reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.563 - Contracts

Current through May 31, 2024
(a) A home health agency may contract with
				  another facility or agent to perform services or provide resources to the
				  agency. The services provided under contract that are regulated under
				  7 AAC 12.500 -
				  7 AAC 12.590 must meet the requirements of this
				  chapter.
(b) A home health agency's
				  contract with another facility or agent to provide home health care or services
				  must
(1) be in writing;
(2) be signed and dated by the agency and the
				  contractor;
(3) specify the
				  respective functions and responsibilities of the contractor and the agency,
				  including the frequency of services to be provided by the contractor;
(4) include, if applicable, the current
				  license or registration number of the contractor;
(5) provide that patients are accepted for
				  care or services only by the contracting home health agency;
(6) identify the type and frequency of
				  services to be furnished;
(7)
				  require the contractor to conform to all applicable agency policies, including
				  personnel qualifications;
(8)
				  specify the contractor's responsibility for participating in developing a plan
				  of care;
(9) specify the manner in
				  which the care or services will be controlled, coordinated, and evaluated by
				  the contracting home health agency;
(10) identify the procedures for
(A) submitting clinical progress
				  notes;
(B) scheduling of
				  visits;
(C) performing periodic
				  patient evaluation; and
(11) identify the procedures for payment for
				  services furnished under the contract.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.565 - Risk management

Current through May 31, 2024
(a) A home health agency shall have a risk
				  management program that includes a procedure to investigate, analyze, and
				  respond to patient grievances related to patient care.
(b) A home health agency shall conduct, in
				  each service area, an orientation program for each new employee and annual
				  inservice training that covers the following topics:
(1) agency policies and procedures;
(2) employee job responsibilities and the
				  skills necessary to meet those responsibilities;
(3) recognition and response to potential
				  fire, emergency, and home safety hazards;
(4) principles and techniques of infection
				  control; and
(5) ethics and
				  confidentiality.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.566 - Infection control

Current through May 31, 2024
(a) A home health agency shall develop and
				  implement written policies and procedures applicable to all agency staff that
(1) minimize the risk of transmitting
				  infection in all patient care or services; and
(2) provide for the safe handling and
				  disposal of biohazardous and infectious materials.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.571 - Employee health program

Current through May 31, 2024
A home health agency shall have an employee health program
					 that meets the requirements of
					 7 AAC 12.650.
Authority:
AS
						18.05.040
AS 47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.600 - Scope

Current through May 31, 2024
(a) Unless indicated otherwise in this
				  chapter, a facility required to be licensed under AS 47.32 and this chapter
				  must comply with the provisions of
				  7 AAC 10.9500 -
				  7 AAC 10.9535 (General Variance Procedures),
				  7 AAC 10.9600 -
				  7 AAC 10.9620 (Inspections and Investigations),
				  7 AAC 12.600,
				  7 AAC 12.605,
				  7 AAC 12.610,
				  7 AAC 12.620, and
				  7 AAC 12.920, and with the applicable provisions of this
				  section for each type of facility. A critical access hospital must also comply
				  with 7 AAC 12.612.
(b) A general acute care hospital, rural
				  primary care hospital, long-term acute care hospital, critical access hospital,
				  specialized hospital, and nursing facility must comply with
				  7 AAC 12.630 -
				  7 AAC 12.660,
				  7 AAC 12.730 -
				  7 AAC 12.770,
				  7 AAC 12.860, and
				  7 AAC 12.890 -
				  7 AAC 12.910.
(c) An intermediate care facility for the
				  mentally retarded must comply with
				  7 AAC 12.650,
				  7 AAC 12.760,
				  7 AAC 12.860, and
				  7 AAC 12.900 -
				  7 AAC 12.910.
(d) An ambulatory surgical facility must
				  comply with
				  7 AAC 12.630,
				  7 AAC 12.650 -
				  7 AAC 12.660,
				  7 AAC 12.730 -
				  7 AAC 12.770,
				  7 AAC 12.860, and
				  7 AAC 12.890 -
				  7 AAC 12.910.
(e) A free-standing birth center must comply
				  with 7 AAC 12.650 -
				  7 AAC 12.660,
				  7 AAC 12.730 -
				  7 AAC 12.760,
				  7 AAC 12.860,
				  7 AAC 12.890, and
				  7 AAC 12.910.
(f) A home health agency must comply with
				  7 AAC 12.500 -
				  7 AAC 12.590.
(g) A facility licensed under this chapter,
				  with the exception of a home health agency, that provides a service described
				  in 7 AAC 12.670 -
				  7 AAC 12.720,
				  7 AAC 12.780,
				  7 AAC 12.790 -
				  7 AAC 12.850,
				  7 AAC 12.870, or
				  7 AAC 12.880 must comply with the section of this
				  chapter governing the provision of that service, unless otherwise
				  indicated.
(h) A frontier extended
				  stay clinic must comply with
				  7 AAC 12.450 -
				  7 AAC 12.490, and the applicable provisions of
				  7 AAC 12.630 -
				  7 AAC 12.660,
				  7 AAC 12.730,
				  7 AAC 12.750,
				  7 AAC 12.760,
				  7 AAC 12.770,
				  7 AAC 12.860,
				  7 AAC 12.890, and
				  7 AAC 12.910.
(i) A hospice agency must also comply with
				  the applicable provisions of
				  7 AAC 12.310 -
				  7 AAC 12.349,
				  7 AAC 12.690,
				  7 AAC 12.700, and
				  7 AAC 12.910. If the hospice agency provides inpatient
				  care on agency premises, the hospice agency is also subject to the requirements
				  for a nursing home set out in (b) of this section, except for
				  7 AAC 12.770.
Authority:
AS
						18.05.040
AS 18.20.075
AS 18.20.080
AS 18.20.085
AS 47.05.300
AS 47.05.310
AS 47.05.340
AS 47.32.010
AS 47.32.020
AS 47.32.030
AS 47.32.040
AS 47.32.050
AS 47.32.060
AS 47.32.070
AS 47.32.080
AS 47.32.120
AS 47.32.130
AS
						47.32.140
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.605 - Background check requirements

