reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1302 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. The governing
				authority for a behavioral health specialized transitional facility:
1. Is the superintendent of the state
				hospital; and
2. Shall:
a. Establish, in writing:
i. A behavioral health specialized
				transitional facility's scope of services, and
ii. Qualifications for an
				administrator;
b.
				Designate, in writing, an administrator who has the qualifications established
				in subsection (A)(2)(a)(ii);
c.
				Adopt a quality management program according to
				R9-10-1303;
d. Review and evaluate the effectiveness of
				the quality management program at least once every 12 months;
e. Designate an acting administrator, in
				writing, who has the qualifications established in subsection (A)(2)(a)(ii), if
				the administrator is:
i. Expected not to be
				present on the behavioral health specialized transitional facility's premises
				for more than 30 calendar days, or
ii. Not present on the behavioral health
				specialized transitional facility's premises for more than 30 calendar days;
				and
f. Except as provided
				in subsection (A)(2)(e), notify the Department according to A.R.S. §
											36-425(I)
				 when there is a change in the administrator
				and identify the name and qualifications of the new
				administrator.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1303 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to patients;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to patient
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to patient care; and
e. The frequency of submitting a documented
				report required in subsection (2) to the governing authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1304 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
The following Section was repealed under an exemption from
					 the provisions of the Administrative Procedure Act which means these rules were
					 not reviewed by the Governor's Regulatory Review Council; the Department did
					 not submit notice of proposed rulemaking to the Secretary of State for
					 publication in the Arizona Administrative Register; and the Department was not
					 required to hold public hearings on the repealing of these
					 rules.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1305 - Personnel Requirements and Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator shall ensure that a
				personnel member:
1. Is at least 18 years
				old; and
2. Either:
a. Holds a valid fingerprint clearance card
				issued under A.R.S. Title 41, Chapter 12, Article 3.1; or
b. Submits to the administrator a copy of a
				fingerprint clearance card application showing that the personnel member
				submitted the application to the fingerprint division of the Department of
				Public Safety under A.R.S. §
											41-1758.02
				within seven working days after becoming a personnel member.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1306 - Admission Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that, before a patient is admitted to the behavioral
				health specialized transitional facility, a court of competent jurisdiction has
				ordered the patient to be:
1. Detained under
				A.R.S. §
										36-3705(B)
				 or §
										36-3713(B);
				or
2. Committed under A.R.S. §
										36-3707.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1307 - Discharge or Conditional Release to a Less Restrictive Alternative

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that annual written notice is given to a patient of the patient's
				right to petition for:
1. Conditional release
				to a less restrictive alternative under A.R.S. §
										36-3709,
				or
2. Discharge under A.R.S. §
										36-3714.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1308 - Transportation

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a behavioral health specialized
				  transitional facility that uses a vehicle owned or leased by the behavioral
				  health specialized transitional facility to provide transportation to a patient
				  shall ensure that:
1. The vehicle:
a. Is safe and in good repair,
b. Contains a locked first aid kit
				,
c. Contains a working heating and
				air conditioning system, and
d.
				Contains drinking water sufficient to meet the needs of each patient present in
				the vehicle;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1309 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A patient:
a. Has privacy in treatment and personal care
				needs;
b. Has the opportunity for
				and privacy in correspondence, communications, and visitation unless:
i. Restricted by court order; or
ii. Contraindicated on the basis of clinical
				judgment, as documented in the patient's medical record;
c. Is given the opportunity to seek, speak
				to, and be assisted by legal counsel:
i. Whom
				the court assigns to the patient, or
ii. Whom the patient obtains at the patient's
				own expense; and
d. Is
				not subjected to:
i. Abuse;
ii. Neglect;
iii. Exploitation;
iv. Coercion;
v. Manipulation;
vi. Seclusion, if not necessary to prevent
				imminent harm to self or others;
vii. Restraint, if not necessary to prevent
				imminent harm to self or others;
viii. Sexual abuse according to A.R.S. §
											13-1404;
				or
ix. Sexual assault according to
				A.R.S. §
											13-1406;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1310 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				clinical director shall ensure that:
1. A
				treatment plan is developed and implemented for the patient:
a. According to the behavioral health
				specialized transitional facility's policies and procedures;
b. Based on the assessment conducted under
				R9-10-1306(C)(4) and on-going changes to the assessment of the patient's
				behavioral health issues, mental disorders, and physical health conditions, as
				applicable; and
c. Including:
i. The physical health services, behavioral
				health services, and ancillary services to be provided to the patient until
				completion of the treatment plan;
ii. The type, frequency, and duration of
				counseling or other treatment ordered for the patient;
iii. The name of each individual who ordered
				medication, counseling, or other treatment for the patient;
iv. The signature of the patient or the
				patient's representative and dated signed, or documentation of the refusal to
				sign;
v. The date when the patient's
				treatment plan will be reviewed;
vi. If a discharge date has been determined,
				the treatment needed after discharge; and
vii. The signature of the personnel member
				who developed the treatment plan and the date signed; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1311 - Physical Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				medical director shall ensure that:
1. A
				patient's physical health is assessed during the physical examination specified
				in
				R9-10-1306(C)(1),
				and
2. Any physical health
				conditions identified through the assessment are addressed in the patient's
				treatment plan.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1312 - 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 an individual authorized by facility policies and procedures
				to make the entry;
b. Dated,
				legible, and authenticated; and
c.
