reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1015 - Clinical Laboratory Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide clinical laboratory services shall ensure that:
1. If clinical laboratory services are
				provided on the premises or at another location, the clinical laboratory
				services are provided by a laboratory that holds a certificate of
				accreditation, certificate of compliance, or certificate of waiver issued by
				the U.S. Department of Health and Human Services under the Clinical Laboratory
				Improvement Act of 1967,
				42 U.S.C.
				263 a, as amended by Public Law 100-578,
				October 31, 1988; and
2. A clinical
				laboratory test result is documented in a patient's medical record including:
a. The name of the clinical laboratory
				test;
b. The patient's
				name;
c. The date of the clinical
				laboratory test;
d. The results of
				the clinical laboratory test; and
e. If applicable, any adverse reaction
				related to or as a result of the clinical laboratory test.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1016 - Crisis Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of an outpatient treatment center that is authorized to provide
				crisis services shall comply with the requirements for behavioral health
				services in R9-10-1011.
B. An
				administrator of an outpatient treatment center that is authorized to provide
				crisis services shall ensure that:
1. Crisis
				services are available during clinical hours of operation;
2. A behavioral health technician, qualified
				to provide crisis services according to the outpatient treatment center's
				policies and procedures, is present in the outpatient treatment center during
				clinical hours of operation; and
3. The
				following individuals, qualified to provide crisis services according to
				policies and procedures, are available during clinical hours of operation:
a. A behavioral health professional,
b. A medical practitioner,
				and
c. A registered
				nurse.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1017 - Diagnostic Imaging Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide diagnostic imaging services shall:
1. Designate an individual to provide
				direction for diagnostic imaging services who is a:
a. Radiologic technologist, certified under
				A.R.S. Title 32, Chapter 28, Article 2, who has at least 12 months experience
				in an outpatient treatment center;
b. Physician; or
c. Radiologist; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1018 - Dialysis Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition
				to the definitions in A.R.S. § 36-401,
				R9-10-101, and
				R9-10-1001, the
				following definitions apply in this Section:
1. "Caregiver" means an individual designated
				by a patient or a patient's representative to perform self-dialysis in the
				patient's stead.
2. "Chief clinical
				officer" means a physician appointed to provide direction for dialysis services
				provided by an outpatient treatment center.
3. "Long-term care plan" means a written plan
				of action for a patient with kidney failure that is developed to achieve
				long-term optimum patient outcome.
4. "Modality" means a method of treatment for
				kidney failure, including transplant, hemodialysis, and peritoneal
				dialysis.
5. "Nutritional
				assessment" means an analysis of a patient's weight, height, lifestyle,
				medication, mobility, food and fluid intake, and diagnostic procedures to
				identify conditions and behaviors that indicate whether the patient's
				nutritional needs are being met.
6.
				"Patient care plan" means a written document for a patient receiving dialysis
				that identifies the patient's needs for medical services, nursing services, and
				health-related services and the process by which the medical services, nursing
				services, or health-related services will be provided to the patient.
7. "Peritoneal dialysis" means the process of
				using the peritoneal cavity for removing waste products by fluid
				exchange.
8. "Psychosocial
				evaluation" means an analysis of an individual's mental and social conditions
				to determine the individual's need for social work services.
9. "Reprocessing" means cleaning and
				sterilizing a dialyzer previously used by a patient so that the dialyzer can be
				reused by the same patient.
10.
				"Self-dialysis" means dialysis performed by a patient or a caregiver on the
				patient's body.
11. "Social worker"
				means an individual licensed according to A.R.S. Title 32, Chapter 33 to engage
				in the "practice of social work" as defined in A.R.S. §
										32-3251.
12. "Stable means" that a patient's blood
				pressure, temperature, pulse, respirations, and diagnostic procedure results
				are within medically recognized acceptable ranges or consistent with the
				patient's usual medical condition so that medical intervention is not
				indicated.
13. "Transplant surgeon"
				means a physician who:
a. Is board eligible or
				board certified in general surgery or urology by a professional credentialing
				board, and
b. Has at least 12
				months of training or experience performing renal transplants and providing
				care for patients with renal transplants.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1019 - Emergency Room Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide emergency room services shall ensure that:
1. Emergency room services are:
a. Available on the premises:
i. At all times, and
ii. To stabilize an individual's emergency
				medical condition; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1020 - Opioid Treatment Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority of an outpatient treatment center that is authorized to provide
				opioid treatment services shall:
1. Ensure
				that the outpatient treatment center obtains certification by the Substance
				Abuse and Mental Health Services Administration before providing opioid
				treatment,
2. Maintain a current
				Substance Abuse and Mental Health Services Administration certificate for the
				outpatient treatment center on the premises, and
3. Ensure that the administrator appointed as
				required in R9-10-1003(B)(3) is named on the Substance Abuse and Mental Health
				Services Administration certificate as the individual responsible for the
				opioid treatment services provided by or at the outpatient treatment
				center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1021 - Pain Management Services