Current through May 31, 2024
An entity listed in AS 47.32.0l0(b) that is required to be
					 licensed under AS 47.32 and this chapter must also comply with the applicable
					 requirements of AS 47.05.300 - 47.05.390 and 7 AAC 10.900 - 7 AAC 10.990
					 (barrier crimes and conditions; background checks.
Authority:
AS
						47.05.300
AS 47.05.310
AS 47.05.320
AS 47.05.330
AS 47.05.340
AS 47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.610 - Licensure

Current through May 31, 2024
(a) Unless exempt under
				  7 AAC 12.611, before an individual or entity may operate
				  a facility subject to AS 47.32 and this chapter, the individual or entity must
				  obtain a license from the department under AS 47.32 and this section. The
				  department may bring an action to enjoin the operation of a facility that has
				  failed to obtain a license as required under AS 47.32 and this chapter. In
				  addition to meeting the applicable requirements of this section, an applicant
				  for licensure of a
(1) hospice agency must
				  also meet the licensure requirements of
				  7 AAC 12.312;
(2) free-standing birth center must also meet
				  the licensure requirements of
				  7 AAC 12.404;
(3) frontier extended stay clinic must also
				  meet the licensure requirements of 7AAC12.457; or
(4) home health agency must also meet the
				  licensure requirements of
				  7 AAC 12.500 -
				  7 AAC 12.590.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.611 - Exemptions from licensure

Current through May 31, 2024
(a) Unless
				  operating as a frontier extended stay clinic under
				  7 AAC 12.450 -
				  7 AAC 12.490, a rural health clinic, including a
				  community health center and a federally qualified health center, is exempt from
				  the licensure requirements of AS 47.32 and this chapter.
(b) A facility owned and operated by the
				  United States Indian Health Service, or a facility owned and operated by a
				  tribal organization, as defined in
				  25 U.S.C.
				  450 b (
l
), under a funding
				  agreement under 25 U.S.C.
				  458aaa-4 (Indian Self-Determination and
				  Education Assistance Act and Tribal Self-Governance Amendments of 2000) is
				  exempt from the requirement to obtain a license under AS 47.32 and this
				  chapter. However, a facility described in this subsection must meet the
				  applicable licensure requirements set out in AS 47.32 and this
				  chapter.
Authority:
AS
						47.32.010
AS 47.32.020
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.612 - Licensure of critical access hospitals

