reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70649 - Standby Emergency Medical Service, Physician on Call, Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Standby emergency medical service, physician on call, means
					 the provision of emergency medical care in a specifically designated area of
					 the hospital which is equipped and maintained at all times to receive patients
					 with urgent medical problems and capable of providing physician service within
					 a reasonable time.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70653 - Standby Emergency Medical Service, Physician on Call, Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician
				  shall have overall responsibility for the service. He or his designee shall be
				  responsible for:
(1) Implementation of
				  established policies and procedures.
(2) Development of a system for assuring
				  physician coverage on call 24 hours a day to the emergency medical
				  service.
(3) Assurance that
				  physician coverage is available within a reasonable length of time, relative to
				  the patient's illness or injury.
(4) Development of a roster of specialty
				  physicians available for consultation at all times.
(5) Assurance of continuing education for the
				  medical and nursing staff.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70655 - Standby Emergency Medical Service, Physician on Call, Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All equipment and supplies necessary for life support shall
					 be available. Equipment shall include, but need not be limited to, airway
					 control and ventilation equipment, suction devices, cardiac monitor
					 defibrillator, intravenous fluids and administering devices and including blood
					 expanders.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70657 - Standby Emergency Medical Service, Physician on Call, Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following
				  space provisions and designations shall be met:
(1) Designated emergency room area
(2) Reception area
(3) Observation room
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70701 - Governing Body

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  governing body shall:
(1) Adopt written bylaws
				  in accordance with legal requirements and its community responsibility which
				  shall include but not be limited to provision for:
(A) Identification of the purposes of the
				  hospital and the means of fulfilling them.
(B) Appointment and reappointment of members
				  of the medical staff.
(C)
				  Appointment and reappointment of one or more dentists, podiatrists, and/or
				  clinical psychologists to the medical staff respectively, when dental,
				  podiatric, and/or clinical psychological services are provided.
(D) Formal organization of the medical staff
				  with appropriate officers and bylaws.
(E) Membership on the medical staff which
				  shall be restricted to physicians, dentists, podiatrists, and clinical
				  psychologists competent in their respective fields, worthy in character and in
				  professional ethics. No hospital shall discriminate with respect to employment,
				  staff privileges or the provision of professional services against a licensed
				  clinical psychologist within the scope of his/her licensure, or against a
				  licensed physician and surgeon or podiatrist on the basis of whether the
				  physician and surgeon or podiatrist holds an M.D., D.O. or D.P.M. degree.
				  Wherever staffing requirements for a service mandate that the physician
				  responsible for the service be certified or eligible for certification by an
				  appropriate American medical board, such position may be filled by an
				  osteopathic physician who is certified or eligible for certification by the
				  equivalent appropriate American Osteopathic Board.
(F) Self-government by the medical staff with
				  respect to the professional work performed in the hospital, periodic meetings
				  of the medical staff to review and analyze at regular intervals their clinical
				  experience and requirement that the medical records of the patients shall be
				  the basis for such review and analysis.
(G) Preparation and maintenance of a complete
				  and accurate medical record for each patient.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70703 - Organized Medical Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each hospital shall have an organized
				  medical staff responsible to the governing body for the adequacy and quality of
				  the care rendered to patients.
(1) The
				  medical staff shall be composed of physicians and, where dental or podiatric
				  services are provided, dentists or podiatrists.
(2) As required by section
				  1316.5
				  of the Health and Safety Code:
(A) Where
				  clinical psychological services are provided by clinical psychologists, in a
				  health facility owned and operated by the state, the facility shall establish
				  rules and medical staff bylaws that include provisions for medical staff
				  membership and clinical privileges for clinical psychologists within the scope
				  of their licensure as psychologists.
(B) Where clinical psychological services are
				  provided by clinical psychologists, in a health facility not owned or operated
				  by this state, the facility may enable the appointment of clinical
				  psychologists to the medical staff.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70705 - Medical Staff, Residents, Interns and Students