Current through Register Vol. 30, No. 28, July 12, 2024
A medical director of an outpatient treatment center that is
				  authorized to provide pain management services shall ensure that:
1. Pain management services are provided
				under the direction of:
a. A physician,
				or
b. A nurse practitioner licensed
				according to A.R.S. Title 32, Chapter 15 with advanced pain management
				certification from a nationally recognized accreditation or certification
				entity;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1022 - Physical Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide physical health services shall ensure that:
1. Medical services provided at or by the
				outpatient treatment center are provided under the direction of a physician or
				a registered nurse practitioner,
2.
				Nursing services provided at or by the outpatient treatment center are provided
				under the direction of a registered nurse, and
3. A personnel member certified in
				cardiopulmonary resuscitation is available on the outpatient treatment center's
				premise.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1023 - Pre-petition Screening

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide pre-petition screening shall comply with the requirements
				  for pre-petition screening in A.R.S. Title 36, Chapter 5, Article
				  4.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1024 - Rehabilitation Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that if an outpatient treatment
				  center is authorized to provide:
1.
				Occupational therapy services, an occupational therapist provides direction for
				the occupational therapy services provided at or by the outpatient treatment
				center;
2. Physical therapy
				services, a physical therapist provides direction for the physical therapy
				services provided at or by the outpatient treatment center; or
3. Speech-language pathology services, a
				speech-language pathologist provides direction for the speech-language
				pathology services provided at or by the outpatient treatment center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1025 - Respite Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition
				to the definitions in A.R.S. § 36-401,
				R9-10-101, and
				R9-10-1001, the
				following definitions apply in this Section:
1. "Emergency safety response" has the same
				meaning as in
				R9-10-701.
2. "Outing" means travel by a child, who is
				receiving respite services provided by an outpatient treatment center, to a
				location away from the outpatient treatment center premises or, if applicable,
				the child's residence for a specific activity.
3. "Parent" means a child's:
a. Mother or father, or
b. Legal guardian.
4. "Respite capacity" means the total number
				of children for whom an outpatient treatment center is authorized by the
				Department to provide respite services on the outpatient treatment center's
				premises.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1026 - Sleep Disorder Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide sleep disorder services shall ensure that:
1. A physician provides direction for the
				sleep disorder services provided by the outpatient treatment center;
2. At least one of the following is present
				on the premise of the outpatient treatment center:
a. A polysomnographic technician certified by
				the Board of Registered Polysomnographic Technologists (BRPT),
b. A polysomnographic technician accepted by
				the BRPT to sit for the BRPT certification examination, or
c. A respiratory therapist;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1027 - Urgent Care Services Provided in a Freestanding Urgent Care Setting

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of an outpatient treatment center that is
				  authorized to provide urgent care services in a freestanding urgent care
				  setting shall ensure that:
1. In
				addition to the policies and procedures required in R9-10-1003(D)(1), policies
				and procedures are established, documented, and implemented to protect the
				health and safety of a patient that cover basic life support training and
				pedi-atric basic life support training including:
a. Method and content of training,
b. Qualifications of individuals providing
				the training, and
c. Documentation
				that verifies a medical practitioner has received the training;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1028 - Infection Control