Current through May 31, 2024
(a) In addition to
				  7 AAC 12.610, the provisions of this section apply to
				  the licensure of critical access hospitals.
(b) A hospital must hold a current license,
				  or must have held a license at any time on or after November 29, 1999, as
				  either a general acute care hospital or a rural primary care hospital at the
				  time of its initial application for licensure as a critical access
				  hospital.
(c) An applicant for
				  licensure as a critical access hospital must submit the following as part of
				  its initial application:
(1) a description of
				  the area to be served by the applicant;
(2) a community needs assessment analyzing
				  the availability and utilization of health care services in the applicant's
				  service area, including acute care, primary care, and emergency services, and a
				  discussion of how conversion to a critical access hospital will better serve
				  community needs;
(3) the
				  applicant's plan for the delivery of health services within the applicant's
				  service area;
(4) a financial
				  feasibility study that analyzes the financial impact on the applicant of
				  conversion to a critical access hospital, taking into account relevant
				  operational factors, including changes in utilization, services, staffing, and
				  Medicare reimbursement;
(5) a
				  community education plan that describes the steps that have been or will be
				  taken to educate and involve the residents of the service area in the decision
				  to convert to a critical access hospital;
(6) an emergency services plan that
				  coordinates the provision of emergency medical services in the applicant's
				  service area;
(7) a description of
				  the volume capacity of the applicant and other related health care resources
				  within the applicant's service area;
(8) the distance and travel time to other
				  health care resources within the applicant's service area;
(9) identification of barriers to accessing
				  health care in the applicant's service area.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.615 - Facility fees

Current through May 31, 2024
(a) An application under
				  AS
				  47.32.040 from a facility for a license must
				  be accompanied by the following fees to cover the provisional licensure period:
(1) for a hospital: $2,000, plus $85 per
				  bed;
(2) for a nursing facility
				  within the meaning given in
				  AS
				  47.32.900: $1,000, plus $125 per
				  bed;
(3) for an ambulatory surgical
				  center, including an ambulatory surgical facility: $650;
(4) for a free-standing birth center:
				  $250;
(5) for a home health agency
				  within the meaning given in
				  AS
				  47.32.900, fees as follows:
(A) a fee based on total employee full-time
				  equivalents (FTEs) to include any fiill-time equivalents at any subunit or
				  branch, as follows:
(i) five or fewer
				  fiill-time equivalents: $1,000;
(ii) six to 15 full-time equivalents: $1,500;
(iii) 16 to 50 full-time equivalents:
				  $2,000;
(iv) 51 or more fiill-time
				  equivalents: $3,000;
(B)
				  in addition to the applicable fee under (A) of this paragraph, $500 for each
				  separate subunit or branch that the home health agency includes in the home
				  health agency's license;
(6) for a hospice agency, fees as follows:
(A) for a parent hospice agency and each
				  agency that operates as a subunit under a parent hospital agency, fees as
				  follows:
(i) a volunteer hospice that
				  primarily provides hospice services where a client lives or stays:
				  $100;
(ii) a non-volunteer hospice
				  that primarily provides hospice services where a client lives or stays:
				  $250;
(iii) an inpatient hospice
				  facility: $250, plus $75 per bed;
(B) in addition to the applicable fee under
				  (A) of this paragraph, $100 for each separate subunit that the parent hospice
				  agency includes in the parent hospice agency's license;
(7) for a frontier extended stay clinic:
				  $250, plus $100 for each bed used for extended stay patients.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.620 - Enforcement actions; informal reconsideration of findings

Current through May 31, 2024
(a) The department
				  will inspect each facility and conduct investigations as provided in AS 47.32,
				  7 AAC 10.9600 -
				  7 AAC 10.9620, and this chapter.
(b) Except for enforcement actions under
				  AS
				  47.32.130, the department will, before
				  delivering a report under
				  AS
				  47.32.120 and if requested by the facility,
				  meet informally with representatives of the facility to discuss the
				  department's findings and any proposed enforcement action. An informal meeting
				  under this subsection does not affect any rights under AS 47.32.
Authority:
AS
						18.05.040
AS 47.32.010
AS 47.32.030
AS 47.32.090
AS 47.32.110
AS 47.32.120
AS 47.32.130
AS
						47.32.140
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.630 - Governing body

Current through May 31, 2024
(a) Each facility, with the exception of
				  birth centers, hospice agencies that do not provide inpatient care on agency
				  premises, and intermediate care facilities for the mentally retarded, must have
				  a governing body that assumes responsibility for implementing and monitoring
				  policies that govern the facility's operation and for ensuring that those
				  policies are administered in a manner that provides quality health care in a
				  safe environment. The facility must provide to the department the name, title,
				  and mailing address for
(1) each owner of the
				  facility;
(2) each person who is
				  principally responsible for directing facility operations; and
(3) the person responsible for medical
				  direction.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.640 - Administration

