reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-106 - Fees

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant who
				submits to the Department architectural plans and specifications for the
				construction or modification of a health care institution shall also submit an
				architectural plans and specifications review fee as follows:
1. Fifty dollars for a project with a cost of
				$100,000 or less;
2. One hundred
				dollars for a project with a cost of more than $100,000 but less than $500,000;
				or
3. One hundred fifty dollars for
				a project with a cost of $500,000 or more.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-107 - Submission of Health Care Institution Licensing Fees

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for a health care institution
				license shall submit the applicable licensing fees in
				R9-10-106 to the Department:
1. Within 60 calendar days after the date of
				the written notice of approval in
				R9-10-108(C)(3);
				or
2. Within 90 calendar days after
				the date of the written notice of approval in
				R9-10-108(C)(3),
				with the payment of an additional late payment fee of $250.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-108 - Time-frames

Current through Register Vol. 30, No. 28, July 12, 2024
A. The overall
				time-frame for each type of approval granted by the Department is listed in
				Table 1.1. The applicant and the Department may agree in writing to extend the
				substantive review time-frame and the overall time-frame. The substantive
				review time-frame and the overall time-frame may not be extended by more than
				25% of the overall time-frame.
B.
				The administrative completeness review time-frame for each type of approval
				granted by the Department as prescribed in this Article is listed in Table 1.1.
				The administrative completeness review time-frame begins on the date the
				Department receives an application packet or a written request for an alternate
				licensing fee due date.
1. The application
				packet for a health care institution license is not complete until the
				applicant provides the Department with written notice that the health care
				institution is ready for a licensing inspection by the Department.
2. If the application packet or written
				request is incomplete, the Department shall provide a written notice to the
				applicant specifying the missing document or incomplete information. The
				administrative completeness review time-frame and the overall time-frame are
				suspended from the date of the notice until the date the Department receives
				the missing document or information from the applicant.
3. When an application packet or written
				request is complete, the Department shall provide a written notice of
				administrative completeness to the applicant.
4. For an application packet for review of
				architectural plans and specifications, a health care institution license
				application packet, an application packet for a modification not requiring
				review of architectural plans and specifications, or a written request for an
				alternate licensing fee due date, the Department shall consider the application
				or written request withdrawn if the applicant fails to supply the missing
				documents or information included in the notice described in subsection (B)(2)
				within 60 calendar days after the date of the notice described in subsection
				(B)(2).
5. If the Department issues
				a license or grants an approval during the time provided to assess
				administrative completeness, the Department shall not issue a separate written
				notice of administrative completeness.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Table 1.1 - Time-frames

Current through Register Vol. 30, No. 28, July 12, 2024
Type of Approval
Statutory Authority
Overall Time-frame
Administrative Completeness
							 Time-frame
Substantive Review Time-frame
Approval of architectural plans and specifications
							 R9-10-104
A.R.S. §§
													36-405,
							 36-406(1)(b),
							 and
							 36-421
105 calendar days
45 calendar days
60 calendar days
Health care institution license
							 R9-10-105
A.R.S. §§
													36-405,
							 36-407,
							 36-421,
							 36-422,
							 36-424,
							 and
							 36-425
120 calendar days
30 calendar days
90 calendar days
Approval of an alternate licensing fee due date
							 R9-10-107
A.R.S. §
													36-405
30 calendar days
10 calendar days
20 calendar days
Approval of a modification of a health care
							 institution
							 R9-10-110
A.R.S. §§
													36-405,
							 36-407,
							 and
							 36-422
75 calendar days
15 calendar days
60 calendar days
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-109 - Changes Affecting a License

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A licensee shall ensure that:
1. The
				Department is notified in writing at least 30 calendar days before the
				effective date of:
a. Except as provided in
				subsection (I), a change in the name of:
i. A
				health care institution, or
ii. The
				licensee;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-110 - Modification of a Health Care Institution

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee shall submit a request for
				approval of a modification of a health care institution when planning to make:
1. An addition or removal of an authorized
				service;
2. An addition or removal
				of a colocator;
3. A change in a
				health care institution's licensed capacity, licensed occupancy, respite
				capacity, or the number of dialysis stations;
4. A change in the physical plant, including
				facilities or equipment, that costs more than $300,000; or
5. A change in the building where a health
				care institution is located that affects compliance with:
a. Applicable physical plant codes and
				standards incorporated by reference in R9-10-104.01, or
b. Physical plant requirements in the
				specific Article in this Chapter applicable to the health care
				institution.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-111 - Enforcement Actions

