reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.100 - Scope

Current through May 31, 2024
The provisions of
					 7 AAC 12.100 -
					 7 AAC 12.190 apply to general acute care hospitals, that
					 provide the services described in
					 7 AAC 12.105(a), rural primary care
					 hospitals that provide the services described in
					 7 AAC 12.102, long-term acute care hospitals that
					 provide the services described in
					 7 AAC 12.103, and critical access hospitals that provide
					 the services described in
					 7 AAC 12.104. The department will consider all four
					 types as hospitals under
					 7 AAC 12.100 -
					 7 AAC 12.190.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.102 - Determination of rural primary care hospital

Current through May 31, 2024
(a) The department
				  will consider a facility as a rural primary care hospital if the department
				  finds that the facility
(1) provides
				  inpatient hospitalization for medical care of acute illness or
				  injury;
(2) has no more than 25
				  acute care beds;
(3) is located in
				  a rural area of no more than 15,000 residents, based on the most recent
				  calculations of the United States Bureau of Census; and
(4) does not provide all of the following
				  services:
(A) surgical service;
(B) anesthesia service;
(C) perinatal care;
(D) one or more of the following therapies:
(i) speech therapy;
(ii) occupational therapy;
(iii) physical therapy.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.103 - Determination of long-term acute care hospital

Current through May 31, 2024
The department will consider a facility as a long-term
					 acute care hospital if the department finds that the facility
(1) provides inpatient hospitalization for
				  medical care of acute illness or injury for patients who have complex medical
				  conditions and require long-term acute care;
(2) is located in close proximity to a
				  general acute care hospital;
(3)
				  meets the applicable requirements of
				  7 AAC 12.100 -
				  7 AAC 12.190 and
				  7 AAC 12.600 -
				  7 AAC 12.990;
(4) provides all of the services described in
				  7 AAC 12.105(c); and
(5) does not provide any of the following
				  services:
(A) surgical service;
(B) anesthesia service;
(C) outpatient services;
(D) perinatal care;
(E) emergency services.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.104 - Determination of critical access hospital

Current through May 31, 2024
(a) The department
				  will consider a facility as a critical access hospital if the department finds
				  that the facility
(1) provides inpatient
				  short-term hospitalization for medical care of acute illness or
				  injury;
(2) has no more than 25
				  inpatient beds;
(3) is located in a
				  rural area of no more than 15,000 residents, based on the most recent
				  calculations of the United States Bureau of Census; and
(4) meets the applicable requirements of
				  7 AAC 12.100 -
				  7 AAC 12.190 and
				  7 AAC 12.600 -
				  7 AAC 12.990.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.105 - Services required

Current through May 31, 2024
(a) A general acute care hospital must
				  provide surgical, anesthesia, perinatal, medical, nursing, pharmaceutical,
				  dietetic, laundry, medical records, radiological, laboratory, and emergency
				  care services. A general acute care hospital must also provide speech,
				  occupational, or physical therapy services.
(b) A rural primary care hospital or a
				  critical access hospital must provide the services described in (a) of this
				  section, except that the provision of surgical, anesthesia, perinatal, speech,
				  occupational therapy, or physical therapy services is optional.
(c) A long-term acute care hospital must
				  provide medical, nursing, pharmaceutical, dietetic, occupational therapy,
				  physical therapy, laundry, medical records, radiological, social work,
				  respiratory, and laboratory services.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.110 - Medical staff

Current through May 31, 2024
(a) A general acute care hospital, a rural
				  primary care hospital, a long-term acute care hospital, or a critical access
				  hospital shall have a medical staff.
(b) The medical staff shall organize and
				  adopt, with the approval of the facility's governing body, bylaws and rules
				  that provide for
(1) eligibility for medical
				  staff membership, and recommending appointments to the governing
				  body;
(2) appointment of
				  committees, including executive, credentials, medical records, tissue and
				  transfusion, infection control, pharmacy and therapeutics, and utilization
				  review committees, that shall keep written minutes of each committee meeting,
				  including committee activities and recommendations;
(3) election of officers, including a chief
				  of staff; and
(4) quarterly
				  meetings, with minutes and records of attendance to be maintained for at least
				  five years.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.120 - Surgical service