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The hospital shall not permit any
				  physician, dentist, podiatrist, or clinical psychologist or any medical,
				  dental, podiatric or clinical psychology resident, intern or student to perform
				  any service for which a license, certificate of registration or other form of
				  approval is required unless such person is licensed, registered, approved or is
				  exempted therefrom under the provisions of the State Medical Practice Act, the
				  State Dental Practice Act, the State Podiatric Practice Act, or the State
				  Psychology Licensing Law and, further, unless such services are performed under
				  the direct supervision of licensed practitioner whenever so required by
				  law.
(b) If patient care is
				  provided by residents, interns and medical students, such care shall be in
				  accordance with the provisions of a program approved by and in conformity with:
				  the Council on Education of the American Medical Association, the American
				  Osteopathic Association Board of Trustees through the Committee on postdoctoral
				  training and the Bureau of Professional Education, the American Dental
				  Association, the American Podiatry Association, or the Education and Training
				  Board of the American Psychological Association and/or the residency training
				  programs of the respective specialty boards.
(c) Except in an emergency, all other patient
				  care by interns, house officers, residents or persons with equivalent titles,
				  not provided as specified in subdivision (b) of this section, must be provided
				  by a practitioner with a current license to practice in California.
1. Amendment
					 filed 2-8-83; designated effective 3-2-83 (Register 83, No.
					 7).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1276,
						1315,
						1316
						and
						1316.5,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70706 - Interdisciplinary Practice and Responsibility for Patient Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In any facility where registered nurses
				  will perform functions requiring standardized procedures pursuant to Section
				  2725
				  of the Business and Professions Code, or in which licensed or certified healing
				  arts professionals who are not members of the medical staff will be granted
				  privileges pursuant to Section
				  70706.1 there shall be a Committee
				  on Interdisciplinary Practice established by and accountable to the Governing
				  Body, for establishing policies and procedures for interdisciplinary medical
				  practice.
(b) The Committee on
				  Interdisciplinary Practice shall include, as a minimum, the director of
				  nursing, the administrator or designee, and an equal number of physicians
				  appointed by the Executive Committee of the medical staff, and registered
				  nurses appointed by the director of nursing. When the hospital has a
				  psychiatric unit and one or more clinical psychologists on its medical staff,
				  one or more clinical psychologists shall be appointed to the Committee on
				  Interdisciplinary Practice by the Executive Committee of the medical staff.
				  Licensed or certified health professionals other than registered nurses who are
				  performing or will perform functions as in (a) above shall be included in the
				  Committee.
(c) The Committee on
				  Interdisciplinary Practice shall establish written policies and procedures for
				  the conduct of its business. Policies and procedures shall include but not be
				  limited to:
(1) Provision for securing
				  recommendations from members of the medical staff in the medical specialty, or
				  clinical field of practice under review, and from persons in the appropriate
				  nonmedical category who practice in the clinical field or specialty under
				  review.
(2) Method for the approval
				  of standardized procedures in accordance with Sections
				  2725
				  of the Business and Professions Code in which affirmative approval of the
				  administrator or designee and a majority of the physician members and a
				  majority of the registered nurse members would be required and that prior to
				  such approval, consultation shall be obtained from facility staff in the
				  medical and nursing specialties under review.
(3) Providing for maintaining clear lines of
				  responsibility of the nursing service for nursing care of patients and of the
				  medical staff for medical services in the facility.
(4) Intended line of approval for each
				  recommendation of the Committee.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70706.1 - Granting of Nonphysician Privileges