Current through Register Vol. 30, No. 28, July 12, 2024
A. If the
				Department determines that an applicant or licensee is violating applicable
				statutes and rules and the violation poses a direct risk to the life, health,
				or safety of a patient, the Department may:
1.
				Issue a provisional license to the applicant or licensee under A.R.S. §
										36-425,
2. Assess a civil penalty under A.R.S. §
										36-431.01,
3. Impose an intermediate sanction under
				A.R.S. §
										36-427,
4. Remove a licensee and appoint another
				person to continue operation of the health care institution pending further
				action under A.R.S. §
										36-429,
5. Suspend or revoke a license under A.R.S.
				§ 36-427 and
				R9-10-112,
6. Deny a license under A.R.S. § 36-425
				and
				R9-10-112,
				or
7. Issue an injunction under
				A.R.S. §
										36-430.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-112 - Denial, Revocation, or Suspension of License

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department may deny, revoke, or
				suspend a license to operate a health care institution if an applicant, a
				licensee, or a controlling person of the health care institution:
1. Provides false or misleading information
				to the Department;
2. Has had in
				any state or jurisdiction any of the following:
a. An application or license to operate a
				health care institution denied, suspended, or revoked, unless the denial was
				based on failure to complete the licensing process or to pay a required
				licensing fee within a required time-frame; or
b. A health care professional license or
				certificate denied, revoked, or suspended;
3. Does not comply with the applicable
				requirements in A.R.S. Title 36, Chapter 4 and this Chapter; or
4. Has
				operated a health care institution, within the preceding ten years, in
				violation of A.R.S. Title 36, Chapter 4 or this Chapter, that posed a direct
				risk to the life, health, or safety of a patient.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-113 - Tuberculosis Screening

Current through Register Vol. 30, No. 28, July 12, 2024
A. If a health
				care institution is subject to the requirements of this Section, as specified
				in an Article in this Chapter, the health care institution's chief
				administrative officer shall ensure that the health care institution
				establishes, documents, and implements tuberculosis infection control
				activities that:
1. Are consistent with
				recommendations in Tuberculosis Screening, Testing, and Treatment of U.S.
				Health Care Personnel: Recommendations from the National Tuberculosis
				Controllers Association and CDC, 2019, published by the U.S. Department of
				Health and Human Services, Atlanta, GA 30333, available at
https://www.cdc.gov/mmwr/volumes/68/wr/mm6819a3.htm
,
				incorporated by reference, on file with the Department, and including no future
				editions or amendments; and
2.
				Include:
a. For each individual who is
				employed by the health care institution, provides volunteer services for the
				health care institution, or is admitted to the health care institution and who
				is subject to the requirements of this Section, baseline screening, on or
				before the date specified in the applicable Article of this Chapter, that
				consists of:
i. Assessing risks of prior
				exposure to infectious tuberculosis,
ii. Determining if the individual has signs
				or symptoms of tuberculosis, and
iii. Obtaining documentation of the
				individual's freedom from infectious tuberculosis according to subsection
				(B)(1);
b. If an
				individual may have a latent tuberculosis infection, as defined in A.A.C.
				R9-6-1201:
i. Referring the individual for assessment or
				treatment; and
ii. Annually
				obtaining documentation of the individual's freedom from symptoms of infectious
				tuberculosis, signed by a medical practitioner, occupation health provider, as
				defined in A.A.C.
				R9-6-801, or local
				health agency, as defined in A.A.C.
				R9-6-101;
c. Annually providing training and
				education related to recognizing the signs and symptoms of tuberculosis to
				individuals employed by or providing volunteer services for the health care
				institution;
d. Annually assessing
				the health care institution's risk of exposure to infectious
				tuberculosis;
e. Reporting, as
				specified in A.A.C. R9-6-202, an individual who is suspected of exposure to
				infectious tuberculosis; and
f. If
				an exposure to infectious tuberculosis occurs in the health care institution,
				coordinating and sharing information with the local health agency, as defined
				in A.A.C.
				R9-6-101, for
				identifying, locating, and investigating contacts, as defined in A.A.C.
				R9-6-101.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-114 - Clinical Practice Restrictions for Hemodialysis Technician Trainees