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall
				  ensure that:
1. An infection control
				program is established, under the direction of an individual qualified
				according to the outpatient treatment center's policies and procedures, to
				prevent the development and transmission of infections and communicable
				diseases including:
a. A method to identify
				and document infections occurring at the outpatient treatment center;
b. Analysis of the types, causes, and spread
				of infections and communicable diseases at the outpatient treatment
				center;
c. The development of
				corrective measures to minimize or prevent the spread of infections and
				communicable diseases at the outpatient treatment center; and
d. Documentation of infection control
				activities including:
i. The collection and
				analysis of infection control data,
ii. The actions taken related to infections
				and communicable diseases, and
iii.
				Reports of communicable diseases to the governing authority and state and
				county health departments;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1029 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator shall ensure that policies and procedures for providing
				emergency treatment are established, documented, and implemented that protect
				the health and safety of patients and include:
1. A list of the medications, supplies, and
				equipment required on the premises for the emergency treatment provided by the
				outpatient treatment center;
2. A
				system to ensure medications, supplies, and equipment are available, have not
				been tampered with, and, if applicable, have not expired;
3. A requirement that a cart or a container
				is available for emergency treatment that contains the medication, supplies,
				and equipment specified in the outpatient treatment center's policies and
				procedures; and
4. A method to
				verify and document that the contents of the cart or container are available
				for emergency treatment.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1030 - Physical Plant, Environmental Services, and Equipment Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. An outpatient treatment
				center's premises are:
a. Sufficient to
				provide the outpatient treatment center's scope of services;
b. Cleaned and disinfected according to the
				outpatient treatment center's policies and procedures to prevent, minimize, and
				control illness and infection; and
c. Free from a condition or situation that
				may cause an individual to suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 10 - OUTPATIENT TREATMENT CENTERS › Section R9-10-1031 - Colocation Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. In
				addition to the definitions in A.R.S. §§ 36-401 and 36-439 and
				R9-10-101 and
				R9-10-1001, the following definition applies in this Section:
"Patient" means an individual who enters the premises of a
				  collaborating outpatient treatment center to obtain physical health services or
				  behavioral health services from the collaborating outpatient treatment center
				  or a colocator that shares areas of the collaborating outpatient treatment
				  center's premises.
B. Only
				one outpatient treatment center in a facility may be designated as a
				collaborating outpatient treatment center for the facility.
C. The following health care institutions are
				not permitted to be a collaborating outpatient treatment center or a colocator
				in a collaborating outpatient treatment center:
1. An affiliated counseling
				facility;
2. An outpatient
				treatment center authorized by the Department to provide dialysis services
				according to
				R9-10-1018;
3. An outpatient treatment center authorized
				by the Department to provide emergency room services according to
				R9-10-1019;
				or
4. An outpatient treatment
				center operating under a single group license according to A.R.S. §
										36-422(F)
				or (G).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1101 - 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. "Care plan" means a written program of action for a
				  participant's care based upon an assessment of the participant's physical,
				  nutritional, psychosocial, economic, and environmental strengths and needs and
				  implemented according to established short- and long-term goals.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1102 - Supplemental Application Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the license application requirements in A.R.S.
				  § 36-422 and
				  R9-10-105,
				  an applicant for a license as an adult day health care facility shall include
				  on the application the number of participants for whom the applicant is
				  requesting authorization to provide adult day health
				  services.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1103 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				an adult day health care facility;
2. Establish, in writing:
a. An adult day health care facility's scope
				of services, and
b. Qualifications
				for an administrator;
3.
				Designate, in writing, an administrator who has the qualifications established
				in subsection (A)(2)(b);
4. Adopt a
				quality management program according to R9-10-1104;
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 an adult day health care facility's premises for more than 30
				calendar days, or
b. Not present on
				an adult day health care facility's premises for more than 30 calendar days;
				and
7. Except as
				provided in (A)(6), notify the Department according to A.R.S. §
										36-425(I),
				when there is a change in an 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 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1104 - 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 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1105 - 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 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1106 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. The qualifications,
				skills, and knowledge required for each type of personnel member:
a. Are based on:
i. The type of physical health services or
				behavioral health services expected to be provided by the personnel member
				according to the established job description, and
ii. The acuity of the participants receiving
				physical health services or behavioral health services from the personnel
				member according to the established job description; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1107 - Enrollment

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that a participant provides evidence of freedom from infectious
				tuberculosis:
1. Before or within seven
				calendar days after the participant's enrollment, and
2. As specified in R9-10-113.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1108 - Care Plan

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that a care plan for a
				  participant:
1. Is developed within
				seven calendar days after the completion of the participant's comprehensive
				assessment;
2. Has input from:
a. The participant or participant's
				representative,
b. The registered
				nurse who performed the comprehensive assessment, and
c. Personnel who have provided services to
				the participant;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1109 - Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				may discharge a participant from an adult day health care facility by
				terminating the agreement in R9-10-1107(B):
1. After giving the participant or
				participant's representative five working days written notice; and
2. For any of the following reasons:
a. Evidence of repeated failure to comply
				with the requirements of the adult day health care facility,
b. Documented proof of failure to
				pay,
c. Behavior that is dangerous
				to self or that interferes with the physical or psychological well-being of
				other participants, or
d. The
				participant requires services not in the adult day health care facility's scope
				of services.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1110 - 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 enrollment, 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 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 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1111 - 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 a 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 an individual
				authorized by policies and procedures to make the entry;
b. Dated, legible, and authenticated;
				and
c. Not changed to make the
				initial entry illegible;
he medical practitioner or ;
3. 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
				e signature represents is accountable for the use of the rubber-stamp signature
				or electronic e signature;
4. 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
5. 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 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1112 - Participant's Council