				Not changed to make the initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				patient's medical record and includes the time of the order;
b. Authenticated by a medical practitioner or
				behavioral health professional according to facility policies and procedures;
				and
c. If the order is a verbal
				order, authenticated by the medical practitioner or behavioral health
				professional issuing the order;
4. If a rubber-stamp signature or an
				electronic signature is used to authenticate an order, the individual whose
				signature the rubber-stamp signature or electronic signature represents is
				accountable for the use of the rubber-stamp signature or the electronic
				signature;
5. A patient's medical
				record is available to an individual:
a.
				Authorized according to policies and procedures to access the patient's medical
				record;
b. If the individual is not
				authorized according to policies and procedures, with the written consent of
				the patient or the patient's representative; or
c. As permitted by law;
6. A patient's medical record is available to
				the patient or patient's representative upon request at a time agreed upon by
				the patient or patient's representative and the administrator; 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 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1313 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for medication
				services:
1. Include:
a. A process for providing information to a
				patient about medication prescribed for the patient, including:
i. The prescribed medication's anticipated
				results,
ii. The prescribed
				medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1314 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				behavioral health specialized transitional facility has a license or permit as
				a food establishment under 9 A.A.C. 8, Article 1;
2. A copy of the behavioral health
				specialized transitional facility's food establishment license is
				maintained;
3. If a behavioral
				health specialized transitional facility contracts with a food establishment,
				as defined in 9 A.A.C. 8, Article 1, to prepare and deliver food to the
				behavioral health specialized transitional facility:
a. A copy of the food establishment's license
				or permit under 9 A.A.C. 8, Article 1 is maintained by the behavioral health
				specialized transitional facility; and
b. The behavioral health specialized
				transitional facility is able to store, refrigerate, and reheat food to meet
				the dietary needs of a patient;
4. A registered dietitian is employed
				full-time, part-time, or as a consultant; and
5. If a registered dietitian is not employed
				full-time, an individual is designated as a director of food services who
				consults with a registered dietitian as often as necessary to meet the
				nutritional needs of the patients.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1315 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A medical director shall ensure that policies and procedures for providing
				medical emergency treatment to a patient are established, documented, and
				implemented and include:
1. The medications,
				supplies, and equipment required on the premises for the medical emergency
				treatment provided by the behavioral health specialized transitional
				facility;
2. A system to ensure all
				medications, supplies, and equipment are available, have not been tampered
				with, and, if applicable, have not expired;
3. A requirement that a cart or container is
				available for medical emergency treatment that contains all of the medication,
				supplies, and equipment specified in the behavioral health specialized
				transitional facility's policies and procedures;
4. A method to verify and document that the
				contents of the cart or container in subsection (A)(3) are available for
				medical emergency treatment; and
5.