Current through Register Vol. 30, No. 28, July 12, 2024
A. The following
				definitions apply in this Section:
1.
				"Assess" means collecting data about a patient by:
a. Obtaining a history of the
				patient,
b. Listening to the
				patient's heart and lungs, and
c.
				Checking the patient for edema.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-115 - Behavioral Health Paraprofessionals; Behavioral Health Technicians

Current through Register Vol. 30, No. 28, July 12, 2024
If a health care institution is a behavioral health facility
				  or is authorized by the Department to provide behavioral health services, an
				  administrator shall ensure that:
1.
				Policies and procedures are established, documented, and implemented that:
a. Delineate the services a behavioral health
				paraprofessional is allowed to provide at or for the health care
				institution;
b. Cover supervision
				of a behavioral health paraprofessional, including documentation of
				supervision;
c. Establish the
				qualifications for a behavioral health professional providing supervision to a
				behavioral health paraprofes-sional;
d. Delineate the services a behavioral health
				technician is allowed to provide at or for the health care
				institution;
e. Cover clinical
				oversight for a behavioral health technician, including documentation of
				clinical oversight;
f. Establish
				the qualifications for a behavioral health professional providing clinical
				oversight to a behavioral health technician;
g. Delineate the methods used to provide
				clinical oversight, including when clinical oversight is provided on an
				individual basis or in a group setting; and
h. Establish the process by which information
				pertaining to services provided by a behavioral health technician is provided
				to the behavioral health professional who is responsible for the clinical
				oversight of the behavioral health technician;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-116 - Nutrition and Feeding Assistant Training Programs

Current through Register Vol. 30, No. 28, July 12, 2024
A. For the purposes of this Section, "agency"
				means an entity other than a nursing care institution that provides the
				nutrition and feeding assistant training required in A.R.S. §
									36-413.
B. An agency shall apply for approval to
				operate a nutrition and feeding assistant training program by submitting:
1. An application in a Department-provided
				format that contains:
a. The name of the
				agency;
b. The name, telephone
				number, and e-mail address of the individual in charge of the proposed
				nutrition and feeding assistant training program;
c. The address where the nutrition and
				feeding assistant training program records are maintained;
d. A description of the training course being
				offered by the nutrition and feeding assistant training program including for
				each topic in subsection (I):
i. The
				information presented for each topic,
ii. The amount of time allotted to each
				topic,
iii. The skills an
				individual is expected to acquire for each topic, and
iv. The testing method used to verify an
				individual has acquired the stated skills for each topic;
e. Whether the agency agrees to allow the
				Department to submit supplemental requests for information as specified in
				subsection (F)(2); and
f. The
				signature of the individual in charge of the proposed nutrition and feeding
				assistant training program and the date signed; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-119 - Abortion Reporting

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				licensed health care institution where abortions are performed shall submit to
				the Department, in a Department-provided format and according to A.R.S. §
									36-2161(D)
				and (E), a report that contains the
				information required in A.R.S. §
									36-2161(A)
				 and the following:
1. The final disposition of the fetal tissue
				from the abortion; and
2. Except as
				provided in subsection (B), if custody of the fetal tissue is transferred to
				another person or persons:
a. The name and
				address of the person or persons accepting custody of the fetal
				tissue,
b. The amount of any
				compensation received by the licensed health care institution for the
				transferred fetal tissue, and
c.
				Whether a patient provided informed consent for the transfer of custody of the
				fetal tissue.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-120 - Opioid Prescribing and Treatment

Current through Register Vol. 30, No. 28, July 12, 2024
A. This Section does not apply to a health
				care institution licensed under Article 20 of this Chapter.
B. In addition to the definitions in A.R.S.
				§§ 32-3248.01 and 36-401(A) and
				R9-10-101, the
				following definitions apply in this Section:
1. "Episode of care" means medical services,
				nursing services, or health-related services provided by a health care
				institution to a patient for a specific period of time, ending in discharge,
				the completion of the patient's treatment plan, or 90 days from the start of
				service provision to the patient, whichever is later.
2. "Order" means to issue written, verbal, or
				electronic instructions for a specific dose of a specific medication in a
				specific quantity and route of administration to be obtained and administered
				to a patient in a health care institution.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 1 - GENERAL › Section R9-10-121 - Disease Prevention and Control