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				participants' council:
1. Is composed of
				participants, who are willing to serve on the council and take part in
				scheduled meetings;
2. May develop
				guidelines that govern the council's activities;
3. May meet quarterly;
4. May record minutes of the meetings;
				and
5. May provide written input on planned activities and
				policies of the adult day health care facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1113 - Adult Day Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that a personnel member provides supervision for a
				participant, except during periods of the day when the participant signs out or
				is signed out according to policies and procedures.
B. An administrator shall ensure that a
				personnel member provides assistance with activities of daily living and
				supervision of personal hygiene according to the participant's care plan and
				policies and procedures.
C. An
				administrator shall ensure that a personnel member provides a participant with
				planned therapeutic individual and group activities:
1. According to the:
a. Participant's care plan,
b. Policies and procedures, and
c. Monthly calendar of planned activities
				required in R9-10-1103(D)(2); and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1114 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall:
1. Designate a food
				service supervisor who is responsible for food service in an adult day health
				care facility; and
2. If an adult
				day health care facility provides a therapeutic diet to participants, ensure
				that:
a. The therapeutic diet is prescribed
				in writing by:
i. The participant's medical
				practitioner, or
ii. A registered
				dietitian; and
b. A
				current therapeutic diet reference manual is available to the food service
				supervisor.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1115 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator shall ensure that:
1. A
				disaster plan is developed, documented, maintained in a location accessible to
				personnel members and employees, and, if necessary, implemented that includes:
a. Procedures for protecting the health and
				safety of participants and other individuals on the premises;
b. Assigned responsibilities for each
				personnel member and employee;
c.
				Instructions for the evacuation of participants, including:
i. When, how, and where participants will be
				relocated; and
ii. A plan for
				notifying the emergency contact for each participant;
d. A plan to ensure each participant's
				medications will be available to administer to the participant during a
				disaster; and
e. A plan for
				providing water, food, and needed services to participants present in the adult
				day health care facility or the adult day health care facility's relocation
				site during a disaster;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1116 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The adult
				day health care facility's premises are:
a.
				Cleaned and disinfected according to policies and procedures to prevent,
				minimize, and control illness and infection; and
b. Free from a condition or situation that
				may cause a participant or an individual to suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 11 - ADULT DAY HEALTH CARE FACILITIES › Section R9-10-1117 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that an adult day health care facility complies with
				the physical plant health and safety codes and standards incorporated by
				reference in R9-10-104.01, in effect on the date the adult day health care
				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 adult day
				health care facility's scope of services, and
2. An individual accepted as a participant by
				the adult day health care facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1201 - 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 apply in this Article, unless otherwise specified:
1. "Branch office" means a location other than a home health
				  agency's main administrative office that:
a. Operates under the license of the home health agency,
				  and
b. Is under the control of the home health agency's
				  administrator.
2. "Home health services director" means an individual who
				  provides direction for the home health services provided by or through a home
				  health agency.
3. "Medical social services" means activities that assist a
				  patient to cope with concerns about the patient's illness or injury, and may
				  include helping to find resources to address the patient's
				  concerns.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1202 - Supplemental Application Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the license application requirements in A.R.S.
				  § 36-422 and
				  R9-10-105,
				  an applicant for a license as a home health agency shall:
1. Include on the application:
a. The name and address of each proposed
				branch office, if applicable; and
b. The geographic region to be served by:
i. The proposed home health agency's
				administrative office, and
ii. Each
				proposed branch office; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1203 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				the home health agency;
2.
				Establish, in writing:
a. A home health
				agency's scope of services, and
b.
				Qualifications for an administrator;
3. Designate, in writing, an administrator
				who has the qualifications established in subsection (A)(2)(b);
4. Adopt a quality management program
				according to
				R9-10-1204;
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 in a home health agency's administrative office for more than 30
				calendar days, or
b. Not present in
				a home health agency's administrative office for more than 30 calendar
				days;
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;
8. Appoint, according to A.R.S. §
										36-151(5)(b),
				an advisory group that consists of four or more members that include:
a. A physician;
b. A registered nurse who has at least one
				year of experience as a registered nurse providing home health services;
				and
c. Two or more individuals who
				represent a medical, nursing, or health-related profession;
				and
9. Ensure that the
				advisory group appointed according to subsection (A)(8):
a. Meets at least once every 12
				months,
b. Documents meetings,
				and
c. Assists in establishing and
				evaluating policies and procedures for the home health
				agency.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1204 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A plan for a quality management program
				for the home health agency is established, documented, and implemented that
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate the provision of services, including oversight of
				personnel members;
c. A method to
				evaluate the data collected to identify a concern about the provision of
				services;
d. A method to make
				changes or take action as a result of the identification of a concern about the
				provision of services;
e. A method
				to determine whether actions taken improved the provision of services;
				and
f. The frequency of submitting
				the 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 12 - HOME HEALTH AGENCIES › Section R9-10-1205 - 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 12 - HOME HEALTH AGENCIES › Section R9-10-1206 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. The qualifications,
				skills, and knowledge required for each type of personnel member:
a. Are based on:
i. The type of services expected to be
				provided by the personnel member according to the established job description,
				and
ii. The acuity of the patients
				receiving services from the personnel member according to the established job
				description; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1207 - Care Plan