				A method for ensuring a patient may be transported to a hospital or other
				health care institution to receive treatment for a medical emergency that the
				behavioral health specialized transitional facility is not able or not
				authorized to provide.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1316 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				premises and equipment are:
a. Cleaned and, if
				applicable, disinfected according to policies and procedures designed to
				prevent, minimize, and control illness or infection; and
b. Free from a condition or situation that
				may cause a patient or other individual to suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 13 - BEHAVIORAL HEALTH SPECIALIZED TRANSITIONAL FACILITY › Section R9-10-1317 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that a behavioral health specialized transitional
				facility complies with the applicable physical plant health and safety codes
				and standards for secure residential facilities, incorporated by reference in
				R9-10-104.01, in effect on the date the behavioral health specialized
				transitional facility submitted architectural plans and specifications to the
				Department for approval according to
				R9-10-104.
B. An administrator shall ensure that the
				premises and equipment are sufficient to accommodate:
1. The services stated in the behavioral
				health specialized transitional facility's scope of services, and
2. An individual accepted as a patient by the
				behavioral health specialized transitional facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1401 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. § 36-401 and
				  R9-10-101, the
				  following applies in this Article unless otherwise specified:
1. "Emergency medical care technician" has the same meaning
				  as in A.R.S. §
									36-2201.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1402 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals accountable for the organization, operation, and administration of
				a substance abuse transitional facility;
2. Establish, in writing:
a. A substance abuse transitional facility's
				scope of services, and
b.
				Qualifications for an administrator;
3. Designate, in writing, an administrator
				who meets the qualifications established in subsection (A)(2)(b);
4. Adopt a quality management program
				according to R9-10-1403;
5. Review
				and evaluate the effectiveness of the quality management program at least once
				every 12 months;
6. 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 substance
				abuse transitional facility's premises for more than 30 calendar days,
				or
b. Not present on a substance
				abuse transitional facility's premises for more than 30 calendar days;
				and
7. Except as
				provided in subsection (A)(6), notify the Department according to A.R.S. §
										36-425(I)
				 when there is a change in the administrator
				and identify the name and qualifications of the new administrator.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1403 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to participants;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to participant
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to participant care; and
e. The frequency of submitting a documented
				report required in subsection (2) to the governing authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1404 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1405 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. A personnel member is:
a. At least 21 years old, or
b. If providing behavioral health services,
				at least 18 years old;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1406 - Admission; Assessment

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A participant is admitted based upon the
				participant's presenting behavioral health issue and treatment needs and the
				substance abuse transitional facility's ability and authority to provide
				behavioral health services or physical health services consistent with the
				participant's needs;
2. General
				consent is obtained from
a participant or the
				  participant's representative before or at the time of admission;
3. The general consent obtained in subsection
				(2) is documented in the participant's medical record;
4. An assessment of a participant is
				completed or updated by an emergency medical care technician or a registered
				nurse;
5. If an assessment is
				completed or updated by an emergency medical care technician, a registered
				nurse reviews the assessment within 24 hours after the completion of the
				assessment to ensure that the assessment identifies the behavioral health
				services and physical health services needed by the participant;
6. If an assessment that complies with the
				requirements in this Section is received from a behavioral health provider
				other than the substance abuse transitional facility or the substance abuse
				transitional facility has a medical record for the participant that contains an
				assessment that was completed within 12 months before the date of the
				participant's current admission:
a. The
				participant's assessment information is reviewed and updated if additional
				information that affects the participant's assessment is identified,
				and
b. The review and update of the
				participant's assessment information is documented in the participant's medical
				record within 48 hours after the review is completed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1407 - Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. If a participant is not
				being transferred to another health care institution, before discharging the
				participant from a substance abuse transitional facility, a personnel member:
a. Identifies the specific needs of the
				participant after discharge necessary to assist the participant to address the
				participant's substance abuse issues;
b. Identifies any resources, including family
				members, community social services, peer support services, and Regional
				Behavioral Health Agency staff, that may be available to assist the
				participant; and
c. Documents the
				information in subsection (A)(1)(a) and the resources in subsection (A)(1)(b)
				in the participant's medical record; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1408 - Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
Except for a transfer of a participant due to an emergency,
				  an administrator shall ensure that:
1.