Current through May 31, 2024
(a) A registered nurse with knowledge and
				  experience in surgical techniques and procedures must have supervisory
				  responsibility for the surgical suite and, in cooperation with the surgical
				  committee of the medical staff, if the hospital has one, and the infection
				  control committee, establish policies and procedures for the surgical
				  service.
(b) A list of which
				  surgical privileges are held by individual members of the medical staff must be
				  available in the surgical suite for reference by the supervisor.
(c) Before a surgical procedure begins,
				  either the surgeon or the person responsible for administering anesthesia, and
				  the surgical supervisor or his designee shall confirm the patient's identity
				  and the site and side of the body to be operated upon, and ascertain that the
				  patient's medical record contains a complete history and physical examination
				  for the current admission, appropriate current screening tests based on the
				  needs of the patient, and signed informed consent for the surgery. In the case
				  of an emergency, the history and physical examination requirements are
				  waived.
(d) A daily register of
				  operations must be maintained.
(e)
				  Emergency equipment, including thoracotomy and tracheotomy sets and a
				  defibrillator, must be available in the surgical suite area when surgery is
				  being performed.
(f) As determined
				  by medical staff under
				  7 AAC 12.110(c) (9), anatomical parts,
				  tissues, and foreign objects which have been removed by operation, must be
				  referred to a pathologist designated by the hospital. A report of the
				  pathologist's findings must be filed in the patient's medical record.
(g) A registered nurse must be present to
				  circulate for each surgical procedure.
(h) A rural primary care hospital or a
				  critical access hospital must meet the standards set out in
				  7 AAC 12.130 if its governing body elects to offer
				  surgical service.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.130 - Anesthesia service

Current through May 31, 2024
(a) A general acute care hospital must have
				  an anesthesia service. A physician must have overall responsibility for
				  supervision of the anesthesia service.
(b) Anesthesia care may be provided only by a
				  physician or dentist with anesthesia privileges, a registered nurse
				  anesthetist, or an appropriately supervised trainee in an educational program
				  approved by the department.
(c) An
				  anesthesia staff member shall be available or on call at all times.
(d) Anesthesia procedures developed by an
				  anesthetist or anesthesiologist must provide for written documentation of the
				  following:
(1) visits to a patient by an
				  anesthetist or anesthesiologist before and after the patient has been
				  administered an anesthesia; the post-anesthesia evaluation of a patient may be
				  completed and documented by any individual described in (b) of this section and
				  qualified to administer anesthesia;
(2) the choice of anesthesia;
(3) the surgical procedure and presence or
				  absence of complications;
(4) a
				  record of events during the induction, maintenance and emergence from
				  anesthesia; and
(5) the amount and
				  duration of anesthetic agents, other drugs, intravenous fluids and blood or
				  blood products administered.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.140 - Critical care service

Current through May 31, 2024
(a) If a hospital has a critical care
				  service, a physician must have overall responsibility for the medical
				  supervision of it.
(b) A registered
				  nurse with education and experience in critical care nursing must also be
				  responsible for supervision and operation of the service.
(c) Written criteria for determining patient
				  admissions and discharge must be approved by the medical staff or, if the
				  hospital has one, the critical care service committee.
(d) Emergency equipment and supplies, as
				  determined by the medical staff or critical care service committee if the
				  hospital has one, must be readily available.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.150 - Perinatal service

Current through May 31, 2024
(a) A general acute care hospital must offer
				  perinatal services that include either
(1) an
				  intensive care newborn nursery and other hospital facilities capable of
				  treating the mother if problems arise that are beyond the normal capability of
				  the perinatal service unit; or
(2)
				  arrangements for consultation with a perinatal service unit at another hospital
				  that has the capabilities described in (a)(1) of this section and the transfer
				  of an infant or mother to that unit when necessary; the arrangements must
				  include, at a minimum, the ability to immediately contact the other hospital by
				  telephone or radio, and the ability to immediately obtain transportation for
				  the mother or infant by the fastest method available.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.160 - Psychiatric service