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Registered Nurses. The Committee on
				  Interdisciplinary Practice shall be responsible for recommending policies and
				  procedures for the granting of expanded role privileges to registered nurses,
				  whether or not employed by the facility, to provide for the assessment,
				  planning, and direction of the diagnostic and therapeutic care of a patient in
				  a licensed health facility. These policies and procedures will be administered
				  by the Committee on Interdisciplinary Practice which shall be responsible for
				  reviewing credentials and making recommendations for the granting and/or
				  rescinding of such privileges.
(b)
				  Physician's Assistant. A physician's assistant who practices in a licensed
				  facility shall be supervised by a physician approved by the Division of Allied
				  Health Professions of the Medical Board of California who is a member of the
				  active medical staff of that facility. Physician's assistants shall apply to
				  and be approved by the Executive Committee of the medical staff of the facility
				  in which the physician's assistant wishes to practice.
1. New
					 section filed 3-13-80; effective thirtieth day thereafter (Register 80, No.
					 11).
2. Change without regulatory effect amending subsection (b) and
					 amending NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Section
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70706.2 - Standardized Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The Committee on Interdisciplinary Practice shall be responsible for:
(1) Identifying functions and/or procedures
				  which require the formulation and adoption of standardized procedures under
				  Section
				  2725
				  of the Business and Professions Code in order for them to be performed by
				  registered nurses in the facility, and initiating the preparation of such
				  standardized procedures in accordance with this section.
(2) The review and approval of all such
				  standardized procedures covering practice by registered nurses in the
				  facility.
(3) Recommending policies
				  and procedures for the authorization of employed staff registered nurses to
				  perform the identified functions and/or procedures. These policies and
				  procedures may be administered by the Committee on Interdisciplinary Practice
				  or by delegation to the director of nursing.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.1 - Criteria for the Performance of Sterilization

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A sterilization shall be performed only
				  if the following conditions are met:
(1) The
				  individual is at least 18 years old at the time the consent is obtained, or the
				  individual is under 18 and:
(A) Has entered
				  into a valid marriage, whether or not such marriage was terminated by
				  dissolution; or
(B) Is on active
				  duty with the United States armed services; or
(C) Is over 15 years old, lives apart from
				  his or her parents or guardian(s) manages, his or her own financial affairs;
				  or
(D) Has received a declaration
				  of emancipation pursuant to Section
				  64 of the Civil
				  Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.2 - Requirements for Sterilization Other than Emergency Sterilization. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
					 section filed 5-27-77; effective thirtieth day thereafter (Register 77, No.
					 22).
2. Repealer filed 4-17-81; effective thirtieth day thereafter
					 (Register 81, No. 16).
Note: Authority cited: Sections
						208,
						1275,
						1276,
						Health and Safety Code. Reference: Sections
						1250 et seq., Health and Safety
						Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.3 - Informed Consent Process for Sterilization

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An individual has given informed consent
				  only if:
(1) The person who obtained consent
				  for the sterilization procedure:
(A) Offered
				  to answer any questions the individual to be sterilized may have concerning the
				  procedure.
(B) Provided the
				  individual with a copy of the consent form and the booklet on sterilization
				  published by the Department.
(C)
				  Provided orally all of the following to the individual to be sterilized:
1. Advice that the individual is free to
				  withhold or withdraw consent to the procedure at any time before the
				  sterilization without affecting the right to future care or treatment and
				  without loss or withdrawal of any federally funded program benefits to which
				  the individual might be otherwise entitled.
2. A full description of available
				  alternative methods of family planning and birth control.
3. Advice that the sterilization procedure is
				  considered to be irreversible.
4. A
				  thorough explanation of the specific sterilization procedure to be
				  performed.
5. A full description of
				  the discomforts and risks that may accompany or follow the performing of the
				  procedure, including an explanation of the type and possible effects of any
				  anesthetic to be used.
6. A full
				  description of the benefits or advantages that may be expected as a result of
				  the sterilization.
7. Approximate
				  length of hospital stay.
8.
				  Approximate length of time for recovery.
9. Financial cost to the patient.
10. Information that the procedure is
				  established or new.
11. Advice that
				  the sterilization will not be performed for at least 30 days, except under the
				  circumstances specified in Section
				  70707.1.
12. The name of the physician performing the
				  procedure. If another physician is to be substituted, the patient shall be
				  notified, prior to administering pre-anesthetic medication of the physician's
				  name and the reason for the change in physician.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.4 - Certification of Informed Consent for Sterilization