				A personnel member coordinates the transfer and the services provided to the
				participant;
2. According to
				policies and procedures:
a. An evaluation of
				the participant is conducted before the transfer;
b. Information in the participant's medical
				record, including orders that are in effect at the time of the transfer, is
				provided to a receiving health care institution; and
c. A personnel member explains risks and
				benefits of the transfer to the participant or the participant's
				representative; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1409 - Participant 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 participant rights in subsection (C) are
				conspicuously posted on the premises;
2. At the time of admission, a participant or
				the participant's representative receives a written copy of the requirements in
				subsection (B) and the participant rights in subsection (C); and
3. Policies and procedures are established,
				documented, and implemented to protect the health and safety of a participant
				that include:
a. How and when a participant
				or the participant's representative is informed of participant rights in
				subsection (C), and
b. Where
				participant 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 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1410 - 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 participant according to A.R.S.
				Title 12, Chapter 13, Article 7.1;
2. An entry in a participant'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
				participant's medical record and includes the time of the order;
b. Authenticated by a medical practitioner or
				behavioral health professional according to policies and procedures;
				and
c. If the order is a verbal
				order, authenticated by the medical practitioner or behavioral health
				professional issuing the order;
4. If a rubber-stamp signature or an
				electronic signature is used to authenticate an order, the individual whose
				signature the rubber-stamp signature or electronic signature represents is
				accountable for the use of the rubber-stamp signature or electronic
				signature;
5. A participant's
				medical record is available to an individual:
a. Authorized according to policies and
				procedures to access the participant's medical record;
b. If
				the individual is not authorized according to policies and procedures, with the
				written consent of the participant or the participant's representative;
				or
c. As permitted by law;
				and
6. A participant'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 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1411 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that counseling is:
1. Offered as described in the substance
				abuse transitional facility's scope of services,
2. Provided according to the frequency and
				number of hours identified in the participant's assessment, and
3. Provided by a behavioral health
				professional.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1412 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. If a
				facility provides medication administration or assistance in the
				self-administration of medication, an administrator shall ensure that policies
				and procedures for medication services:
1.
				Include:
a. A process for providing
				information to a participant about medication prescribed for the participant
				including:
i. The prescribed medication's
				anticipated results,
ii. The
				prescribed medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1413 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. If a
				substance abuse transitional facility has a licensed capacity of more than 10
				participants:
a. Food services are provided
				in compliance with 9 A.A.C. 8, Article 1; and
b. A copy of the
				substance abuse transitional facility's food establishment license or permit
				required according to subsection (A)(1) is maintained;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1414 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator shall ensure that:
1. An
				evacuation drill for employees and participants on the premises is conducted at
				least once every six months on each shift;
2. Documentation of each evacuation drill is
				created, is maintained for at least 12 months after the date of the evacuation
				drill, and includes:
a. The date and time of
				the drill;
b. The amount of time
				taken for all employees and participants to evacuate the substance abuse
				transitional facility;
c. Any
				problems encountered in conducting the drill; and
d. Recommendations for improvement, if
				applicable;
3. An
				evacuation path is conspicuously posted on each hallway of each floor of the
				facility;
4. A disaster plan is
				developed, documented, maintained in a location accessible to personnel
				members, and, if necessary, implemented that includes:
a. When, how, and where participants will be
				relocated;
b. How a participant's
				medical record will be available to individuals providing services to the
				participant during a disaster;
c. A
				plan to ensure a participant's medication will be available to administer to
				the participant during a disaster; and
d. A plan for obtaining food and water for
				individuals present in the substance abuse transitional facility or the
				substance abuse transitional facility's relocation site during a
				disaster;
5. The
				disaster plan required in subsection (A)(4) is reviewed at least once every 12
				months;
6. Documentation of a
				disaster plan review required in subsection (A)(5) is created, is maintained
				for at least 12 months after the date of the disaster plan review, and
				includes:
a. The date and time of the disaster
				plan review;
b. The name of each
				employee or volunteer participating in the disaster plan review;
c. A critique of the disaster plan review;
				and
d. If applicable,
				recommendations for improvement; and
7. A disaster drill for employees is
				conducted on each shift at least once every three months and documented.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1416 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that a substance abuse transitional facility has:
1. A fire alarm system installed according to
				the National Fire Protection Association 72: National Fire Alarm and Signaling
				Code, incorporated by reference in R9-10-104.01, that is in working order; and
				a sprinkler system installed according to the National Fire Protection
				Association 13 Standard for the Installation of Sprinkler Systems, incorporated
				by reference in R9-10-104.01, that is in working order; or
2. An alternative method to ensure
				participant safety that is documented and approved by the local
				jurisdiction.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 14 - SUBSTANCE ABUSE TRANSITIONAL FACILITIES › Section R9-10-1417 - Renumbered

Current through Register Vol. 30, No. 28, July 12, 2024
The following Article was adopted under an exemption from
					 the provisions of the Administrative Procedure Act pursuant to Laws 1999, Ch.