Current through May 31, 2024
(a) If a hospital has a psychiatric service,
				  the psychiatric service must adopt a policy which provides for regular
				  in-service training of the staff in methods of care for persons who are
				  mentally ill.
(b) Standards for the
				  care of persons who are mentally ill must be developed by mental health
				  professionals, approved by the medical staff, and be made readily available to
				  patient care personnel.
(c)
				  Beginning January 1, 1995, a hospital that is not a specialized hospital as
				  described in
				  7 AAC 12.200 must meet the requirements of
				  7 AAC 12.215(b) - (g) if it offers
				  inpatient psychiatric services in addition to those needed to provide a 72
				  evaluation under
				  AS
				  47.30.700-47.30.915.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.170 - Respiratory therapy service

Current through May 31, 2024
(a) If a hospital
				  has a respiratory therapy service, the respiratory therapy service must apply
				  central service standards established in
				  7 AAC 12.730 in decontamination and processing of
				  supplies and equipment.
(b) A
				  physician must have overall responsibility for the medical supervision of the
				  respiratory therapy service.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.180 - Long-term care service

Current through May 31, 2024
If a hospital provides long-term care service, the service
					 must also comply with
					 7 AAC 12.250 -
					 7 AAC 12.290. The requirements of this section do not
					 apply to a long-term acute care hospital.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals › 7 AAC 12.190 - Designation of critical access hospital under medicare

Current through May 31, 2024
(a) The department
				  will designate a hospital that is licensed under this chapter as a critical
				  access hospital under Medicare if the hospital meets the conditions of
				  participation set out at 42
				  C.F.R. 485.601 -  42 C.F.R. 485.645, as
				  amended through July 1, 1999 and adopted by reference, and the requirements of
				  this section.
(b) To be eligible
				  for designation as a critical access hospital under Medicare, a hospital must
				  satisfy the criteria set out at
				  42 U.S.C.
				  1395 i - 4(c)(2)(B) and hold a license under
				  7 AAC 12 as a hospital. An eligible hospital that wishes to be designated as a
				  critical access hospital under Medicare must submit to the department
(1) an application on a form provided by the
				  department;
(2) a description of
				  the area served by the applicant;
(3) a community needs assessment analyzing
				  the availability and utilization of health care services in the applicant's
				  service area, including acute care, primary care, and emergency services, and a
				  discussion of how operating as a critical access hospital under Medicare will
				  better serve community needs;
(4)
				  the applicant's plan for the delivery of health services within the applicant's
				  service area;
(5) a financial
				  feasibility study that analyzes the financial impact on the applicant of
				  operating as a critical access hospital under Medicare, taking into account
				  relevant operational factors, including changes in utilization, services,
				  staffing, and Medicare reimbursement;
(6) a community education plan that describes
				  the steps that have been or will be taken to educate and involve the residents
				  of the service area in the decision to operate as a critical access hospital
				  under Medicare;
(7) an emergency
				  services plan that coordinates the provision of emergency medical services in
				  the applicant's service area;
(8) a
				  description of the volume capacity of the applicant and other related health
				  care resources within the applicant's service area;
(9) the distance and travel time to other
				  health care resources within the applicant's service area; and
(10) identification of barriers to accessing
				  health care in the applicant's service area.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 4 - Specialized Hospitals › 7 AAC 12.200 - Scope

Current through May 31, 2024
A hospital which is primarily engaged in the treatment of
					 one specific type of illness or disability is a specialized hospital, and must
					 comply with
					 7 AAC 12.200 -
					 7 AAC 12.210 and the applicable provisions of
					 7 AAC 12.215 -
					 7 AAC 12.225.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 4 - Specialized Hospitals › 7 AAC 12.205 - Services required

Current through May 31, 2024
A hospital described in
					 7 AAC 12.200 must provide nursing, dietetic, medical
					 record, and pharmaceutical services on site. Radiological, laboratory, and
					 social services must be provided by the hospital either on site or by
					 contract.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 4 - Specialized Hospitals › 7 AAC 12.210 - Medical staff