Current through May 31, 2024
(a) Each facility, with the exception of
				  birth centers, intermediate care facilities for the mentally retarded, home
				  health agencies, hospice agencies that do not provide inpatient care on agency
				  premises, and ambulatory surgical facilities must comply with the provisions of
				  this section.
(b) A facility must
				  have an administrator, who is directly responsible to the governing body. The
				  administrator shall
(1) coordinate staff
				  services;
(2) provide liaison
				  between the governing body and facility staff;
(3) report to the governing body regularly
				  and at least annually on facility operations;
(4) provide written notice to medical staff
				  of initial and annual or, if approved by the governing body, biennial
				  appointments;
(5) evaluate for
				  implementation recommendations of the facility's committees and
				  consultants;
(6) ensure that the
				  facility complies with program standards; and
(7) delineate responsibility and
				  accountability of each service component of the facility to the
				  administration.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.650 - Employee health program

Current through May 31, 2024
(a) A facility must
				  establish and maintain an employee health program that
(1) provides tuberculosis education,
				  screening, testing, evaluation, and treatment in accordance with the United
				  States Department of Health and Human Services, Centers for Disease Control and
				  Prevention (CDC) recommendations for tuberculosis screening and testing of
				  health care personnel; baseline tuberculosis screening and testing for a new
				  employee must occur before the employee's first day of employment;
(A) an employee who has never had a positive
				  tuberculin skin test result shall obtain a tuberculin Mantoux skin test; if the
				  tuberculin skin test result is negative, the employee does not need to have
				  further annual tuberculosis evaluation under this paragraph if the employee's
				  duties never require him or her to be in a room where patients or residents
				  might enter, and if the employee does not handle clinical specimens or other
				  material from patients or from their rooms; an example of such an employee is
				  an administrative person or research worker whose place of work is remote from
				  patient or residential care areas and who does not come in contact with
				  clinical specimens;
(B) an employee
				  who has previously had a positive tuberculin skin test result, or an employee
				  whose tuberculin skin test obtained under (A) of this paragraph has a positive
				  result
(i) shall have a health evaluation by
				  a health care provider to identify symptoms suggesting that tuberculosis
				  disease is present; the health evaluation must also include evaluation for the
				  presence of any of the following risk factors: evidence of inadequately treated
				  past tuberculosis disease, history of close exposure to a case of communicable
				  pulmonary tuberculosis within the previous two years, history of a negative
				  tuberculin test within the previous two years, diabetes mellitus (severe or
				  poorly controlled), diseases associated with severe immunologic deficiencies,
				  immunosuppressive therapy, silicosis, gastrectomy, excessive alcohol intake, or
				  human immunodeficiency virus infection; if symptoms suggesting tuberculosis
				  disease are present, or if any of the risk factors is present, a chest x-ray
				  shall be obtained as part of the health evaluation and the health care provider
				  shall report the case to the section of epidemiology, division of public
				  health; and
(ii) if the employee
				  has previously received appropriate antituberculosis chemotherapy and has no
				  symptoms suggesting that tuberculosis is present, the employee need not have
				  further annual tuberculosis evaluation under this paragraph;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.660 - Personnel

Current through May 31, 2024
(a) A facility must plan and retain records
				  of employee orientation, in-service training programs, and employee
				  supervision. In addition, the facility must maintain for each employee a file
				  that includes
(1) a current job
				  description;
(2) a copy of the
				  employee's current license or certification, if a license or certification is
				  required by statute for the employee's profession;
(3) a summary of the employee's education,
				  training, and experience;
(4)
				  evidence of the employee's compliance with the employee health requirements of
				  7 AAC 12.650; and
(5) evidence of compliance with the
				  applicable requirements of AS 47.05.300 - 47.05.390 and 7 AAC 10.900 - 7 AAC 10.990 (barrier crimes and conditions; background checks.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.670 - Nursing service

Current through May 31, 2024
(a) A licensed nurse shall write a patient
				  care plan for each patient in consultation with other patient care personnel
				  and the patient.
(b) The patient
				  care plan must reflect analysis of patient problems and needs, treatment goals,
				  medication prescribed and, upon discharge, instructions given to the patient
				  and the patient's family regarding medication management, including any risks,
				  side effects, and benefits expected, and including any recommended activities
				  and diet.
(c) Each facility must
				  have a registered nurse as the director for nursing services. The director
				  shall perform the following duties:
(1)
				  assure that all nurses comply with the requirements of (a) of this
				  section;
(2) provide a sufficient
				  number of registered nurses to meet patient needs;
(3) write an annual evaluation on the
				  performance of each nurse;
(4)
				  maintain records on the number of nurses employed and the hours and weeks of
				  employment;
(5) delegate to a
				  registered nurse the responsibility to plan, assign, supervise, and evaluate
				  the nursing care for each patient;
(6) select and promote nursing personnel
				  based on their qualifications and terminate employees when necessary;
				  and
(7) establish and implement a
				  standard procedure for the safe administration of medications.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.680 - Pharmaceutical service