					 311, which means these rules were not reviewed by the Governor's Regulatory
					 Review Council or approved by the Attorney General's
					 Office.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1501 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §§ 36-401,
				  36-449.01, 36-449.03, 36-2151, 36-2158, and 36-2301.01 and
				  R9-10-101, the
				  following definitions apply in this Article, unless otherwise specified:
1. "Admitting
				privileges" means permission extended by a hospital to a physician to allow
				admission of an individual as an inpatient, as defined in
				R9-10-201:
a. By the patient's own physician,
				or
b. Through a written agreement
				between the patient's physician and another physician that states that the
				other physician has permission to personally admit the patient to a hospital in
				this state and agrees to do so.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1502 - Application and Documentation Submission Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant shall submit an application
				for licensure that meets the requirements in A.R.S. §
									36-422
				and 9 A.A.C. 10, Article 1.
B. A
				licensee shall submit to the Department the documentation required according to
				A.R.S. §
									36-449.02(B)
				 with the applicable fees required in
				R9-10-106(C).
The following Exhibit was adopted and subsequently repealed
					 under an exemption from the provisions of the Administrative Procedure Act,
					 which means that this rule was not reviewed by the Governor's Regulatory Review
					 Council; the Department did not submit notice of proposed rulemaking to the
					 Secretary of State for publication in the Arizona Administrative Register; the
					 Department was not required to hold public hearings on the rule; and the
					 Attorney General has not certified this
					 rule.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Exhibit A

Current through Register Vol. 30, No. 28, July 12, 2024
The following Section was adopted under an exemption from
					 the provisions of the Administrative Procedure Act, which means these rules
					 were not reviewed by the Governor's Regulatory Review Council or approved by
					 the Attorney General's Office.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1503 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee is
				responsible for the organization and management of an abortion
				clinic.
B. A licensee shall:
1. Adopt policies and procedures for the
				administration and operation of an abortion clinic;
2. Designate a medical director who:
a. Is licensed according to A.R.S. Title 32,
				Chapter 13, 17, or 29; and
b. May
				be the same individual as the licensee;
3. Ensure the following documents are
				conspicuously posted on the premises:
a.
				Current abortion clinic license issued by the Department,
b. Current telephone number and address of
				the unit in the Department responsible for licensing the abortion
				clinic,
c. Evacuation map,
				and
d. Signs that comply with
				A.R.S. §
											36-2153(H);
				and
4. Except as
				specified in
				R9-10-1512(D)(4),
				ensure that documentation required by this Article is provided to the
				Department within two hours after a Department request.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1504 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
A medical director shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to patients;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to patient
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to patient care; and
e. The frequency of submitting a documented
				report required in subsection (2) to the licensee;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1505 - Incident Reporting

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				licensee shall ensure that the Department is notified of an incident as
				follows:
1. For the death of a patient,
				verbal notification the next working day;
2. For a fetus delivered alive, verbal
				notification the next working day; and
3. For a serious injury of a patient or
				viable fetus, written notification within 10 calendar days after the date of
				the serious injury.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1506 - Personnel Qualifications and Records

Current through Register Vol. 30, No. 28, July 12, 2024
A licensee shall ensure that:
1. A physician who performs an abortion
				demonstrates to the medical director that the physician is competent to perform
				an abortion by:
a. The submission of
				documentation of education and experience, and
b. Observation by or interaction with the
				medical director;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1507 - Staffing Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				licensee shall ensure that there is a sufficient number of patient care staff
				members and employees to:
1. Meet the
				requirements of this Article,
2.
				Ensure the health and safety of a patient, and
3. Meet the needs of a patient based on the
				patient's medical evaluation.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1508 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A licensee shall ensure that a patient is afforded the
				  following rights, and is informed of these rights:
1. To refuse treatment, or withdraw consent
				for treatment;
2. To have medical
				records kept confidential; and
3.