Current through May 31, 2024
(a) A hospital described in
				  7 AAC 12.200 must have a medical staff.
(b) The medical staff shall organize and
				  adopt, with the approval of the governing body, bylaws and rules which provide
				  for
(1) eligibility for medical staff
				  membership, and recommending appointments to the governing body;
(2) appointment of committees, including
				  executive, credentials, medical records, tissue and transfusion, infection
				  control, pharmacy and therapeutics, and utilization review committees, which
				  shall keep written minutes of their meetings, including committee activities
				  and recommendations; and
(3)
				  election of officers, including a chief of staff, and quarterly meetings, with
				  minutes and records of attendance to be maintained for at least five
				  years.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 4 - Specialized Hospitals › 7 AAC 12.215 - Psychiatric hospitals

Current through May 31, 2024
(a) A hospital which is primarily engaged in
				  providing to inpatients psychiatric services for the diagnosis and treatment of
				  mental illness is a psychiatric hospital and must comply with the provisions of
				  this section.
(b) A psychiatric
				  hospital must have the following minimum staff and on-site services, in
				  addition to those required by
				  7 AAC 12.205:
(1) a
				  medical service, supervised by a physician;
(2) a psychiatric service, supervised by a
				  psychiatrist;
(3) a psychological
				  service, which includes one or more psychologists employed on a full-time,
				  regular part-time, or consulting basis;
(4) a social work service which includes one
				  or more social workers employed on a full-time, part-time or consulting basis,
				  under the direction of the medical staff;
(5) a nursing service, under the direction of
				  a registered nurse who has the following qualifications:
(A) a master's degree in psychiatric nursing
				  or a related field with one year of experience in nursing administration;
				  or
(B) a baccalaureate degree in
				  nursing with 2 years of experience in psychiatric nursing and two years of
				  experience in nursing administration; and
(6) sufficient registered nursing personnel
				  to give direct nursing care, and to plan, supervise, and coordinate care given
				  by other mental health workers.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 4 - Specialized Hospitals › 7 AAC 12.220 - Substance abuse hospitals

Current through May 31, 2024
(a) A hospital or
				  unit of a hospital which is operated for the primary purpose of treatment of
				  alcoholism or substance abuse through an integrated program of medical,
				  psychological, and social evaluation and services, and in which the major
				  portion of the required evaluation and services is furnished within the
				  facility is a substance abuse hospital, and must comply with the provisions of
				  this section.
(b) A substance abuse
				  hospital must have written policies, which are available to the public upon
				  request, regarding admission criteria and treatment methods.
(c) A substance abuse hospital must provide
				  the following medical staff and services in addition to those required by
				  7 AAC 12.205:
(1)
				  continuous supervision during the detoxification process by a physician or by
				  registered nurse under the direct supervision of a physician;
(2) supervision by a physician or by a
				  registered nurse under the direct supervision of a physician during the
				  diagnosis and treatment of medical and psychiatric illnesses derived from or
				  associated with substance abuse;
(3) a social or psychological evaluation that
				  includes the drinking or substance abuse history of the patient, and a
				  determination of current mental and emotional state, cultural background,
				  vocational history, familial relationships, educational background,
				  socio-economic status, and a descriptive inventory of the patient's
				  assets;
(4) a medical
				  evaluation;
(5) an individualized
				  treatment plan that is based upon the social or psychological and medical
				  evaluations, and which
(A) includes short- and
				  long-term treatment goals, and estimated duration of treatment and a discharge
				  plan; and
(B) is, whenever
				  practicable, developed with the participation of the patient;
(6) organized therapeutic
				  activities, developed with consideration for the interests and needs of the
				  patients; and
(7) an area in which
				  patients can meet with outside community service providers and other program
				  personnel who assist in fulfilling the goals and objectives of the treatment
				  plan.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 4 - Specialized Hospitals › 7 AAC 12.225 - Rehabilitation hospitals