Current through May 31, 2024
(a) A facility which dispenses drugs must
				  employ a pharmacist on a regular or consultant basis. The pharmacist shall
				  perform the following duties:
(1) procure,
				  label, and maintain a sufficient quantity of drugs to meet patient needs at all
				  times;
(2) inventory emergency
				  drugs every 30 days and restock, as necessary;
(3) dispose of drugs that have been
				  discontinued or have expired;
(4)
				  dispose of scheduled drugs that have been discontinued or have expired which
				  are listed in schedules I - V of the Federal Comprehensive Drug Abuse
				  Prevention and Control Act of 1970 as amended,
				  21 U.S.C.
				  801 et seq.;
(5) assure that there is no more than one
				  person on each shift who is performing the duties under
				  7 AAC 12.670(e), or is a physician, who
				  has access to the pharmacy stock of drugs or controlled substances;
(6) assure that drugs, chemicals, and
				  biologicals are properly labeled regarding their content and
				  strength;
(7) if a consultant
				  pharmacist, provide a written quarterly report to the administrator on the
				  status of the pharmaceutical service; and
(8) document and evaluate medication errors
				  to prevent reoccurrence and to ensure the accuracy and adequacy of the
				  medication distribution system.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.690 - Physical therapy service

Current through May 31, 2024
(a) A facility that
				  provides physical therapy services must retain, as an employee or under
				  contract as a consultant of the facility, a physical therapist licensed under
				  AS 08.84. If treatment is to be rendered by a physical therapy assistant, the
				  physical therapy assistant must be licensed under AS 08.84, and the treatment
				  must be planned, delegated, and supervised by the physical therapist.
(b) A physical therapist may evaluate a
				  patient and establish a treatment program only upon written or verbal
				  instructions from the treating physician. A treatment program and any
				  modification to it must be approved by the referring physician. A physical
				  therapist may accept a verbal order of a physician.
(c) A physical therapist shall perform the
				  following duties or, if one or more of these duties is delegated to a physical
				  therapy assistant, the physical therapist shall ensure that the duties are
				  properly performed:
(1) enter each treatment
				  into the patient's medical record;
(2) prepare clinical progress
				  notes;
(3) prepare summaries of
				  care.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.700 - Social work service

Current through May 31, 2024
(a) A facility that provides social work
				  services must retain a social worker licensed under AS 08.95 as an employee or
				  consultant of the facility. The social worker shall
(1) regularly assess the social service needs
				  for each patient, resident, or client, implementing the plan of care to meet
				  those needs, and reevaluating those needs as appropriate;
(2) link each patient, resident, or client
				  and that individual's family with applicable community resources as necessary
				  to assist in meeting ongoing social, emotional, and economic needs;
(3) assist the physician, any
				  interdisciplinary team, and other staff in understanding the social and
				  emotional factors related to the health of each patient, resident, or
				  client;
(4) prepare clinical and
				  progress notes;
(5) participate in
				  in-service training; and
(6) plan,
				  supervise, and delegate any services furnished by a social services specialist
				  as provided in (c) of this section.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.710 - Occupational therapy service

Current through May 31, 2024
(a) A facility
				  which provides occupational therapy services must retain an occupational
				  therapist as an employee or consultant of the facility.
(b) Repealed 5/28/92.
(c) An occupational therapist shall directly
				  supervise assistants.
Authority:
AS
						18.05.040
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.720 - Dietetic service

Current through May 31, 2024
(a) A facility that provides dietetic
				  services, with the exception of frontier extended stay clinics, must comply
				  with the provisions of this section.
(b) Except as provided in (p) and (q) of this
				  section, a facility must employ
(1) a
				  full-time dietitian who is registered by the American Dietetic Association;
				  or
(2) a full-time dietetic service
				  supervisor to supervise the dietetic service and a registered dietitian on a
				  consulting basis.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.730 - Central service

Current through May 31, 2024
(a) If a facility processes sterilized
				  instruments and supplies, it must meet the requirements in this section. If a
				  facility receives sterilized instruments and supplies from another entity
				  through contract or agreement, the facility must ensure the contractor meets
				  the requirements in this section.
(b) A facility must maintain a separate area
				  for processing, decontamination, if necessary, and storage of sterile supplies
				  and materials.
(c) A facility must
				  develop and implement written policies and procedures for the cleaning,
				  antimicrobial processing, and storage of supplies and equipment to prevent the
				  transmission of infection through their use.
(d) Traffic in an area designated for
				  processing, decontamination, and storage of supplies must be restricted to
				  properly attired authorized personnel. Birth centers, frontier extended stay
				  clinics, and nursing homes are not required to comply with this
				  subsection.
(e) Shipping cartons
				  may not be stored with sterile products.
(f) A facility must retain records of
				  bacteriological efficiency monitoring of autoclaves at recommended frequency
				  for three years.
(g) Instructions
				  for the operation of autoclaves must be posted near the equipment.
(h) Each facility must maintain a retrieval
				  system for supplies whose sterility is questionable.
(i) A hospice agency that does not provide
				  inpatient care on agency premises is exempt from the requirements of this
				  section.
Authority:
AS
						18.05.040
AS 47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.740 - Laundry service