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that a care plan is developed for each patient:
1. Based on an assessment of the patient as
				required in R9-10-1210(D)(1) or (F)(2)(e)(i);
2. With participation from:
a. The patient's physician, registered nurse
				practitioner, or podiatrist, as applicable; and
b. A registered nurse; and
3. That includes:
a. The patient's diagnosis;
b. Surgery dates relevant to home health
				services, if applicable;
c. The
				patient's cognitive awareness of self, location, and time;
d. Functional abilities and
				limitations;
e. Goals for
				functional rehabilitation, if applicable;
f. The type, duration, and frequency of each
				service to be provided;
g.
				Treatments the patient is receiving from a source other than the home health
				agency;
h. Medications and herbal
				supplements reported by the patient or the patient's representative as being
				used by the patient, and the dose, route of administration, and schedule for
				administration of each medication or herbal supplement;
i. Any known drug allergies;
j. Nutritional requirements and
				preferences;
k. Specific measures
				to improve the patient's safety and protect the patient against injury;
				and
l. A discharge plan for the
				patient including, if applicable, a plan for assessing the accomplishment of
				treatment or therapy goals for the patient.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1208 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				requirements in subsection (B) and the patient rights in subsection (C) are
				conspicuously posted at the home health agency's administrative
				office;
2. At the time of
				admission, a patient or the patient's representative receives a written copy of
				the requirements in subsection (B) and the patient rights in subsection (C);
				and
3. Policies and procedures
				include:
a. How and when a patient or the
				patient's representative is informed of patient rights in subsection (C);
				and
b. Where patient rights are
				posted as required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1209 - 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 a 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 physician, registered
				nurse practitioner, or podiatrist according to policies and procedures;
				and
c. If the order is a verbal
				order, authenticated by the physician, registered nurse practitioner, or
				podiatrist 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 patient's medical
				record is available to personnel members, physicians, registered nurse
				practitioners, or podiatrists authorized by policies and procedures to access
				the patient's medical record;
6.
				Information in a patient's medical record is disclosed to an individual not
				authorized under subsection (A)(5) only with the written consent of a patient
				or the patient's representative or as permitted by law; 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 12 - HOME HEALTH AGENCIES › Section R9-10-1210 - Home Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that an individual admitted to the home health
				agency has an order from a physician, registered nurse practitioner, or
				podiatrist for home health services.
B. An administrator shall ensure that the
				home health services director provides direction for home health services
				provided by or through the home health agency.
C. A home health services director shall
				ensure that nursing services are provided by a registered nurse or practical
				nurse, according to policies and procedures.
D. A home health services director shall
				ensure that a registered nurse:
1. Unless a
				patient's physician or registered nurse practitioner orders only speech
				therapy, occupational therapy, or physical therapy for the patient, within 48
				hours after the patient begins receiving home health services provided by or
				through the home health agency, conducts an initial assessment of the patient
				to determine:
a. The needs of the
				patient;
b. Resources available to
				address the patient's needs;
c. The
				patient's home and family environment;
d. Goals for patient care;
e. Medications used by the patient, including
				non-compliance, drug interactions, side effects, and contraindications;
				and
f. Medical supplies or
				equipment needed by the patient;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1211 - Supportive Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority may include supportive services, including personal care services, in
				the scope of services for a home health agency.
B. An administrator:
1. May allow:
a. Supportive services to be provided to a
				patient without an order from a physician, registered nurse practitioner, or
				podiatrist; and
b. A personnel
				member who is not a home health aide to perform personal care services;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 12 - HOME HEALTH AGENCIES › Section R9-10-1230

Current through Register Vol. 30, No. 28, July 12, 2024
The following Article 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 R9-10-1301 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
Definitions in A.R.S. § 36-401 and
				  R9-10-101 apply in
				  this Article unless otherwise specified.
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.