Current through May 31, 2024
(a) A
				  rehabilitation hospital or unit of a hospital that is operated primarily for
				  the purpose of assisting in the restoration of persons with physical
				  disabilities, communication, language, or self-image disorders, through an
				  integrated program of medical, psychological, social, and vocational evaluation
				  and services, and in which the major portion of the evaluation and services is
				  furnished within the facility, is a rehabilitation hospital and must comply
				  with the provisions of this section.
(b) A rehabilitation hospital must provide,
				  in addition to services required in
				  7 AAC 12.205, physical therapy and occupational therapy
				  services.
(c) A physician who is
				  certified by the American Board of Physical Medicine and Rehabilitation must
				  have responsibility for the general direction and supervision of the medical
				  services provided and the coordination of all services provided.
(d) An inpatient must be under the care of a
				  member of the medical staff.
(e) A
				  patient at a rehabilitation hospital must receive a written evaluation,
				  testing, and an individualized treatment plan, which includes short- and
				  long-term goals, the estimated duration of treatment, and a discharge plan.
				  When practicable, the individualized treatment plan must be developed with the
				  participation of the patient.
(f)
				  Staff members who are involved in the care of a patient shall hold a patient
				  care review conference as often as needed to coordinate rehabilitation and
				  medical services provided to the patient. The treatment plan and goals must be
				  reevaluated periodically, based on a reassessment of the patient's status
				  within 7 to 14 calendar days of the initial assessment, and within 7 to 14
				  calendar days of each subsequent reassessment unless, in the treating
				  physician's discretion, a subsequent reassessment is deferred beyond 14
				  calendar days. If the treating physician determines that a subsequent
				  reassessment is to be deferred beyond 14 calendar days, the basis for that
				  determination must be included in the patient's medical record.
(g) Patient participation in a treatment
				  plan, and any involvement by the patient's family in that plan, must be
				  recorded in the patient's medical record.
With Register 179, October 2006 and under the authority
						of AS
						44.62.125, the regulations attorney changed
						obsolete terminology concerning persons with disabilities in conformity with
						ch. 25, SLA 2006.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.250 - Scope

Current through May 31, 2024
A facility that is not an acute care hospital and that
					 provides nursing care and related medical services over a period of 24 hours
					 each day to individuals admitted because of illness, disease, or physical
					 infirmity is a nursing facility, and must comply with
					 7 AAC 12.250 -
					 7 AAC 12.290.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.255 - Services required

Current through May 31, 2024
A nursing facility must provide nursing, pharmaceutical,
					 either physical or occupational therapy, social work services, therapeutic
					 recreational activities, dietetic, central supply, laundry, housekeeping,
					 laboratory and radiological services.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.256 - Admissions

Current through May 31, 2024
The nursing facility must have written policies and
					 procedures to ensure admissions of only those individuals whose needs can be
					 met by the nursing facility directly or in cooperation with community
					 resources.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.258 - Use of restraints or psychoactive drugs

Current through May 31, 2024
(a) In addition to
				  the rights of patients specified in
				  7 AAC 12.890, residents of nursing facilities have the
				  right to be free from physical restraints imposed or psychoactive drugs
				  administered for purposes of discipline or convenience and that are not
				  required to treat the resident's medical symptoms.
(b) A resident's medical records must contain
				  evidence of consultation with appropriate health professionals, such as
				  occupational or physical therapists, in the use of less restrictive supportive
				  devices before using physical restraints. The record must also contain evidence
				  of an interdisciplinary team's identification of less restrictive approaches to
				  be used before or in conjunction with the use of psychoactive drugs.
(c) If, after a trial period of less
				  restrictive measures, a nursing facility decides that a physical restraint or
				  psychoactive drug would enable and promote greater functional or social
				  independence, the nursing facility must explain the use of the restraint or
				  psychoactive drug to the resident, before its use. If the resident has a legal
				  representative, the explanation must also be given to the resident's legal
				  representative, before its use. The explanation must include a description of
				  the risks and benefits of the use of the restraint or drug.
(d) Approval of the use of a restraint or
				  psychoactive drug by a resident, or legal representative must precede its use,
				  except in the case of a medical emergency in which there is a risk of harm to
				  the resident or others. The approval, or the circumstances of the emergency,
				  must be documented in the resident's medical records at the nursing
				  facility.
(e) A resident's medical
				  records must contain evidence of an interdisciplinary team's periodic
				  reassessment of the restraint or psychoactive drug to determine its
				  effectiveness and appropriateness for continued use.
(f) A nursing home must also meet the
				  requirements at 42 C.F.R.
				  483.10,
				  483.12,
				  483.13, and
				  483.15, as amended July 1, 1991,
				  regardless of whether the nursing home is certified to receive medicaid
				  payments under
				  7 AAC 43.170.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.260 - Medical director

