Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.002 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
As used in this rule chapter:
(1) "Accident prevention" means those risk
				management techniques that seek to reduce the frequency and/or severity of
				incidents.
(2) "Accredited
				institution of higher learning" means universities, colleges, community
				colleges and junior colleges which are accredited by an accrediting
				agency.
(3) "Accrediting agency"
				means those accrediting agencies belonging to the Council on Higher Education
				Accreditation.
(4) "Agency" means
				the Agency for Health Care Administration.
(5) "Ambulatory surgical center" means an
				ambulatory surgical center licensed under Chapters 395 and 408, F.S., and Rule
				Chapters 59A-5 and 35, F.A.C.
(6)
				"Basic risk manager" means a person who has a degree, awarded by an accredited
				institution of higher learning, in risk management or insurance.
(7) "Community interrelationships" means
				community networks, liaisons and associations that are necessary to promote
				continuity of care or enhance the delivery of patient care and aid in the
				prevention and control of health care risks.
(8) "Departmental organization and
				management" means the organizational structure, goals, objectives, philosophy,
				policies, procedures, and job descriptions which govern organizational
				operations of the health care risk management program as it functions within
				the licensed health care facility.
(9) "General risk management administration"
				means the establishment, direction and evaluation of procedures, programs and
				other methods to reduce or minimize personal injury and financial losses. The
				term includes management of an incident reporting system and reporting of
				appropriate statistics for hospital and state maintenance.
(10) "Health care administrator" means a
				person who has a masters degree, awarded by an accredited institution of higher
				learning, in health or healthcare administration, healthcare management, or
				other such education which included successful completion of graduate level
				courses in the management and administration of various healthcare
				organizations, health care finance, legal and ethical issues related to
				healthcare, risk management, and health information management.
(11) "Health care facility" or "facility"
				means an ambulatory surgical center or hospital, as defined in subsections (5)
				and (13).
(12) "Health care
				professional" means a physician licensed pursuant to Chapter 458, F.S., an
				osteopath licensed pursuant to Chapter 459, F.S., a chiropractor licensed
				pursuant to Chapter 460, F.S., a podiatrist licensed pursuant to Chapter 461,
				F.S., a pharmacist licensed pursuant to Chapter 465, F.S., a nurse licensed
				pursuant to Chapter 464, F.S., a radiologic technologist certified pursuant to
				Chapter 468, F.S., a respiratory therapist licensed pursuant to Chapter 468,
				F.S., a physical therapist licensed pursuant to Chapter 486, F.S., an
				occupational therapist licensed pursuant to Chapter 468, F.S., and an emergency
				medical technician or paramedic certified pursuant to Chapter 401,
				F.S.
(13) "Hospital" means a
				hospital licensed under Chapters 395 and 408, F.S., and Rule Chapters 59A-3 and
				35, F.A.C.
(14) ICD-10-CM means the
				International Classification of Diseases, 10th Edition, Clinical Modification
				and shall be abbreviated as ICD-10-CM in these rules.
(15) "Incident report" means a factual
				written statement about a particular incident detailing particulars as to time,
				location, all persons directly involved including functional titles, and the
				nature of event including description of injuries. The report shall contain a
				listing of witnesses to the event.
(16) "Incident reporting system" means a
				series of systematized procedures for detecting, reporting, collating,
				analyzing, and summarizing incidents.
(17) "Internal risk management program" means
				the policies and procedures of a health care facility which constitute the
				internal risk management program as defined in Section
				395.0197 or
				641.55, F.S.
(18) "Investigation" or "investigate" means
				the identification, analysis and evaluation of an incident by a risk manager or
				his designee or by a representative of the Agency.
(19) "Licensed health care risk manager"
				means an individual licensed under Section
				395.10974, F.S.
(20) "Medical care" means that care and
				treatment rendered by or under the direction of licensed health care
				professionals.
(21) "Medical
				intervention" means actions of any health care facility or personnel of the
				facility, in the provision of health care.
(22) "Medical terminology" means terms and
				abbreviations most commonly found in medical usage as well as prefixes and
				suffixes which are employed as elements of medical words.
(23) "Patient care" means those services
				provided or rendered to meet the patient's physical, emotional and spiritual
				needs.
(24) "Patient grievance"
				means any complaint by a patient relating to patient care or the quality of
				medical services, except for those matters pertaining to the cost of
				care.
(25) "Personal and social
				care" means those human resources and services which are available to meet the
				individual psychosocial needs of patients to promote well-being and continuity
				of care.
(26) "Personnel" for
				purposes of this rule means any employee or independent contractor of a
				facility or member of a facility's medical staff.
(27) "Personnel directly involved" for the
				purposes of reporting to the Agency means personnel as described in subsection
				(26) who could exercise control over the event which is reportable as an
				adverse or untoward incident.
(28)
				"Risk management" means the identification, investigation, analysis, and
				evaluation of risks and the selection of the most advantageous method of
				correcting, reducing or eliminating identifiable risks.
(29) "Risk Manager designee" means any person
				appointed by the facility to work with the licensed health care risk manager or
				to act as his representative in carrying out risk management activities. This
				appointment must be in writing.
Rulemaking Authority 395.0197, 395.1073 FS. Law Implemented
					 395.0197 FS.
New 8-28-79, Formerly 10D-75.02, Amended 3-25-86, 12-28-89,
					 Formerly 10D-75.002, Amended 9-16-92,
					 8-2-16.