reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Licensing Outpatient Clinics Operated by Corporations or Municipalities › Section 19-13-D54 - Abortions

Current through July 10, 2024
(a) No abortion shall be performed at any
				  stage of pregnancy except by a person licensed to practice medicine and surgery
				  in the State of Connecticut.
(b)
				  All induced abortions will be reported within seven days by the physician
				  performing the procedure to the state commissioner of public health who will
				  maintain such reports in a confidential file and use them only for statistical
				  purposes except in cases involving licensure. Such reports will specify date of
				  abortion, place where performed, age of woman and town and state of residence,
				  approximate duration of pregnancy, method of abortion, and explanation of any
				  complications. The name of the woman will not be given. These records will be
				  destroyed within two years after date of receipt. In addition, a fetal death
				  certificate shall be filed for each fetus born dead which is the result of
				  gestation of not less than twenty weeks, or a live birth certificate shall be
				  filed for each fetus born alive regardless of gestational age, as provided in
				  sections
				  7-48
				  and
				  7-60 of
				  the Connecticut General Statutes. If a live born fetus subsequently dies, a
				  death certificate shall be filed as provided in section
				  7-62b
				  of the Connecticut General Statutes.
(c) All induced abortions after the second
				  trimester as verified by ultrasound, last menstrual period and pelvic exam,
				  shall be done only in a licensed hospital with a department of obstetrics and
				  gynecology and a department of anesthesiology.
(d) All outpatient clinics operated by
				  corporations or municipalities where abortions are performed shall develop
				  standards to control the quality of medical care provided to women having
				  abortions. These standards shall include but not necessarily be limited to:
(1) verification of pregnancy and
				  determination of duration of pregnancy;
(2) pre-operative instruction and
				  counseling;
(3) operative
				  permission and informed consent;
(4) pre-operative history and physical
				  examination;
(5) pre-operative
				  laboratory procedure for blood Rh factor;
(6) prevention of Rh sensitization;
(7) examination of the tissue by a
				  pathologist;
(8) receiving and
				  recovery room facilities;
(9) a
				  standard operating room;
(10)
				  post-operative counseling including family planning; and
(11) a permanent record.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Licensing Outpatient Clinics Operated by Corporations or Municipalities › Section 19-13-D55a - Licensure of an out-patient dialysis unit and standards for in-hospital dialysis units

Current through July 10, 2024
(a)
Definitions.
As used in this section:
(1) "Dialysis Unit" or "Unit" means:
(A) An out-of-hospital out-patient dialysis
				  unit that is a licensed facility which provides services on an out-patient
				  basis to persons requiring dialysis on a short-term basis or for a chronic
				  condition or training for home dialysis; or
(B) An in-hospital dialysis unit that is a
				  special unit of a licensed hospital designed, equipped and staffed to offer
				  dialysis therapy on an out-patient basis, and to provide training for home
				  dialysis and renal transplantation as appropriate.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Licensing of Out-Patient Surgical Facilities Operated by Corporations › Section 19-13-D56 - Licensing of out-patient surgical facilities operated by corporations

Current through July 10, 2024
(a)
Definition.
(1) For the purpose of section 19-13-D56, an
				  out-patient surgical facility is defined as operated by a corporation other
				  than a hospital which provides ambulatory surgical care in addition to the
				  provision of medical care for diagnosis and treatment of persons with acute or
				  chronic conditions or to the provision of surgical care to well
				  persons.
(2) Ambulatory surgical
				  care is defined as surgical care not requiring overnight stay but requiring a
				  medical environment exceeding that normally found in a physician's office. This
				  medical environment may include any or all of the following:
(A) The pathological process for which the
				  operation is to be performed shall be localized and not conducive to systemic
				  disturbance.
(B) The patient shall
				  not, in the opinion of the attending physician, have other significant
				  physiological, biochemical or psychiatric disturbance which might be worsened
				  by the operation.
(C) The
				  preoperative work-up to be done following admission shall not be such as to
				  extend the admission beyond the normal period of clinic operation during one
				  day.
(D) The postoperative recovery
				  period anticipated shall not require skilled medical or nursing care such as to
				  extend the admission beyond the normal period of clinic operation during one
				  day.
(E) Anesthesia requirement,
				  which may render the patient unconscious and unable to walk, but which will not
				  prohibit discharge during the normal period of clinic operation during the day
				  on which the operation is performed.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D67 - Personnel