Current through May 31, 2024
A medical director who is employed by or is a consultant to
					 the nursing facility shall
(1) place a
				  resident under the care of a physician;
(2) ensure that the use of an investigational
				  drug is properly supervised by a member of the medical staff, that an informed
				  consent form provided by the sponsoring company or agency is used, and that
				  complete records on the drug, including protocol and side effects, are
				  maintained; and
(3) supervise the
				  infection control and employee health programs.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.265 - Physician services

Current through May 31, 2024
(a) Physicians shall review, recap, and sign
				  orders for nursing facility residents at least once every 60 days.
(b) A physician shall visit nursing facility
				  residents and make a notation in each resident's medical record of the
				  resident's status every 30 days for the first 90 days, and after that, every 60
				  days. If the condition of a resident warrants more frequent visits, a physician
				  shall visit a resident as often as necessary.
(c) A nursing facility shall ensure that a
				  physician personally approves a recommendation in writing that an individual be
				  admitted. Each resident shall remain under the care of a physician and shall be
				  provided care that is consistent with the plan of care, comprehensive
				  assessment, and needs of the resident.
(d) A nursing facility shall ensure that
(1) the medical care of each resident is
				  supervised by a physician who assumes the principal obligation and
				  responsibility to manage the resident's medical condition and who agrees to
				  visit the resident as often as necessary to address the resident's medical care
				  needs;
(2) another physician will
				  supervise the medical care of the resident when the resident's attending
				  physician is unavailable; and
(3)
				  the medical director is informed of the results of all department surveys
				  related to medical service deficiencies and is involved in resolving such
				  problems.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.270 - Staff duties

Current through May 31, 2024
(a) The nursing facility staff shall
				  encourage and assist residents to achieve and maintain their highest level of
				  self-care and independence. A registered nurse, in conjunction with an
				  interdisciplinary team, shall, within 14 days of admission of a resident,
				  ensure completion of the comprehensive resident assessment instrument approved
				  by the department. The assessment shall be reviewed by the nurse and
				  interdisciplinary team no less frequently than quarterly and the plan of care
				  revised as necessary. A reassessment shall be completed, by the nurse and
				  interdisciplinary team, after any major permanent change in condition of the
				  resident, but no less frequently than annually.
(b) The nursing facility staff shall give
				  residents the necessary care to prevent pressure ulcers, contractures, and
				  deformities.
(c) The nursing
				  facility staff shall implement procedures to prevent and reduce incontinence of
				  residents. These procedures must include
(1)
				  a written assessment by a registered nurse within two weeks after admission of
				  an incontinent resident's ability to participate in a bowel or bladder training
				  program;
(2) an individualized
				  bowel or bladder training plan for each resident, as appropriate; and
(3) a monthly written summary of a resident's
				  performance in the training program.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.275 - Nursing and medical services

Current through May 31, 2024
(a) Except as
				  otherwise specified in this section, a nursing facility must have a registered
				  nurse on duty seven days a week on the day shift and five days a week on the
				  evening shift. A licensed practical nurse must be on duty during all shifts
				  when a registered nurse is not present. A nursing facility must have telephone
				  access to at least one registered nurse at all times and must post the names
				  and phone numbers of those registered nurses at each nurse's station.
(b) A nursing facility with more than 60
				  occupied beds must have two registered nurses on duty during the day shift and
				  one registered nurse on duty during other shifts.
(c) A nursing facility that shares the same
				  building as a hospital must have a registered nurse on duty in the nursing
				  facility seven days a week on the day shift. On the evening and night shift, a
				  licensed practical nurse may serve as charge nurse. However, an on-duty
				  registered nurse from the hospital must be available to make rounds at the
				  nursing facility and to be otherwise available as needed during the evening and
				  night shifts when a licensed practical nurse is serving as charge nurse. A
				  nursing facility with 14 or fewer occupied beds may use an on-duty registered
				  nurse from the hospital to meet the night shift nursing requirement set out in
				  this subsection.
(d) A nursing
				  facility must have a contract for diagnostic services with a laboratory and
				  x-ray provider approved by the department.
(e) A nursing facility must have a contract
				  with a licensed dentist to provide consultation and necessary dental services
				  to residents.
(f) In addition to
				  the requirements of this section, a governing body of a facility must provide
				  resources and personnel as necessary to meet resident needs under
				  7 AAC 12.630(b) (6).
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.280 - Rehabilitation services