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Consent Form, provided by the
				  Department in English and Spanish, shall be the only approved form and shall be
				  signed and dated by the:
(1) Individual to be
				  sterilized.
(2) Interpreter, if one
				  is provided.
(3) Person who
				  obtained the consent.
(4) Physician
				  who performed the sterilization procedure, or an alternate
				  physician.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.5 - Hysterectomy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Except for a
				  previously sterile woman, a hysterectomy may be performed or arranged for by a
				  physician only if:
(1) The person who secures
				  the authorization to perform the hysterectomy has informed the individual and
				  the individual's representatives, if any, orally and in writing, that the
				  hysterectomy will render the individual permanently sterile.
(2) The individual and the individual's
				  representative, if any, has signed a written acknowledgement of receipt of the
				  information in (1).
(3) The
				  individual has been informed of the rights to consultation with a second
				  physician.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.6 - The Additional Requirements for Informed Consent Process when Specified Federal Funds Are Used

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pursuant to Title 22, California Administrative Code
					 Sections 51163 and
					 51305.1 through
					 51305.7 the following Additional
					 Requirements for Informed Consent Process shall be met When Specified Federal
					 Funds are Used:
(a) When Medi-Cal
				  funds are used:
(1) Sterilization shall be
				  performed only if the following conditions are met:
(A) The individual is at least twenty-one
				  years old at the time consent is obtained.
(B) The individual is not a mentally
				  incompetent individual.
(C) The
				  individual is not an institutionalized individual.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.7 - Verification of Informed Consent

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For the purposes of the hospital in
				  complying with these regulations, signature of the patient, physician,
				  physician's designee (if any) and auditor-witness (if applicable) on the
				  Sterilization Consent Document shall be sufficient evidence that the informed
				  consent procedure has taken place.
1. New
					 section filed 5-27-77; effective thirtieth day thereafter (Register 77, No.
					 22).
2. Amendment filed 4-17-81; effective thirtieth day thereafter
					 (Register 81, No. 16).
Note: Authority cited: Sections
						208,
						1275,
						1276,
						Health and Safety Code. Reference: Sections
						1250 et seq. , Health and Safety
						Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.8 - Noncompliance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Noncompliance with Sections
					 70707.1 through
					 70707.7 may result in a revocation
					 or an involuntary suspension of the hospital's license as delineated in Section
					 70135.
The facility shall report to the Medical Board of
					 California the name of any physician who performs a sterilization procedure
					 which was not in compliance with Sections
					 70707.1 through
					 70707.7 of this
					 chapter.
1. New
					 section filed 5-27-77; effective thirtieth day thereafter (Register 77, No.
					 22).
2. Change without regulatory effect amending second paragraph
					 and amending NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1275,
						1276
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70707.9 - Effective Date. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
					 section filed 6-27-77 as an emergency; effective upon filing (Register 77, No.
					 27).
2. Amendment filed 8-3-77 as an emergency; effective upon
					 filing (Register 77, No. 32).
3. Certificate of Compliance filed
					 11-30-77 (Register 77, No. 49).
4. Repealer filed 4-17-81; effective
					 thirtieth day thereafter (Register 81, No. 16).
Note: Authority cited: Sections
						208,
						1275
						and
						1276,
						Health and Safety Code. Reference: Sections
						1250 et seq., Health and Safety
						Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70708 - Clinical Research

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Research projects involving human subjects shall have the
					 prior approval of a broadly represented committee which shall assure maximum
					 patient safety and understanding.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70709 - Emotional and Attitudinal Support