Current through July 10, 2024
(a) The administrator of an agency shall be a
				  person with one of the following:
(1) A
				  master's degree in nursing with an active license to practice nursing in this
				  state and at least one (1) year of supervisory or administrative experience in
				  a health care facility program which included care of the sick; or
(2) A master's degree in public health or
				  administration with a concentration of study in health services administration,
				  and at least one (1) year of supervisory or administrative experience in a
				  health care facility/program which included care of the sick; or
(3) A baccalaureate degree in nursing with an
				  active license to practice nursing in this state and at least two (2) years
				  supervisory or administrative experience in a health care facility/program
				  which included care of the sick; or
(4) A baccalaureate degree in administration
				  with a concentration of study in health services administration and at least
				  two (2) years' supervisory or administrative experience in a health care
				  facility/program which included care of the sick; or
(5) A physician licensed to practice medicine
				  and surgery in the State of Connecticut who has had at least one (1) year
				  supervisory or administrative experience in a health care facility/program
				  which included care of the sick; or
(6) Employment as the administrator of a home
				  health care agency in this state as of January 1, 1981, who has been so
				  employed continuously for the five (5) years immediately preceeding January 1,
				  1981; or
(7) Continuous employment
				  as an administrator of a home health care agency as of January 1, 1979; except
				  that on and after January 1, 1986, no person shall be employed as an
				  administrator of a home health care agency pursuant to this subdivision unless
				  such person additionally meets one of the requirements of subparagraphs (1)
				  through (5) inclusive above.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D68 - General requirements

Current through July 10, 2024
An agency shall be organized and staffed in compliance with
					 the following:
(a) The agency shall be
				  governed by a governing authority, maintain an active professional advisory
				  committee, be directed by an administrator and operate any services offered in
				  compliance with these regulations. Compliance with these regulations shall be
				  the joint and several responsibility of the governing authority and the
				  administrator.
(b)
Governing
				  Authority:
(1) There shall be a formal
				  governing authority with full legal authority and responsibility for the
				  operation of the agency which shall adopt bylaws or rules that are periodically
				  reviewed and so dated. Such bylaws or rules shall include, but are not limited
				  to:
(A) Purposes of the agency;
(B) Delineation of the powers, duties and
				  voting procedures of the governing authority, its officers and
				  committees;
(C) Qualifications for
				  membership, method of selection and terms of office of members and chairpersons
				  of committees;
(D) A description of
				  the authority delegated to the administrator;
(E) The agency's conflict of interest policy
				  and procedures.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D69 - Services

Current through July 10, 2024
Services offered by the agency shall comply with the
					 following.
(a)
Nursing
				  Service:
(1) An agency shall have
				  written policies governing the delivery of nursing service.
(2) Nursing service shall be provided by a
				  primary care nurse, or other nursing staff delegated by the primary care
				  nurse.
(3) The primary care nurse
				  is responsible for the following which shall be documented in the patient's
				  clinical record:
(A) Admission of patients for
				  service and development of the patient care plan;
(B) Implementation or delegation of
				  responsibility for twenty-four (24) hour nursing service and homemaker-home
				  health aide services;
(C)
				  Coordination of services with the patient, family and others involved in the
				  care plan;
(D) Regular evaluation
				  of patient progress, prompt action when any change in the patient's condition
				  is noted or reported, and termination of care when goals of management are
				  attained;
(E) Identification of
				  patient and family needs for other home health services and referral for same
				  when appropriate,
(F) Participation
				  in orientation, teaching and supervision of other nursing and ancillary patient
				  care staff;
(G) Determination of
				  aspects of the care plan for delegation to a homemaker-home health aide.
				  Whenever any patient care activity, other than those activities listed in
				  section
				  19-13-D69(d)
				  (3) of these regulations, is delegated to a homemaker-home health aide, the
				  patient's clinical record clearly supports that the primary care nurse or
				  designated professional staff member has:
(i)
				  Assessed all factors pertinent to the patient's safety including the competence
				  of the homemaker-home health aide, and
(ii) Determined that this activity can be
				  delegated safely to a homemaker-home health aide.
(H) Development of a written plan of care and
				  instructions for homemaker-home health aide services;
(I) Arranging supervision of the
				  homemaker-home health aide by other therapists, when necessary
(J) Visiting and completing an assessment of
				  assigned patients receiving homemaker-home health aide services as often as
				  necessary based on the patient's condition, but not less frequently than every
				  sixty (60) days. The sixty-day assessment shall be completed by a registered
				  nurse, while the homemaker-home health aide is providing services in the
				  patient's home.
(4) An
				  agency may employ licensed practical nurses under the direction of a registered
				  nurse to provide nursing care, to assist the patient in learning self-care
				  techniques and to prepare clinical and progress notes.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D70 - Contracted services