Current through May 31, 2024
(a) A nursing
				  facility must provide a program of rehabilitative nursing care that assists
				  each resident to achieve and maintain an optimal level of self-care and
				  independence, as an integral part of the nursing service.
(b) A nursing facility must provide physical,
				  occupational, or speech rehabilitative services for a resident on a full-time,
				  part-time, or consultant basis in accordance with the needs of the
				  resident.
(c) A therapist shall
				  evaluate a resident in accordance with a physician's order. The therapist shall
				  then establish an appropriate treatment program in coordination with medical,
				  nursing, and other rehabilitative personnel.
(d) The therapist shall report on the
				  resident's progress to the attending physician within two weeks after
				  initiation of rehabilitative services. After that report, the therapist shall
				  reevaluate and note in the resident's medical record the resident's status and
				  treatment plan every 30 days in the case of a resident receiving active
				  rehabilitation and at least every 90 days for other residents.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.285 - Activity program

Current through May 31, 2024
A nursing facility must provide an activity program that is
					 available to all residents and encourages each resident to attain and maintain
					 function at the highest practicable level. The program must address the
					 intellectual, social, spiritual, creative, cultural, and physical needs,
					 capabilities, and interests of each resident. Also, the program must encourage
					 self-determination and well-being of the residents. If a physician finds a
					 resident as medically able to participate in an activity program, that finding
					 and any conditions of the resident's participation or contra-indications to
					 that participation must be noted in the resident's record at the nursing
					 facility. The activity program coordinator, with an interdisciplinary team,
					 shall develop the resident's individual activity program. The activity program
					 coordinator shall consult as necessary with an occupational or recreational
					 therapist, unless the activity program coordinator meets the requirements of
					 42 C.F.R.
					 483.15(f)(2), revised as of
					 October 1, 1991.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 5 - Nursing Facilities › 7 AAC 12.290 - Drug regimen review

Current through May 31, 2024
(a) A pharmacist must review each resident's
				  prescribed drug regimen once every 30 days, make recommendations, note the
				  possibilities or absence of problems irregularities, or clinically significant
				  results or consequences with the prescribed drug regimen, and report potential
				  problems and concerns to the physician and the director of nursing. Reports of
				  potential problems and concerns shall be acted upon promptly. The nursing
				  facility shall provide for more frequent drug regimen reviews by a pharmacist,
				  if a resident's condition requires them.
(b) A potential problem or concern reported
				  under (a) of this section shall be reviewed in accordance with the risk
				  management program under
				  7 AAC 12.860.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 6 - Intermediate Care Facilities for the Mentally Retarded › 7 AAC 12.300 - Scope

Current through May 31, 2024
A facility which operates primarily for the purpose of
					 providing for the diagnosis, treatment or habilitation of persons who are
					 mentally retarded or have related conditions and which provides, in a protected
					 residential setting, individualized ongoing evaluation and planning,
					 supervision 24 hours a day, and coordination of health and habilitation
					 services to help each individual reach maximum functioning capability is an
					 intermediate care facility for the mentally retarded.
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 6 - Intermediate Care Facilities for the Mentally Retarded › 7 AAC 12.305 - Services required

Current through May 31, 2024
(a) An intermediate care facility for the
				  mentally retarded is exempt from the requirements of
				  7 AAC 12.600 -
				  7 AAC 12.990, except for
				  7 AAC 12.610,
				  7 AAC 12.620,
				  7 AAC 12.650,
				  7 AAC 12.760,
				  7 AAC 12.860,
				  7 AAC 12.900 -
				  7 AAC 12.990.
(b) An intermediate care facility for the
				  mentally retarded must comply with  42 C.F.R. 442.250  -.254 and  42 C.F.R.
				  442.400  -.516 (effective 10/1/81).
Authority:
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 7 - Hospice Agencies › 7 AAC 12.310 - Applicability and purpose of 7 AAC 12.310 - 7 AAC 12.349