Current through May 31, 2024
(a) Each facility, with the exception of home
				  health agencies, frontier extended stay clinics, and intermediate care
				  facilities for the mentally retarded, must provide a laundry service.
(b) A facility must develop and implement
				  written procedures for handling, processing, storage, and transportation of
				  linen in a manner that will prevent the spread of infection and will assure the
				  maintenance of clean linen.
(c) If
				  a facility operates its own laundry, it must be
(1) located so that steam, odors, lint, and
				  objectionable noises do not reach patient or personnel areas;
(2) well-lighted, ventilated, and adequate in
				  size for the needs of the facility;
(3) maintained in a sanitary manner and in
				  good repair;
(4) separate from any
				  storage area; and
(5) organized so
				  that clean and soiled functions are physically separated.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.750 - Housekeeping service

Current through May 31, 2024
(a) Each facility, with the exception of home
				  health agencies and intermediate care facilities for the mentally retarded,
				  must provide a housekeeping service.
(b) A facility must have routine cleaning
				  procedures for furniture, floors, walls, ceilings, supply and exhaust grills,
				  and lighting fixtures.
(c) A
				  facility must have written procedures for cleaning all areas of the facility,
				  including cleaning of a patient unit following discharge of a
				  patient.
(d) Housekeeping personnel
				  must wear clean cap, mask, and gown when cleaning a surgical or delivery
				  suite.
(e) A facility must maintain
				  sufficient housekeeping cleaning supplies and equipment. Separate equipment
				  must be provided, as applicable, for operating rooms, delivery rooms, the
				  nursery, and the dietary area. Housekeeping equipment and cleaning supplies,
				  other than those in bulk, must be stored in designated housekeeping supply
				  rooms. A detergent germicide must be used for all cleaning and dusting
				  purposes. Mop heads must be removable and must be changed at least
				  daily.
(f) Each facility must
				  provide a sufficient housekeeping service to maintain the interior of the
				  facility in a safe, clean, orderly and attractive manner and free from
				  offensive odors.
Authority:
AS
						18.05.040
AS 47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.760 - Infection control

Current through May 31, 2024
(a) Each facility, with the exception of home
				  health agencies and hospice agencies that do not provide inpatient care on
				  agency premises, must have an infection control committee.
(b) The administrator or medical staff shall
				  appoint an infection control committee composed of representatives of the
				  medical staff, administration, nursing, and other services, that is responsible
				  for maintenance and supervision of an infection control program.
(c) The infection control committee shall
				  establish and maintain, as part of the infection control program,
(1) specific procedures for diagnosing,
				  reporting, investigating, reviewing, and maintaining records of infection of
				  residents and personnel, such as the procedures set out in the federal Centers
				  for Disease Control guidelines;
(2)
				  written procedures for all departments incorporating principles or practices
				  that reduce the risk of infection in all patient care services and
				  areas;
(3) a system for reporting
				  communicable diseases in accordance with
				  7 AAC 27.005 -
				  7 AAC 27.010; and
(4) written isolation and body substance
				  isolation techniques for known or suspected communicable diseases or
				  infections.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.770 - Medical record service

Current through May 31, 2024
(a) Each facility, with the exception of home
				  health agencies, hospice agencies, intermediate care facilities for the
				  mentally retarded, and birth centers, must have a medical record service that
				  complies with the applicable provisions of this section. A frontier extended
				  stay clinic must comply with (b), (d), (g), and (i) - (k) of this section in
				  addition to the requirements of
				  7 AAC 12.483.
(b) A facility must keep records on all
				  patients admitted or accepted for treatment. The medical records, including
				  x-ray films, are the property of the facility and are maintained for the
				  benefit of the patients, the medical staff, and the facility. Medical records
				  are subject to the requirements of
				  AS
				  18.05.042,
				  7 AAC 43.030, and
				  7 AAC 43.032. This section does not affect other
				  statutory or regulatory requirements regarding access to, use of, disclosure
				  of, confidentiality of, or retention of record contents, or regarding
				  maintenance of health information in patients' records by health care
				  providers. A facility must maintain originals or accurate reproductions of the
				  contents of the originals of all records, including x-rays, consultation
				  reports, and laboratory reports, in a form that is legible and readily
				  available
(1) upon request, to the attending
				  physician or other practitioner responsible for treatment, a member of the
				  facility's medical staff, or a representative of the department; and
(2) upon the patient's written request, to
				  another practitioner.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.780 - Radiological service