Current through July 10, 2024
Home health care agencies may hire other organizations,
					 agencies or individuals to provide services to home health care agency
					 patients. Services provided by the primary agency through arrangements with a
					 contractor agency or individuals shall be set forth in a written contract which
					 clearly specifies:
(a) That the
				  patient's contract for care is with the primary agency;
(b) The services to be provided by the
				  contractor;
(c) The necessity to
				  conform to all applicable primary agency policies, including personnel
				  qualifications, supervisory ratios and staffing patterns;
(d) The responsibility for participating in
				  developing the patient care plans;
(e) The procedures for submitting clinical
				  and progress notes, scheduling visits, periodic patient evaluation, and
				  determining charges and reimbursement;
(f) The procedure for annual assurance of
				  clinical competence of all personnel utilized under contract;
(g) A term not to exceed one year.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D71 - Personnel policies

Current through July 10, 2024
(a) An agency shall
				  have written personnel policies which include but are not limited to:
(1) Orientation policy and procedure. An
				  agency orientation policy for all employees shall include but not be limited to
				  review of the following:
(A) organizational
				  structure of the agency;
(B) agency
				  patient care policies and procedures;
(C) philosophy of patient care;
(D) description of client population and
				  geographic area served;
(E) agency
				  personnel policies and job description;
(F) applicable state and federal regulations
				  governing the delivery of home health care services;
(G) The orientation dates, content, and name
				  and title of the person providing the orientation shall be documented in the
				  employee's personnel folder.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D72 - Patient care policies

Current through July 10, 2024
(a)
General
				  Program Policies.
An agency shall have written policies governing
				  referrals received, admission of patients to agency services, delivery of such
				  services and discharge of patients. Such policies shall cover all services
				  provided by the agency, directly or under contract. A copy shall be readily
				  available to patients and staff and shall include but not be limited to:
(1) Conditions of Admission:
(A) An agency shall accept a plan of
				  treatment from a chiropractor for services within the scope of chiropractic
				  practice as defined in Connecticut General Statutes Sec.
				  20-28,
				  and an agency shall accept a plan of treatment from a podiatrist for service
				  within the scope of podiatry practice as defined in Connecticut General
				  Statutes Sec.
				  20-50.
				  The agency shall have policies governing delivery of these services. Said
				  policies shall conform to all applicable sections of these
				  regulations;
(B) A home assessment
				  by the primary care nurse or, when delegated by the supervisor of clinical
				  services, by other professional staff, to determine that the patient can be
				  cared for safely in the home;
(C)
				  The scope of agency, patient and, when appropriate, family and/or other
				  participation in the home health services to be provided;
(D) Circumstances which render a patient
				  ineligible for agency services, including but not limited to level of care
				  needs which make care at home unsafe, kinds of treatments agency will not
				  accept, payment policy and limitations on condition of admission, if
				  any;
(E) Plan for referral of
				  patients not accepted for care;
(F)
				  Any delay in the start of service shall require prior notification to the
				  patient.
Such notification shall include the anticipated start of
					 service date and the agency's plan while the patient is on the waiting
					 list;
(G) The policies
				  define agency responsibility, plan and procedures to be followed to assure
				  patient safety in the event patient services are interrupted for any
				  reason.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D73 - Patient care plan