Current through May 31, 2024
(a) Except as
				  provided in (b) of this section, and unless the department waives applicability
				  under (e) of this section, the provisions of
				  7 AAC 12.310 -
				  7 AAC 12.349 apply to a public or private entity
				  conducting, maintaining, or operating a hospice program that provides hospice
				  care
(1) where a client lives or
				  stays;
(2) for the treatment of
				  physical, emotional, and mental symptoms of terminal illness; and
(3) that is based on hospice
				  philosophy.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 7 - Hospice Agencies › 7 AAC 12.312 - Licensure

Current through May 31, 2024
(a) Unless the department issues a waiver
				  under 7 AAC 12.310(e),
				  an individual or entity must obtain a license from the department under
				  7 AAC 12.610 and this section if the individual or
				  entity seeks to
(1) conduct, maintain, or
				  operate a hospice agency;
(2)
				  participate in conducting, maintaining, or operating a hospice agency;
				  or
(3) represent that the
				  individual or entity will provide hospice services.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 7 - Hospice Agencies › 7 AAC 12.314 - Inspections

Current through May 31, 2024
(a) The department will inspect each hospice
				  agency, and may inspect each subunit or branch office of a hospice agency,
				  after the initial application as specified in AS 47.32 and
				  7 AAC 12.610, and subsequently as specified in AS 47.32,
				  7 AAC 10.9600 -
				  7 AAC 10.9620, and
				  7 AAC 12.925.
(b) The department will announce in advance
				  any visit conducted in the home of a hospice client. The department will
				  conduct the visit only with the client's permission. The department will
				  consider the client's health in determining whether to visit the client in the
				  home. A client's refusal to permit a home visit by the department does not
				  affect the hospice agency's licensure.
Authority:
AS
						47.32.010
AS 47.32.020
AS 47.32.030
AS 47.32.050
AS 47.32.060
AS 47.32.090
AS 47.32.100
AS
						47.32.110
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 7 - Hospice Agencies › 7 AAC 12.316 - Scope of service: full-service hospice agency

Current through May 31, 2024
(a) A full-service
				  hospice agency shall provide
(1) physician or
				  advanced practice registered nurse services to provide directed medical care
				  that meets the client's medical needs for palliative care and management of
				  terminal illness;
(2) nursing care
				  and services provided by or under the supervision of a registered
				  nurse;
(3) social work services
				  provided in accordance with
				  7 AAC 12.335;
(4) spiritual and emotional counseling
				  services in accordance with
				  7 AAC 12.337 to the client, the client's family, and
				  caregivers if these services are desired during the time the client is
				  receiving hospice care;
(5)
				  bereavement counseling services in accordance with
				  7 AAC 12.337 to the client's family and caregivers after
				  the client's death;
(6) volunteer
				  services in accordance with
				  7 AAC 12.336;
(7) dietary counseling services in accordance
				  with 7 AAC 12.337;
(8) pharmaceutical hospice services in
				  accordance with
				  7 AAC 12.343;
(9) services related to the referral and
				  transfer of clients for laboratory services that are provided by an
				  organization other than the hospice; the referral and transfer services must be
				  provided in accordance with a written plan that delineates available services
				  and the procedures for referring and transferring clients;
(10) services related to the transfer of
				  specimens for laboratory services that are provided by an organization other
				  than the hospice; the transfer services must be provided in accordance with a
				  written plan that delineates available services and the procedures for
				  transferring specimens; and
(11)
				  short-term respite care to the client's family for the relief of the client's
				  daily care.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 7 - Hospice Agencies › 7 AAC 12.317 - Scope of service: volunteer hospice agency

Current through May 31, 2024
(a) Subject to (b)
				  of this section, a volunteer hospice agency shall provide each of, and only,
				  the following services:
(1) direct service
				  volunteers;
(2) spiritual and
				  emotional support services to the client, the client's family, and caregivers
				  if these services are desired during the time the client is receiving hospice
				  care;
(3) supervision, orientation,
				  and training to direct service volunteers and other hospice staff;
(4) bereavement counseling services to assist
				  the client's family and caregivers in coping with grief experienced after the
				  client's death; and
(5) volunteer
				  services in accordance with
				  7 AAC 12.336.