Current through May 31, 2024
(a) A facility that provides radiological
				  services, with the exception of frontier extended stay clinics, must comply
				  with the requirements of this section.
(b) If a facility which provides radiological
				  services does not have a radiologist on its staff, a radiologist must provide
				  consultation services to the facility at least twice a year to assure high
				  quality of the diagnostic radiological service.
(c) A physician or a radiologist must have
				  clinical responsibility for the radiological services.
(d) Radiological services may be performed
				  only upon the order of a person lawfully authorized to diagnose and treat
				  illness.
(e) If an x-ray
				  examination is to be provided to a patient, a request by the attending
				  physician for the x-ray examination must contain a diagnosis or a tentative
				  diagnosis, or a concise statement of the reasons for the x-ray
				  examination.
(f) A report of a
				  radiological examination must be filed in the patient's medical record and
				  maintained in the radiology unit.
(g) Diagnostic x-ray film processing must
				  conform to the time and temperature recommendations of the
				  manufacturer.
(h) All individuals
				  who are employed or involved in providing radiological services or who may be
				  exposed to radiation shall wear devices that monitor radiation
				  exposure.
(i) A facility must keep
				  records identifying employees who have been exposed to radiation and the amount
				  of exposure for each employee.
(j)
				  A facility which provides nuclear medicine services must report the type of
				  those services provided to the department and must conform, unless specifically
				  excepted by law, to the applicable standards of the Nuclear Regulatory
				  Commission, 10 C.F.R. Parts 0 - 170, as in effect April 30, 1983, and 18 AAC
				  85.
(k) Radiation therapy may be
				  given only under the direction of a radiation therapist using equipment which
				  is specifically designed for radiation therapy.
(l) A facility which uses x-ray equipment
				  must conform to the radiation protection standards set out in
				  18 AAC 85.010 -
				  18 AAC 85.770.
(m) In this section, "nuclear medicine
				  services" means medical procedures that use radio isotopes or other atomic
				  entities in the treatment or diagnosis of illness or disease.
Authority:
AS
						18.05.040
AS 47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.790 - Laboratory service

Current through May 31, 2024
(a) A facility that provides laboratory
				  services must comply with
				  7 AAC 12.790 -
				  7 AAC 12.850 and must meet the requirements of  42 C.F.R.
				  Part 493, Laboratory Requirements, as revised as of October 1, 2005, and
				  adopted by reference.
(b) A
				  facility must have and maintain written procedures on the scope of onsite
				  laboratory services necessary to support the facility's emergency and patient
				  care services. For laboratory tests not performed in the facility, the facility
				  must make arrangements with an approved laboratory to meet the requirements of
				  this section. Information specifying the laboratory tests performed at the
				  facility, and laboratory tests available under arrangement, must be provided to
				  the medical staff.
(c) A laboratory
				  that provides blood or blood products must
(1) have those products onsite or readily
				  available from another source; and
(2) maintain storage areas for those products
				  under adequate control and supervision.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.830 - Mailing of laboratory specimens

Current through May 31, 2024
A laboratory specimen may be referred and mailed only to an
					 approved laboratory. The mailing containers to be used must be provided by the
					 laboratory to which the specimens are sent.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.840 - Supervision and direction of laboratory service

Current through May 31, 2024
(a) A laboratory
				  must be under the supervision and direction of a physician, a laboratory
				  specialist, or a medical technologist who
(1)
				  meets the applicable qualification requirements of  42 C.F.R. Part 493, adopted
				  by reference in
				  7 AAC 12.790; and
(2) is either employed by the laboratory or
				  under contract to the laboratory.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.860 - Risk management