Current through July 10, 2024
(a) Each medical or
				  dental plan of treatment shall include, but not be limited to:
(1) All diagnoses or conditions, primary and
				  secondary;
(2) Types and frequency
				  of services and equipment required;
(3) Medications and treatments
				  required;
(4) Prognosis, iuding
				  rehabilitation potential;
(5)
				  Functional limitations and activities permitted;
(6) Therapeutic diet.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D74 - Administration of medicines

Current through July 10, 2024
(a) Orders for the
				  administration of medications shall be in writing, signed by the patient's
				  physician or dentist, and in compliance with the agency's written policy and
				  procedure.
(1) Medications shall be
				  administered only as ordered by the patient's physician or dentist and in
				  compliance with the laws of the State of Connecticut;
(2) Orders shall include at least the name of
				  medication, dosage, frequency and method of administration.
(3) All medications shall be administered
				  only by registered nurses or licensed practical nurses licensed in accordance
				  with Chapter 378 of the Connecticut General Statutes or other health care
				  practitioners licensed in this state with statutory authority to administer
				  medications.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D75 - Clinical record system

Current through July 10, 2024
(a) An agency shall
				  maintain a clinical record system which includes, but not limited to:
(1) A written policy on the protection of
				  records which defines procedures governing the use and removal of records,
				  conditions for release of information contained in the record and which
				  requires authorization in writing by the patient for release of appropriate
				  information not otherwise authorized by law;
(2) A written policy which provides for the
				  retention and storage of records for at least seven (7) years from the date of
				  the last service to the patient and which provides for the retention and
				  storage of such records in the event the agency discontinues
				  operation;
(3) A policy and
				  procedure manual governing the record system and procedures for all agency
				  staff;
(4) Maintaining records on
				  the agency's premises in lockable storage area(s).
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D76 - Quality assurance program

Current through July 10, 2024
(a) An agency shall
				  have a written quality assurance program which shall include but not be limited
				  to the following components:
(1) Program
				  evaluation;
(2) Quarterly clinical
				  record review;
(3) Annual
				  documentation of clinical competence;
(4) Annual process and outcome record
				  audits.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D78 - Patient's bill of rights and responsibilities

Current through July 10, 2024
An agency shall have a written bill of rights and
					 responsibilities governing agency services which shall be made available and
					 explained to each patient or representative at the time of admission. Such
					 explanation shall be documented in the patient's clinical record. The bill of
					 rights shall include but not be limited to:
(a) A description of available services, unit
				  charges and billing mechanisms. Any changes in such must be given to the
				  patient orally and in writing as soon as possible but no later than thirty (30)
				  working days from the date the agency becomes aware of a change;
(b) Policy on uncompensated care;
(c) Criteria for admission to service and
				  discharge from service;
(d)
				  Information regarding the right to participate in the planning of the care to
				  be furnished, the disciplines that will furnish care, the frequency of visits
				  proposed and any changes in the care to be furnished, the person supervising
				  the patients' care and the manner in which that person may be
				  contacted;
(e) Patient
				  responsibility for participation in the development and implementation of the
				  home health care plan;
(f) Right of
				  the patient or designated representative to be fully informed of patients'
				  health condition, unless contraindicated by a physician in the clinical
				  record;
(g) Right of the patient to
				  have his or her property treated with respect;
(h) Explanation of confidential treatment of
				  all patient information retained in the agency and the requirement for written
				  consent for release of information to persons not otherwise authorized under
				  law to receive it;
(i) Policy
				  regarding patient access to the clinical record;
(j) Explanation of grievance procedure and
				  right to file grievance without discrimination or reprisal from agency
				  regarding treatment or care to be provided or regarding the lack of respect for
				  property by anyone providing agency services;
(k) Procedure for registering complaints with
				  the commissioner and information regarding the availability of the medicare
				  toll-free hotline, including telephone number, hours of operation for receiving
				  complaints or questions about local home health agencies;
(l) Agency's responsibility to investigate
				  complaints made by a patient, patient's family or guardian regarding treatment
				  or care provided or that fails to be provided and lack of respect for the
				  patient's property by anyone providing agency services. Agency complaint log
				  shall include date, nature and resolution of the complaint.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Home Health Care Agency › Section 19-13-D79 - Facilities