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Hospitals shall have a written plan for the provision of
					 those components of total patient care that relate to the spiritual, emotional
					 and attitudinal health of the patient, patients' families, visitors designated
					 by patients pursuant to Section
					 70707(b)(17) and
					 hospital personnel.
1. Amendment
					 of section and new NOTE filed 1-30-97; operative 3-1-97 (Register 97, No.
					 5).
Note: Authority cited: Sections
						1275
						and
						100275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70711 - Social Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Hospitals shall have a written plan for providing social services to those
				  patients with social problems. This service may be provided through:
(1) An organized social service within the
				  hospital, or
(2) A social worker
				  employed on a part-time basis, or
(3) Social work consultant services from a
				  community agency.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70713 - Use of Outside Resources

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
If a hospital does not employ a qualified professional
					 person to render a specific service to be provided by the hospital, there shall
					 be arrangements for such a service through a written agreement with an outside
					 resource--which meets the standards and requirements of these regulations. The
					 responsibilities, functions, objectives and terms of agreement, including
					 financial arrangements and charges of each such outside resource, shall be
					 delineated in writing and signed by an authorized representative of the
					 hospital and the person or the agency providing the service. The agreement
					 shall specify that the hospital retains professional and administrative
					 responsibility for the services rendered. The outside resource, when acting as
					 a consultant, shall apprise the administrator of recommendations, plans for
					 implementation and continuing assessment through dated and signed reports which
					 shall be retained by the administrator for follow-up action and evaluation of
					 performance.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70715 - Nondiscrimination Policies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  No hospital shall discriminate against any person based on sex, race, color,
				  religion, ancestry, national origin, sexual orientation, disability, medical
				  condition, marital status, or registered domestic partner status, except as
				  provided herein. This provision shall apply to the appointment of the medical
				  staff, hiring of hospital employees, and the admission, housing, or treatment
				  of patients.
(b) Any bona fide
				  nonprofit religious, fraternal or charitable organization which can demonstrate
				  to the satisfaction of the Department that its primary or substantial purpose
				  is not to evade this section may establish admission policies limiting or
				  giving preference to its own members or adherents. Such policies shall not be
				  construed as a violation of the first paragraph of this section. Any admission
				  of nonmembers or nonadherents shall be subject to the first paragraph of this
				  section.
(c) No hospital which
				  permits sterilization operations for contraceptive purposes nor any member of
				  its medical staff shall require of the patient any special nonmedical
				  qualifications which are not imposed upon individuals seeking other types of
				  operations. Prohibited nonmedical qualifications shall include, but not be
				  limited to, age, marital status, registered domestic partner status, and number
				  of natural children. This prohibition does not affect requirements relating to
				  the physical or mental condition of the patient, physician counseling of the
				  patient or existing law pertaining to individuals below the age of
				  majority.
1. Change
					 without regulatory effect amending section and adopting NOTE filed 6-23-2011
					 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2011, No. 25).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Section
						51, Civil Code;
						Sections
						297 and
						297.5, Family
						Code; and Sections
						1276,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70717 - Admission, Transfer and Discharge Policies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each hospital shall have written
				  admission, transfer and discharge policies which encompass the types of
				  clinical diagnoses for which patients may be admitted, limitations imposed by
				  law or licensure, staffing limitations, rules governing emergency admissions,
				  advance deposits, rates of charge for care, charges for extra services,
				  terminations of services, refund policies, insurance agreements and other
				  financial considerations, discharge of patients and other related
				  functions.
(b) Hospitals offering
				  emergency and/or outpatient services shall make available, upon request of a
				  patient, a schedule of hospital charges.
(c) Patients shall be admitted only upon the
				  order and under the care of a member of the medical staff of the hospital who
				  is a licensed health care practitioner acting within the scope of his or her
				  professional licensure. The patient's condition and provisional diagnosis shall
				  be established at time of admission by the member of the medical staff who
				  admits the patient, subject to the rules and regulations of the hospital, and
				  the provisions of Section
				  70705(a).
(1) Patients admitted to the hospital for
				  podiatric services shall receive the same basic medical appraisal as patients
				  admitted for other services. This shall include the performance and recording