Current through Register Vol. 30, No. 28, July 12, 2024
A. This Section applies:
1. When the Governor has declared a state of
				emergency, as defined in A.R.S. §
										26-301, to
				address a situation described under A.R.S. §
										36-787;
				and
2. To health care institutions
				licensed under Article 4, 5, or 8 of this Chapter.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-201 - 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 definitions apply in this Article unless otherwise specified:
1. "Adult" means an individual the hospital
				designates as an adult based on the hospital's criteria.
2. "Aftercare" means assistance provided to a
				patient by another individual in the patient's residence, which is not part of
				a health care institution, following care provided at a hospital, and may
				include:
a. Assisting the patient with
				activities of daily living, and
b.
				Following the discharge instructions provided by the
				hospital.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-202 - Supplemental Application, Notification, 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 Article 1 of this Chapter, an applicant for a hospital license shall
				include:
1. On the application the requested
				licensed capacity for the hospital, including:
a. The number of inpatient beds for each
				organized service, not including well-baby bassinets; and
b. If applicable, the number of inpatient
				beds for each multi-organized service unit;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-203 - 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
				a hospital;
2. Establish, in
				writing:
a. A hospital's scope of
				services,
b. Qualifications for an
				administrator,
c. Which organized
				services are to be provided in the hospital, and
d. The organized services that are to be
				provided in a multi-organized service unit according to
				R9-10-228(A);
3. Designate, in writing, an
				administrator who has the qualifications established in subsection
				(A)(2)(b);
4. Grant, deny, suspend,
				or revoke a clinical privilege of a medical staff member or delegate authority
				to an individual to grant or suspend a clinical privilege for a limited time,
				according to medical staff bylaws;
5. Adopt a quality management program
				according to
				R9-10-204;
6. Review and evaluate the effectiveness of
				the quality management program 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 a hospital's premises for more than 30 calendar days, or
b. Not present on a hospital's premises for
				more than 30 calendar days;
8. Except as provided in (A)(7), notify the
				Department according to A.R.S. §
										36-425(I)
				 if there is a change of administrator and
				identify the name and qualifications of the new administrator; and
9. For a health care institution under a
				single group license, ensure that the health care institution complies with the
				applicable requirements in this Chapter for the class or subclass of the health
				care institution.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-204 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				governing authority shall ensure that an ongoing quality management program is
				established that:
1. Complies with the
				requirements in A.R.S. §
										36-445;
				and
2. Evaluates the quality of
				hospital services and environmental services related to patient care.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-205 - 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. A documented list 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 2 - HOSPITALS › Section R9-10-206 - 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 2 - HOSPITALS › Section R9-10-208 - Admission

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. A patient is admitted
				as an inpatient on the order of a medical staff member;
2. An individual, authorized by policies and
				procedures, is available to accept a patient for admission;
3. Except in an emergency, informed consent
				is obtained from a patient or the patient's representative before or at the
				time of admission;
4. The informed
				consent obtained in subsection (3) or the lack of consent in an emergency is
				documented in the patient's medical record;
5. A physician or other medical staff member
				performs a medical history and physical examination on a patient within 30
				calendar days before admission or within 48 hours after admission and documents
				the medical history and physical examination in the patient's medical record
				within 48 hours after admission;
6.
				If a physician or other medical staff member performs a medical history and
				physical examination on a patient before admission, the physician or the
				medical staff member enters an interval note into the patient's medical record
				at the time of admission; and
7. A
				patient or the patient's representative is given an opportunity to:
a. Designate an individual who is willing to
				participate in discharge planning and act as the patient's aftercare
				provider;
b. Provide contact
				information for the patient's aftercare provider; and
c. Change the patient's designated aftercare
				provider before discharge.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-209 - Discharge Planning; Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				For an inpatient, an administrator shall ensure that discharge planning:
1. Is completed before discharge
				occurs;
2. Identifies the specific
				needs of the patient after discharge, if applicable;
3. Includes the participation of the patient
				or patient's representative and, if applicable, the patient's aftercare
				provider;
4. If the patient is
				being discharged to the patient's residence, which is not part of a health care
				institution:
a. Includes at least one attempt,
				which is documented in the patient's medical record, to notify the patient's
				aftercare provider, if designated, before the patient's discharge;
				and
b. Prepares the patient, the
				patient's representative, or the patient's aftercare provider, as applicable,
				to carry out the discharge instructions required in subsection (B)(3)(a),
				including:
i. Answering questions about the
				discharge instructions and aftercare; and
ii. Providing a demonstration of the
				aftercare tasks to the patient, the patient's representative, or the patient's
				aftercare provider, as applicable;
5. Provides the patient or the patient's
				representative with written information identifying classes or subclasses of
				health care institutions and the level of care that the health care
				institutions provide that may meet the patient's assessed and anticipated needs
				after discharge, if applicable; and
6. Is documented in the patient's medical
				record.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-210 - Transport