Current through July 10, 2024
(a) An agency's central office or any offices
				  serving residents of Connecticut shall be located within the State of
				  Connecticut and be accessible to the public.
(b) An agency shall have a communication
				  system adequate to receive requests and referrals for service, maintain verbal
				  contact with health service personnel at all times when they are serving
				  patients, receive calls from patients under the care of the agency and maintain
				  contact as needed with physicians and other providers of care.
(c) The facilities shall provide adequate and
				  safe space for:
(1) Staff to carry out their
				  normal pre and post visit activities;
(2) Supervisory conferences with
				  staff;
(3) Conferencing with
				  patients and their families;
(4)
				  Storage and maintenance of equipment and supplies necessary for patient
				  care;
(5) Maintaining
				  administrative records and files, financial records, and clinical records in
				  file cabinets which can be locked.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D81 - Personnel

Current through July 10, 2024
(a) An agency administrator shall be a person
				  with one of the following:
(1) A baccalaureate
				  degree in nursing with an active license to practice in this state and at least
				  two (2) years of full-time experience in a homemaker-home health aide agency or
				  related health care facility/program which included care of the sick;
				  or
(2) A baccalaureate degree in
				  social work, home economics, administration, or related human services field
				  with a concentration of study in health services administration, and at least
				  two (2) years of full-time experience in a homemaker-home health aide agency or
				  related health care facility/program which included care of the sick;
				  or
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D82 - General requirements

Current through July 10, 2024
The agency shall be organized and staffed in compliance
					 with the following:
(a) An agency
				  shall be governed by a governing authority, maintain an active patient care
				  advisory committee, be directed by an administrator and operate any services
				  offered in compliance with these regulations. Compliance with these regulations
				  shall be the joint and several responsibility of the governing authority and
				  the administrator.
(b)
Governing Authority:
(1) There
				  shall be a formal governing authority with full legal authority and
				  responsibility for the operation of the agency which shall adopt bylaws or
				  rules that are reviewed and so dated. Such bylaws or rules shall include, but
				  are not limited to:
(A) Purposes of the
				  agency;
(B) Delineation of the
				  powers, duties and voting procedures of the governing authority, its officers
				  and committees;
(C) Qualifications
				  for membership, method of selection and terms of office of members and
				  chairpersons of committees;
(D) A
				  description of the authority delegated to the administrator;
(E) The agency's conflict of interest policy
				  and procedures.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D83 - Homemaker-home health aide services

Current through July 10, 2024
(a) An agency shall
				  have written policies governing the delivery of homemaker-home health aide
				  services.
(b) On and after January
				  1, 1993, no person shall furnish homemaker-home health aide services on behalf
				  of a homemaker-home health aide agency unless such person has successfully
				  completed a training and competency evaluation program approved by the
				  department.
(1) The commissioner shall adopt,
				  and revise as necessary, a homemaker-home health aide training program of not
				  less than seventy-five (75) hours and competency evaluation program for
				  homemaker-home health aides. The standard curriculum of the training program
				  shall include the following elements which shall be presented in both lecture
				  and clinical settings:
(A) Communications
				  skills;
(B) Observation, reporting
				  and documentation of patient status and the care or services
				  furnished;
(C) Reading and
				  recording temperature, pulse and respiration;
(D) Basic infection control
				  procedures;
(E) Basic elements of
				  body function and changes in body function that must be reported to an aide's
				  supervisor;
(F) Maintenance of a
				  clean, safe and healthy environment;
(G) Recognizing emergencies and knowledge of
				  emergency procedures;
(H) The
				  physical, emotional, and developmental needs of and ways to work with the
				  populations served by the homemaker-home health aide agency, including the need
				  for respect for the patient, his or her privacy and his or her
				  property;
(I) Appropriate and safe
				  techniques in personal hygiene and grooming that include: bath (bed, sponge,
				  tub or shower), shampoo (sink, tub or bed), nail and skin care, oral hygiene,
				  toileting and elimination;
(J) Safe
				  transfer techniques and ambulation;
(K) Normal range of motion and
				  positioning;
(L) Adequate nutrition
				  and fluid intake;
(M) Any other
				  task that the homemaker-home health aide agency may choose to have the
				  homemaker-home health aide perform.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D84 - Contracted services