Current through May 31, 2024
A facility, with the exception of home health agencies and
					 hospice agencies that do not provide inpatient care on agency premises, must
					 have a risk management program that has
(1) provision for monitoring, evaluating,
				  identifying, correcting, and reassessing care practices that negatively affect
				  quality of care and services provided or result in accident or injury to a
				  patient, resident, or staff, and provisions for documenting deficiencies found
				  and remedial actions taken;
(2) a
				  preventive maintenance program that is designed to ensure the proper
				  functioning, safety and performance of all electrical and mechanical equipment
				  used in the care, diagnosis, and treatment of patients or residents, and for
				  the physical plant including the electrical, plumbing, heating, and ventilation
				  systems and their parts, including
(A)
				  implementation of policies that specify procedures and frequencies for the
				  maintenance of all equipment and systems and all their parts, that meets or
				  exceeds manufacturers' recommendations; and
(B) documentation of the preventive
				  maintenance that has occurred;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.870 - Emergency care service

Current through May 31, 2024
(a) If a facility provides emergency care
				  services, those services must be available 24 hours a day and must include
(1) a determination by trained staff of
				  whether a person entering the service should receive a medical, psychological,
				  or social evaluation;
(2) treatment
				  of acute and potentially life-threatening disorders; and
(3) supervision of medically ill persons by
				  trained medical staff.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.880 - Outpatient service

Current through May 31, 2024
(a) If a facility provides outpatient
				  service, the responsibility of the outpatient service to the medical staff and
				  the administration of the facility must be defined in writing.
(b) The outpatient service must develop a
				  written plan describing its treatment philosophy, objectives, and
				  organization.
(c) If the facility
				  is one that performs outpatient surgery, the written policies and procedures
				  must make provision for at least the following:
(1) types of operative procedures that may be
				  performed;
(2) types of anesthesia
				  that may be used;
(3) pre-operative
				  evaluation of the patient which meets the same standards as apply to inpatient
				  surgery;
(4) informed consent by a
				  patient before treatment;
(5) the
				  delivery to a pathologist designated by the facility of all anatomical parts,
				  tissues, or foreign objects that are removed from a patient, except those
				  designated by the medical staff as not requiring a pathologist's report, and
				  the filing of the pathologist's findings in the patient's medical
				  record;
(6) written instructions to
				  a patient before surgery, which include
(A)
				  applicable restrictions on food and drugs that may be taken before
				  surgery;
(B) any special
				  preparations to be made by the patient;
(C) any post-operative
				  requirements;
(D) clear explanation
				  that admission to the hospital may be required in the event of an unforeseen
				  circumstance; and
(7)
				  examination of each patient by a physician before discharge.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.890 - Rights of patients, clients, and residents

Current through May 31, 2024
(a) Except as
				  otherwise provided in
				  AS
				  47.30.825, a patient, client, or a nursing
				  facility resident has rights that include the following:
(1) to associate and communicate privately
				  with persons of the patient's, client's, or resident's choice;
(2) to have reasonable access to a telephone
				  to make and receive confidential calls;
(3) to mail and receive unopened
				  correspondence;
(4) to be informed
				  of the facility's grievance procedure for handling complaints relating to
				  patient, client, or resident care;
(5) to be free from physical or chemical
				  restraints except as specified in
				  AS
				  47.30.825 or
				  7 AAC 12.258;
(6) to be treated with consideration and
				  recognition of the patient's, client's, or resident's dignity and
				  individuality;
(7) to
				  confidentiality of the patient's, client's, or resident's medical records and
				  treatment;
(8) to be free from
				  unnecessary or excessive medications;
(9) to private visits by the patient's,
				  client's, or resident's spouse, and to share a room if both spouses are
				  patients, clients, or residents in the facility, unless medical reasons or
				  space problems require separation;
(10) to be informed in a language that the
				  patient, client, or resident understands, before or at the time of admission
				  and during the stay, of services that are available in the facility and their
				  cost, including any costs for services or personal care items not covered by
				  the facility's basic per diem rate or not covered under
				  42 U.S.C.
				  1395 -
				  1396 v (Titles XVIII or XIX of the
				  Social Security Act);
(11) to be
				  informed, in a language that the patient, client, or resident understands, of
				  the patient's, client's, or resident's medical condition by the practitioner
				  responsible for treatment;
(12) to
				  refuse to participate in experimental research, psychosurgery, lobotomy,
				  electroconvulsive therapy, or aversive conditioning;
(13) to participate in the development of a
				  plan of care, or discharge plan, and to receive instructions for self-care and
				  treatment that include explanation of adverse symptoms and necessary
				  precautions, as appropriate;
(14)
				  to be informed, in a language that the patient, client, or resident
				  understands, of the rights listed in this subsection and of all the rules and
				  regulations governing patient, client, or resident conduct and
				  responsibility;
(15) to be informed
				  of the professional training and experience of the practitioner responsible for
				  treatment;
(16) to be informed by a
				  practitioner of different options to the treatment recommended by the
				  practitioner responsible for treatment, including the risks and benefits of
				  each option.