Current through Register Vol. 30, No. 28, July 12, 2024
A. For a transport
				of a patient, the administrator of a sending hospital shall ensure that:
1. Policies and procedures are established,
				documented, and implemented that:
a. Specify
				the process by which the sending hospital personnel members coordinate the
				transport and the medical services provided to a patient to protect the health
				and safety of the patient;
b.
				Require an assessment of the patient by a registered nurse or a medical staff
				member before transporting the patient and after the patient's
				return;
c. Specify the information
				in the sending hospital's patient medical record that is required to accompany
				the patient, which shall include the information related to the medical
				services to be provided to the patient at the receiving health care
				institution;
d. Specify how the
				sending hospital personnel members communicate patient medical record
				information that the sending hospital does not provide at the time of transport
				but is requested by the receiving health care institution; and
e. Specify how a medical staff member
				explains the risks and benefits of a transport to the patient or the patient's
				representative based on the:
i. Patient's
				medical condition, and
ii. Mode of
				transport; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-211 - Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
For a transfer of a patient, the administrator of a sending
				  hospital shall ensure that:
1.
				Policies and procedures are established, documented, and implemented that:
a. Specify the process by which the sending
				hospital personnel members coordinate the transfer and the medical services
				provided to a patient to protect the health and safety of the patient during
				the transfer;
b. Require an
				assessment of the patient by a registered nurse or a medical staff member of
				the sending hospital before the patient is transferred;
c. Specify how the sending hospital personnel
				members communicate medical record information that is not provided at the time
				of the transfer; and
d. Specify how
				a medical staff member explains the risks and benefits of a transfer to the
				patient or the patient's representative based on the:
i. Patient's medical condition, and
ii. Mode of transfer;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-212 - 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 hospital's 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 2 - HOSPITALS › Section R9-10-213 - 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 staff member
				according to policies and procedures; and
c. If the order is a verbal order,
				authenticated by a medical staff member or medical practitioner ;
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 personnel members and medical staff members authorized
				by policies and procedures to access the medical record;
6. Policies and procedures include the
				maximum time-frame to retrieve an onsite or off-site patient's medical record
				at the request of a medical staff member 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 2 - HOSPITALS › Section R9-10-214 - Nursing Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. Nursing
				services are provided 24 hours a day, and
2. A nurse executive is appointed who is
				qualified according to policies and procedures.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-215 - Surgical Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a general hospital shall ensure
				  that:
1. There is an organized service
				that provides surgical services under the direction of a medical staff
				member;
2. There is a designated
				area for providing surgical services as an organized service;
3. The area of the hospital designated for
				surgical services is managed by a registered nurse or a physician;
4. Documentation is available in the surgical
				services area that specifies each medical staff member's clinical privileges to
				perform surgical procedures in the surgical services area;
5. Postoperative orders are documented in the
				patient's medical record;
6. There
				is a chronological log of surgical procedures performed in the surgical
				services area that contains:
a. The date of
				the surgical procedure,
b. The
				patient's name,
c. The type of
				surgical procedure,
d. The time in
				and time out of the operating room,
e. The name and title of each individual
				performing or assisting in the surgical procedure,
f. The type of anesthesia used,
g. An identification of the operating room
				used, and
h. The disposition of the
				patient after the surgical procedure;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-216 - Anesthesia Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Anesthesia services provided in
				conjunction with surgical services performed in the operating room are provided
				as an organized service under the direction of a medical staff
				member;
2. Documentation is
				available in the surgical services area that specifies the medical staff
				member's clinical privileges to administer anesthesia;
3. Except in an emergency, an
				anesthesiologist or a nurse anesthetist performs a pre-anesthesia evaluation
				within 48 hours before anesthesia is administered in conjunction with surgical
				services;
4. Anesthesia
				administration is documented in a patient's medical record and includes:
a. A pre-anesthesia evaluation, if
				applicable;
