any insurer or health care center may use a form which does not
			 conform to said section if, prior to using it, (1) the alternate form is filed
			 with the Commissioner and (2) the insurer or health care center certifies to
			 the Commissioner that the form includes all the information contained in the
			 standard form and is not inaccurate, misleading or inconsistent with any
			 applicable statute or regulation. The certification shall be filed in such form
			 and manner as is prescribed by the Commissioner, and shall be signed by an
			 officer of the insurer or health care center.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 589 - Aids Related Testing and Medical Information and Confidentiality › Section 19a-589-2 - Testing and disclosure without consent

Current through July 10, 2024
HIV related testing without the consent of the test subject, or
				disclosure of confidential HIV-related information without obtaining a release
				from the protected individual, is permitted in cases where a health care
				provider or other person in the course of his or her occupational duties has
				had a significant exposure, provided that all of the criteria set forth in
				section
				19a-582(e)
				(5) (A) through (e) (5) (I) or section
				19a-583(a)
				(7) (A) through (7) (F) of the general
				statutes are met.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 589 - Aids Related Testing and Medical Information and Confidentiality › Section 19a-589-3 - Records maintained for occupational exposures

Current through July 10, 2024
(a) A
			 health facility, correctional facility, other institution, or physician shall
			 maintain records concerning each review of a request for testing or disclosure
			 made pursuant to these regulations. Such records shall include sufficient
			 documentation to establish whether the criteria for the occupational exposure
			 exception specified in section
			 19a-582(e)
			 (5) (A) through (e) (5) (I) or section
			 19a-583(a)
			 (7) (A) through (a) (7) (F) of the general
			 statutes and the requirements of these regulations have been satisfied,
			 including (where appropriate):
(1) an incident
			 report completed by the worker within forty-eight (48) hours of the exposure
			 identifying the parties to the exposure, witnesses, time, place and nature of
			 the event;
(2) documentation that
			 the worker obtained a baseline HIV test within seventy-two (72) hours of the
			 exposure and was negative on such test;
(3) a statement that the person who was the
			 source of the exposure refused to consent to testing or disclosure, or is
			 deceased;
(4) a statement of the
			 exposure evaluation group's or physician's reasons for determining that a
			 significant exposure has occurred and;
(5) a statement that if results are known the
			 worker would be able to take meaningful immediate action as defined in
			 subsection
			 19a-589-1(j)
			 of these regulations which could not otherwise be taken.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 613 - Office of Healthcare Access Division › Section 19a-613-1 - Description

Current through July 10, 2024
The Office of Health Care Access (OHCA) division of the
				Department of Public Health derives its authority primarily from Chapter 368z
				of the Connecticut General Statutes. The powers of the Office are vested in and
				exercised by a deputy commissioner of Public Health, appointed as provided in
				section
				19a-612d
				of the Connecticut General Statutes.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 613 - Office of Healthcare Access Division › Section 19a-613-2 - Function

Current through July 10, 2024
The Office of Health Care Access is generally empowered to
				exercise specified grants of authority over the establishment and operation of
				health care facilities as defined in section
				19a-630
				of the Connecticut General Statutes. The Office is responsible for preparing
				the Statewide Health Care Facilities and Services Plan, administering the
				certificate of need process and collecting inpatient discharge data and
				financial data from hospitals.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 613 - Office of Healthcare Access Division › Section 19a-613-3 - Official address and hours

Current through July 10, 2024
The principal office of the Office of Health Care Access is
				located at and all communications should be addressed to the Office of Health
				Care Access, 410 Capitol Avenue, MS#13HCA, P. O. Box 340308, Hartford, CT
				06134-0308. The office is open from 8:30 a.m. to 4:30 p.m. Monday through
				Friday except legal holidays.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 630 - Definitions Applicable to Sections 19a-630-1 through 19a-653-4, Inclusive, of the Regulations of Connecticut State Agencies › Section 19a-630-1 - Certificate of need