				To be informed of:
a. Billing procedures and
				financial liability before abortion services are provided;
b. Proposed medical or surgical procedures,
				associated risks, possible complications, and alternatives;
c. Counseling services that are provided on
				the premises;
d. The right to
				review the ultrasound results with a physician, a physician assistant, a
				registered nurse practitioner, or a registered nurse before the abortion
				procedure; and
e. The right to
				receive a print of the ultrasound image.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1509 - Abortion Procedures

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				medical director shall ensure that a medical evaluation of a patient is
				conducted before the patient's abortion is performed that includes:
1. A medical history including:
a. Allergies to medications, antiseptic
				solutions, or latex;
b. Obstetrical
				and gynecological history;
c. Past
				surgeries;
d. Medication the
				patient is currently taking; and
e.
				Other medical conditions;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1510 - Patient Transfer and Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. A medical director shall ensure that:
1. For a patient:
a. A patient is transferred to a hospital for
				an emergency involving the patient;
b. A patient transfer
				is documented in the patient's medical record; and
c. Documentation of a
				medical evaluation, treatment provided, and laboratory and diagnostic
				information is transferred with a patient; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1511 - Medications and Controlled Substances

Current through Register Vol. 30, No. 28, July 12, 2024
A medical director shall ensure that:
1. The abortion clinic complies with the
				requirements for medications and controlled substances in A.R.S. Title 32,
				Chapter 18, and A.R.S. Title 36, Chapter 27;
2. A medication is administered in compliance
				with an order from a physician, physician assistant, registered nurse
				practitioner, or as otherwise provided by law;
3. A medication is administered to a patient
				or to a viable fetus by a physician or as otherwise provided by law;
4. Medications and controlled substances are
				maintained in a locked area on the premises;
5. Only personnel designated by policies and
				procedures have access to the locked area containing medications and controlled
				substances;
6. Expired, mislabeled,
				or unusable medications and controlled substances are disposed of according to
				policies and procedures;
7. A
				medication error or an adverse reaction, including any actions taken in
				response to the medication error or adverse reaction, is immediately reported
				to the medical director and licensee, and recorded in the patient's medical
				record;
8. Medication information
				for a patient is maintained in the patient's medical record and contains:
a. The patient's name, age, and
				weight;
b. The medications the
				patient is currently taking;
c.
				Allergies or sensitivities to medications, antiseptic solutions, or latex;
				and
d. If medication is administered to the patient:
i. The
				date and time of administration;
ii. The name, strength,
				dosage form, amount of medication, and route of administration; and
iii.
				The identification and signature of the individual administering the
				medication; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1512 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee
				shall ensure that
a medical record is
				  established and maintained for a patient that contains:
1. Patient
				identification including:
a. The patient's name, address, and date of
				birth;
b. The designated patient's representative, if
				applicable; and
c. The name and telephone number of an individual to
				contact in an emergency;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1513 - Environmental and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A licensee shall ensure that:
1. The premises:
a. Provide lighting and ventilation to ensure
				the health and safety of a patient,
b. Are maintained in a clean
				condition,
c. Are free from a
				condition or situation that may cause a patient to suffer physical
				injury,
d. Are maintained free from
				insects and vermin, and
e. Are
				smoke-free;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1514 - Equipment Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A licensee shall ensure that:
1. Equipment and supplies are maintained in
				a:
a. Clean condition, and
b. Quantity sufficient to meet the needs of
				patients present in the abortion clinic;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 15 - ABORTION CLINICS › Section R9-10-1515 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				licensee shall ensure that an abortion clinic complies with all local building
				codes, ordinances, fire codes, and zoning requirements. If there are no local
				building codes, ordinances, fire codes, or zoning requirements, the abortion
				clinic shall comply with the applicable codes and standards incorporated by
				reference in A.A.C.
				R9-1-412
				that were in effect on the date the abortion clinic's architectural plans and
				specifications were submitted to the Department for approval.
B. A licensee shall ensure that an abortion
				clinic provides areas or rooms:
1. That
				provide privacy for:
a. A patient's
				interview, medical evaluation, and counseling;
b. A patient to dress; and
c. Performing an abortion
				procedure;