b. An intra-operative
				anesthesia record;
c. The
				postoperative status of the patient upon leaving the operating room;
				and
d. Post-anesthesia
				documentation by the individual performing the post-anesthesia evaluation that
				includes the information required by the medical staff bylaws and medical staff
				regulations; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-217 - Emergency Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of a general hospital or a rural general hospital shall ensure
				that:
1. Emergency services are provided 24
				hours a day in a designated area of the hospital;
2. Emergency services are provided as an
				organized service under the direction of a medical staff member;
3. The scope and extent of emergency services
				offered are documented in the hospital's scope of services;
4. Emergency services are provided to an
				individual, including a woman in active labor, requesting emergency
				services;
5. If emergency services
				cannot be provided at the hospital to meet the needs of a patient in an
				emergency, measures and procedures are implemented to minimize risk to the
				patient until the patient is transported or transferred to another
				hospital;
6. A roster of on-call
				medical staff members is available in the emergency services area;
7. There is a chronological log of emergency
				services provided to patients that includes:
a. The patient's name;
b. The date, time, and mode of arrival;
				and
c. The disposition of the
				patient including discharge, transfer, or admission; and
8. The chronological log required in
				subsection (A)(7) is maintained:
a. In the
				emergency services area for at least 12 months after the date of the emergency
				services; and
b. By the hospital
				for at least an additional four years.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-218 - Pharmaceutical Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Pharmaceutical services are provided under
				the direction of a pharmacist according to A.R.S. Title 36, Chapter 27; A.R.S.
				Title 32, Chapter 18; and 4 A.A.C. 23;
2. A copy of the pharmacy license is provided
				to the Department for review upon the Department's request;
3. A committee, composed of at least one
				physician, one pharmacist, and other personnel members as determined by
				policies and procedures, is established to:
a. Develop a drug formulary,
b. Update the drug formulary at least once
				every 12 months,
c. Develop
				medication usage and medication substitution policies and procedures,
				and
d. Specify which medications
				and medication classifications are required to be automatically stopped after a
				specified time period unless the ordering medical staff member specifically
				orders otherwise;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-219 - Clinical Laboratory Services and Pathology Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Clinical laboratory services and pathology
				services are provided by a hospital through a laboratory that holds a
				certificate of accreditation or certificate of compliance issued by the United
				States Department of Health and Human Services under the 1988 amendments to the
				Clinical Laboratories Improvement Act of 1967;
2. A copy of the certificate of accreditation
				or certificate of compliance in subsection (1) is provided to the Department
				for review upon the Department's request;
3. A general hospital or a rural general
				hospital provides clinical laboratory services 24 hours a day on the hospital's
				premises to meet the needs of a patient in an emergency;
4. A special hospital whose patients require
				clinical laboratory services:
a. Is able to
				provide clinical laboratory services when needed by the patients,
b. Obtains specimens for clinical laboratory
				services without transporting the patients from the special hospital's
				premises, and
c. Has the
				examination of the specimens performed by a clinical laboratory on the special
				hospital's premises or by arrangement with a clinical laboratory not on the
				special hospital's premises;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-220 - Radiology Services and Diagnostic Imaging Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator shall ensure that:
1. Radiology services and diagnostic imaging
				services are provided in compliance with A.R.S. Title 30, Chapter 4 and 9
				A.A.C. 7;
2. A copy of a
				certificate documenting compliance with subsection (A)(1) is provided to the
				Department for review upon the Department's request;
3. A general hospital or a rural general
				hospital provides radiology services 24 hours a day on the hospital's premises
				to meet the emergency needs of a patient;
4. A hospital that provides surgical services
				has radiology services and diagnostic imaging services on the hospital's
				premises to meet the needs of patients;
5. A general hospital or a rural general
				hospital has a radiologic technologist on duty or on-call; and
6. Except as provided in subsection (A)(4), a
				special hospital whose patients require radiology services and diagnostic
				imaging services is able to provide the radiology services and diagnostic
				imaging services when needed by the patients:
a. On the special hospital's premises,
				or
b. By arrangement with a
				radiology and diagnostic imaging facility that is not on the special hospital's
				premises.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-221 - Intensive Care Services