Current through July 10, 2024
(a) An agency may
				  hire professional supervision for its homemaker-home health aide staff through
				  contractual arrangements with other agencies or individuals. Supervision
				  provided by the primary agency through arrangements with a contractor agency or
				  individuals shall be set forth in a written contract which clearly specifies:
(1) That the patient's contract for care is
				  with the primary agency;
(2) The
				  services to be provided by the contractor;
(3) The necessity to conform to all
				  applicable primary agency policies, including personnel qualifications,
				  supervisory ratios and staffing patterns;
(4) The authority and responsibilities of the
				  supervisor;
(5) A term not to
				  exceed one (1) year.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D85 - Personnel policies

Current through July 10, 2024
(a) An agency shall
				  have written personnel policies which include but are not limited to:
(1) Orientation policy and procedure. An
				  agency orientation policy for all employees shall include but not be limited to
				  review of the following:
(A) Agency
				  organization and philosophy of patient care;
(B) Agency patient care policies and
				  procedures;
(C) Agency personnel
				  policies and job description;
(D)
				  Applicable state regulations governing the delivery of homemaker-home health
				  aide services;
(E) Agency's
				  procedure for the documentation of the orientation dates, content and name and
				  title of person providing the orientation;
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D86 - Service policies

Current through July 10, 2024
(a) An agency shall
				  have written policies governing referrals received, admission of patients,
				  delivery of services and discharge of patients. Such policies shall be
				  applicable to services provided by the agency, directly or under arrangement. A
				  copy shall be readily available to patients and staff and shall include but not
				  be limited to:
(1) Conditions of admission:
(A) An assessment of the patient and home
				  shall be completed by the registered nurse supervisor to determine that the
				  patient can be cared for safely in the home by a homemaker-home health
				  aide;
(B) Plan for referral of
				  patients not accepted for care;
(C)
				  Following acceptance of a referral, any delay in the start of service shall
				  require prior notification to the patient. Such notification shall include the
				  anticipated start of service date and the agency's plan while the patient is on
				  the waiting list;
(D) When
				  circumstances require the services of a homemaker-home health aide prior to an
				  assessment of the patient and home by a registered nurse supervisor, the
				  factors necessitating delivery of services prior to an assessment and
				  verification that the patient's safety is assured shall be documented in the
				  patient's record. Such assessment shall be completed within twenty-four (24)
				  hours of the initiation of services;
(E) Establishment of a plan of
				  care;
(F) Definition of the scope
				  of agency, patient and, when appropriate, family responsibilities for the
				  services to be provided;
(G)
				  Circumstances which render a patient ineligible for agency services, including
				  factors which make home care unsafe, the kinds of treatments an agency will not
				  accept, payment policy and limitations or conditions of admission, if
				  any;
(H) The policies define agency
				  responsibility, plan and procedures to be followed to assure patient safety in
				  the event patient services are interrupted for any reason.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D87 - Plan of care

Current through July 10, 2024
(a) A written plan
				  of care for homemaker-home health aide service shall be completed by the
				  registered nurse supervisor in consultation with the patient, family and others
				  involved in care to the patient, within seven (7) days of the patient's
				  admission for services. The plan shall include, but not be limited to:
(1) Initial assessment and reassement
				  frequency;
(2) Documentation of
				  patient's care needs;
(3) Goals of
				  management;
(4) Written
				  instructions for the homemaker-home health aide shall be completed before the
				  homemaker-home health aide provides any service to the patient. These
				  instructions shall include the scope and limitations of homemaker-home health
				  aide activities, pertinent aspects of patient's condition to be observed and
				  reported to the registered nurse supervisor, and name and telephone number of
				  the registered nurse supervisor;
(5) Plan for medical or other
				  emergencies;
(6) Frequency of
				  review and revision of care plan;
(7) Frequency of registered nurse
				  supervision;
(8) Plan for
				  registered nurse supervision of the homemaker-home health aide including
				  frequency and methods of insuring ongoing competence.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D88 - Patient records