				  of the findings in the health record of an admission history and physical
				  examination which shall be performed by persons lawfully authorized to do so by
				  their respective practice acts.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70719 - Personnel Policies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each hospital shall adopt written personnel policies concerning qualifications,
				  responsibilities and conditions of employment for each type of personnel, which
				  shall be available to all personnel. Such policies shall include but not be
				  limited to:
(1) Wage scales, hours of work
				  and all employee benefits.
(2) A
				  plan for orientation of all personnel to policies and objectives of the
				  hospital and for on-the-job training where necessary.
(3) A plan for at least an annual evaluation
				  of employee performance.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70721 - Employees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The hospital
				  shall recruit qualified personnel and provide initial orientation of new
				  employees, a continuing in-service training program and competent supervision
				  designed to improve patient care and employee efficiency.
(b) If language or communication barriers
				  exist between hospital staff and a significant number of patients, arrangements
				  shall be made for interpreters or for the use of other mechanisms to insure
				  adequate communications between patients and personnel.
(c) The hospital shall designate a member of
				  the staff as a patient discharge planning coordinator.
(d) All employees of the hospital having
				  patient contact, including students, interns and residents, shall wear an
				  identification tag bearing their name and vocational classification.
(e) Appropriate employees shall be given
				  training in methods of hospital infection control and cardiopulmonary
				  resuscitation.
(f) Uniform rules
				  shall be established for each classification of employees concerning the
				  conditions of employment. A written statement of all such rules shall be
				  provided each employee upon commencing employment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70723 - Employee Health Examinations and Health Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Personnel evidencing signs or symptoms
				  indicating the presence of an infectious disease shall be medically screened
				  prior to having patient contact. Those employees determined to have infectious
				  potential as defined by the Infection Control Committee shall be denied or
				  removed from patient contact until it has been determined that the individual
				  is no longer infectious.
(b) A
				  health examination, performed by a person lawfully authorized to perform such
				  an examination, shall be required as a requisite for employment and must be
				  performed within one week after employment. Written examination reports, signed
				  by the person performing the examination, shall verify that employees are able
				  to perform assigned duties.
(1) Initial
				  examination for tuberculosis shall include a test for tuberculosis infection
				  that is recommended by the federal Centers for Disease Control and Prevention
				  (CDC) and licensed by the federal Food and Drug Administration (FDA). If the
				  result is positive, a chest X-ray shall be obtained. If a person has a
				  previously documented positive tuberculosis test result, a test for
				  tuberculosis infection need not be done but a baseline chest X-ray shall be
				  obtained.
(2) Policies and
				  Procedures that address the identification, employment utilization and medical
				  referral of persons with positive tuberculosis tests including those who have
				  converted from negative to positive shall be written and implemented.
(3) An annual tuberculosis test shall be
				  performed on those individuals with a previously documented negative
				  tuberculosis test. If an individual with a previously documented negative
				  tuberculosis test has a subsequent positive tuberculosis test result, a chest
				  X-ray shall be obtained.
(4) Less
				  frequent testing for tuberculosis, but never less than every four years, may be
				  adopted as hospital policy when documented in writing as approved by the
				  Infection Control Committee, the medical staff and the health officer of the
				  health jurisdiction in which the facility is located.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70725 - Employee Personnel Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All hospitals shall maintain personnel records of all
					 employees. Such records shall be retained for at least three years following
					 termination of employment. The record shall include the employee's full name,
					 Social Security number, the license or registration number, if any, brief
					 resume of experience, employment classification, date of beginning employment
					 and date of termination of employment. Records of hours and dates worked by all
					 employees during at least the most recent six-month period shall be kept on
					 file at the place of employment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70727 - Job Descriptions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Job descriptions detailing the functions of each
					 classification of employee shall be written and shall be available to all
					 personnel.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70729 - Advertising

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
No hospital shall make or disseminate any false or
					 misleading statement or advertise by any manner or means any false claims
					 regarding services provided by the hospital.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70731 - Alcoholic and/or Tubercular Patients