Current through Register Vol. 30, No. 28, July 12, 2024
Except for a special hospital that provides only psychiatric
				  services, an administrator of a hospital that provides intensive care services
				  shall ensure that:
1. Intensive care
				services are provided as an organized service in a designated area under the
				direction of a medical staff member;
2. An inpatient admitted for intensive care
				services is personally visited by a physician at least once every 24
				hours;
3. Admission and discharge
				criteria for intensive care services are established;
4. A personnel member's responsibilities for
				initiation of medical services in an emergency to a patient in an intensive
				care unit pending the arrival of a medical staff member are established and
				documented in policies and procedures;
5. In addition to the requirements in
				R9-10-214(C), an intensive care unit is staffed:
a. With at least one registered nurse
				assigned for every two patients, and
b. According to an acuity plan as required in
				R9-10-214;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-222 - Respiratory Care Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a hospital that provides respiratory care
				  services shall ensure that:
1.
				Respiratory care services are provided under the direction of a medical staff
				member;
2. Respiratory care
				services are provided according to an order that includes:
a. The patient's name;
b. The name and signature of the ordering
				individual;
c. The type, frequency,
				and, if applicable, duration of treatment;
d. The type and dosage of medication and
				diluent; and
e. The oxygen
				concentration or oxygen liter flow and method of administration;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-224 - Pediatric Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of a hospital that provides pediatric services or pediatric
				organized services according to the requirements in this Section shall ensure
				that:
1. Consistent with the health and
				safety of a pediatric patient, arrangements are made for a parent or a guardian
				of the pediatric patient to stay overnight;
2. Policies and procedures are established,
				documented, and implemented for:
a. Infection
				control for shared toys, books, stuffed animals, and other items in a community
				playroom; and
b. Visitation of a
				pediatric patient, including age limits if applicable;
3. A pediatric inpatient is only admitted if
				the hospital has the staff, equipment, and supplies available to meet the needs
				of the pediatric patient based on the pediatric patient's medical condition and
				the hospital's scope of services; and
4. If the hospital provides pediatric
				intensive care services, the pediatric intensive care services comply with
				intensive care services requirements in
				R9-10-221.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-226 - Behavioral Health Observation/Stabilization Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a hospital that is authorized to provide
				  behavioral health observation/stabilization services shall ensure that:
1. Behavioral health
				observation/stabilization services are provided according to the requirements
				in
				R9-10-1012,
				and
2. Restraint and seclusion are
				provided according to the requirements for restraint and seclusion in
				R9-10-225.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-227 - Rehabilitation Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. If rehabilitation services are provided as
				an organized service, the rehabilitation services are provided under the
				direction of an individual qualified according to policies and
				procedures;
2. Rehabilitation
				services are provided according to an order; and
3. The medical record of a patient receiving
				rehabilitation services includes:
a. An order
				for rehabilitation services that includes the name of the ordering individual
				and a referring diagnosis,
b. A
				documented care plan that is developed in coordination with the ordering
				individual and the individual providing the rehabilitation services,
c. The rehabilitation services
				provided,
d. The patient's response
				to the rehabilitation services, and
e. The authentication of the individual
				providing the rehabilitation services.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-228 - Multi-organized Service Unit

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				governing authority may designate the following as a multi-organized service
				unit:
1. An adult unit that provides both
				intensive care services and medical and nursing services other than intensive
				care services,
2. A pediatric unit
				that provides both intensive care services and medical and nursing services
				other than intensive care services,
3. A unit that provides both perinatal
				services and intensive care services for obstetrical patients,
4. A unit that provides both intensive care
				services for neonates and a continuing care nursery, or
5. A unit that provides medical and nursing
				services to adult and pediatric patients.