Current through July 10, 2024
(a) An agency shall
				  maintain a patient record system which includes, but is not limited to:
(1) A written policy on the protection of
				  records which defines procedures governing the use and removal of records,
				  conditions for release of information contained in the record and which
				  requires authorization in writing by the patient for release of appropriate
				  information not otherwise authorized by law;
(2) A written policy which provides for the
				  retention and storage of records for at least seven (7) years from the date of
				  the last service to the patient and which provides for records retention and
				  storage of such records in the event the agency discontinues
				  operation;
(3) A policy and
				  procedure manual governing the records system and procedures for all agency
				  staff;
(4) Maintaining records on
				  the agency's premises in lockable storage area(s).
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D89 - Quality assurance program

Current through July 10, 2024
(a) An agency shall
				  have a written quality assurance program which shall include but not be limited
				  to:
(1) Program evaluation:
(2) Patient record review.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D90 - Administrative organization and records

Current through July 10, 2024
(a) An agency shall
				  not be eligible for licensure until it demonstrates to the satisfaction of the
				  commissioner that complete authority and control of the agency's operations is
				  vested in a corporation chartered in or properly qualified to do business in
				  this state, or in a person or persons who will reside in this state during the
				  period of licensure. When an agency provides services through more than one
				  office, the organization, services, control and lines of authority and
				  accountability between the central office and the other office(s) shall be
				  defined in writing. The central office shall be licensed as a homemaker-home
				  health aide agency in compliance with the regulations and standards governing
				  homemaker-home health aide agencies. When patient care services are provided
				  through other offices of the agency, each office shall be in compliance with
				  the regulations and standards, as specified herein, governing registered nurse
				  supervisor, services, service policies, plan of care, patient records, patient
				  bill of rights and responsibilities, and facilities. Weekend, holiday, evening
				  or night services may be provided through arrangement with one or more other
				  agencies but there shall be a written description of the organization, services
				  provided, lines of authority, responsibility and accountability between the
				  agencies.
(b) Whenever services as
				  defined in C.G.S. Section
				  19a-490(d)
				  or (e) are being provided at the same time to
				  the same patient by more than one agency licensed to provide such services,
				  there shall be:
(1) A written contract between
				  the participating agencies which meets the requirements of Section
				  19-13-D84 of
				  these regulations; or
(2) A written
				  memo of understanding between the participating agencies or documentation in
				  the patient's record of the plan established between the participating agencies
				  which defines assignment of primary responsibility for the patient's care and
				  methods of communication/coordination between the agencies so that all
				  information necessary to assure safe, coordinated care to the patients is
				  accessible and available to all participating agencies.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D91 - Patient's bill of rights and responsibilities

Current through July 10, 2024
An agency shall have a written bill of rights and
					 responsibilities governing agency services which shall be made available and
					 explained to each patient and/or patient representative at the time of
					 admission. Such explanation shall be documented in the patient's record. The
					 Bill of Rights shall include but not be limited to:
(a) A description of available services, unit
				  charges, and billing mechanisms; any changes in such must be given to the
				  patient orally and in writing as soon as possible but no later than fifteen
				  (15) working days from the date the agency becomes aware of a change;
(b) Policy on uncompensated care;
(c) Criteria for admission to service and
				  discharge from service;
(d)
				  Information in advance regarding the right to participate in the planning of
				  the care to be furnished, the frequency of visits proposed and any changes in
				  the care to be furnished, the name of the person supervising the patient's care
				  and the manner in which that person may be contacted;
(e) Patient participation in the
				  implementation of the plan of care;
(f) Right of the patient and/or patient
				  representative to be fully informed of patient's health condition, unless
				  contra-indicated by the patient's source of medical care in the clinical
				  record;
(g) Right of the patient to
				  have his or her property treated with respect;
(h) Explanation of confidential treatment of
				  all patient information retained in the agency and the requirement for written
				  consent for release of information to persons not otherwise authorized under
				  law to receive it;
(i) Policy
				  regarding patient access to the patient record;
(j) Explanation of grievance procedure and
				  right to file grievance without discrimination or reprisal from agency
				  regarding care provided or failed to be provided, or regarding the lack of
				  respect for property by anyone providing agency services;
(k) Agency's responsibility to investigate
				  complaints made by a patient, patient's family or guardian regarding care
				  provided or that fails to be provided and lack of respect for the patient's
				  property by anyone providing agency services. Agency complaint log shall
				  include date, nature and resolution of the complaint;
(l) Procedure for registering complaints with
				  the commissioner.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Homemaker-Home Health Aide Agency › Section 19-13-D92 - Facilities