Current through July 10, 2024
Definitions.
As used in sections 19a-630-1 to
				19a-653-4, inclusive, of the
				Regulations of Connecticut State Agencies:
(1) "Acquisition" means the acquisition
			 through purchase, lease, donation or other comparable arrangement of a computed
			 tomography scanner, magnetic resonance imaging scanner, positron emission
			 tomography scanner, positron emission tomography-computed tomography scanner,
			 linear accelerator or equipment that utilizes technology that has not
			 previously been utilized in the state;
(2) "Central Service Facility" means a health
			 care facility or institution, person or entity engaged primarily in providing
			 services for the prevention, diagnosis or treatment of human health conditions,
			 serving one or more health care facilities, practitioners or institutions and
			 satisfying the criteria for a central service facility as discussed in section
			 19a-630-2 of the Regulations of
			 Connecticut State Agencies;
(3)
			 "Day", unless specified otherwise in statute or regulation, means a calendar
			 day;
(4) "Freestanding Emergency
			 Department" means an emergency department that is not located on the main
			 campus of a hospital and is held out to the public (by name, posted signs,
			 advertising or other means) as a place that provides care for emergency medical
			 conditions on an urgent basis without requiring a previously scheduled
			 appointment;
(5) "Interventional
			 cardiology" means non-surgical procedures used in the treatment of coronary
			 artery and peripheral vascular disease and performed in the cardiac
			 catheterization laboratory. Procedures include, but are not limited to,
			 angioplasty, valvuloplasty, cardiac ablation, coronary thrombectomy, and
			 congenital heart defect correction;
(6) "Office" or "OHCA" means the Office of
			 Health Care Access division of the Department of Public Health, as established
			 by section
			 19a-612
			 of the Connecticut General Statutes;
(7) "Provider" means any person or entity
			 that provides health care services;
(8) "Psychiatric residential treatment
			 facility" means a psychiatric residential treatment facility as defined in
			 42
			 CFR 483.352.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 630 - Definitions Applicable to Sections 19a-630-1 through 19a-653-4, Inclusive, of the Regulations of Connecticut State Agencies › Section 19a-630-2 - Criteria for determining if an entity is a central service facility

Current through July 10, 2024
(a) An entity shall be a central service
			 facility if it meets one or more of the following criteria:
(1) The entity is institutional in nature and
			 practice;
(2) Patient care is or
			 may be the responsibility of the entity rather than of the individual
			 physicians or practitioners;
(3)
			 Nonmedical personnel, owners or managers can or may be able to influence the
			 operation of the entity to a significant degree;
(4) With the exception of practicing
			 physician groups, the entity that is or may be providing services for the
			 prevention, diagnosis or treatment of human health conditions to two or more
			 providers;
(5) The owner, partner
			 or manager of an entity as described in subdivision (4) of this subsection is a
			 physician who is not practicing medicine at the entity; or
(6) A partnership with general and managing
			 partners exists.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 638 - Certificate of Need Determination Request; Policies Concerning Outpatient Operating Room Increases, Cardiac Services and Imaging Equipment Replacement › Section 19a-638-1 - Increase in operating rooms

Current through July 10, 2024
Any outpatient surgical facility that increases the number of
				its operating rooms on and after October 1, 2010, shall file a notification
				with the Office indicating the date on which the operating rooms were added,
				the number of its operating rooms added and the total number of operating rooms
				including the new operating room or operating rooms.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 638 - Certificate of Need Determination Request; Policies Concerning Outpatient Operating Room Increases, Cardiac Services and Imaging Equipment Replacement › Section 19a-638-2 - Establishment of cardiac services

Current through July 10, 2024
Interventional cardiology procedures that are authorized
				pursuant to a certificate of need may be performed by a health care facility or
				provider and several procedures may be authorized under one certificate of
				need. A facility that is authorized to provide open heart surgery is authorized
				to provide all of the interventional cardiology procedures listed in section
				19a-630-1(5) of
				the Regulations of Connecticut State Agencies.