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any licensee who holds out or advertises,
				  by any means, the capability of providing specialized treatment of alcoholics
				  and/or tubercular patients shall:
(1)
				  Establish a distinct part for each type of patient treated.
(2) Obtain Department
				  approval.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70733 - Records and Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each hospital shall maintain copies of the following applicable documents on
				  file in the administrative offices of the hospital:
(1) Articles of incorporation or partnership
				  agreement.
(2) Bylaws or rules and
				  regulations of the governing body.
(3) Bylaws and rules and regulations of the
				  medical staff.
(4) Minutes of the
				  meetings of the governing body and the medical staff.
(5) Reports of inspections by local, state
				  and federal agents.
(6) All
				  contracts, leases and other agreements required by these regulations.
(7) Patient admission roster.
(8) Reports of unusual occurrences for the
				  preceding two years.
(9) Personnel
				  records.
(10) Policy
				  manuals.
(11) Procedure
				  manuals
(12) Minutes and reports of
				  the hospital Infection Control Committee.
(13) Any other records deemed necessary for
				  the direct enforcement of these regulations by the
				  Department.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70735 - Annual Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All hospitals shall submit annual reports to the Department
					 on forms supplied by the Department and by the date specified on the
					 form.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70736 - Sterilization Reporting Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All hospitals performing tubal ligations,
				  vasectomies, and hysterectomies shall submit to the Department a quarterly
				  report containing the following information:
(1) The total number of such sterilizations
				  performed, including diagnoses and types of procedures employed.
(2) The number and type of such
				  sterilizations performed by each physician on the medical staff preserving the
				  anonymity of the physicians and patient.
(3) Demographic and medical data as required
				  by the Department.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70737 - Reporting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Reportable
				  Disease or Unusual Occurrences. All cases of reportable diseases shall be
				  reported to the local health officer in accordance with Section
				  2500, Article 1, Subchapter 4,
				  Chapter 4, Title 17, California Administrative Code. Any occurrence such as
				  epidemic outbreak, poisoning, fire, major accident, disaster, other catastrophe
				  or unusual occurrence which threatens the welfare, safety or health of
				  patients, personnel or visitors shall be reported as soon as reasonably
				  practical, either by telephone or by telegraph, to the local health officer and
				  to the Department. The hospital shall furnish such other pertinent information
				  related to such occurrences as the local health officer or the Department may
				  require.
(b) Testing for
				  Phenylketonuria. Hospitals to which maternity patients or infants 30 days of
				  age or under may be admitted shall comply with the requirements governing
				  testing for phenylketonuria (PKU) contained in Section
				  6500 of Title 17, California
				  Administrative Code.
(c) Rhesus
				  (Rh) Hemolytic Disease of the Newborn. Hospitals to which maternity patients
				  may be admitted shall comply with the requirements for the determination and
				  reporting of the rhesus (Rh) blood type of maternity patients and the reporting
				  of rhesus (Rh) hemolytic disease of the newborn contained in Section
				  6510 of Title 17, California
				  Administrative Code.
(d) Child
				  Placement. Hospitals shall report to the Department on forms supplied by them,
				  within 48 hours, the name and address of any person other than a parent or
				  relative by blood or marriage, or the name and address of the organization or
				  institution into whose custody a child is given on discharge from the hospital.
				  The release of children for adoption shall be in conformity with the state law
				  regulating adoption procedure.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 7 - Administration › Section 70738 - Infant Security

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written policies and procedures shall be adopted and
					 implemented to accurately identify infants and to protect infants from removal
					 from the facility by unauthorized persons. The policies and procedures shall be
					 reviewed and updated by the facility every two years.
1. New
					 section filed 1-24-90 as an emergency; operative 1-24-90 (Register 90, No. 5).
					 A Certificate of Compliance must be transmitted to OAL within 120 days or
					 emergency language will be repealed on 5-24-90.
2. Certificate of
					 Compliance as to 1-24-90 order transmitted to OAL 5-24-90 and filed 6-21-90
					 (Register 90, No. 33).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.