Current through July 10, 2024
(a) An agency's central office or any other
				  office(s) serving residents of Connecticut shall be located within the State of
				  Connecticut and be accessible to the public.
(b) An agency shall have a communication
				  system adequate to receive requests and referrals for service, maintain verbal
				  contact with health service personnel at all times when they are serving
				  patients, receive calls from patients under the care of the agency and maintain
				  contact as needed with the patients source of medical care as applicable and
				  other providers of care.
(c) The
				  facilities shall provide adequate and safe space for:
(1) Staff to carry out their normal pre and
				  post visit activities;
(2)
				  Supervisory conferences with staff;
(3) Conferencing with patients and their
				  families;
(4) Storage and
				  maintenance of equipment and supplies necessary for patient care;
(5) Maintaining administrative records and
				  files, financial records, and patient records in file cabinets which can be
				  locked.
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-E - The Public Health Code of the State of Connecticut › Chapter V - OCCUPATIONAL HEALTH TETRAETHYL LEAD › TETRAETHYL LEAD › Section 19-13-E1 - Definitions (Repealed)

Current through July 10, 2024
For 2014 repeal, see
						Sec.
						54 of
						Public
						Act 14-187. (June 11, 2014)
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-E - The Public Health Code of the State of Connecticut › Chapter V - OCCUPATIONAL HEALTH TETRAETHYL LEAD › TETRAETHYL LEAD › Section 19-13-E2 - Manufacture of tetraethyl lead and the blending of the latter to make ethyl fluid (Repealed)

Current through July 10, 2024
For 2014 repeal, see
						Sec.
						54 of
						Public
						Act 14-187. (June 11, 2014)
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-E - The Public Health Code of the State of Connecticut › Chapter V - OCCUPATIONAL HEALTH TETRAETHYL LEAD › TETRAETHYL LEAD › Section 19-13-E3 - Mixing (Repealed)

Current through July 10, 2024
For 2014 repeal, see
						Sec.
						54 of
						Public
						Act 14-187. (June 11, 2014)
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-E - The Public Health Code of the State of Connecticut › Chapter V - OCCUPATIONAL HEALTH TETRAETHYL LEAD › TETRAETHYL LEAD › Section 19-13-E4 - Distribution of ethyl gasoline (Repealed)

Current through July 10, 2024
For 2014 repeal, see
						Sec.
						54 of
						Public
						Act 14-187. (June 11, 2014)
Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-E - The Public Health Code of the State of Connecticut › Chapter V - OCCUPATIONAL HEALTH TETRAETHYL LEAD › OCCUPATIONAL DISEASE › Section 19-13-E5a - Standards

Current through July 10, 2024
(1) The following occupational health
				  standards promulgated by the Secretary of Labor, United States Department of
				  Labor, under the authority of the Williams-Steiger Occupational Safety and
				  Health Act of 1970 (84 Stat. 1590 - 1620) and any changes, amendments,
				  corrections, additions and deletions subsequently made, are herewith adopted as
				  regulations as if fully set forth herein:
Code of Federal Regulations - Title 29, Chapter XVII
Part 1910 - Occupational Safety and Health Standards
Subpart G-Occupational Health and Environmental
					 Control
Section 1910.93 Air contaminants.
Section 1910.94 Ventilation.
Section 1910.95 Occupational noise exposure.
Section 1910.97 Nonionizing radiation.
Subpart I-Personnel Protective Equipment
Section 1910.134 Respiratory protection
Subpart Q-Welding, Cutting and Brazing
Section 1910.251 Definitions
Section 1910.252(c) (4) (i) Ventilation and flash
					 guard.
Section 1910.252 (e) (2) Eye protection.
Section 1910.252 (e) (4) (i) General.
Section 1910.252 (e) (4) (ii) Ventilation.
Section 1910.252 (f) Health protection and
					 ventilation.
(2) These
				  regulations shall become effective upon the same dates as the standards
				  promulgated by the Secretary of Labor, United States Department of Labor,
				  herein adopted.
(3) These
				  regulations shall apply to employments performed in a workplace within this
				  state.